Project Coordinator

Peraton

. Lead projects arising from situations potentially involving fraud, waste, or abuse in Medicaid .

Posted 9/30/2026full-timeRemote • United StatesMid-LevelSenior💰 $66,000 - $106,000 per yearWebsite

Core Competencies

Role fit

Core Competencies

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Demonstrates expertise in Medicaid fraud detection and prevention, utilizing strong analytical skills and knowledge of healthcare policy and regulations. Proficient in data analysis, project management, and effective communication with stakeholders.

Highest-signal resume keywords

Medicaid Fraud DetectionData Analysis TechniquesHealthcare Policy ExperienceProject ManagementStrong Communication Skills

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills

Data AnalysisRelational Database DesignStatistical TechniquesMicrosoft AccessExcelReportingResearch SkillsPolicy InterpretationAnalytical AbilityProject Methodology Development

Soft Skills

Strong Writing SkillsOrganizational SkillsAbility to Work IndependentlyTeam CollaborationLiaison Skills

Tools & Technologies

Microsoft AccessExcelAnalytic ToolsInternet

Industry Keywords

MedicaidFraud AlertsCMSOIGState Program IntegrityMFCUSocial Security ActBilling PatternsPolicy VulnerabilitiesConfidential Material

About the role

Key responsibilities & impact

Lead projects arising from situations potentially involving fraud, waste, or abuse in Medicaid
Develop project methodologies and coordinate with internal teams
Use data analysis techniques to detect aberrancies in Medicaid claims data
Develop leads from CMS, OIG, State Program Integrity, MFCU, and fraud alerts
Review claims history and provider files to identify billing patterns, potential fraud, abusive practices, and policy vulnerabilities
Make potential fraud determinations using internal guidelines, Medicaid provider manuals, Medicaid regulations, and the Social Security Act
Identify fraud alerts and program vulnerabilities for submission to CMS
Share information on fraud investigations with Medicaid contractors, law enforcement, and other stakeholders
Track and report project progress internally and to CMS and the States
Coordinate workflow from project to lead stage
Communicate with other UPICs regarding potential project development
Review, support, and respond to Medicaid stakeholder information requests

Requirements

What you’ll need

5 years with BS/BA; or 9 years with a HS Diploma/equivalent
Healthcare policy and regulation experience (Medicaid preferred)
Strong research skills
Strong communication and organization skills
Strong writing skills
Strong computer skills including Microsoft Access, relational database design, extraction and reporting, Excel, and the Internet
Strong proven analytical ability and basic knowledge of statistics and sampling techniques
Proven ability to work with a variety of systems, data sources, and analytic tools
Ability to perform research and draw conclusions
Ability to interpret data and policy relative to an allegation
Ability to manage several projects while meeting deadlines with quality work product
Ability to work as a liaison across teams, State Medicaid Agencies, and CMS
Ability to present findings and issues of concern, citing regulatory violations
Ability to compose correspondence and reports
Ability to interpret laws and regulations
Ability to handle confidential material
Ability to report work activity on a timely basis
Ability to work independently and as a member of a team
Ability to attend meetings, training, and conferences
US citizenship required

Benefits

Comp & perks

Telework available from anywhere in the US
Employees may be eligible for overtime
Employees may be eligible for shift differential
Employees may be eligible for a discretionary bonus
Equal opportunity employer, including disability and protected veterans, or other characteristics protected by law