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Medicaid Fraud Control Unit Jobs in Virginia (NOW HIRING)

PRN Recreation Therapist

Leesburg, VA · On-site

$31.73 - $35.58/hr

Facilitates group activities twice a week, to each unit in conjunction with gender specific ... Medicaid Services, Tricare and Joint Commission. * Performs other duties as assigned based on the ...

Benefit Programs Specialist III

Daleville, VA · On-site

$34K/yr

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

... fraud or quality control case review. Employees in this class conduct the initial and ongoing ... unit or with an employee; * Provides statistical data and other information to support budget ...

Director, Services Program Enablement

Arlington, VA · On-site

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

... unit, and enterprise objectives. This team is responsible for aligning with leadership across ... Managing fraud, risk and cybersecurity and growing through insights, analytics, and loyalty ...

Manager, Quality Assurance

Lynchburg, VA · On-site

$108K - $162K/yr

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

Responsible for the documentation, change control, non-conformance/CAPA, training, internal ... the Quality unit. * Coordinates activities of the various functional areas whenever a critical ...

Software Engineer with Security Clearance

Reston, VA · On-site

$148K - $266K/yr

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

Write unit, integration, and regression tests for critical services and interfaces * Follow ... control practices required for distributed production systems. * Rapidly troubleshoot and correct ...

Software Engineer

Reston, VA · On-site

$148K - $266K/yr

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

Write unit, integration, and regression tests for critical services and interfaces * Follow ... control practices required for distributed production systems. * Rapidly troubleshoot and correct ...

Software Engineer

Reston, VA · On-site

$148K - $266K/yr

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

Write unit, integration, and regression tests for critical services and interfaces * Follow ... control practices required for distributed production systems. * Rapidly troubleshoot and correct ...

Sr. Software Engineer (TS/SCI)

Hampton, VA · On-site

$110K - $132K/yr

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

... and fraud detection. • Collaborate on Solution Delivery: Work collaboratively to deliver data ... Stay up-to-date with industry-leading tools and technologies, including version control systems ...

New

Data Engineer

Chantilly, VA · On-site

$99K - $225K/yr

  • Medical

  • Life

  • Retirement

  • PTO

... fraud detection to cancer research to national intelligence. As a data engineer at Booz Allen, you ... Experience in executing full data migration lifecycle activities, including unit testing, UAT ...

Data Engineer

Chantilly, VA · On-site +1

$99K - $225K/yr

  • Medical

  • Life

  • Retirement

  • PTO

... fraud detection to cancer research to national intelligence. As a data engineer at Booz Allen, you ... Experience in executing full data migration lifecycle activities, including unit testing, UAT ...

Data Engineer

Chantilly, VA · On-site

$99K - $225K/yr

  • Medical

  • Life

  • Retirement

  • PTO

... fraud detection to cancer research to national intelligence. As a data engineer at Booz Allen, you ... Experience in executing full data migration lifecycle activities, including unit testing, UAT ...

Police Officer I

Alexandria, VA · On-site

$63K - $114K/yr

Continuous Bargaining Unit: Southern States Police Benevolent Association Police Officer I Are you ... Investigates charges of fraud, forgery, embezzlement and bad checks; * Processes crime scenes;

Showing results 41-60

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.

PRN Recreation Therapist

UHS

Leesburg, VA • On-site

$31.73 - $35.58/hr

Per diem

Re-posted 2 days ago


Universal Health Services rating

6.8

Company rating: 6.8 out of 10

Based on 253 frontline employees who took The Breakroom Quiz

495th of 887 rated healthcare providers


Job description

Responsibilities
***Now Hiring PRN Licensed Recreational Therapists!***
Position Summary: The PRN Recreation Therapist is responsible for planning, organizing, directing, controlling and evaluating the activities of the facility to ensure appropriate recreation/leisure/social services are provided to each resident.
Key Responsibilities:
  • Completes initial recreation assessment for each resident and after six months of services at North Spring.
  • Facilitates group activities twice a week, to each unit in conjunction with gender specific programming.
  • Approves monthly activity calendars; to be posted on each unit; makes changes and suggestions of unit specific activities.
  • Fulfills responsibilities to the facility in adherence to the philosophy, policies and procedures.
  • Prepares facility wide activity calendars with a minimum of four facility wide activities each month.
  • Follows documentation requirements to meet the standards for Virginia Department of Behavioral health and Developmental Services, Virginia Medicaid Services, Tricare and Joint Commission.
  • Performs other duties as assigned based on the need of the facility.

