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Medicaid Fraud Control Unit Jobs (NOW HIRING)

MyFlorida

SENIOR INVESTIGATOR - 41001289

Orlando, FL

$47K - $50K/yr

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

This position is in the Medicaid Fraud Control Unit enforcing all matters addressed in 409.920, Florida Statutes. This is independent work conducting investigations of alleged violations of ...

State of Florida

SENIOR INVESTIGATOR - 41001289

Orlando, FL

$47K - $50K/yr

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

This position is in the Medicaid Fraud Control Unit enforcing all matters addressed in 409.920, Florida Statutes. This is independent work conducting investigations of alleged violations of ...

State of Florida

SENIOR INVESTIGATOR - 41001289

Orlando, FL · On-site

$47K - $50K/yr

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

This position is in the Medicaid Fraud Control Unit enforcing all matters addressed in 409.920, Florida Statutes. This is independent work conducting investigations of alleged violations of ...

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Medicaid Fraud Control Unit information

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How much do medicaid fraud control unit jobs pay per year?

As of Aug 15, 2026, the average yearly pay for medicaid fraud control unit in the United States is $72,401.00, according to ZipRecruiter salary data. Most workers in this role earn between $69,000.00 and $69,500.00 per year, depending on experience, location, and employer.

What is a Medicaid Fraud Control Unit?

A Medicaid Fraud Control Unit (MFCU) job involves investigating and prosecuting fraud related to Medicaid funds, as well as cases of patient abuse or neglect in healthcare facilities. Professionals in this role work to identify fraudulent billing practices, recover improperly used funds, and ensure compliance with state and federal laws. MFCU teams typically include investigators, attorneys, and auditors who collaborate to build cases against individuals or organizations committing Medicaid fraud. These roles are critical in protecting public resources and ensuring vulnerable populations receive proper care.

What are the typical daily responsibilities for someone working in a Medicaid Fraud Control Unit?

Professionals in a Medicaid Fraud Control Unit spend their days conducting investigations into suspected fraud, waste, or abuse involving Medicaid providers or recipients. Daily tasks often include reviewing medical records, analyzing financial data, interviewing witnesses, preparing reports, and collaborating with law enforcement agencies or prosecutors. Team members also attend multidisciplinary meetings and may participate in court proceedings as expert witnesses. This role requires balancing independent research with close teamwork to build strong, evidence-based cases that protect the integrity of Medicaid programs.

What are the key skills and qualifications needed to thrive in the Medicaid Fraud Control Unit position, and why are they important?

To excel in a Medicaid Fraud Control Unit, you need expertise in investigative techniques, healthcare regulations, and fraud detection, usually backed by a background in criminal justice, law, or healthcare administration. Familiarity with data analysis software, case management systems, and legal research tools is often required. Strong analytical thinking, attention to detail, and effective communication skills set individuals apart in this field. These abilities are crucial for identifying, investigating, and prosecuting fraud, ensuring compliance, and protecting public resources.

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What cities are hiring for Medicaid Fraud Control Unit jobs?

Cities with the most Medicaid Fraud Control Unit job openings:

What states have the most Medicaid Fraud Control Unit jobs?

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Medicaid Fraud Control Unit jobs near you
Infographic showing various Medicaid Fraud Control Unit job openings in the United States as of August 2026, with employment types broken down into 1% As Needed, 75% Full Time, 19% Part Time, 4% Contract, and 1% Nights. Highlights an 96% Physical, 1% Hybrid, and 3% Remote job distribution, with an average salary of $72,401 per year, or $34.8 per hour.

Investigator - Medicaid Fraud Control Unit

Missouri Attorney General

Jefferson City, MO

$51K - $55K/yr

Full-time

Re-posted 18 days ago

Missouri Department Of Conservation rating

5.7

Company rating: 5.7 out of 10

Based on 9 frontline employees who took The Breakroom Quiz

803rd of 846 rated public administrative organizations

Job description

Investigator
Medicaid Fraud Control Unit ~ Jefferson City

The Office of Attorney General's Medicaid Fraud Control Unit (MFCU) has an opening for an Investigator. The MFCU is an interdisciplinary team dedicated to protecting vulnerable individuals and safeguarding Medicaid's finite resources.

The MFCU utilizes a team-based approach to uncover abuse and neglect of Medicaid recipients and complex financial fraud committed by healthcare providers, including hospitals, nursing homes, pharmacies, physicians, dentists, nurses, and other Medicaid providers. The MFCU holds offenders accountable through criminal prosecution and civil litigation. Investigations often involve multi-agency coordination, detailed document analysis, and preparation for prosecution.

The Investigator's primary duties include conducting interviews, obtaining and analyzing Medicaid claims, reviewing healthcare provider documentation, preparing detailed investigative reports and exhibits, maintaining investigative case files, testifying in court, interfacing with other law enforcement and government agencies, collecting and analyzing evidence, conducting interviews, preparing reports and exhibits to include testimony in courts, and collecting evidence for possible use in civil or criminal proceedings.

Qualified applicants must:

  • Have good analytical and research skills and a bachelor's degree or equivalent experience;
  • Write clearly and informatively;
  • Read and interpret written information;
  • Maintain confidentiality, strategically plan, prioritize, organize effectively, communicate effectively in writing and orally, and exercise independent judgment;
  • Work independently or as part of a team;
  • Review and evaluate allegations of fraud, or abuse/neglect of Medicaid recipients; and
  • Assist attorneys in case preparation and testify at grand jury and trial as needed.

Teamwork skills are essential to success. The Investigator is part of a team and will be expected to work closely with other investigators and attorneys.

Travel throughout Missouri is required.

Experience using Word and Excel is preferred.

Experience in investigations or audits of health care providers, forensic accounting, or white-collar crime investigations is preferred.

Salary range $51,000-$55,000. Apply online or send resume to: Personnel, Missouri Attorney General's Office, P.O. Box 899, Jefferson City, MO 65102. This position is open until filled. www.ago.mo.gov. EOE.

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About Missouri Attorney General

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The Attorney General serves as the chief legal officer of the State of Missouri as mandated by our Constitution. The Attorney General is elected by Missouri voters, serves a four-year term, and is not subject to constitutional term limits. The Attorney General’s Office represents and provides legal advice to most state agencies; defends challenges to the validity of state laws; enforces civil law, including consumer protection and environmental laws; defends the State’s interest in civil actions, including bankruptcies, workers’ compensation claims, professional licensing cases, and habeas corpus actions filed by state and federal inmates; and serves as a special prosecutor in criminal cases when appointed. In addition, the Office handles all appeals statewide from felony convictions. The Attorney General’s Office brings and defends lawsuits on behalf of the State and prepares formal legal opinions requested by State officers, legislators, or county attorneys on issues of law. The Office represents the State in litigation at all levels ranging from a variety of administrative tribunals to the U.S. Supreme Court. The Office also includes an Office of Solicitor General, who represents the interests of the state in appellate and national matters.

Industry

Public administration

Company size

201 - 500 Employees

Headquarters location

Jefferson City, MO, US

Year founded

1865

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