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, 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. - An investigator uses good judgment and may work independently with minimum supervision and direction. - The investigator also 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. - Telework available from Florida (South Florida preferred); Atlanta, GA and surrounding areas. Qualifications Basic Qualifications: - 5 years with BS/BA; 3 years with MS/MA; 0 years with PhD - Investigative experience - Strong investigative skills - Strong communication and organization skills - Strong PC knowledge and skills - U.S. citizenship required - Must reside in Florida and or Atlanta, GA or surround areas of Atlanta. Desirable Qualifications: The most competitive candidates will have: - 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.

• Independently investigate and resolve complex alerts and cases, including in-depth analysis of transaction flows, payment behaviors, and customer activity across multiple products and platforms. • Prepare, review, and file Suspicious Activity Reports (SARs), ensuring high-quality narratives, clear articulation of suspicion, and robust supporting documentation. • Support KYC, onboarding, and customer risk matters, including complex or escalated cases. • Identify investigative trends and contribute to the tuning and optimization of transaction monitoring rules and scenarios to reduce false positives while maintaining detection effectiveness. • Serve as a subject-matter resource on investigative techniques, SAR quality, and regulatory expectations. • Provide informal mentorship and guidance to Analyst I staff, including SAR narrative review, investigative coaching, and quality feedback. • Support FinCEN 314(a) and 314(b) information sharing requests, law enforcement inquiries, and subpoena/legal process responses in coordination with Legal and Compliance. • Maintain current knowledge of BSA/AML and OFAC regulations, FinCEN guidance, and evolving financial crime typologies relevant to payments, merchant acquiring, and fintech activities. • Consistently meet or exceed production, quality, and leadership expectations across assigned workstreams. • Perform other duties as assigned to support the BSA/AML-SAM Operations Team.

• Conduct customer onboarding, periodic reviews and enhanced due diligence in line with internal AML/KYC standards. • Monitor alerts across transaction monitoring, sanctions screening, PEPs and adverse media, escalating cases as required. • Coordinate and draft responses to information requests from partners, financial institutions and regulators. • Support the management of customer complaints and ensure compliance with relevant consumer protection standards. • Prepare and submit AML/CFT reports and other regulatory filings as required. • Support internal and external suspicious activity reporting, ensuring accurate documentation and timely escalation. • Review potential fraud cases and work with internal teams to support investigations and resolutions. • Assist with maintaining and enhancing internal compliance policies, procedures and workflows. • Produce compliance metrics and management information for internal reporting. • Deliver or support the delivery of AML and compliance training to staff. • Partner with commercial and onboarding teams to assess new business opportunities and review customer files. • Assist with regulatory engagement, audits, and licence applications or renewals.

• Perform AML checks on transactions and customer activity. • Transaction monitoring and alert handling. • Conduct sanctions, PEP, and adverse media screening. • Carry out investigations and manage AML cases. • Perform risk assessments and recommend control enhancements. • Support KYC onboarding and execute periodic reviews.