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.
What you'll do:
The Fraud Investigator is expected to perform high level complex investigations of medical professional service providers and develop cases for future action, including referral to law enforcement, education, over payment recovery and other administrative actions. Will work with internal resources and external agencies to develop cases and corrective actions as well as respond to requests for data and support.
Basic Qualifications:
Desirable Qualifications:
Essential Functions:
Peraton is a next-generation national security company that drives missions of consequence spanning the globe and extending to the farthest reaches of the galaxy. As the world’s leading mission capability integrator and transformative enterprise IT provider, we deliver trusted, highly differentiated solutions and technologies to protect our nation and allies. Peraton operates at the critical nexus between traditional and nontraditional threats across all domains: land, sea, space, air, and cyberspace. The company serves as a valued partner to essential government agencies and supports every branch of the U.S. armed forces. Each day, our employees do the can’t be done by solving the most daunting challenges facing our customers. Visit peraton.com to learn how we’re keeping people around the world safe and secure.
$51,000 - $82,000. This represents the typical salary range for this position based on experience and other factors.
...Medication Delivery Driver Our focus is to contract with Heroes (Independent Contractors ) who care and can deliver life-saving medications to elderly patients who need them and are situated in Nursing Facilities. We treat all our Heroes ( Independent Contractor...
...Position Title: Diagnosis Related Group Clinical Validation Auditor-RN Job Description: Diagnosis Related Group Clinical... ...Auditor-RN Location: This position will work a hybrid model (remote and office). Ideal candidates will live within 50 miles of one of...
...position performs support at California Department of Fish and Wildlife (CDFW) hatcheries statewide. This position involves all... ...in fairs and local events. Aptitude for fish and wildlife conservation work, construction, repair and maintenance work; willingness to...
Company: US0038 Sysco Indianapolis, LLC Zip Code: 46268 Minimum Level of Education: High School or Equivalent Minimum Years of Experience: 3 Years Employment Type: Full Time Travel Percentage: 0$7,500 Sign on Bonus JOB SUMMARY To assist...
...offering quality health care services and for you and your family. We offer a wide range of care for patients from newborns to senior citizens. We provide effective treatment for sudden illness, minor injuries, disease prevention, diagnosis, treatment, management of chronic...