Remote Medicaid Fraud Auditor | Compliance & Data Analysis
Peraton
- Remote job
Peraton is seeking a Medicaid Fraud Auditor for its SafeGuard Services (SGS) team to conduct audits of Medicaid programs, ensure compliance with federal/state requirements, and recover overpayments. You will analyze data, interview beneficiaries, and document findings in case files with adherence to policies and timelines. Strong analytical skills and knowledge of Medicaid auditing are essential. This remote role offers telework from any state in the US, with potential for overtime and #J-18808-Ljbffr Peraton
- ...Peraton is seeking a Medicaid Fraud Auditor for its SafeGuard Services (SGS) team... ...Medicaid programs, ensure compliance with federal/state requirements... .... You will analyze data, interview beneficiaries, and... ...auditing are essential. This remote role offers telework from any...Remote workDataFraud
$55k - $75k
...commercial clients in compliance and program... ...and detection of fraud, waste and abuse... ...achieved through data analytics, technology... ...this role, the Medicaid Auditor will be responsible... ...as research and analysis of industry... ...screening checks. For remote work, required to...Remote workDataFraudFull timeContract workTemporary workFor contractorsWork at officeLocal areaFlexible hours- ...strategy, and market analysis issues. Areas... ...Medicare, Medicaid, commercial insurance... ..., and clinical compliance. Marwood... ...Certified Coding Auditor to work in its... ...York office or remotely. Principal... ...regulations, applicable fraud statutes, and... ...1500 claims data, as well as...Remote workDataFraudWork at officeLocal area
- ...Services, Inc. is seeking a Medicaid Auditor to perform audits of Medicaid... ...and providers, identify fraud, waste, and abuse, and report... ...The role includes on-site and remote work, relevant documentation... ...related experience, with strong data analysis and knowledge of Medicare/...Remote jobDataFraud
- ...Peraton is seeking a Medicaid Auditor/Investigator to join SafeGuard Services in a remote capacity. You will conduct audits of Medicaid programs to ensure compliance with federal and state requirements... ...Responsibilities include data analysis, interviews, documenting findings...Remote workData
- ...Understanding of Medicare/Medicaid or healthcare... ...care claims data is preferred... ...performs data analysis, investigation,... ...to recover fraud, waste, and abuse... ...add a Medicaid Auditor/Investigator to... ...programs to ensure compliance with federal... .... This is a remote position. #J-1...Remote workDataFraudWork at office
- ...subsidiary of Peraton, performs data analysis, investigation, and medical... ...make referrals to recover fraud, waste, and abuse. We are looking to add a Medicaid Fraud Auditor to our SGS team of talented... ...conclusions for projects; Conducts compliance audits of varied Medicaid...Remote workDataFraudWork at office
- ...seeks a Claims Examiner III LPN to protect MVH program integrity by identifying and preventing fraud, waste, and abuse. The role blends clinical expertise with data analysis to assess medical necessity and detect unusual utilization patterns. The position supports audits...Remote workDataFraud
- ...Health Solutions is seeking a Claims Examiner III LPN to protect the MVH program by investigating fraud, waste, and abuse. The role blends clinical expertise with data analysis to assess medical necessity and detect unusual utilization patterns, ensuring benefits are...Remote jobDataFraud
- ...safeguard MVH program integrity. The role blends nursing expertise with data analysis to assess medical necessity, detect unusual utilization, and ensure compliant benefits administration. Remote work options are available with state approvals. The position requires U....Remote jobDataFraudFor contractors
- ...highly motivated Senior Internal Auditor to join our Internal Audit... ...by operational, compliance, and special reviews. In this... ...through interviews, walkthroughs, data analysis, and testing.Use data analytics... ...and projects.Support fraud investigations, cost-improvement...Remote workDataFraudWork at office
- Senior QA Auditor - GCP Audits Plan and conduct... ...audits to assess compliance with regulations,... ..., Root Cause Analysis (RCA), Corrective... ...clinical study report/data management clinical... ...policy for candidate fraud. All information... ...Work You'll work remotely, with the flexibility...Remote workDataFraudImmediate startWork from homeWorldwide
$51k - $82k
...subsidiary of Peraton, performs data analysis, investigation, and medical... ...make referrals to recover fraud, waste, and abuse. We are looking to add a Medicaid Fraud Auditor to our SGS team of talented... ...Medicaid programs to ensure compliance with federal and state Medicaid...Remote workDataFraudContract workTemporary workWork at officeShift work- ...Senior Internal Auditor and Sox Compliance Job Level: Mid-level... ...Orem, UT preferred, remote available About... ...including compliance, fraud-risk, and process-improvement... ...change. Apply data analytics and... ..., perform root-cause analysis, partner with management...Remote workDataFraudFull timeWork at office
- ...SafeGuard Services (SGS), a Peraton subsidiary, seeks a Medicaid Fraud Auditor to join our team. The role audits Medicaid programs for compliance and over-payment recovery, applying analytical skills and interviews to gather information. Candidates must reside within the...Remote workFraud
