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Medicaid Fraud Control Unit Jobs in Texas (NOW HIRING)

Driscoll

Program Manager

Corpus Christi, TX

... fraud, waste, and abuse with referral for further investigation, and implements robust strategies ... Texas Medicaid Provider Procedures Manual, DHP Provider Contracts, and the DHP Provider Manual ...

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Medicaid Fraud Control Unit information

See Texas salary details

$36.3K

$67.5K

$95K

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

As of Aug 16, 2026, the average yearly pay for medicaid fraud control unit in Texas is $67,452.00, according to ZipRecruiter salary data. Most workers in this role earn between $64,300.00 and $64,800.00 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.

What are popular job titles related to Medicaid Fraud Control Unit jobs in Texas?

For Medicaid Fraud Control Unit jobs in Texas, the most frequently searched job titles are:

What job categories do people searching Medicaid Fraud Control Unit jobs in Texas look for?

The top searched job categories for Medicaid Fraud Control Unit jobs in Texas are:

What cities in Texas are hiring for Medicaid Fraud Control Unit jobs?

Cities in Texas with the most Medicaid Fraud Control Unit job openings:

Medicaid Fraud Control Unit jobs near you
Infographic showing various Medicaid Fraud Control Unit job openings in Texas as of August 2026, with employment types broken down into 100% Full Time. Highlights an 92% In-person, and 8% Remote job distribution, with an average salary of $67,452 per year, or $32.4 per hour.

OAG - Medicaid Fraud Control Unit | Sergeant | 26-0668

CAPPS

Austin, TX • On-site

$7.4K/mo

Full-time

Posted 8 days ago

Job description

Job Description
GENERAL DESCRIPTION
The Medicaid Fraud Control Unit is seeking a Sergeant whose work will involve advanced criminal investigations of Medicaid provider fraud and nursing home related investigations for the Office of the Attorney General's Medicaid Fraud Control Unit (MFCU). Work involves conducting criminal investigations of violations of various state and federal statutes and prosecution assistance as needed. OAG employees enjoy excellent benefits along with tremendous opportunities to do important work and make a positive difference in the lives of all Texans.
The OAG is a dynamic state agency with over 4,000 employees throughout the State of Texas. As the State's law firm, the OAG provides exemplary legal representation in diverse areas of law. OAG employees enjoy excellent benefits (https://ers.texas.gov/BenefitsataGlance) along with tremendous opportunities to do important work at a large, dynamic state agency making a positive difference in the lives of Texans.
JOB POSTING NOTICE
Applicants for this position should be prepared to pass a background investigation. Applicants will also be subject to a motor vehicle registration check. The MFCU works cases jointly with other law enforcement agencies including the FBI, U.S. Department of Health and Human Services Inspector General and IRS. In certain cases, it is necessary for our staff to have a Top Secret security clearance in order to fully participate in joint investigations or in task force activities. Top Secret clearances are not required prior to employment but in certain cases may be required at a later date. Since most security clearance problems arise from criminal records or unresolved bad credit issues, full criminal and credit checks will be run on all applicants prior to employment.
ESSENTIAL POSITION FUNCTIONS
  • Conducts complex criminal investigations of Medicaid provider fraud, and/or assures that nursing home related investigations are addressed professionally and in a timely manner, utilizing a wide range of techniques, with the goal of accomplishing the primary mission of MFCU, bringing violators of state and federal law, over which MFCU has jurisdiction, to justice, and identifying Medicaid and Medicaid related overpayments to Medicaid providers
  • Plans, participates in and conducts undercover investigations, surveillance operations, raids, and searches; identifies, gathers, and examines evidence, including complex records of Medicaid providers; executes court orders, warrants, and subpoenas; and reports investigative findings
  • Establishes and maintains liaison with outside agencies, associations, groups, and the like whose assistance and cooperation can enhance the mission of MFCU, including but not limited to proactive generation of investigative targets; participates willingly in team investigative endeavors (intraTeam, interTeam, intercity, and interagency); and contributes to a positive work environment and high morale
  • May train, lead, and/or assist with the work of others.
  • Performs related work as assigned
  • Responds to emergency situations by serving oncall twentyfour hours per day/seven days per week
  • Maintains relevant knowledge necessary to perform essential job functions
  • Attends work regularly in compliance with agreedupon work schedule
  • Ensures security and confidentiality of sensitive and/or protected information
  • Complies with all agency policies and procedures, including those pertaining to ethics and integrity

