[Remote] Medicaid Fraud Auditor

February 23, 2026

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Note: The job is a remote job and is open to candidates in USA. Peraton is a next-generation national security company that drives missions of consequence. They are seeking a Medicaid Fraud Auditor to conduct complex audits and reviews of medical service providers to ensure compliance with federal and state program requirements, while recommending recovery of over-payments for non-compliance.

Responsibilities

Provides research, interprets laws and regulations, performs data analysis and draws conclusions for projects
Uses good judgment conducting compliance audits of varied Medicaid case-types, auditing claim submissions and performing ad-hoc focused audits
Handles multiple assignments concurrently; organizes and analyzes billing patterns; conducts interviews and obtains statements from beneficiaries/recipients and others
Develops an understanding of the function to be audited and uses business knowledge, analytical skills, and experience in identifying findings and making recommendations for improvements
Identifies compliance exceptions, conflicts of interest, improper payments
Organizes a case file, accurately and thoroughly documents all steps taken
Works independently or at times as part of a team, provide ongoing progress reports and updates on audit status
Presents issues of concern verified through data, citing regulatory violations, proving schemes or scams to defraud the Government
Compose correspondence, reports, and referral summary letters
Works under general supervision and as a member of a team to deliver high quality work
Ensure that projects are timely, complete and accurate; and
Actively participates at meetings and attends training to further his business acumen

Skills

2 years with a Bachelor's degree; or High School diploma with 6 years experience in lieu of a degree
2+ years of related work experience
Knowledge of internal audit/investigative policies and operating principles
Strong research, analytical, interpersonal skills
Strong familiarity with Microsoft Office tools, including intermediate to advanced knowledge of Excel and pivot tables
US citizenship required
Degree in finance, accounting or a health-related field preferred
Financial and business acumen
Intermediate audit/investigative skills
Project management skills
Knowledge of the healthcare industry, medical coding concepts and/or experience analyzing health care claims data

Benefits

Depending on the position, employees may be eligible for overtime, shift differential, and a discretionary bonus in addition to base pay.

Company Overview

Peraton Fearlessly solving the toughest national security challenges. It was founded in 1992, and is headquartered in Woodbridge, New Jersey, USA, with a workforce of 10001+ employees. Its website is https://www.peraton.com/.

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