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How much do healthcare fraud analyst jobs pay per hour?

As of Jun 23, 2026, the average hourly pay for healthcare fraud analyst in the United States is $38.63, according to ZipRecruiter salary data. Most workers in this role earn between $25.96 and $48.32 per hour, depending on experience, location, and employer.

What are the key skills and qualifications needed to thrive as a Healthcare Fraud Analyst, and why are they important?

To thrive as a Healthcare Fraud Analyst, you need strong analytical skills, attention to detail, and knowledge of healthcare regulations, often supported by a degree in finance, healthcare administration, or a related field. Familiarity with data analysis tools, claims processing systems, and certifications such as Certified Fraud Examiner (CFE) are commonly required. Excellent problem-solving abilities, communication skills, and ethical judgment help analysts collaborate effectively and handle sensitive information. These skills are crucial for accurately identifying fraudulent activities, mitigating financial losses, and ensuring regulatory compliance in healthcare organizations.

How does a Healthcare Fraud Analyst typically collaborate with other departments to investigate suspicious claims?

Healthcare Fraud Analysts work closely with claims processing teams, compliance officers, and legal departments to identify and investigate unusual patterns or suspicious activities. They often coordinate multi-disciplinary meetings to share findings, request additional information, and develop strategies for more in-depth investigations. Effective communication and teamwork are essential, as analysts may need to present evidence and recommendations to internal committees or law enforcement agencies, ensuring a thorough and accurate response to potential fraud cases.

What are Healthcare Fraud Analysts?

Healthcare Fraud Analysts are professionals who detect, investigate, and help prevent fraudulent activities within the healthcare system. They analyze claims, billing patterns, and provider behavior to identify inconsistencies or suspicious activities that may indicate fraud, waste, or abuse. Their work helps insurance companies, healthcare providers, and government agencies reduce financial losses and ensure compliance with regulations. Typically, they use data analytics, conduct interviews, and prepare detailed reports for legal or regulatory actions.
More about Healthcare Fraud Analyst jobs
What cities are hiring for Healthcare Fraud Analyst jobs? Cities with the most Healthcare Fraud Analyst job openings:
What states have the most Healthcare Fraud Analyst jobs? States with the most job openings for Healthcare Fraud Analyst jobs include:
What job categories do people searching Healthcare Fraud Analyst jobs look for? The top searched job categories for Healthcare Fraud Analyst jobs are:
Healthcare Fraud Analyst jobs near you
Infographic showing various Healthcare Fraud Analyst job openings in the United States as of June 2026, with employment types broken down into 99% Full Time, and 1% Part Time. Highlights an 93% Physical, 2% Hybrid, and 5% Remote job distribution, with an average salary of $80,350 per year, or $38.6 per hour.

Health Care Fraud Investigator

Legacy Management Solutions

Oxford, MS • On-site

$64K - $87K/yr

Full-time

Posted 9 days ago

Job description

We are seeking a Health Care Fraud Investigator (HCF Investigator) to support the U.S. Attorney's Office (USAO) in the Northern District of Mississippi. This role involves conducting complex investigations related to civil and administrative healthcare fraud matters, directly supporting Assistant U.S. Attorneys (AUSAs). The investigator will operate independently and collaboratively on sensitive, high-impact cases involving federal programs, organizations, and individuals.Key Responsibilities
  • Plan and conduct healthcare fraud investigations under the direction of AUSAs
  • Analyze applicable federal, state, and local laws to identify violations and legal exposure
  • Gather and evaluate evidence including:
    • Financial records (billing, payroll, invoices)
    • Medical and administrative documentation
    • Digital and forensic data
  • Conduct witness interviews (in-person and telephonic)
  • Coordinate with federal agencies such as:
    • FBI
    • HHS
    • DOL
    • USPIS
    • SEC
  • Develop investigative strategies and determine methods for evidence collection
  • Prepare interim and final investigative reports for litigation use
  • Assist AUSAs with:
    • Trial preparation
    • Evidence organization
    • Witness coordination
  • Testify in court as required
  • Support surveillance coordination (non-enforcement; no arrest authority)
Qualifications
  • Bachelor's degree or higher
  • Minimum 5+ years of investigative experience in a related field
  • Experience with healthcare fraud, civil investigations, or regulatory enforcement preferred
  • Strong ability to analyze complex financial and documentary evidence
  • U.S. Citizenship required
Security Requirements
  • Must be eligible for a High-Risk Background Investigation (BI)
  • Includes:
    • Background check
    • Credit check
    • Drug screening
Work Environment
  • On-site at:
    U.S. Attorney's Office
    900 Jefferson Avenue
    Oxford, MS
  • Standard hours: Monday-Friday, 8:00 AM - 5:00 PM
  • Limited travel within the district (reimbursable per federal guidelines)

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