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Ahfi Jobs (NOW HIRING)

Peraton

Admin Action Specialist

Herndon, VA · On-site

$51K - $82K/yr

CFE or AHFI certification 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 ...

UnitedHealth Group

Principal Investigator

Minnetonka, MN · On-site +1

$72K - $130K/yr

Accredited Health Care Fraud Investigator (AHFI) * Certified Fraud Examiner (CFE) * CPT & ICD Coding experience * Specialized knowledge/training in healthcare FWA investigations * Experience working ...

Parkland Health

Health Care Anti-Fraud Associate (HCAFA), Accredited Health Care Fraud Investigator (AHFI), Association of Certified Fraud Examiners (CFE), or National Health Care Anti-Fraud Association (NHCAA)

Peraton

Investigative Team Lead

$66K - $106K/yr

CFE or AHFI certification preferred * Strong communication and organization skills * Strong PC knowledge and skills * US citizenship required The most competitive candidates will have: * Knowledge of ...

UnitedHealth Group

SIU Lead Investigator

Minneapolis, MN · On-site

$102K - $121K/yr

Professional certification as a Certified Fraud Examiner (CFE), Accredited Healthcare Fraud Investigator (AHFI) or similar certification * 5+ years of experience working in a FWA / SIU or Fraud ...

CBIZ

Senior Health Care Analyst (Audit & Data)

Atlanta, GA · Hybrid

$82K - $104K/yr

Certifications such as CFE, AHFI, CHDA, CPMA, RHIT, or RHIA. * Experience in data mining, statistical analysis, or fraud detection methodologies. * Experience working with Medicaid or other ...

CBIZ

Senior Health Care Analyst (Audit & Data)

Atlanta, GA · Hybrid

$82K - $104K/yr

Certifications such as CFE, AHFI, CHDA, CPMA, RHIT, or RHIA. * Experience in data mining, statistical analysis, or fraud detection methodologies. * Experience working with Medicaid or other ...

Imedica

SIU Investigator IV

Minnetonka, MN

Accredited Health Care Fraud Investigator (AHFI) * Certified Fraud Examiner (CFE) * Healthcare, health plan or provider SIU experience required * Proven investigatory skill; ability to organize ...

Cotiviti

Senior Investigator - Pre-Pay (Healthcare FWA)

$70K - $90K/yr

Accredited Healthcare Fraud Investigator (AHFI), * Certified Fraud Specialist (CFS), * Certified Fraud Examiner (CFE), * Certified Forensic Interviewer (CFI), or * Certified in Healthcare Compliance ...

Elevance Health

Investigator II

West Des Moines, IA · Hybrid

Fraud certification from CFE, AHFI, AAPC or coding certificates preferred. * Knowledge of Plan policies and procedures in all facets of benefit programs management with heavy emphasis in negotiation ...

Elevance Health

Investigator II

Nashville, TN · Hybrid

Fraud certification from CFE, AHFI, AAPC or coding certificates preferred. * Knowledge of Plan policies and procedures in all facets of benefit programs management with heavy emphasis in negotiation ...

UnitedHealth Group

Senior Investigator

Dallas, TX · On-site

Accredited Health Care Fraud Investigator (AHFI) * Certified Fraud Examiner (CFE) * Certified Professional Coder (CPC) * Medical Laboratory Technician (MLT) *All Telecommuters will be required to ...

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Ahfi information

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How much do ahfi jobs pay per hour?

As of Jun 29, 2026, the average hourly pay for ahfi in the United States is $26.34, according to ZipRecruiter salary data. Most workers in this role earn between $15.14 and $30.77 per hour, depending on experience, location, and employer.

What are the key skills and qualifications needed to thrive as an AHFI (Accredited Health Fraud Investigator), and why are they important?

To thrive as an AHFI, you need a solid background in healthcare compliance, fraud investigation, and knowledge of regulatory standards, typically validated by the AHFI credential. Familiarity with case management systems, data analytics tools, and legal research databases is crucial. Strong analytical thinking, ethical judgment, and clear communication set outstanding investigators apart. These skills ensure effective detection and prevention of health care fraud, protecting both organizations and patients.

