ZipRecruiter

Log In

1

Medicaid Fraud Control Unit Jobs (NOW HIRING)

next page

Showing results 1-20

All JobsMedicaid Fraud Control Unit Jobs

Medicaid Fraud Control Unit information

See salary details

$39K

$72.4K

$102K

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

As of Jun 12, 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 job?

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 job categories do people searching Medicaid Fraud Control Unit jobs look for? The top searched job categories for Medicaid Fraud Control Unit jobs are:
Medicaid Fraud Control Unit jobs near you
Infographic showing various Medicaid Fraud Control Unit job openings in the United States as of June 2026, with employment types broken down into 77% Full Time, 14% Part Time, and 9% Contract. Highlights an 97% Physical, 1% Hybrid, and 2% Remote job distribution, with an average salary of $72,401 per year, or $34.8 per hour.

Criminal Investigator - Criminal Law Division - OAG

LUMA

Boise, ID • On-site

$44.23/hr

Full-time

Medical, Dental, Retirement, PTO

Posted 21 days ago

Job description

State of Idaho Opportunity
Criminal Investigator, Medicaid Fraud Control Unit (MFCU), Criminal Law Division, OAG
Closing Date: Open until filled.
Start Date: To be determined upon hire.
Salary: $44.23/hour DOE
The Medicaid Fraud Control Unit (MFCU) is currently accepting applications for a Criminal Investigator. The federally funded and mandated MFCU is an interdisciplinary team dedicated to protecting vulnerable individuals and safeguarding the finite resources on which they depend. This position is responsible for conducting complex criminal investigations involving Medicaid provider fraud, patient abuse, neglect and financial exploitation. Investigations often involve multi-agency coordination, detailed evidence analysis, and preparation for prosecution.
Primary duties include:
  • Conducting interviews.
  • Obtaining and analyzing electronic files and other evidence.
  • Serving subpoenas.
  • Obtaining and executing search warrants.
  • Preparing reports and exhibits.
  • Maintaining investigative case files.
  • Testifying in court.
  • Interfacing with other law-enforcement agencies.

Minimum Qualifications:
  • Current Idaho POST Certification or eligible to take the Idaho POST Challenge Exam.
  • Minimum education of a high-school diploma or equivalent.
  • At least five years of law-enforcement experience, preferably with an emphasis in investigations.
  • Above average communication and interpersonal skills.
  • A thorough understanding of laws, policies, and rules of evidence applicable to Idaho law-enforcement service.
  • Ability to work both independently and in a close-knit team environment with other investigators and prosecutors.
  • Enthusiasm for public service.
  • Must be able to pass a Criminal Justice Information System (CJIS) background check, and maintain CJIS access.
  • Must possess a valid state-issued driver's license and be able to drive and travel frequently, including with little or no advanced notice.
  • Must be willing to work flexible hours and be on-call as needed.

Any offer for employment is contingent upon the candidate's completion of a satisfactory background investigation, which will include fingerprinting, a polygraph test, and a psychological evaluation.
Preferred Qualifications:
  • Bachelor's degree in related fields, such as health information management, accounting, healthcare administration, or criminal justice.
  • Investigative experience, preferably in Medicaid or healthcare fraud, financial crimes, or white-collar investigations.
  • Knowledge of state and federal laws related to Medicaid, healthcare fraud, and abuse.

Applications: E-mail a resume and cover letter to Keri.Ascherfeld@ag.idaho.gov.
Please contact Keri Ascherfeld with any questions: 208-334-4545 or Keri.Ascherfeld@ag.idaho.gov.
NOTE: You do not have to complete the standard application "apply now" process for this position. If you choose to do so, please also submit your resume to keri.ascherfeld@ag.idaho.gov to be considered for this position.
The Idaho Office of the Attorney General is an equal opportunity employer. This position is exempt from state classified service, and the rules of the Division of Human Resources and the Idaho Personnel Commission. This is an at-will position.
The State of Idaho is committed to access and reasonable accommodations for individuals with disabilities. If you require an accommodation at any step in our recruitment process, you are encouraged to contact Human Resources at (208) 334-4523 or email denise.stringer@ag.idaho.gov.
Benefits: State employee benefits which include low-cost health and dental insurance, paid vacation and sick leave, 11 paid holidays, multiple retirement savings plans, flexible spending accounts, paid parental leave, and one of the nation's best state retirement systems (PERSI). The Office is a qualifying employer for the Public Service Loan Forgiveness Program (PSLF). Ability to partially telecommute is also available for this position.

About Luma

Sourced by ZipRecruiter

Industry

Arts, entertainment, and recreation

Company size

201 - 500 Employees

Headquarters location

Santa Monica, CA, US

Year founded

2002

View All Luma Jobs

Apply