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Oag Medicaid Fraud Control Unit Jobs (NOW HIRING)

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Oag Medicaid Fraud Control Unit information

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

As of Sep 3, 2026, the average yearly pay for oag 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 the OAG Medicaid Fraud Control Unit?

The OAG Medicaid Fraud Control Unit (MFCU) is a specialized division within the Office of the Attorney General responsible for investigating and prosecuting Medicaid fraud and patient abuse or neglect within healthcare facilities. The unit works to detect, prevent, and punish fraudulent activities related to the Medicaid program, including billing scams and kickbacks. Additionally, the MFCU safeguards the welfare of residents in Medicaid-funded facilities by addressing instances of abuse or neglect. Their efforts help ensure taxpayer dollars are properly used and that vulnerable populations receive appropriate care.

What are the key skills and qualifications needed to thrive as an OAG Medicaid Fraud Control Unit investigator?

To excel as an OAG Medicaid Fraud Control Unit Investigator, you need investigative skills, knowledge of healthcare regulations, and often a background in law enforcement or legal studies. Familiarity with case management software, forensic accounting tools, and legal research databases is typically required. Attention to detail, analytical thinking, and strong communication skills help investigators gather evidence and work effectively in multidisciplinary teams. These competencies are crucial for detecting, investigating, and prosecuting Medicaid fraud to protect public resources and ensure program integrity.

What are some typical challenges faced by investigators in a Medicaid Fraud Control Unit and how are they addressed?

Investigators in a Medicaid Fraud Control Unit often encounter challenges such as navigating complex healthcare billing systems, gathering sufficient evidence across multiple agencies, and managing sensitive information due to patient privacy laws. These challenges are typically addressed through specialized training in healthcare fraud detection, collaboration with medical experts and other law enforcement agencies, and the use of advanced data analysis tools. Strong communication skills and attention to detail are essential for overcoming these hurdles and ensuring successful case outcomes.

What is the difference between Oag Medicaid Fraud Control Unit vs Medicaid Investigator?

AspectOag Medicaid Fraud Control UnitMedicaid Investigator
CredentialsTypically requires a law degree or legal background, with certifications in fraud investigationUsually requires a background in criminal justice or law enforcement, with investigative certifications
Work EnvironmentGovernment agency, legal and investigative setting, often involved in legal proceedingsLaw enforcement or healthcare agency, conducting investigations and audits
Employer & IndustryState Attorney General's Office, healthcare fraud enforcementState or federal healthcare agencies, law enforcement units

The Oag Medicaid Fraud Control Unit primarily focuses on legal enforcement against Medicaid fraud, often involving legal proceedings, while Medicaid Investigators conduct field investigations and audits to detect and prevent fraud. Both roles require investigative skills but differ in their legal and procedural focus.

More about Oag Medicaid Fraud Control Unit jobs

What states have the most Oag Medicaid Fraud Control Unit jobs?

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

What job categories do people searching Oag Medicaid Fraud Control Unit jobs look for?

The top searched job categories for Oag Medicaid Fraud Control Unit jobs are:

Infographic showing various Oag Medicaid Fraud Control Unit job openings in the United States as of August 2026, with employment types broken down into 1% As Needed, 75% Full Time, 20% Part Time, 3% Contract, and 1% Nights. Highlights an 95% Physical, 1% Hybrid, and 4% Remote job distribution, with an average salary of $72,401 per year, or $34.8 per hour.

