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Medicaid Fraud Analyst Jobs in Indiana (NOW HIRING)

Asccare

Senior Legal Counsel

Indianapolis, IN · On-site

$140 - $190/hr

Provide practical legal guidance on healthcare regulatory matters, including Medicare, Medicaid ... HIPAA * Privacy, security, and fraud & abuse regulations * Exceptional analytical, research ...

Ascension

Infusion Billing Representative

Evansville, IN

$17 - $22.25/hr

Research, analyze and reconcile Medicare/Medicaid billing and reimbursement practices. * Maintain ... Fraud prevention notice Prospective applicants should be vigilant against fraudulent job offers and ...

Ascension

Infusion Billing Representative

Evansville, IN

$19.73/hr

Research, analyze and reconcile Medicare/Medicaid billing and reimbursement practices. * Maintain ... Fraud prevention notice Prospective applicants should be vigilant against fraudulent job offers and ...

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All JobsMedicaid Fraud Analyst JobsMedicaid Fraud Analyst Jobs in Indiana

Medicaid Fraud Analyst information

What is a Medicaid fraud analyst?

Medicaid Fraud Analysts are professionals responsible for investigating, detecting, and preventing fraudulent activities within the Medicaid program. They analyze data, conduct research, and collaborate with law enforcement and other agencies to identify improper billing, false claims, or abuse of Medicaid funds. Their work helps ensure that Medicaid resources are used appropriately and that fraudsters are held accountable. Medicaid Fraud Analysts play a vital role in protecting taxpayer dollars and maintaining the integrity of the healthcare system.

What are the key skills and qualifications needed to thrive as a Medicaid fraud analyst?

To thrive as a Medicaid Fraud Analyst, you need strong analytical skills, attention to detail, and knowledge of healthcare regulations, typically supported by a bachelor’s degree in criminal justice, healthcare administration, or a related field. Familiarity with data analysis tools, case management systems, and fraud detection software is essential. Excellent communication, critical thinking, and investigative skills help you collaborate with law enforcement and present findings effectively. These abilities are vital for accurately identifying, investigating, and preventing fraudulent activities that can harm public health programs.

What are some common challenges faced by Medicaid fraud analysts when investigating potential fraud cases?

Medicaid Fraud Analysts often encounter challenges such as sifting through large volumes of complex data to identify suspicious patterns, staying updated on evolving fraud tactics, and ensuring compliance with legal and regulatory standards. Collaborating with healthcare providers, law enforcement, and legal teams requires clear communication and attention to detail. Additionally, analysts must balance thorough investigations with the need for timely resolution to prevent ongoing fraudulent activity and minimize financial losses for the Medicaid program.

What is the difference between Medicaid Fraud Analyst vs Medicaid Compliance Specialist?

AspectMedicaid Fraud AnalystMedicaid Compliance Specialist
Required CredentialsTypically a bachelor’s degree in criminal justice, healthcare administration, or related field; certifications like CFE (Certified Fraud Examiner) are commonSimilar credentials; often holds certifications like CHC (Certified in Healthcare Compliance) or CCEP (Certified Compliance & Ethics Professional)
Work EnvironmentGovernment agencies, healthcare organizations, or insurance companies focusing on fraud detectionHealthcare providers, insurance companies, or regulatory agencies ensuring compliance with Medicaid policies
Employer & Industry UsageUsed in government and private sectors to identify and investigate Medicaid fraudUsed across healthcare organizations to ensure adherence to Medicaid regulations and policies

Both roles require knowledge of Medicaid policies and investigative skills. While Medicaid Fraud Analysts focus on detecting and investigating fraud, Medicaid Compliance Specialists ensure organizations follow Medicaid rules. Both positions are vital in maintaining program integrity and often collaborate within healthcare compliance teams.

What are popular job titles related to Medicaid Fraud Analyst jobs in Indiana?

For Medicaid Fraud Analyst jobs in Indiana, the most frequently searched job titles are:

What job categories do people searching Medicaid Fraud Analyst jobs in Indiana look for?

The top searched job categories for Medicaid Fraud Analyst jobs in Indiana are:

Medicaid Fraud Analyst jobs near you
Infographic showing various Medicaid Fraud Analyst job openings in Indiana as of August 2026, with employment types broken down into 100% Full Time. Highlights an 71% In-person, and 29% Remote job distribution.

