Top 12 Fraud remote Jobs in Monrovia, Ca

Fraud Investigations Team Lead
Peraton —Monrovia, CA
- $66,000 - $106,000 a year
- Remote
- Bachelor of Science
- 11+ years
- Research
- Health savings account
- Paid holidays
Senior Software Engineer, Fraud
Whatnot —Los Angeles, CA
- $200,000 - $230,000 a year
- Full-time
- Remote
- Computer Science
- System design
- Bachelor's degree
- Paid parental leave
- Health insurance
SIU Claims Manager
Advantage Surveillance LLC —Rancho Cucamonga, CA
- $60,000 - $80,000 a year
- Full-time
- Remote
- 5 years
- Team management
- Organizational skills
- Cell phone reimbursement
Quick Apply
6d
Senior Investigator Pharmacy - Los Angeles County, CA
UnitedHealthcare —Los Angeles, CA
- $60,200 - $107,400 a year
- Full-time
- Remote
- Microsoft Word
- Up to 50% travel
- Pass drug screening
- AD&D insurance
- Employee stock purchase plan
Senior Fire Investigator , IAAI-CFI
EFI Global, Inc. —Los Angeles, CA
- $85,000 - $95,000 a year
- Full-time
- Remote
- Ability to walk for extended periods
- 5 years
- Writing skills
- Health savings account
- Disability insurance
3d
Director
J.S. Held LLC —Los Angeles, CA
- $240,000 - $250,000 a year
- Full-time
- Remote
- 7 years
- CPA
- Analysis skills
- Commuter assistance
- Health insurance
Quick Apply
14h
Mechanical Engineer, P.E. - Accident Reconstruction
EFI Global, Inc. —Los Angeles, CA
- $130,000 - $150,000 a year
- 4 hour shift
- Remote
- 6 years
- Ability to walk for extended periods
- Computer literacy
- Health savings account
- Disability insurance
13d

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Sr. Embedded Software Engineer - NVidia
SafetySpect Inc. —Sherman Oaks, CA
Design, develop, and maintain drivers for Linux-based systems using Yocto for IMX8 and Nvidia boards. Bachelor’s degree in Computer Science, Electrical…
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Senior Embedded Software Engineer
Curtiss-Wright —Santa Clarita, CA
Work with technical staff to understand and develop resolution of software problems. Develop and maintain software technical documentation, including software…
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Compliance Manager
Mission Lane —Columbus, OH
You can hold your own in a conversation about AI-driven collections models or evolving contacting strategies. Professional certification: CRCM and/or CAMS.
$129,000 - $140,000 a year

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Fraud Investigations Team Lead

Peraton -
Monrovia, CA

Apply Now

Job Details

$66,000 - $106,000 a year

Benefits

Health savings account
Paid holidays
Disability insurance
Health insurance
Dental insurance
401(k)
Paid time off
Parental leave
Employee assistance program
Vision insurance
Life insurance

Qualifications

Research
Computer skills
Investigative reports
File organization

Full Job Description

About Peraton

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 solve the most daunting challenges that our customers face. Visit peraton.com to learn how we’re keeping people around the world safe and secure.

Program Overview

Performs data analysis, investigation, and medical review to detect, prevent, deter, reduce, and make referrals to recover fraud, waste, and abuse in Medicare and Medicaid programs.

About The Role

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.

As a Fraud Investigator 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.

What You’ll do:

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 prioritizing and conduct QC for staff.
Monitor the quality of WMM/UCM
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 East Coast

Essential Functions Include:

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 interpret laws and regulations

Qualifications

Required Qualifications:

Minimum of 8 years with BS/BA or 12 years of experience with HS Diploma
Solid investigative experience required
Strong communication and organization skills
Strong PC knowledge and skills
Able to communicate effectively, internally and externally
Must be a US Citizen

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
CFE or AHFI certification a plus

Details

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.

EEO: Equal opportunity employer, including disability and protected veterans, or other characteristics protected by law.

Apply Now

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fraud remote jobs in monrovia, ca

Fraud Investigations Team Lead

Senior Software Engineer, Fraud

SIU Claims Manager

Senior Investigator Pharmacy - Los Angeles County, CA

Senior Fire Investigator , IAAI-CFI

Director

Mechanical Engineer, P.E. - Accident Reconstruction

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