MINIMUM QUALIFICATIONS
  • Education: Graduation from high school or equivalent
  • Education: Sixty credit hours from an accredited college or university; may substitute an associate's or bachelor's degree from an accredited college or university; or fulltime investigations; law enforcement; auditing; accounting; compliance monitoring in Medicaid, Medicare, health care insurance, or closely related experience for the required education on a yearforyear basis
  • Experience: Four years full time criminal investigative experience as a licensed peace officer or comparable federal law enforcement officer
  • TCOLE certification
  • Knowledge of TCOLE training requirements and healthcare fraud investigation training needs
  • Knowledge of Microsoft Office products (i.e. Word, Excel, PowerPoint, Outlook)
  • Knowledge of criminal investigative principles, techniques, and methodologies
  • Knowledge of management and administrative principles, techniques, and methodologies
  • Knowledge of agency goals, objectives, rules, regulations, policies, and procedures
  • Knowledge of state and federal statutes, rules, and regulations pertaining to law enforcement activities
  • Knowledge of criminal and civil court proceedings and rules of evidence
  • Skill in effective oral and written communication (Writing sample will be required at time of interview, if selected)
  • Skill in researching and interpreting complex rules and regulations
  • Skill in applying investigative techniques and procedures
  • Skill in handling multiple tasks, prioritizing, and meeting deadlines
  • Skill in exercising sound judgment and effective decision making
  • Ability to develop and implement strategic plans and budgets
  • Ability to use and care for firearms
  • Ability to use intermediate impact weapons and Oleoresin Capsicum spray
  • Ability to use physical tactics
  • Ability to conduct complex criminal investigations of Medicaid provider fraud and nursing home related investigations
  • Ability to interpret and apply applicable provisions of the Texas Penal Code, the Texas Code of Criminal Procedure, and federal statutes pertaining to investigations
  • Ability to interpret and apply department policies and procedures
  • Ability to plan, assign, and supervise the work of others
  • Ability to handle stressful situations
  • Ability to receive and respond positively to constructive feedback
  • Ability to work cooperatively in a professional office environment
  • Ability to provide excellent customer service
  • Ability to work in person at assigned OAG work location, perform all assigned tasks at designated OAG work space within OAG work location, and perform inperson work with coworkers (e.g., collaborating, training, mentoring) for the entirety of every work week (unless on approved leave)
  • Ability to arrange for personal transportation for businessrelated travel, with reimbursement
  • Ability to work more than 40 hours as needed and in compliance with FLSA
  • Ability to lift and relocate 30 lbs.
  • Ability to travel (including overnight travel) up to 20%
  • Ability to achieve 64% or better of VO2 max on the 2000meter row, or meet a minimum score of 64% on the 500meter row test or 4minute row test, utilizing a Concept 2 Rower

PREFERRED QUALIFICATIONS
  • Experience conducting white collar/economic crime investigations
  • Experience investigating healthcare provider fraud and working with state and federal prosecutors in criminal matters
  • Accomplished practitioner of the MFCU documentation and report writing system or a like system
  • Knowledge of healthcare fraud statutes (state and federal)

TO APPLY
To apply for a job with the OAG, electronic applications can be submitted through CAPPS Recruit. A State of Texas application must be completed to be considered, and paper applications are not accepted. Your application for this position may subject you to a criminal background check pursuant to the Texas Government Code. Military Crosswalk information can be accessed at
https://hr.sao.texas.gov/Compensation/MilitaryCrosswalk/MOSC_LawEnforcement.pdf
THE OAG IS AN EQUAL OPPORTUNITY EMPLOYER
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About CAPPS

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A statewide software solution developed by the Texas Department of Information Resources, CAPPS consolidates financial management, HR, and payroll operations for state agencies. Designed as a unified enterprise resource system, CAPPS replaced legacy tools in the early 2000s with a scalable, integrated platform tailored to agencies of varied size and complexity.

Industry

Human resource programs administration

Company size

10,000+ Employees

Headquarters location

Austin, TX, US

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