• Investigating customers who have flagged through transaction monitoring. • Reviewing PEPs/Sanction/Adverse media alerts. • Completing SARs where needed. • Dealing with external request for information from our partners. • Working with other teams to ensure minimal impact to customers. • Take lead on investigations and accountable for decisions made. • Identify true/false positive screening alerts and escalate where required. • Identify Money Laundering or Terrorist Financing activity and raise internal SARs. • Participate in meetings where required. • Ensure KRIs and SLAs are met. • Willingness to learn other work streams.

• Definir y liderar la estrategia de datos para Financial Crime en el marco de la migración TSB, cubriendo Transaction Screening (TS), Transaction Monitoring (TM), Name Screening (NS), KYC/PKYC/CRA, y datos regulatorios asociados a alertas, casos, SARs y bloqueos. • Establecer principios, criterios, modelos de decisión y lineamientos de gobernanza de datos alineados con los estándares PDP y Sparrow. • Diseñar, gobernar y supervisar el enfoque integral de migración de datos: mapping end-to-end, transformaciones, enriquecimiento, distribución y certificación en los data stores de Santander FinCrime. • Asegurar la continuidad y no degradación de los controles de Financial Crime durante todas las etapas de migración, coexistencia y cutover. • Definir la estrategia para la migración de datos históricos necesarios para investigación, entrenamiento de modelos de TM y cumplimiento regulatorio. • Colaborar estrechamente con Enterprise y Solution Architecture para garantizar la alineación con plataformas objetivo, patrones de datos y estándares de integración empresarial. • Ser el punto de enlace principal entre los equipos de FinCrime, Ingeniería, Pagos, Operaciones y áreas de negocio, traduciendo expectativas regulatorias y de control en requerimientos de datos claros. • Gestionar riesgos, dependencias y auditoría dentro del programa, asegurando trazabilidad, lineage y auditabilidad en todos los flujos de datos. • Apoyar actividades de testing de efectividad, generación de evidencia para auditorías y participación en interacciones regulatorias.

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 a Fraud Investigator to our SGS team of talented professionals. 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 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. - An investigator uses good judgment and may work independently with minimum supervision and direction. - The investigator may work as part of a team, as there may be times when the investigator needs to work with state and/or federal investigators and other personnel. - An investigator handles multiple caseload assignments concurrently; organizes and analyzes complex evidentiary patterns; interviews and obtains statements from witnesses and others. - Investigators may also be required to complete complex investigative reports that apply regulations or rules to the program(s) affected by the behavior being investigated. There may also be times when the investigator will need to apply federal or state laws. - Investigators are expected to research and understand the relevant offenses being investigated; conduct efficient and effective investigations concerning those alleged offenses and detect or verify suspected violations; obtain information and evidence by observation, record examination, and interview. - Investigators then analyze the results of the investigation to ascertain if the allegations have been corroborated and work with others to determine the appropriate steps that need to be taken to address the issues. - As part of an investigation, the investigator will need to prepare correspondence; be objective and accurate and communicate with others with tact. - There may be times when investigators need to react to unplanned situations, be flexible in planning their activities and adopt effective courses of action. - As investigators will be working with health privacy information, they also must maintain confidentiality and understand all the laws, rules and regulations concerning health privacy. - Teleworking is available in Contiguous US. Qualifications Basic Qualifications: - 4 years with AS/AA; 2 years with BS/BA; 0 years with MS/MA; 6 years with HS Diploma/equivalent - Investigative experience - Strong investigative skills - Strong communication and organization skills - Strong PC knowledge and skills - US. Citizenship required The most competitive candidates will have: - Medicare Part C, Medicare Part D, or managed care experience - Preferred - Strong background in investigations. - Experience in reviewing claims for technical requirements, performing medical review, and/or developing fraud cases - Knowledge of investigative practices regarding healthcare providers. - Knowledge of Medicare and/or Medicaid programs and the rules, regulations, policies and procedures - Background in evaluating, reviewing and analyzing medical claims and records - Ability to learn and operate a variety of data systems, equipment and tools used in investigations Essential Functions: - This position may require the incumbent to appear in court to testify about work findings. - 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. 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. 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. EEO EEO: Equal opportunity employer, including disability and protected veterans, or other characteristics protected by law.

• Perform secondary reviews of escalated alerts and make risk-based decisions on complex or high-risk cases. • Conduct cradle-to-grave investigations, including insider trading, high-dollar cases and potential fraud rings, ensuring detailed documentation and clear investigative conclusions. • Write and file Suspicious Activity Reports, Continuing Activity Reports, and State Regulatory Reports in accordance with applicable regulatory requirements. • Research and analyze activity across multiple accounts to identify links between individuals engaging in coordinated or suspicious behavior. • Review High Risk Logs and approve incoming wire requests in line with internal controls and compliance standards. • Respond to regulatory and law enforcement requests with accuracy, timeliness, and appropriate documentation. • Assist in developing and delivering Financial Crimes training sessions, mentoring new hires, and contributing to team meetings and operational projects as needed.