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Fraud Investigator - Job Opportunity at Peraton

United States
Full-time
Mid-level
Posted: January 14, 2025
Remote
USD 51,000 - 82,000 per year

Benefits

Comprehensive medical, dental & vision coverage - competitive in defense sector
Disability & life insurance protections
Generous paid time off including holidays
Industry-leading paid parental leave program
Career development support with tuition assistance
Student loan financing assistance
Retirement planning support
Comprehensive wellness programs

Key Responsibilities

Lead complex investigations of medical provider fraud with law enforcement collaboration
Analyze and detect healthcare fraud patterns using advanced investigative techniques
Develop and present evidence-based cases for legal action and recovery
Interface with federal and state agencies for case development
Manage concurrent complex caseloads with minimal supervision
Prepare detailed investigative reports and legal documentation
Conduct witness interviews and evidence collection
Ensure compliance with healthcare privacy regulations
Testify in court proceedings as expert witness when required

Requirements

Education

Bachelor's Degree

Experience

5 years with BS/BA; 3 years with MS/MA; or 10 years Medicare/investigation experience

Required Skills

Healthcare fraud investigation expertise Medicare/Medicaid program knowledge Strong analytical and research capabilities Advanced communication skills Organizational management PC proficiency Medical claims analysis Interview and documentation skills Legal/regulatory interpretation abilities
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Sauge AI Market Intelligence

Industry Trends

Increasing focus on healthcare fraud prevention Growing use of data analytics in investigations Rising demand for healthcare compliance expertise Expansion of telehealth fraud investigations

Salary Evaluation

Market competitive for federal contractor sector

Role Significance

Cross-functional teams of 5-10 investigators
Mid-level specialist with significant autonomy

Key Projects

Federal healthcare fraud investigations Provider compliance programs Law enforcement collaboration initiatives

Success Factors

Deep understanding of healthcare regulations Strong investigative instincts Excellent documentation skills Ability to work independently Strong attention to detail

Market Demand

High demand due to increasing healthcare fraud cases

Important Skills

Critical Skills

Healthcare fraud investigation experience Federal program knowledge Analytical skills Communication abilities

Beneficial Skills

Legal background Healthcare provider experience Data analysis expertise Project management skills

Unique Aspects

Direct impact on federal healthcare program integrity
Combination of healthcare and investigative expertise
Remote work flexibility
Federal law enforcement collaboration

Career Growth

2-4 years for advancement opportunities

Potential Next Roles

Senior Fraud Investigator Investigation Team Lead Compliance Manager Healthcare Fraud Program Director

Company Overview

Peraton

Peraton is a leading national security company specializing in mission-critical solutions across government and military sectors. SafeGuard Services, their subsidiary, focuses on healthcare fraud prevention and investigation.

Major player in government contracting and national security
National presence with federal contract focus
Mission-driven environment with emphasis on security and precision
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