Fraud Investigator

Office of the Indiana Attorney General

Indianapolis, IN • On-site, Remote

$51K - $66K/yr

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Posted 2 days ago

New

Job description

Salary: $51,068.00 - $66,437.00 Annually
Location : Indianapolis, IN
Job Type: Full-Time
Remote Employment: Flexible/Hybrid
Job Number: 202500285
Division: MFCU
Section: Medicaid Fraud Control Unit (MFCU)
Opening Date: 08/21/2026
FLSA: Non-Exempt
For more than 165 years, the Office of the Indiana Attorney General (OAG) has been committed to serving the best interests of the State and all Hoosiers. OAG employees have earned an outstanding reputation for meeting the highest professional standards, providing great service, and demonstrating courageous leadership and commitment to excellence to the people of Indiana. If you share our determination to make Indiana a better place to live and work, we invite you to join over 400 of the very best employees and seek a career with the Office of the Indiana Attorney General.
Description
Investigators are assigned cases under the direction of the Supervising Deputy Attorney General. The Indiana Medicaid Fraud Control Unit Investigator shall investigate provider fraud. The preferred Investigator candidate shall have experience in forensic accounting, or white collar crime investigations.
Examples of Duties
  • Order various documentation from the fiscal intermediary;
  • Obtain other documents such as bank records, medical records, patient files, business records, and other records to be used as evidence in judicial proceedings;
  • Research the documentation for patterns of billing an illegal activity, and develop schedules of provider billing activities;
  • Locate, conduct surveillance and interview witnesses, suspects and possible expert witnesses;
  • Collaborate with other investigators on investigations;
  • Regularly participate in multi-disciplinary team meetings;
  • Prepare written and recorded statements and evaluate testimony for credibility;
  • Conduct undercover operations;
  • Prepare comprehensive investigation reports for presentation to a Deputy Attorney General or state or federal prosecutor for criminal referrals;
  • Assist the Deputy Attorney General or state or federal prosecutor in preparing the case for court;
  • Locate and serve subpoenas on witnesses and suspects;
  • Testify in criminal and administrative proceedings;
  • Draft clear and concise Probable Cause Affidavits;
  • Complete any necessary component of the Indiana Law Enforcement Academy;
  • Participate in investigator training and perform other work as required.
  • Such travel as the assignment of duties may necessitate, usually consisting of frequent trips totaling more than 1000 miles per month, for the following purposes:
    • Travel to state offices, jails, police departments, sheriff's departments, courthouses, offices of businesses contracting with healthcare providers, and such other locations as may be necessary for the purpose of obtaining documents, statements, and other evidence necessary to an investigation.
    • Travel to surveillance locations and conducting surveillance from a vehicle for extended periods of time in all types of weather and at all times of day or night.
    • Travel to and assist in serving search warrants and seizing evidence at such times as is best for the purposes of the investigation, including times beyond normal duty hours, and to transport to such sites the supplies and tools, including storage boxes and document scanners, as may be required.
    • Travel directly from home to the office of a healthcare provider under investigation, to an office of the Medicaid Fraud Control Unit other than the assigned duty station, or to other locations required by an investigation, as may be necessary to the efficient and effective completion of an investigation.

Typical Skills and Qualifications
  • A four-year degree in Accounting or related fields, or four years law enforcement investigative experience is preferred but not required.
  • Working knowledge of state and federal laws and court proceedings.
  • Working knowledge of the laws of search and seizure, standards of identification, collection and preservation of evidence.
  • Ability to write detailed, accurate and legible reports.
  • Ability to organize and set priorities, work independently, stay on task.
  • Preferred candidate will have experience in law enforcement and health care industry, with emphasis on health care fraud investigating experience.
  • Working knowledge of health care operations, billing, coding and documentation guidelines is preferred but not required.

Supplemental Information
Work Environment
  • Ability to work inside and outside of an office atmosphere.
  • Ability to drive an automobile to locations inside and outside the state of Indiana for work and training purposes.
  • Schedule varies depending upon the type of investigation.
Essential Functions
  • Valid Indiana driver's license.
  • Review and analyze documents containing writings in the English language.
  • Accurately compile and calculate numeric information in applications such as, but not limited to, Microsoft Excel.
*Pay commensurate with experience
The Office of the Indiana Attorney General is an Equal Opportunity Employer.
The State of Indiana offers a comprehensive benefit package for full-time employees which includes:
  • Four (4) medical plan options (including RX coverage) and vision/dental coverages
  • Wellness program - earn back dollars in the form of gift cards
  • Health savings account (includes bi-weekly state contribution)
  • Deferred compensation account (similar to 401k plan) with employer match
  • Two (2) fully-funded pension plan options
  • Group life insurance
  • Employee assistance program that allows for covered behavioral health visits
  • Paid vacation, personal and sick time off
  • Competitive leave policies covering a variety of employee needs.
  • 12 paid holidays, 14 on election years
  • New Parent Leave
  • Qualified employer for the Public Service Loan Forgiveness Program
  • Free 24/7 permit parking at an Indiana Government Center surface lot or parking garage

More information on State of Indiana Benefits can be found at

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