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Medicaid Fraud Analyst Jobs (NOW HIRING)

MyFlorida

SENIOR INVESTIGATOR - 41001289

Orlando, FL · On-site

$47K - $50K/yr

... of Medicaid fraud investigations as well as initiating investigative leads. This work includes but is not limited to, collecting of evidence, analyzing evidence, conducting interviews, preparing ...

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$130.5K

How much do medicaid fraud analyst jobs pay per year?

As of Aug 13, 2026, the average yearly pay for medicaid fraud analyst in the United States is $56,776.00, according to ZipRecruiter salary data. Most workers in this role earn between $45,000.00 and $55,000.00 per year, depending on experience, location, and employer.

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 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 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 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.
More about Medicaid Fraud Analyst jobs
What cities are hiring for Medicaid Fraud Analyst jobs? Cities with the most Medicaid Fraud Analyst job openings:
What states have the most Medicaid Fraud Analyst jobs? States with the most job openings for Medicaid Fraud Analyst jobs include:
What job categories do people searching Medicaid Fraud Analyst jobs look for? The top searched job categories for Medicaid Fraud Analyst jobs are:
Medicaid Fraud Analyst jobs near you
Infographic showing various Medicaid Fraud Analyst job openings in the United States as of August 2026, with employment types broken down into 1% Internship, 86% Full Time, 6% Part Time, and 7% Contract. Highlights an 81% Physical, 9% Hybrid, and 10% Remote job distribution, with an average salary of $56,776 per year, or $27.3 per hour.

Data Analyst, Medicaid Fraud, Belleville, 26-02

Illinois Attorney General

Springfield, IL • On-site

$64K - $75K/yr

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Re-posted 3 days ago

Job description

Salary : $64,152.00 - $75,672.00 Annually
Location : Metro-East, Belleville, IL
Job Type: Full-Time
Job Number: 26-02
Administration: Deputy Chief - Administration
Bureau: Medicaid Fraud
Opening Date: 01/12/2026
Summary of Duties and Responsibilities
The Data Analyst is responsible for collecting, querying, organizing, and researching data. They will perform comprehensive data analysis in support of case assessment and investigative duties, and identify questionable practices, abnormalities and/or irregularities. The Data Analyst will run queries using specialized databases; develop data history analysis to support investigations; prepare written reports supporting exhibits such as chart and graphs to support analysis; and act as a liaison between various organizations and agencies to develop and implement general and case specific information exchange.
Qualifications
This position requires a Bachelor's degree in economics, information technology, computer science, accounting, finance, business, or similar quantitative field. Applicants must have knowledge of Microsoft Office products, an ability to demonstrate critical analysis, and strong technological, and problem-solving skills. The ability to conduct research using law enforcement databases and open-source search tools, and outstanding written and communication skills is required. Attendance, flexibility, and the ability to build and maintain satisfactory working relationships with other agencies and OAG employees is required.
Supplemental Information
This position is not eligible for remote hours.
We offer a complete benefits package to full-time employees including health care, dental, vision, retirement, deferred compensation plans, flexible spending accounts, life insurance, long-term disability, holidays, vacation, and sick leave.
Part-time employees who work an average of 20 hours per week over the course of a year, receive benefits on a pro-rated basis.
As an employee of the Illinois Attorney General's Office, you'll have access to many great benefits. Join the legal team responsible for protecting the public interest of the state and the people of Illinois!
  • Health and Dental insurance along with free Vision insurance*
  • Pension Benefits through the State Employees'; Retirement System
  • Deferred Compensation: supplemental retirement savings program-457k
  • Commuter Savings Program: pre-tax transportation program
  • Flexible Spending: Medical and Dependent pre-tax savings program
  • Life insurance benefit: free with option to purchase additional (up to 8 x your annual salary) at low cost. Spouse and child life insurance available
  • Disability coverage
  • Employee Assistance Program through ComPsych
  • Holidays: 13 1/2 paid
  • Vacation days: minimum of 12 days, maximum of 27 days, prorated
  • Personal days: 4 annually
  • Floating Holiday: 1 annually
  • Sick days: 1 per month
  • For attorneys, office provided Continuing Legal Education
  • Semi-monthly payroll

*Health and Dental cost ranges: for single: $131.00 - $314.00 monthly; for family: $299.00 - $653.00 monthly
For more information on benefits:

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