Frankfort, KY · On-site
$5.2K - $7.9K/mo
Hiring Agency General Government Cabinet Attorney General Location 1024 Capital Center Drive Frankfort, KY 40601 USA Description The Office of Medicaid Fraud and Abuse Control operates within ...
Frankfort, KY · On-site
$5.2K - $7.9K/mo
Hiring Agency General Government Cabinet Attorney General Location 1024 Capital Center Drive Frankfort, KY 40601 USA Description The Office of Medicaid Fraud and Abuse Control operates within ...
$79 - $96/hr
... Medicaid, and PACE (Program of All-Inclusive Care for the Elderly)-- in the region. Learn more at ... Investigation Unit (SIU) for fraud, waste, and abuse (FWA) activity. The department reports ...
New
$79 - $96/hr
... Medicaid, and PACE (Program of All-Inclusive Care for the Elderly)-- in the region. Learn more at ... Investigation Unit (SIU) for fraud, waste, and abuse (FWA) activity. The department reports ...
New
$70 - $90/hr
Documents all pertinent data as required by Medicare, Medicaid, company standards and policies ... Understands and follows infection control standards, policies and procedures. * Must be able to ...
$70 - $90/hr
Documents all pertinent data as required by Medicare, Medicaid, company standards and policies ... Understands and follows infection control standards, policies and procedures. * Must be able to ...
$85 - $110/hr
Documents all pertinent data as required by Medicare, Medicaid, company standards and policies ... Understands and follows infection control standards, policies and procedures. * Must be able to ...
$85 - $110/hr
Documents all pertinent data as required by Medicare, Medicaid, company standards and policies ... Understands and follows infection control standards, policies and procedures. * Must be able to ...
$75 - $105/hr
Documents all pertinent data as required by Medicare, Medicaid, company standards and policies ... Understands and follows infection control standards, policies and procedures. * Must be able to ...
$75 - $105/hr
Documents all pertinent data as required by Medicare, Medicaid, company standards and policies ... Understands and follows infection control standards, policies and procedures. * Must be able to ...
Louisville, KY · On-site
$150K/yr
As a Compliance Lead for our Medicaid business, you will be part of a team who develops and ... Coordinate with the Special Investigations Unit (SIU) to operate and effective fraud, waste and ...
Louisville, KY · On-site
$150K/yr
As a Compliance Lead for our Medicaid business, you will be part of a team who develops and ... Coordinate with the Special Investigations Unit (SIU) to operate and effective fraud, waste and ...
Louisville, KY · On-site
$115 - $158/hr
Coordinate with the Special Investigations Unit (SIU) to operate and effective fraud, waste and ... or Medicaid* 3+ years of interpreting and guiding on regulations and compliance requirements ...
Louisville, KY · On-site
$115 - $158/hr
Coordinate with the Special Investigations Unit (SIU) to operate and effective fraud, waste and ... or Medicaid* 3+ years of interpreting and guiding on regulations and compliance requirements ...
$150K/yr
As a Compliance Lead for our Medicaid business, you will be part of a team who develops and ... Coordinate with the Special Investigations Unit (SIU) to operate and effective fraud, waste and ...
$150K/yr
As a Compliance Lead for our Medicaid business, you will be part of a team who develops and ... Coordinate with the Special Investigations Unit (SIU) to operate and effective fraud, waste and ...
$115 - $158/hr
Coordinate with the Special Investigations Unit (SIU) to operate and effective fraud, waste and ... or Medicaid* 3+ years of interpreting and guiding on regulations and compliance requirements ...
$115 - $158/hr
Coordinate with the Special Investigations Unit (SIU) to operate and effective fraud, waste and ... or Medicaid* 3+ years of interpreting and guiding on regulations and compliance requirements ...
Louisville, KY · On-site
$150K/yr
As a Compliance Lead for our Medicaid business, you will be part of a team who develops and ... Coordinate with the Special Investigations Unit (SIU) to operate and effective fraud, waste and ...
Louisville, KY · On-site
$150K/yr
As a Compliance Lead for our Medicaid business, you will be part of a team who develops and ... Coordinate with the Special Investigations Unit (SIU) to operate and effective fraud, waste and ...
Louisville, KY · On-site
$150K/yr
As a Compliance Lead for our Medicaid business, you will be part of a team who develops and ... Coordinate with the Special Investigations Unit (SIU) to operate and effective fraud, waste and ...
Louisville, KY · On-site
$150K/yr
As a Compliance Lead for our Medicaid business, you will be part of a team who develops and ... Coordinate with the Special Investigations Unit (SIU) to operate and effective fraud, waste and ...
