SENIOR INVESTIGATOR - 41001289
$47K - $50K/yr
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 ...
$47K - $50K/yr
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 ...
$47K - $50K/yr
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 ...
$47K - $50K/yr
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 ...
$47K - $50K/yr
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 ...
Orlando, FL · On-site
$47K - $50K/yr
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 ...
Orlando, FL · On-site
$47K - $50K/yr
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 ...
Orlando, FL · On-site
$60K/yr
This Audit Evaluation & Review Analyst position is in the Office of the Attorney General within the Medicaid Fraud Control Unit in Orlando and Tampa, Florida. Pay: $60,935.16 Annually Preference will ...
Orlando, FL · On-site
$60K/yr
This Audit Evaluation & Review Analyst position is in the Office of the Attorney General within the Medicaid Fraud Control Unit in Orlando and Tampa, Florida. Pay: $60,935.16 Annually Preference will ...
Fort Lauderdale, FL · On-site
$90K - $100K/yr
Oversee the Managed Care Plan's fraud and abuse detection and prevention efforts and work with Medicaid Program Integrity and the Medicaid Fraud Control Unit. * Ensures compliance with all state and ...
Quick apply
Fort Lauderdale, FL · On-site
$90K - $100K/yr
Oversee the Managed Care Plan's fraud and abuse detection and prevention efforts and work with Medicaid Program Integrity and the Medicaid Fraud Control Unit. * Ensures compliance with all state and ...
Sunrise, FL · On-site
$43.27 - $48.07/hr
Oversee the Managed Care Plan's fraud and abuse detection and prevention efforts and work with Medicaid Program Integrity and the Medicaid Fraud Control Unit.3.Ensures compliance with all state and ...
Sunrise, FL · On-site
$43.27 - $48.07/hr
Oversee the Managed Care Plan's fraud and abuse detection and prevention efforts and work with Medicaid Program Integrity and the Medicaid Fraud Control Unit.3.Ensures compliance with all state and ...
Jacksonville, FL · On-site
$1.4K - $1.5K/wk
... Medicaid Fraud Control Unit ( MFCU) as while upholding HIPAA requirements. The Work You Will Do Review the QIO reports and identify deficiencies needing correction. Notify the provider of ...
New
Jacksonville, FL · On-site
$1.4K - $1.5K/wk
... Medicaid Fraud Control Unit ( MFCU) as while upholding HIPAA requirements. The Work You Will Do Review the QIO reports and identify deficiencies needing correction. Notify the provider of ...
New
Jacksonville, FL · On-site
$1.4K - $1.5K/wk
... Medicaid Fraud Control Unit ( MFCU) as while upholding HIPAA requirements. The Work You Will Do Review the QIO reports and identify deficiencies needing correction. Notify the provider of ...
Jacksonville, FL · On-site
$1.4K - $1.5K/wk
... Medicaid Fraud Control Unit ( MFCU) as while upholding HIPAA requirements. The Work You Will Do Review the QIO reports and identify deficiencies needing correction. Notify the provider of ...
Jacksonville, FL · Remote
$1.4K - $1.5K/wk
... Medicaid Fraud Control Unit ( MFCU) as while upholding HIPAA requirements. The Work You Will Do Review the QIO reports and identify deficiencies needing correction. Notify the provider of ...
Jacksonville, FL · Remote
$1.4K - $1.5K/wk
... Medicaid Fraud Control Unit ( MFCU) as while upholding HIPAA requirements. The Work You Will Do Review the QIO reports and identify deficiencies needing correction. Notify the provider of ...
Jacksonville, FL · Remote
$1.4K - $1.5K/wk
... Medicaid Fraud Control Unit ( MFCU) as while upholding HIPAA requirements. The Work You Will Do Review the QIO reports and identify deficiencies needing correction. Notify the provider of ...
