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Medicare Fraud Jobs (NOW HIRING)

Contact Government Services, LLC

Fraud Auditor

Omaha, NE · On-site

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

Reviewing, analyzing, and interpreting complex data sets, including Centers for Medicare & Medicaid Services claims data, PPP loan data, and records associated with health care fraud, defense ...

Northwell

Senior Security Investigator

New Hyde Park, NY · On-site

$85K - $147K/yr

Investigations may include, but are not limited to Medicare fraud, financial crimes, internal thefts, identity theft, drug diversions, prescription fraud, or crimes against employees or organization ...

Northwell

Senior Security Investigator

New Hyde Park, NY · On-site

$85K - $147K/yr

Investigations may include, but are not limited to Medicare fraud, financial crimes, internal thefts, identity theft, drug diversions, prescription fraud, or crimes against employees or organization ...

Tri-County Behavioral Healthcare

Medication Clinic LVN

Conroe, TX · On-site

$59K/yr

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

Criminal history check through the Texas Department of Public Safety (TXDPS), Employee Misconduct Registry (EMR), Nurse Aide Registry and for Medicaid and Medicare fraud. Tri-County will check the ...

Northwell

Senior Security Investigator

New Hyde Park, NY · On-site

$85K - $147K/yr

Investigations may include, but are not limited to Medicare fraud, financial crimes, internal thefts, identity theft, drug diversions, prescription fraud, or crimes against employees or organization ...

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Medicare Fraud information

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How much do medicare fraud jobs pay per hour?

As of Aug 13, 2026, the average hourly pay for medicare fraud in the United States is $26.68, according to ZipRecruiter salary data. Most workers in this role earn between $17.31 and $32.21 per hour, depending on experience, location, and employer.

What is the difference between Medicare Fraud vs Medical Billing Specialist?

AspectMedicare FraudMedical Billing Specialist
CredentialsKnowledge of healthcare laws, compliance, and sometimes certifications in healthcare complianceCertification in medical billing or coding often preferred
Work EnvironmentHealthcare facilities, government agencies, or legal settingsMedical offices, hospitals, or billing companies
Employer & IndustryGovernment agencies, healthcare providers, legal entitiesHealthcare providers, billing companies, insurance firms
Search & Comparison IntentUnderstanding illegal activities related to MedicareLearning about legitimate billing practices

Medicare Fraud involves illegal activities aimed at unlawfully obtaining Medicare funds, often requiring knowledge of healthcare laws and compliance. In contrast, Medical Billing Specialists focus on accurately processing healthcare claims and ensuring proper billing procedures. While both roles operate within the healthcare industry, Medicare Fraud is associated with illegal activities, whereas Medical Billing Specialists work within legal billing practices.

What are the key skills and qualifications needed to thrive as a Medicare fraud investigator, and why are they important?

To thrive as a Medicare Fraud Investigator, you need a solid background in criminal justice, healthcare regulations, and investigative techniques, typically supported by a relevant bachelor's degree. Familiarity with data analysis tools, case management software, and knowledge of federal regulations such as HIPAA are crucial. Strong analytical thinking, attention to detail, and effective communication help investigators uncover complex fraud schemes and work with diverse stakeholders. These skills are vital to ensure the integrity of Medicare programs, reduce financial losses, and safeguard public resources.

What are some common challenges faced by professionals working in Medicare fraud investigation roles?

Professionals investigating Medicare fraud often encounter challenges such as navigating complex healthcare regulations, analyzing large volumes of data to identify fraudulent patterns, and staying updated on evolving fraud schemes. Collaboration with other departments and agencies is essential, requiring strong communication and teamwork skills. Additionally, investigators must balance thoroughness with efficiency to ensure cases are resolved in a timely manner, all while maintaining strict confidentiality and legal compliance.

What is Medicare fraud?

Medicare fraud occurs when individuals or organizations intentionally deceive the Medicare program to receive unauthorized benefits or payments. This can include billing for services not provided, falsifying patient diagnoses, or using someone else’s Medicare information to obtain medical care or supplies. Medicare fraud not only wastes taxpayer dollars but also affects the quality and availability of care for those who need it. Detecting and reporting fraud is important for protecting the integrity of the healthcare system.
More about Medicare Fraud jobs
What states have the most Medicare Fraud jobs? States with the most job openings for Medicare Fraud jobs include:
What job categories do people searching Medicare Fraud jobs look for? The top searched job categories for Medicare Fraud jobs are:
Medicare Fraud jobs near you
Infographic showing various Medicare Fraud job openings in the United States as of August 2026, with employment types broken down into 4% As Needed, 79% Full Time, 14% Part Time, and 3% Contract. Highlights an 88% Physical, 2% Hybrid, and 10% Remote job distribution, with an average salary of $55,485 per year, or $26.7 per hour.

Senior Security Investigator

Northwell Health

New Hyde Park, NY • On-site

$85K - $147K/yr

Full-time

Re-posted 7 days ago

Northwell Health rating

7.8

Company rating: 7.8 out of 10

Based on 564 frontline employees who took The Breakroom Quiz

130th of 887 rated healthcare providers

Job description


Job Description
Participates in the planning, organizing and coordinating matters pertaining to the security and safety of the health system's entities, people, and property. Conducts and collaborates with confidential and sensitive investigations, including field surveillance, and collection and cataloging of evidence. Provides executive protection and transportation, as needed; participates in security training functions, as necessary.
Job Responsibility
  • Conducts internal and external investigations for fraud or criminal activity against the company resulting in loss of assets, records or property.
  • Investigates and addresses threats made against employees, patients and visitors.
  • Investigations may include, but are not limited to Medicare fraud, financial crimes, internal thefts, identity theft, drug diversions, prescription fraud, or crimes against employees or organization guests.
  • Performs surveillance of sites and suspects to obtain evidences, establish probable cause or link multiple suspects to probable fraud or criminal activity.
  • Collaborates with local law enforcement on investigations.
  • Collects and catalogs physical evidence maintaining chain of custody, when applicable; testifies in court, if necessary.
  • Participates in the coordination of overall security and protection to people, facilities, and property in the organization.
  • Performs field surveillance and assists with maintenance of security systems.
  • Protects and transports Senior Leadership, as needed; may be called to assist in handling any organization emergency.
  • Participates in security training functions, as necessary; carries a firearm, as directed.
  • Performs related duties as required. All responsibilities noted here are considered essential functions of the job under the Americans with Disabilities Act. Duties not mentioned here, but considered related are not essential functions.

Job Qualification
  • Associate's Degree required, or equivalent combination of education and related experience.
  • Valid Pistol Permit in New York State required, plus specialized certifications as needed.
  • CT firearm required - HR-218 Qualification card.
  • 3-5 years of relevant experience, required.
  • Located in Danbury area preferred.

*Additional Salary Detail
The salary range and/or hourly rate listed is a good faith determination of potential base compensation that may be offered to a successful applicant for this position at the time of this job advertisement and may be modified in the future. When determining a team member's base salary and/or rate, several factors may be considered as applicable (e.g., location, specialty, service line, years of relevant experience, education, credentials, negotiated contracts, budget and internal equity).

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