Fraud Investigations Manager

Peraton

. Provide direction to a staff of investigators identifying and researching potential fraud, waste and abuse .

Posted 9/30/2026full-timeRemote • United StatesSeniorLead💰 $80,000 - $128,000 per yearWebsite

Core Competencies

Role fit

Core Competencies

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Demonstrates extensive leadership and management capabilities in overseeing investigations related to fraud, waste, and abuse within the Medicare Program, while effectively developing and motivating staff to achieve unit goals and objectives.

Highest-signal resume keywords

Medicare Program KnowledgeLeadership SkillsFraud Investigation ManagementBudget AdministrationOrganizational Skills

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills

Fraud InvestigationCase DevelopmentData AnalysisBudget ControlRegulatory Compliance

Soft Skills

Communication SkillsTeam CollaborationPerformance EvaluationMotivational Skills

Tools & Technologies

PC Skills

Industry Keywords

Medicare RequirementsClaims ReviewProvider BehaviorFraud PreventionWaste Management

About the role

Key responsibilities & impact

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

What you’ll need

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

Comp & perks

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