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Medicaid Fraud Control Unit Jobs (NOW HIRING)

State of Georgia

$50/hr

Investigator - Medicaid Fraud Job Requisition ID: JR0000000386 Number of Openings: 1 Shift: Day ... Develops necessary knowledge and skills for using computer software programs in unit investigations.

Georgia

Investigator - Medicaid Fraud

Atlanta, GA

$50/hr

Investigator - Medicaid Fraud Job Requisition ID: JR0000000386 Number of Openings: 1 Shift: Day ... Develops necessary knowledge and skills for using computer software programs in unit investigations.

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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.

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Medicaid Fraud Control Unit jobs near you
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.

Assistant Attorney General - Medicaid Fraud - Chicago

Illinois Attorney General

Springfield, IL • On-site

$84K - $107K/yr

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Re-posted 20 days ago

Job description

Salary: $84,480.00 - $107,550.00 Annually
Location : Chicago, IL
Job Type: Full-Time
Job Number: AAG-CRI-MED-CHI
Administration: Chief Deputy - Attorney General
Bureau: Medicaid Fraud
Opening Date: 09/23/2025
Summary of Duties and Responsibilities
The Attorney General's Medicaid Fraud Control Unit ("MFCU") is a specialized unit in which the attorneys work as a team with MFCU investigators and analysts to investigate and prosecute Medicaid provider fraud throughout Illinois. Assistant Attorneys General ("AAGs") are required to prosecute criminal cases and litigate civil cases in Illinois State and Federal courts. Medicaid cases relate to fraud on the Medicaid system, the abuse and neglect of long-term care facility residents and the litigation of civil qui tam cases in state and federal court. An AAG in this position is given the rare opportunity to practice both criminally and civilly. Additionally, this position is expected to handle civil fraud cases that might span the entire country; the AAGs frequently work on national teams with other states to handle multi-state litigation.
Summary of Duties and Responsibilities:
Interested candidates must be able to prepare cases in state and federal courts and conduct trials; interview witnesses, prepare pleadings and conduct research for trials; respond to pre-trial motions; attend various courts for arraignments, hearings, pre-trial and post-trial motions; negotiate settlements and dispositions; and prepare periodic activity reports. Applicants must be licensed in Illinois at the time of application. The position requires skill for presenting and arguing cases in court and/or administrative hearings. Candidates must maintain working relationships with court officials and client agencies.
Qualifications
Minimum Qualifications:
Knowledge of the principles of civil and criminal law and of the methods and practices of pleading and discovery; knowledge of judicial procedures and rules of evidence is required with special emphasis on federal civil practice. Applicants must be licensed in Illinois at the time of application. Two or more years of civil and/or criminal practice experience is preferred. Ability to travel is a necessity. Duties are limited to "Medicaid" nexus cases.
Supplemental Information
Salary: Salaries are commensurate with number of years of practice as a licensed attorney and range from $ 84,480 to $ 107,550.
To ensure full consideration, please submit a cover letter, resume, three professional references, and a writing sample. Should you have any questions, please feel free to contact us:
Attn: Thor Y. Inouye
Office of the Illinois Attorney General
115 S. LaSalle St.
Chicago, IL 60603
(312) 814-3695
(312) 814-5024 (Fax)
We offer a complete benefits package to full-time employees including health care, dental, vision, retirement, deferred compensation plans, flexible spending accounts, life insurance, long-term disability, holidays, vacation, and sick leave.
Part-time employees who work an average of 20 hours per week over the course of a year, receive benefits on a pro-rated basis.
As an employee of the Illinois Attorney General's Office, you'll have access to many great benefits. Join the legal team responsible for protecting the public interest of the state and the people of Illinois!
  • Health and Dental insurance along with free Vision insurance*
  • Pension Benefits through the State Employees'; Retirement System
  • Deferred Compensation: supplemental retirement savings program-457k
  • Commuter Savings Program: pre-tax transportation program
  • Flexible Spending: Medical and Dependent pre-tax savings program
  • Life insurance benefit: free with option to purchase additional (up to 8 x your annual salary) at low cost. Spouse and child life insurance available
  • Disability coverage
  • Employee Assistance Program through ComPsych
  • Holidays: 13 1/2 paid
  • Vacation days: minimum of 12 days, maximum of 27 days, prorated
  • Personal days: 4 annually
  • Floating Holiday: 1 annually
  • Sick days: 1 per month
  • For attorneys, office provided Continuing Legal Education
  • Semi-monthly payroll

*Health and Dental cost ranges: for single: $131.00 - $314.00 monthly; for family: $299.00 - $653.00 monthly
For more information on benefits:

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