Jacksonville, FL · Remote
$1.4K - $1.5K/wk
... Medicaid Fraud Control Unit ( MFCU) as while upholding HIPAA requirements. The Work You Will Do Review the QIO reports and identify deficiencies needing correction. Notify the provider of ...
Jacksonville, FL · On-site
$1.4K - $1.5K/wk
... Medicaid Fraud Control Unit ( MFCU) as while upholding HIPAA requirements. The Work You Will Do Review the QIO reports and identify deficiencies needing correction. Notify the provider of ...
New
Jacksonville, FL · On-site
$1.4K - $1.5K/wk
... Medicaid Fraud Control Unit ( MFCU) as while upholding HIPAA requirements. The Work You Will Do Review the QIO reports and identify deficiencies needing correction. Notify the provider of ...
New
West Palm Beach, FL · On-site
$62K/yr
This Law Enforcement Investigator II position is in the Office of the Attorney General within the Medicaid Fraud Control Unit in West Palm Beach, Florida. Pay: $62,425.00 Annually Qualifications:
West Palm Beach, FL · On-site
$62K/yr
This Law Enforcement Investigator II position is in the Office of the Attorney General within the Medicaid Fraud Control Unit in West Palm Beach, Florida. Pay: $62,425.00 Annually Qualifications:
West Palm Beach, FL · On-site
$62K/yr
This Law Enforcement Investigator II position is in the Office of the Attorney General within the Medicaid Fraud Control Unit in West Palm Beach, Florida. Pay: $62,425.00 Annually Qualifications:
West Palm Beach, FL · On-site
$62K/yr
This Law Enforcement Investigator II position is in the Office of the Attorney General within the Medicaid Fraud Control Unit in West Palm Beach, Florida. Pay: $62,425.00 Annually Qualifications:
This Law Enforcement Investigator II position is in the Office of the Attorney General within the Medicaid Fraud Control Unit in West Palm Beach, Florida. Pay: $62,425.00 Annually Qualifications:
This Law Enforcement Investigator II position is in the Office of the Attorney General within the Medicaid Fraud Control Unit in West Palm Beach, Florida. Pay: $62,425.00 Annually Qualifications:
Miami, FL · On-site
$62K/yr
This Law Enforcement Investigator II position is in the Office of the Attorney General within the Medicaid Fraud Control Unit in Miami, Florida. Pay: $62,425.00 Annually Qualifications: Florida ...
Miami, FL · On-site
$62K/yr
This Law Enforcement Investigator II position is in the Office of the Attorney General within the Medicaid Fraud Control Unit in Miami, Florida. Pay: $62,425.00 Annually Qualifications: Florida ...
Tallahassee, FL · On-site
$34K/yr
... Medicaid fraud, and victims and civil rights. We invite you to visit our website at www ... Citizen Services serves as the intake unit processing calls and correspondence addressed to the ...
Tallahassee, FL · On-site
$34K/yr
... Medicaid fraud, and victims and civil rights. We invite you to visit our website at www ... Citizen Services serves as the intake unit processing calls and correspondence addressed to the ...
$46K - $102K/yr
... Medicaid Fraud, Waste and Abuse investigatory experience. * Billing and Coding certifications such as CPC (AAPC)and/or CCS (AHIMA) * Knowledge of Behavioral Health policies and procedures.
$46K - $102K/yr
... Medicaid Fraud, Waste and Abuse investigatory experience. * Billing and Coding certifications such as CPC (AAPC)and/or CCS (AHIMA) * Knowledge of Behavioral Health policies and procedures.
$46K - $102K/yr
... Medicaid Fraud, Waste and Abuse investigatory experience. * Billing and Coding certifications such as CPC (AAPC)and/or CCS (AHIMA) * Knowledge of Behavioral Health policies and procedures.
$46K - $102K/yr
... Medicaid Fraud, Waste and Abuse investigatory experience. * Billing and Coding certifications such as CPC (AAPC)and/or CCS (AHIMA) * Knowledge of Behavioral Health policies and procedures.
