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Medicaid Fraud Control Unit Jobs (NOW HIRING)

Investigator (AG)

Providence, RI · On-site

$60 - $80/hr

The mission of the Medicaid Fraud Control Unit (MFCU) for the State of Rhode Island is to investigate and prosecute fraud in the administration of the Medicaid program in Rhode Island, in the ...

$60 - $80/hr

The mission of the Medicaid Fraud Control Unit (MFCU) for the State of Rhode Island is to investigate and prosecute fraud in the administration of the Medicaid program in Rhode Island, in the ...

Showing results 21-40

Medicaid Fraud Control Unit information

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$39K

$72.4K

$102K

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

As of Sep 8, 2026, the average yearly pay for medicaid fraud control unit in the United States is $72,401.00, according to ZipRecruiter salary data. Most workers in this role earn between $69,000.00 and $69,500.00 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.

More about Medicaid Fraud Control Unit jobs

What cities are hiring for Medicaid Fraud Control Unit jobs?

Cities with the most Medicaid Fraud Control Unit job openings:

What states have the most Medicaid Fraud Control Unit jobs?

States with the most job openings for Medicaid Fraud Control Unit jobs include:

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

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

Infographic showing various Medicaid Fraud Control Unit job openings in the United States as of September 2026, with employment types broken down into 1% As Needed, 75% Full Time, 20% Part Time, 3% Contract, and 1% Nights. Highlights an 94% Physical, 1% Hybrid, and 5% Remote job distribution, with an average salary of $72,401 per year, or $34.8 per hour.

Special Assistant Attorney General: Medicaid Fraud (3907)

New York State

Mineola, NY • On-site

$91K - $190K/yr

Full-time

Medical, Dental, Vision, Retirement, PTO

Posted 5 days ago


New York State rating

7.7

Company rating: 7.7 out of 10

Based on 189 frontline employees who took The Breakroom Quiz

26th of 50 rated states


Job description

Duties Description Criminal Justice Division Medicaid Fraud Control Unit-Hauppauge (Suffolk County) Special Assistant Attorney General Reference No. MFCU_HAU_SAAG_3907 Application Deadline is October 2, 2026 Salary Range: $87,356 - $186,493 + $4,000 in location pay To be considered for this opportunity, submit a complete application online at ag.ny.gov/job-postings/attorneys The Office of the New York State Attorney General's (OAG) Medicaid Fraud Control Unit (MFCU) seeks attorneys with experience prosecuting and/or investigating complex financial wrongdoing to serve as Special Assistant Attorneys General in its Hauppauge office in Suffolk County. MFCU attorneys lead collaborative, team-based investigations with the unit's forensic accountants/auditors, detectives, and analysts to identify and prosecute financial fraud in the healthcare industry and abuse and neglect of residents in healthcare facilities, present evidence to grand juries, and conduct evidentiary hearings and trials in New York state courts

The Medicaid program provides health coverage to millions of New Yorkers, including low-income persons, children, elderly adults, and people with developmental disabilities. MFCU is the nation's premier law enforcement agency charged with ensuring the financial integrity of New York state's $124 billion Medicaid program by investigating healthcare providers, such as pharmaceutical companies, doctors, hospitals, and nursing homes, who engage in Medicaid billing schemes that cause harm to Medicaid recipients and the loss of millions of dollars to the state of New York. MFCU also works to protect elderly and disabled New Yorkers by investigating reports of abuse and neglect in nursing homes and other residential health care facilities in the state.

Possessing both civil and criminal enforcement powers, MFCU uses various state laws to bring civil actions and criminal proceedings, including asset forfeiture actions. Many of the unit's investigations are conducted in coordination with other federal, state, or local government and prosecutorial agencies, and have resulted in large-scale criminal convictions and the recovery of millions of dollars of taxpayer money. Several matters that highlight MFCU's important work include OAG's report concerning neglect of nursing home residents across New York state during the COVID-19 pandemic, and the recent filing of four major lawsuits against nursing homes, including Centers Health Care, Cold Spring Hills Center for Nursing and Rehabilitation, The Villages of Orleans Health and Rehabilitation Center, and Fulton Commons Care Center, Inc.

Additional significant cases include the conviction of a Nassau County nursing home aide who sexually assaulted residents; indictment of a Long Island physician for defrauding Medicaid and subjecting patients to invasive and unnecessary testing; and the conviction and sentencing of transportation company owner for stealing over $1 million from Medicaid. Minimum Qualifications Qualifications: A minimum of four (4) years of practice experience, including grand jury, trial, and/or substantial complex business litigation practice that must include criminal practice experience and preferably includes the investigation and prosecution of financial crimes; Prior experience drafting and overseeing the execution of search and eavesdropping warrants is desirable; Excellent analytical, legal research, writing, and organizational skills; Sound judgment with the ability to articulate the critical issues in a case accurately and concisely; Strong communication and teamwork skills and the ability to work independently and as a member of a team, including fostering productive, respectful, and collaborative relationships with staff at all levels of the organization; Technology proficiency that preferably includes a knowledge of and comfort using Microsoft Office applications; and a Familiarity with case management software and eDiscovery platforms is a plus, though not required. Applicants must reside in (or intend to soon become a resident of) New York state and be admitted to practice law in New York state.

In addition, the Public Officers Law requires that OAG attorneys be citizens of the United States. A two (2) year commitment upon being hired is a condition of employment. Additional Comments The salary range for this position is $87,356 - $186,493 plus $4,000 in location pay.

To learn more about Assistant Attorney General compensation, please visit the following page: https://ag.ny.gov/sites/default/files/assistant_attorney_general_compensation.pdf As an employee of OAG, you will join a team of dedicated individuals who work to serve the people of our state through a wide variety of occupations. We offer a comprehensive New York state benefits package, including paid leave, health, dental, vision, and retirement benefits, and family-friendly policies. Additionally, OAG offers a robust Workplace Flexibilities Program with multiple options for employees, including telecommuting (up to two days per week) and alternative work schedules

Candidates from diverse backgrounds are encouraged to apply. The OAG is an equal opportunity employer and is committed to workplace diversity. Some positions may require additional credentials or a background check to verify your identity.


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