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Medicaid Fraud Control Unit Jobs in Virginia (NOW HIRING)

Benefit Programs Supervisor

Daleville, VA · On-site

$45K/yr

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

Medical Assistance (Medicaid/Cardinal) - Family & Children, Aged, Blind, Disabled, and Long Term ... Fraud, Quality Control, and other human service programs Applicants may be subject to a Criminal ...

... • Write unit, integration, and end-to-end tests to ensure code quality. • Maintain CI/CD ... MongoDB). • Knowledge of version control systems (Git/GitHub). • Understanding of ...

Works with Business Units) and key business unit employees to ensure that CIP/CDD, CTRs, monetary ... crimes, fraud, and identity theft. Effectively uses computer tools including automated software ...

... control procedures and informing management and/or appropriate officials of potential fraud risk ... Is responsible for the overall direction, coordination, and evaluation of this unit. Carries out ...

Showing results 21-40

Medicaid Fraud Control Unit information

See Virginia salary details

$38.7K

$71.8K

$101.1K

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 Virginia is $71,780.00, according to ZipRecruiter salary data. Most workers in this role earn between $68,400.00 and $68,900.00 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 cities in Virginia are hiring for Medicaid Fraud Control Unit jobs?

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

Infographic showing various Medicaid Fraud Control Unit job openings in Virginia as of August 2026, with employment types broken down into 1% As Needed, 78% Full Time, 17% Part Time, 3% Contract, and 1% Nights. Highlights an 96% Physical, 1% Hybrid, and 3% Remote job distribution, with an average salary of $71,780 per year, or $34.5 per hour.

Benefit Programs Supervisor

City of Alexandria

Daleville, VA • On-site

$45K/yr

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Posted 10 days ago


City Of Alexandria (Louisiana) rating

7.8

Company rating: 7.8 out of 10

Based on 7 frontline employees who took The Breakroom Quiz

451st of 846 rated public administrative organizations


Job description

Botetourt County Department of Social Services is hiring a Benefit Programs Supervisor! 

This is the supervisory level position in the Benefit Programs occupational group. Employees supervise, evaluate and monitor the work of Benefit Program Specialist who determine eligibility for government assistance programs.  Employees train, lead, and develop staff and monitor case management services. 

The starting annual salary for this position is $45,000 (commensurate with experience). Botetourt County offers a generous benefit package which includes participation in the Virginia Retirement System, employer paid life and disability insurance, paid holidays, annual leave and sick leave, affordable medical, dental and vision insurance, etc.

Employees may be eligible for telework at the discretion of the department. Telework schedules vary based on the needs of the agency.
Applicants are encouraged to carefully review both the job posting and answer the supplemental questions on the job application in their entirety.
Applications will be accepted Wednesday, August 5, 2026 through Thursday, August 13, 2026. 

General Work Tasks include: 

  • Provides administrative and programmatic supervision to staff;
  • Reviews case management plans to include quality assurance of case management services;
  • Develops written guidelines for delivery of case management services;
  • Coordinates and monitors staff activity and caseloads;
  • Holds individual and group conferences to review cases and problems;
  • Reviews case records and evaluates performance of staff members and recommends indicated action;
  • Recommends hiring, disciplinary actions, transfer, promotion, and termination of personnel within the limits of appropriate statutes, rules and regulations and policies, developing performance standards and preparing corrective action plans;
  • Represents staff needs to senior management team;
  • Prepares and implements internal operating policies and procedures;
  • Interprets regulation, policy and other program information changes to staff;
  • Trains new employees in areas such as agency policy, department procedures and agency or government regulations;
  • Determines staffing needs and makes recommendations to management;
  • Maintains records and prepares regular and special reports;
  • Participates in developing and implementing agency administrative policy;
  • Makes decisions on controversial cases or presents them for higher level action;
  • Authorizes emergency assistance for applicants/recipients;
  • Serves in a liaison capacity to other agencies and groups;
  • Monitors program expenditures;
  • Meets with community groups to discuss programs and resources and develops/maintains cooperative relationships with public and private entities; 
     

Minimum Qualifications: 

  • Considerable knowledge of: current social, economic, and health issues/trends; principles and practices of effective supervision; public assistance programs, policies and regulations; the literature in the field of eligibility determination; casework supervision principles and practices; effective interviewing techniques; knowledge of computer systems and standard office software to include DSS human services systems.
  • Skill in operating a personal computer and associated agency software.
  • Ability to work effectively with others; work independently supervising and training others to deal effectively with the public; plan and manage work effectively; communicate effectively both orally and in writing; interpret laws, policies, and regulations and to make decisions based thereon; plan and supervise work activities, including service delivery, training, recordkeeping duties and organizational operations; develop and maintain good working relations with internal and external customers; evaluate financial assistance programs. 
     

Preferred Qualifications:

  • Bachelor's Degree in a human services field and human services program experience in a leadership role or supervisory capacity; or any equivalent combination of training and experience which provides the knowledge, skills, and abilities. 
  • Considerable knowledge of public assistance programs, policy, and regulations in regard to:
    • Supplemental Nutrition Assistance Program (SNAP)
    • Medical Assistance (Medicaid/Cardinal) - Family & Children, Aged, Blind, Disabled, and Long Term Care 
    • Temporary Assistance for Needy Families (TANF)
    • Virginia Initiative for Education and Work (VIEW) 
    • Child Care Subsidy Program (CCSP) 
    • Energy Assistance Programs (EAP) 
    • SNAP Employment and Training (SNAP E&T)
    • Fraud, Quality Control, and other human service programs


Applicants may be subject to a Criminal History Background search, Central Registry search, DMV/driving record check, and/or pre-employment drug screen. The investigation may include: fingerprint checks (State Police, FBI), local agency checks, employment verification and references, verification of education (relevant to employment), credit checks (relevant to employment) and other checks requested by the hiring authority.

All offers of employment are contingent upon satisfactory results of the required checks and screenings.

May be required to report for shelter duty during community disasters and/or emergencies.

Consideration for an interview is based solely on the information within the application and/or resume. 
Applicants are encouraged to provide a complete listing of relevant work experience and qualifications.
Applications for this position must be submitted electronically through this website. Mailed, emailed, faxed, or hand-delivered applications will not be accepted. This website will provide a confirmation receipt when the application is submitted for consideration.

Minimum Qualifications:


Preferred Qualifications: 


Special Requirements:


Special Instructions to Applicants:



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