$46K - $102K/yr
... Medicaid Fraud, Waste and Abuse investigatory experience. * Billing and Coding certifications such as CPC (AAPC)and/or CCS (AHIMA) * Knowledge of Behavioral Health policies and procedures.
$46K - $102K/yr
... Medicaid Fraud, Waste and Abuse investigatory experience. * Billing and Coding certifications such as CPC (AAPC)and/or CCS (AHIMA) * Knowledge of Behavioral Health policies and procedures.
Plantation, FL · On-site
$46K - $102K/yr
... Medicaid Fraud, Waste and Abuse investigatory experience. * Billing and Coding certifications such as CPC (AAPC)and/or CCS (AHIMA) * Knowledge of Behavioral Health policies and procedures.
Plantation, FL · On-site
$46K - $102K/yr
... Medicaid Fraud, Waste and Abuse investigatory experience. * Billing and Coding certifications such as CPC (AAPC)and/or CCS (AHIMA) * Knowledge of Behavioral Health policies and procedures.
$29.1K - $33.4K
1% of jobs
$33.4K - $37.7K
0% of jobs
$37.7K - $42K
1% of jobs
$42K - $46.3K
9% of jobs
$46.3K - $50.5K
5% of jobs
$51.1K is the 25th percentile. Wages below this are outliers.
$50.5K - $54.8K
69% of jobs
$54.8K - $59.1K
4% of jobs
$59.1K - $63.4K
3% of jobs
$63.4K - $67.7K
3% of jobs
$67.7K - $71.9K
2% of jobs
$71.9K - $76.2K
2% of jobs
$29.1K
$54.1K
$76.2K
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.
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.
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.
For Medicaid Fraud Control Unit jobs in Florida, the most frequently searched job titles are:
The top searched job categories for Medicaid Fraud Control Unit jobs in Florida are:
Cities in Florida with the most Medicaid Fraud Control Unit job openings:

$47K - $50K/yr
Full-time
Medical, Dental, Vision, Life, Retirement
Posted 19 days ago
6.5
Based on 188 frontline employees who took The Breakroom Quiz
47th of 50 rated states
Requisition No: 880479
Agency: Office of the Attorney General
Working Title: SENIOR INVESTIGATOR - 41001289
Pay Plan: Career Service
Position Number: 41001289
Salary: $47,434.14 - $50,744.20 annually
Posting Closing Date: 08/18/2026
Total Compensation Estimator Tool
Our Organization and Mission: The Office represents the State of Florida in state and federal civil and criminal courts, from trial courts to the Supreme Court of the United States.
Position Summary: This Senior Investigaror position is in the Office of the Attorney General within the Medicaid Fraud Control Unit in Orlando, Florida.
Pay: $47,434.14 - $50,744.20 Annually
Qualifications:
Seven (7) years of investigative or law enforcement experience conducting criminal, civil, or administrative investigations or examinations. Investigative experience must include a minimum of two (2) years of experience with any of the following: financial crimes investigations, financial examinations, health care fraud and/or insurance fraud investigations, analysis or other related investigative experience, or complex organized crime investigative experience.
OR
A bachelor's degree from an accredited college or university and three (3)years of investigative or law enforcement experience conducting criminal, civil, or administrative investigations or examinations. Investigative experience must include a minimum of two (2) years of experience with any of the following: financial crimes investigations, financial examinations, health care fraud and/or insurance fraud investigations, analysis or other related investigative experience, or complex organized crime investigative experience.
Preference may be given to candidates who have a Bachelor's Degree from an accredited college or university or who have prior investigative work experience in a Medicaid Fraud Control Unit and/or 5 years of work experience conducting health care fraud investigations.
The Work You Will Do: The responsibilities of this position are included, but are not limited to the following:
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 applicable laws pertaining to Medicaid fraud in the administration of the Medicaid program and/or the alleged abuse or neglect of patients in health care facilities governed by the State Medicaid program. An employee in this position of Senior Investigator performs work which may include performing all aspects 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 reports and exhibits to include testimony in courts.