Location: Beautiful Leesburg, Virginia, 40 miles Northwest of Washington DC. Named one of the best places to live by Money magazine. 45-acre campus in a rural area on the northern edge of Leesburg with a gymnasium, beautiful outdoor campus and high ropes course. Excellent public school system.
North Spring Behavioral Healthcare, Inc. is a multifaceted behavioral healthcare system comprised of three programs to serve children and adolescents with a broad spectrum of psychiatric service needs. Programs of service include an 87-bed, Virginia Department of Behavioral Health and Developmental Services licensed, Joint Commission accredited psychiatric residential treatment facility, a Partial Hospitalization Program, and a 40-bed acute psychiatric hospital. Our strategic plan for the past two years has been centered on improving fidelity to our evidence-based clinical methodology. North Spring is part of Universal Health Services, Inc. (UHS) one of the Nation's largest and most respected healthcare management companies, operating through its subsidiaries acute care hospitals, behavioral health facilities and ambulatory centers nationwide. Founded in 1978, UHS subsidiaries now have more than 83,000 employees. The UHS business strategy is to build or purchase healthcare properties in rapidly growing markets and create a strong franchise based on exceptional service and effective cost control. Our success comes from a responsive management style and a service philosophy based on integrity, competence and compassion.
About Universal Health Services
One of the nation's largest and most respected providers of hospital and healthcare services, Universal Health Services, Inc. (UHS) has built an impressive record of achievement and performance. Growing steadily since its inception into an esteemed Fortune 500® corporation, annual revenues during 2025 were $17.4 billion. In 2026, UHS was again recognized as one of Fortune World's Most Admired Companies™ and in 2025, was listed in Forbes ranking of America's Largest Public Companies. Headquartered in King of Prussia, PA, UHS has approximately 101,500 employees and continues to grow through its subsidiaries. Operating acute care hospitals, behavioral health facilities, outpatient facilities and ambulatory care access points, an insurance offering, a physician network and various related services located in 40 U.S. states, Washington, D.C., Puerto Rico and the United Kingdom. For additional information visit www.uhs.com .
EEO Statement
All UHS subsidiaries are committed to providing an environment of mutual respect where equal employment opportunities are available to all applicants and teammates. UHS subsidiaries are equal opportunity employers and as such, openly support and fully commit to recruitment, selection, placement, promotion and compensation of individuals without regard to race, color, religion, age, sex (including pregnancy, gender identity, and sexual orientation), genetic information, national origin, disability status, protected veteran status or any other characteristic protected by federal, state or local laws.
Avoid and Report Recruitment Scams
We are aware of a scam whereby imposters are posing as Recruiters from UHS, and our subsidiary hospitals and facilities. Beware of anyone requesting financial or personal information. At UHS and all our subsidiaries, our Human Resources departments and recruiters are here to help prospective candidates by matching skill set and experience with the best possible career path at UHS and our subsidiaries. During the recruitment process, no recruiter or employee will request financial or personal information (e.g., Social Security Number, credit card or bank information, etc.) from you via email. Our recruiters will not email you from a public webmail client like Hotmail, Gmail, Yahoo Mail, etc. If you suspect a fraudulent job posting or job-related email mentioning UHS or its subsidiaries, we encourage you to report such concerns to appropriate law enforcement. We encourage you to refer to legitimate UHS and UHS subsidiary career websites to verify job opportunities and not rely on unsolicited calls from recruiters.
Qualifications
  • Bachelor's degree in related field.
  • Must have a CTRS certification
  • Valid driver's license with a good driving record.
  • Prefer t wo years of related experience with children and adolescents.

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About Universal Health Services

Sourced by ZipRecruiter

Universal Health Services (UHS) is a major player in the healthcare industry, based in King of Prussia, Pennsylvania, U.S. Founded in 1978, UHS offers hospital and healthcare services. Their diverse services range from acute care hospitals, behavioral health facilities and ambulatory centers nationwide. The company's mission of enhancing the health and well-being of their patients is reflected in their commitment to 'Helping Individuals Live Longer, Healthier and Happier Lives'. Universal Health Services' consistent growth and success in their industry have been recognized on numerous occasions, including being ranked amongst the Fortune 500 list of largest companies.

Industry

Health care and social assistance

Company size

10,000+ Employees

Headquarters location

King of Prussia, PA, US