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Fraud Examiner / Analyst
Reston, VA

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Peraton

Investigations Team Lead

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Job Description

Investigations Team Lead Peraton $66,000 - $106,000 parental leave, paid time off, paid holidays, long term disability, 401(k) United States, Virginia, Reston 1875 Explorer St (Show on map) Oct 29, 2026 Investigations Team Lead

Job Locations US Requisition

ID 2026-172851

Position Category Business Controls Clearance No Clearance Required Peraton Overview 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. Responsibilities 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. We are looking to add an Investigative Team Lead to our SGS team of talented professionals. What You'll do: As an Investigative Team Lead, this individual's primary responsibilities include achieving quality objectives, workload oversight to promote timely development and resolution of investigations and development of cases for referral to law enforcement or other entities and provide mentoring and guidance to investigative team. The individual exercises significant independent judgment within broadly defined policies and practices to determine the best method for accomplishing work and achieving objectives. There may be multiple of these individuals for a task order and they may lead significantly different activities

Act as a point of contact for manager

Assist team members with workflow development

Review individual workload during monthly meetings; assist with prioritization and conduct QC for staff

Monitor the quality of UCM/WMM

Monitor timeliness for case updates and escalating to management as necessary

Monitor the progress of investigations and cases to ensure use of all available remedies, i.e., suspension, pre-pay reviews, revocation, etc.

Mentor team members so that they can identify previously undetected fraud, waste, or abuse through proactive or reactive research, analysis, and development.

Telework available from

EST, CST. MST
Time Zone Qualifications Basic Qualifications:

Minimum of 8 years with BS/BA or 12 years with a HS Diploma/equivalent

Relevant investigative experience required.

CFE or AHFI certification preferred

Strong communication and organization skills

Strong PC knowledge and skills

US. citizenship required

Preferred Qualifications:

Knowledge of Medicare requirements, laws, rules and regulations related to payment for services billed the Program

Experience in reviewing claims, performing medical review, and/or developing fraud cases

Essential Functions:

Ability to perform research and draw conclusions

Ability to present issues of concern, citing regulatory violations, alleging schemes or scams to defraud the Government

Ability to organize a case file, accurately and thoroughly document all steps taken

Ability to compose correspondence, reports and referral summary letters

Ability to educate providers, provider associations, law enforcement, other contractors and beneficiary advocacy groups on program safeguard matters

Ability to communicate effectively, internally and externally

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 to deliver high quality work

Ability to attend meetings, training, and conferences, overnight travel required

Document QC results in WMM according to record type

Coordinate with other designated leads if necessary, for coverage for periods where the lead is out of the office during work hours. Target Salary Range $66,000 - $106,000. This represents the typical salary range for this position. Salary is determined by various factors, including but not limited to, the scope and responsibilities of the position, the individual's experience, education, knowledge, skills, and competencies, as well as geographic location and business and contract considerations. Depending on the position, employees may be eligible for overtime, shift differential, and a discretionary bonus in addition to base pay. Benefits Statement Peraton offers eligible employees a variety of benefits including medical, dental, vision, life, health savings account, short/long term disability, EAP, parental leave, 401(k), paid time off (PTO) for vacation, and company paid holidays. A full listing of available benefits can be viewed at https://www.careers.peraton.com/benefits. Application Statements The application period for the job is estimated to be 30 days from the job posting date. However, this timeline may be shortened or extended depending on business needs and the availability of qualified candidates.

By applying to this job, you are expressing interest in the role and the Company. During the review of your application, you may be required to participate in an on-camera interview, as well as participate in a process to verify your identity.

Use of artificial intelligence (AI) tools of any kind during Peraton interviews is strictly prohibited unless the candidate has obtained prior written authorization. All interview responses must be the candidate's own.

EEO EEO:

Equal opportunity employer, including disability and protected veterans, or other characteristics protected by law. Notify me of jobs like this

Benefits

  • Paid Time Off (PTO)
  • 401(k) Plans
  • Health and Wellness Programs
  • Health Insurance