Fraud Auditor Associate

Peraton

. Perform entry-level fraud investigations and audits under direct supervision of a team manager and/or team lead .

Posted 10/13/2026full-timeRemote • United StatesJuniorMid-Level💰 $39,000 - $62,000 per yearWebsite

Core Competencies

Role fit

Core Competencies

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Demonstrates strong investigative and analytical capabilities, with a focus on healthcare compliance audits and fraud case development. Proficient in preparing detailed reports and maintaining confidentiality while adhering to relevant laws and regulations.

Highest-signal resume keywords

Investigative ExperienceAnalytical SkillsKnowledge of Medicare and Medicaid ProgramsStrong Communication SkillsOrganizational Skills

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills

Fraud InvestigationAudit PracticesMedical ReviewClaims ReviewRegulatory InterpretationData AnalysisRecord ExaminationObservation TechniquesCase DocumentationOverpayment Identification

Soft Skills

Team CollaborationConfidentiality ManagementEffective CommunicationTime ManagementAdaptability

Tools & Technologies

Data SystemsInvestigation ToolsPC Skills

Industry Keywords

Healthcare ComplianceFraud PreventionRegulatory ComplianceInvestigative PracticesAudit Standards

About the role

Key responsibilities & impact

Perform entry-level fraud investigations and audits under direct supervision of a team manager and/or team lead
Support investigations of medical professional service providers and develop cases and reports for law-enforcement referrals, education, overpayment recovery, and administrative actions
Work with internal resources, external agencies, state and federal investigators, and other personnel to develop cases, audits, and corrective actions
Handle multiple caseload assignments concurrently; organize and analyze information
Assist with complex reports applying regulations or rules to affected programs
Research relevant offenses and conduct efficient investigations and audits
Detect or verify suspected violations using observation, record examination, and interviews
Analyze investigation and audit results to determine whether allegations are corroborated and appropriate corrective steps
Prepare objective and accurate correspondence
Maintain confidentiality of health privacy information and comply with applicable laws, rules, and regulations
Organize case files and document investigative and audit activities
Compose correspondence, reports, and referral summary letters
Educate providers, provider associations, law enforcement, contractors, and beneficiary advocacy groups on program safeguard matters
Report work activity in a timely manner
Attend meetings and training conferences; overnight travel may be required

Requirements

What you’ll need

0 years with BS/BA or 4 years with a HS Diploma/equivalent
Investigative and analytical experience
Strong communication and organization skills
Strong PC knowledge and skills
US. citizenship required
Strong background in investigations or compliance audits (most competitive candidates)
Experience reviewing claims for technical requirements, performing medical review, and/or developing fraud cases and identifying overpayments (most competitive candidates)
Knowledge of investigative or audit practices regarding healthcare providers (most competitive candidates)
Knowledge of Medicare and/or Medicaid programs and related rules, regulations, policies and procedures (most competitive candidates)
Background evaluating, reviewing and analyzing medical claims and records (most competitive candidates)
Ability to learn and operate data systems, equipment and tools used in investigations
Ability to research and draw conclusions
Ability to interpret laws and regulations
Ability to handle confidential material
Ability to work under direct supervision as a team member
Ability to attend meetings and training conferences; overnight travel may be required

Benefits

Comp & perks

Telework available from Eastern Time Zone
Overtime eligibility may apply
Shift differential may apply
Discretionary bonus may apply
Equal opportunity employment, including disability and protected veterans