$96.64k - $142k
...Our dedication to remote-first work, and strong... ...Senior Internal Auditor. At Twilio, we... ...beyond traditional compliance to drive strategic... ...scoping, materiality analysis, and risk-based... ...Experience using data analytics tools (e... ...alert to recruitment fraud We care about...Remote workDataFraudFull timeLocal areaWorldwide- ...SafeGuard Services (SGS), a subsidiary of Peraton, is seeking a Medicaid Fraud Auditor to join the SGS team. The role focuses on researching laws, conducting compliance audits across Medicaid cases, and identifying improper payments. Telework is available from any state...Remote workFraud
$33.46 - $42.66 per hour
...Program Integrity Auditor provides detailed analysis, identifies... ...prepayment audits of Medicaid and State funded... .../procedures, compliance plans, and other... ...for noncompliance Data Analytics... ...and Healthcare Fraud Shield reports data... ...including hybrid/remote options Paid time...Remote workDataFraudHourly payFull timeContract workWork at officeHome officeFlexible hours$74k - $135k
...audits, disputes, claims analysis, investigations, compliance reviews, and litigation support... ..., regulatory, and fraud, waste, and abuse risks from... ...claims, charge detail, billing data, reimbursement data,... ...methodologies, including Medicare, Medicaid, commercial, and payor-...DataFraudFull timeContract workLocal areaFlexible hours- Billing and Coding Auditor Banyan Treatment... ...the accuracy and compliance of our billing practices... ..., FL), Hybrid or Remote (USA)Reports to:... ..., potential fraud, and coding errors... ...analyze complex claims data. Familiarity with... ...Familiarity with Medicare, Medicaid, and commercial...Remote workDataFraudFull timeWork experience placementWork at officeFlexible hours
- ...full-time Healthcare Fraud Investigator will focus... ...abuse, while working remotely. Key responsibilities... ...witness interviews and data analysis Develops leads and produces... ...review, ensuring compliance with regulations Coordinates... ...of managed care, Medicaid, Medicare, and claim...Remote workDataFraudFull time
- ...Humana, Inc. is seeking a Fraud and Waste Professional to conduct investigations within the Medicaid-related context. The role is fully remote in the contiguous US with potential travel... ...in healthcare fraud investigations, and strong data analysis and #J-18808-LjbffrRemote workDataFraud
$60k - $65k
...with experience in compliance, auditing, quality... ...a Compliance Auditor to join our Compliance... ...is largely remote Excellent benefits... ...compliance Analyze data, documentation,... ...related to licensing, Medicaid, Department of... ...requirements Perform data analysis and prepare...Remote workDataFull timeFlexible hours- ...to support the SafeGuard Services Medicaid Managed Care audit initiative. The... ...technical solutions, coordinating data strategy, methodologies, and analysis to ensure audit data is validated,... ...Responsibilities include leading projects on fraud, waste, and abuse, developing...Remote workDataFraud
$70.2k - $120.4k
...accountability, makes data-driven decisions, embraces... ..., and regulatory compliance across delegated entities... ...through root-cause analysis and coordination. Promote... ...and knowledge of Medicaid and SNP products Project... ...This position is a Remote role.To be eligible...Remote workDataWork experience placementWork at office- ...Description Job Description Medicaid Business / QA Analyst ~7–12+ Month Contract | Remote | No ThirdParty Firms |... ...matter expert (SME) for Medicaid data and processes while performing... ...criteria. Familiarity with HIPAA compliance and PHI guidelines. Excellent...Remote workDataContract work
$66k - $106k
...subsidiary of Peraton performs data analysis investigation and medical... ...and make referrals to recover fraud waste and abuse. We are looking to add an Auditor to our SGS team of talented professionals... ...Intermediate understanding of Medicaid or healthcare auditing and...Remote workDataFraudFull timeContract workTemporary workWork at officeShift work- ...direction of the Compliance Officer. Provide training... ...is currently remote (work from home,... ...ability to analyze data. Proficient in Microsoft... ..., Medicare and Medicaid, or related... ...PFS and University Auditor as needed. Conduct... ...guidelines. Conduct data analysis. Generate reports...Remote workDataWork at officeWork from home
$30.46 - $45.69 per hour
...other factors. Billing Compliance, Senior Auditor Reporting to the... ...Hybrid (Evanston, IL and remote) Full Time/Part Time... ..., EOBs, Epic billing data and related records)... ..., and Medicare/Medicaid standards (e.g., NCDs... ...assessments, root‑cause analysis, and corrective action...Remote workDataHourly payFull timeContract workPart timeFor contractorsMonday to Friday$91.19k - $116.27k
...Applicants page. Internal Auditor II (Full-time Remote, North Carolina... ...USA Remote Compliance & Audit Full-Time... ...evidence quality, analysis, and documentation... ...of state and federal Medicaid laws, administrative... ...analyze financial data and identify concerning...Remote workDataFull timeContract workWork at officeHome officeFlexible hours
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