... control protocols and patient safety standards. · Participate in quality improvement initiatives ... We are accredited by The Joint Commission and certified by Medicare and Medicaid, reflecting our ...
Quick apply
... control protocols and patient safety standards. · Participate in quality improvement initiatives ... We are accredited by The Joint Commission and certified by Medicare and Medicaid, reflecting our ...
... control protocols and patient safety standards. · Participate in quality improvement initiatives ... We are accredited by The Joint Commission and certified by Medicare and Medicaid, reflecting our ...
Quick apply
... control protocols and patient safety standards. · Participate in quality improvement initiatives ... We are accredited by The Joint Commission and certified by Medicare and Medicaid, reflecting our ...
$70 - $90/hr
Centers for Medicare and Medicaid Services (CMS) Requirements: Certain divisions within BlueCross ... Participate in quality control activities supporting corporate and team-based objectives. Provide ...
$70 - $90/hr
Centers for Medicare and Medicaid Services (CMS) Requirements: Certain divisions within BlueCross ... Participate in quality control activities supporting corporate and team-based objectives. Provide ...
... fraud and abuse. Includes, but is not limited to ... The Federal Register, Center for Medicare, and Medicaid Services (CMS) Local Coverage ...
... fraud and abuse. Includes, but is not limited to ... The Federal Register, Center for Medicare, and Medicaid Services (CMS) Local Coverage ...
Covington, KY · On-site
... unit finance teams, accounting, tax, payroll, legal, and external banking partners. Does this work ... fraud controls. • Administer revolving credit facilities, securitization programs, and other ...
Covington, KY · On-site
... unit finance teams, accounting, tax, payroll, legal, and external banking partners. Does this work ... fraud controls. • Administer revolving credit facilities, securitization programs, and other ...
... unit finance teams, accounting, tax, payroll, legal, and external banking partners. Does this work ... fraud controls. Administer revolving credit facilities, securitization programs, and other ...
... unit finance teams, accounting, tax, payroll, legal, and external banking partners. Does this work ... fraud controls. Administer revolving credit facilities, securitization programs, and other ...
Lexington, KY · On-site
$49.76 - $87.07/hr
... unit. The designer will develop and maintain date-centric P&IDs using Hexagon SmartPlant P&ID ... Perform QA/QC checks and maintain revision control and redline incorporation. * Participate in ...
Lexington, KY · On-site
$49.76 - $87.07/hr
... unit. The designer will develop and maintain date-centric P&IDs using Hexagon SmartPlant P&ID ... Perform QA/QC checks and maintain revision control and redline incorporation. * Participate in ...
$49.76 - $87.07/hr
... unit. The designer will develop and maintain date-centric P&IDs using Hexagon SmartPlant P&ID ... Perform QA/QC checks and maintain revision control and redline incorporation. * Participate in ...
$49.76 - $87.07/hr
... unit. The designer will develop and maintain date-centric P&IDs using Hexagon SmartPlant P&ID ... Perform QA/QC checks and maintain revision control and redline incorporation. * Participate in ...
Louisville, KY · On-site
$350 - $450/hr
... Medicaid Services. In addition, Norton Heart & Vascular Institute is a member of the UK Gill Heart ... In 2021, the Centers for Disease Control and Prevention reported Kentucky as No. 8 in the country ...
Louisville, KY · On-site
$350 - $450/hr
... Medicaid Services. In addition, Norton Heart & Vascular Institute is a member of the UK Gill Heart ... In 2021, the Centers for Disease Control and Prevention reported Kentucky as No. 8 in the country ...
$33.9K - $38.8K
1% of jobs
$38.8K - $43.8K
0% of jobs
$43.8K - $48.8K
1% of jobs
$48.8K - $53.8K
9% of jobs
$53.8K - $58.7K
5% of jobs
$59.4K is the 25th percentile. Wages below this are outliers.
$58.7K - $63.7K
69% of jobs
$63.7K - $68.7K
4% of jobs
$68.7K - $73.7K
3% of jobs
$73.7K - $78.6K
3% of jobs
$78.6K - $83.6K
2% of jobs
$83.6K - $88.6K
2% of jobs
$33.9K
$62.9K
$88.6K
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 Kentucky, the most frequently searched job titles are:
The top searched job categories for Medicaid Fraud Control Unit jobs in Kentucky are:
$5.2K - $7.9K/mo
Full-time
Re-posted 10 days ago
