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.

Since 1999, SGS has prevented nearly $10 billion in inappropriate payments, consisting of more than $6.1 billion in proactively Prevented Dollars (including Savings from Revocations) and nearly $3.9 billion in Recovered Overpayment Dollars. Our experience with fraud and abuse analytics has resulted in the referral of thousands of cases to law enforcement and resulted in successful criminal and civil prosecution and civil monetary penalties.

We are looking to add a Business Analyst-Medicaid to our team of talented professions with SafeGuard Services.

• The position requires the individual to conduct research on Medicaid claims data and other sources of information to identify problems.
• Rreview sophisticated data model output.
• Utilize a variety of tools to detect situations of potential fraud and support ongoing fraud investigations and requests for data.
• Analyze data to identify and compare norms, trends and patterns.
• Must be able to conduct self-directed research to uncover problems in Medicaid payments made to a variety of provider types including physicians, suppliers, hospital, rehabilitation facilities, Skilled Nursing Facilities, Rural Health Care Facilities, and other healthcare professionals as well as Home Health Agencies and Hospices
• Report to work activity on a timely basis.
• Must be able to handle confidential material.

Telework available from the contiguous United States.

• Bachelors degree & 2-4 years of experience, Masters degree & 0-2 years experience or High School & 8-10 years experience
• Strong computer skills including Microsoft Access, experience in relational data base design, extract, 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, sources of data and analytic tools
• Excellent organizational and communication skills

• Ability to present issues of concern, citing regulatory violations, alleging schemes or scams to defraud the Government.
• Ability to communicate effectively, internally and externally
• Ability to organize a case file, research violations and accurately and thoroughly document all steps taken in project development.
• Ability to attend meetings, training and conferences, overnight travel required in some instances.
• Ability to work independently and as a member of a team to deliver high quality work.