Medicaid Fraud Auditor

Responsibilities

SafeGuard Services (SGS), a subsidiary of Peraton , performs data analysis, investigation, and medical review to detect, prevent, deter, reduce, and make referrals to recover fraud, waste, and abuse.

We are looking to add a Medicaid Fraud Auditor to our SGS team of talented professionals.

What you'll do :

This position requires an individual who can research and interpret federal and state Medicaid requirements, develop appropriate audit procedures, analyze claims and supporting documentation, identify and substantiate exceptions, determine potential overpayments, and clearly communicate audit conclusions.