Fraud Investigations Manager

🔥 3 minutes ago

🦌 Connecticut, Maine, +8 more states – Remote

🦌 Connecticut – Remote 🦞 Maine – Remote 🗻 New Hampshire – Remote 🏖️ New Jersey – Remote 🗽 New York – Remote 🦀 Maryland – Remote 🍂 Massachusetts – Remote 🔔 Pennsylvania – Remote ⚓ Rhode Island – Remote 🍁 Vermont – Remote

💵 $80k - $128k / year

⏰ Full Time

🟠 Senior

🔴 Lead

👔 Manager

🦅 H1B Visa Sponsor

This company has sponsored H1B visas in the past.

👻 Ghost score 0%

What it means: how likely this posting is sitting open without active hiring.How to read it: 60% or higher means we think this is a ghost. Lower scores are less of a worry.How we score it: age, reposts, open roles vs team size, how fast jobs close, and whether pay is listed.Fine print: an estimate from public data, not a judgment of the company. Real jobs can score high, so treat it as a hint, not a fact.

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Peraton

WebsiteLinkedInAll Job Openings

10,000+ employees

💼 Consulting

🏥 Healthcare

📦 Logistics

Consulting • Healthcare • Logistics

Peraton is a mission-focused enterprise that supports national security initiatives through advanced IT and cyber services. They provide capabilities in areas such as cyber defense, cloud operations, engineering, and intelligence. With a commitment to solving complex challenges, Peraton integrates data-driven technologies to ensure mission success for their military and government clients.

📋 Description

• Provide direction to a staff of investigators identifying and researching potential fraud, waste and abuse • Oversee and assist with developing cases for referral to law enforcement or other entities • Respond to requests for data and support for existing casework • Establish goals, objectives, and plans for the unit • Motivate staff and evaluate performance • Plan resources, address workload needs, set priorities, and report unit activity • Develop, administer, and control a budget • Administer compensation and other corporate policies • Recruit and develop staff • Participate in CMS and law enforcement meetings • Lead a team of investigations and Lead Assessment Investigators • Oversee and manage workload to meet contractual requirements

🎯 Requirements

• 10 years of experience, which may include supervisory or lead experience • Proven leadership skills • In-depth knowledge of the Medicare Program as it pertains to reviewing claims and provider behavior for indications of potential fraud, waste and abuse • Knowledge of Medicare requirements, laws, rules and regulations related to payment for services billed to the Program • Excellent organizational and communication skills • Strong PC skills • Ability to work effectively independently and as a member of a team • U.S. citizenship required • No clearance required • Bachelor's degree is a plus

🏖️ Benefits

• Telework available from specified U.S. states and the District of Columbia • Employees may be eligible for overtime • Employees may be eligible for shift differential • Employees may be eligible for a discretionary bonus