What is the difference between Ahfi vs HVAC Technician?

AspectAhfiHVAC Technician
Required CertificationsTypically none or specialized safety certificationsHVAC certification, EPA certification
Work EnvironmentIndustrial, manufacturing, or safety-focused settingsResidential, commercial, or industrial HVAC systems
Industry UsageUsed in safety and industrial sectorsCommonly employed in building climate control
Job FocusSafety, compliance, and industrial processesInstallation, maintenance, and repair of HVAC systems

Ahfi and HVAC Technician roles differ mainly in their focus and work environment. Ahfi professionals often work in industrial or safety-related settings with minimal certifications, while HVAC Technicians focus on climate control systems, requiring specific certifications. Both roles are essential in their respective industries but serve different purposes and environments.

What are Ahfi?

It appears that 'Ahfi' is not a recognized job title or commonly known occupation. It may be a typographical error or an acronym that is not widely used in the context of job titles. If you meant a different job title or if 'Ahfi' refers to a specific organization or role, please provide more details for accurate information.
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Ahfi jobs near you
Admin Action Specialist

Admin Action Specialist

Peraton

Herndon, VA • On-site

$51K - $82K/yr

Other

This job post has expired today. Applications are no longer accepted.

Peraton rating

8.2

Company rating: 8.2 out of 10

Based on 53 frontline employees who took The Breakroom Quiz

46th of 206 rated it services

Job description


Admin Action Specialist
Job Locations
US
Requisition ID
2026-167770
Position Category
Business Controls
Clearance
No Clearance Required
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 Admin Action Specialist to our SGS team of talented professionals.

What you'll do:

The Admin Action Specialist is responsible for being a Point of Contact for Investigations team, MAC and CMS regarding all administrative actions related to Medicare investigations. Responsibilities include:

    Review and verify evidence supporting administrative action as it relates to payment suspensions, revocations, overpayments as well as other Medicare administrative actions that can be pursued.
  • Work with the Investigations, Medical Review and Data teams to ensure that the documentation gathered is sufficient to support administrative action.
  • Making administrative action recommendations to Investigations and CMS.
  • Work with CMS, law enforcement and the Medicare Administrative Contractor throughout the life of the action.
  • Monitor workload to ensure all actions are taken within the required timeframes set forth in the Program Integrity Manual.
  • Prepare and submit administrative action packages to CMS and the MACs for approval and processing and speak to the action development.
  • Ensure that all timelines are followed
  • Telework available - (must be available during the hours in the eastern time zone)

Qualifications

Basic Qualifications:

  • 2 years with BS/BA; 0 years with MS/MA; 6 years with High School diploma in lieu of degree
  • Knowledge of Medicare requirements, laws, rules and regulations related to payment for services billed to the Program
  • Strong communication and organization skills
  • Experience in reviewing case files and/or developing fraud cases
  • Strong PC knowledge and skills
  • Ability to manage a high workload and meet timeframes set forth
  • Knowledge of Medicare systems
  • Ability to perform research and draw conclusions
  • Ability to present issues of concern, citing and interpreting regulatory violations
  • Ability to organize a case file, accurately and thoroughly document all steps taken
  • Ability to compose correspondence, reports and letters clearly and concisely.
  • 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 may be required
  • US. citizenship required
  • Telework available - (must be available during the hours in the eastern time zone)

The most competitive candidates will have:

  • Medicare fraud investigation and/or Medicare billing background
  • Familiar with Unified Program Integrity Contractor (UPIC) requirements and guidelines
  • Investigations background
  • CFE or AHFI certification
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
$51,000 - $82,000. 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.

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About Peraton

Sourced by ZipRecruiter

At Peraton, we re at the forefront of delivering the next big thing every day. We re the partner of choice to help solve some of the world s most daunting challenges, delivering bold, new solutions to keep people around the world safer and more secure.

Industry

It services

Company size

10,000+ Employees

Headquarters location

Herndon, VA, US

Year founded

2017

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