65% Conducts routine and complex investigations of possible Medicaid fraud and/or patient abuse,
including interviews with witnesses and possible criminal violators.
20% Review records collected during investigation and prepare reports pertaining to all aspects of the investigation for use in criminal prosecution, civil actions and administrative referrals.
10% Assist in the prosecution of Medicaid fraud and/or patient abuse to include testimony in courts of law pertaining to the investigation.
5% Perform other duties as assigned.
Candidate Profile (application) must be completed in its entirety.
The Benefits of Working for the State of Florida: Working for the State of Florida is more than a paycheck. The State's total compensation package for employees features a highly competitive set of employee benefits including:
IMPORTANT NOTICE: To be considered for the position, all applicants must:
Submit a complete and accurate application profile necessary for qualifying such as dates of service, reason for leaving, etc. In addition, all applicants must ensure all employment and/or detailed information about work experience is listed on the application (including military service, self-employment, job-related volunteer work, internships, etc.) and that gaps in employment are explained.
NOTE: Any required experience and/or preferences listed in the advertisement must be verified at the time of application.
CRIMINAL BACKGROUND CHECKS/ DRUG FREE WORKPLACE: All OAG positions are "sensitive or special trust" and require favorable results on a background investigation including fingerprinting, pursuant to s. 110.1127(2)(a), F.S. The State of Florida supports a Drug-Free Workplace, all employees are subject to reasonable suspicion or other drug testing in accordance with section 112.0455, F.S., Drug-Free Workplace Act. We hire only U.S. citizens and those lawfully authorized to work in the U.S.
E-VERIFY STATEMENT: The Office of the Attorney General participates in the U.S. government's employment eligibility verification program (e-verify). E-verify is a program that electronically confirms an employee's eligibility to work in the United States after completion of the employment eligibility verification form (i-9).
PERSONS WITH DISABILITY/ADA STATEMENT: The OAG supports the employment of individuals with disabilities and encourages them to seek employment within our agency. If you need an accommodation because of a disability, as defined by the Americans with Disabilities Act, in order to participate in the application process, please notify the people first service center at 877-562-7287. If you need an accommodation during the selection process, please notify the hiring authority in advance to allow sufficient time to provide an accommodation.
REMINDERS: Male applicants born on or after October 1, 1962, will not be eligible for hire or promotion unless they are registered with the Selective Service System (SSS) before their 26th birthday, or have a Letter of Registration Exemption from SSS. For more information, please visit the SSS website at: https: //www.sss.gov. If you are a retiree of the Florida Retirement System (FRS), please check with the FRS on how your current benefits will be affected if you are re-employed with the State of Florida. If you return to FRS employment before satisfying the required waiting period, your retirement may be voided, and you may have to repay all benefits you have received, including any Deferred Retirement Option Program (DROP) payout.
Candidates requiring a reasonable accommodation, as defined by the Americans with Disabilities Act, must notify the agency hiring authority and/or People First Service Center (1-866-663-4735). Notification to the hiring authority must be made in advance to allow sufficient time to provide the accommodation.
The State of Florida supports a Drug-Free workplace. All employees are subject to reasonable suspicion drug testing in accordance with Section 112.0455, F.S., Drug-Free Workplace Act.
VETERANS' PREFERENCE. Pursuant to Chapter 295, Florida Statutes, candidates eligible for Veterans' Preference will receive preference in employment for Career Service vacancies and are encouraged to apply. Certain service members may be eligible to receive waivers for postsecondary educational requirements. Candidates claiming Veterans' Preference must attach supporting documentation with each submission that includes character of service (for example, DD Form 214 Member Copy #4) along with any other documentation as required by Rule 55A-7, Florida Administrative Code. Veterans' Preference documentation requirements are available by clicking here. All documentation is due by the close of the vacancy announcement.
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Public administration
10,000+ Employees
Tallahassee, FL, US