Medicaid Fraud Analyst I/II

Pennsylvania Office of Attorney General

Harrisburg, PA โ€ข Hybrid

$60K/yr

Full-time

Medical, Dental, Vision, Retirement, PTO

Re-posted 11 days ago


Job description

Salary: See Position Description
Location : Strawberry Square, Harrisburg, PA
Job Type: Full-time
Remote Employment: Flexible/Hybrid
Job Number: 50679207
Division: Criminal Law Division
Section: Medicaid Fraud Control Section Harrisburg
Opening Date: 08/26/2026
Closing Date: 9/9/2026 11:59 PM Eastern
Position Information
Section: Medicaid Fraud Control Section/Criminal Law Division
Class: Medicaid Fraud Analyst I/II
Location: Harrisburg
Telework: This position will report to the headquartered location a minimum of 2 days per week. You may have the opportunity to telework the remainder of the week, if desired and based on business need.
Position Type: Full-time, Non-civil service, Union
Work Hours: 8:30 - 5:00
Salary Range: Medicaid Fraud Analyst I - Pay Range 5: Starting salary $46,827
Medicaid Fraud Analyst II - Pay Range 7: Starting salary $60,538
Basic Function
An employee in this position performs work which involves the retrieval, analysis, and compilation of data and the verification and dissemination of information pertinent to investigations into the Medicaid Fraud and Abuse amendments, the Neglect of Care-Dependent Persons Act, and other applicable State and Federal regulations. The employee is responsible for assisting with/conducting the retrieval, compilation, and summarization of information needed by Special Agents in the course of an investigation. Supervision is received from an investigative or administrative superior who reviews the work while in progress and upon completion.
Examples Of Duties
  • Assists with determining, or determines under the direction and guidance of an experienced analyst and/or supervisor, data requirements, sources, and parameters and gathers the needed information within the given time constraints using a variety of methods, inclusive of various computer programs
  • Meets with appropriate personnel within the OAG or other governmental agencies to ascertain needs with respect to assignments
  • Makes requests for pertinent documents needed for the analysis of referrals/intake complaints or pending information
  • Contacts individuals to schedule meetings, and participates in the meetings, in order to gather needed data
  • Assists with the preparation of, or prepares under the direction and guidance of an experienced analyst and/or supervisor, summarizations of data gathered by editing, compiling, and tabulating
  • Provides assistance to agents relative to data checks, background checks, and claims histories
  • Assists with the execution of search warrants for the purpose of cataloging data and documentary evidence
  • Assists with the conduct of, or conducts under the direction and guidance of an experienced analyst and/or supervisor, various surveys of limited scope when an assignment requires such and prepares reports of findings
  • Prepares spreadsheets, charts, and graphs
  • Assists with the review of, or reviews under the direction and guidance of an experienced analyst and/or supervisor, computer printouts, vouchers, or other documents to ascertain the needed data
  • Provides litigation support through the preparation and presentation of material/evidence for official proceedings/court
  • Testifies in court proceedings and grand jury proceedings regarding analytical findings. Inputs data into computer system by utilizing a computer keyboard
  • Performs other duties as assigned

Minimum Experience and Training
Qualifications for Medicaid Fraud Analyst I are as follows:
  • A Bachelor's Degree from an accredited institution OR
  • Graduation from high school and four years of relevant experience that would afford the individual the needed knowledge and skills to perform the job OR
  • Any equivalent combination of education, training, and experience that would enable the individual to perform the duties of the job

Qualifications for Medicaid Fraud Analyst II are as follows:
  • A Bachelor's Degree from an accredited institution and two years of relevant experience that would afford the individual the needed knowledge and skills to perform the job OR
  • A Master's Degree in criminal justice or a related field OR
  • Graduation from high school and six years of relevant experience that would afford the individual the needed knowledge and skills to perform the job OR
  • Any equivalent combination of education, training and experience that would enable the individual to perform the duties of the job

Preferred Knowledge, Skills, and Abilities
  • Knowledge of Microsoft Excel (advanced)
  • Experience using Pivot Tables
  • Possess excellent oral and written communication skills and be able to communicate with employees throughout all levels of the organization
  • Ability to work both independently and in a team environment

Health Benefits
This position qualifies you for the Commonwealth's benefits package which includes medical, prescription, dental, and vision coverage. Medical coverage is available on your first day of employment! Prescription is also available on your first day, for an additional cost for the first 90 days of employment. Dental and vision are available after 90 days of employment as well.
Flexible Spending Accounts (FSA) are available to all employees, regardless of enrollment in our benefits.
Paid Time Off
OAG employees receive 12 paid holidays each calendar year, along with earning paid vacation time and sick leave each pay period.
Retirement
For new employees, the State Employees' Retirement System offers various options for enrollment into our retirement plans. You will receive specific information on these options shortly after you begin employment.
To learn more about the benefits available to OAG employees, please review the
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What is your highest level of education?
  • Some High School
  • High School or GED
  • Some College
  • Technical College
  • Associate's Degree
  • Bachelor's Degree
  • Master's Degree
  • Doctorate

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On a scale of 1-10, with 10 being excellent, how would you rate your Microsoft Excel skills/knowledge?
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  • 2
  • 3
  • 4
  • 5
  • 6
  • 7
  • 8
  • 9
  • 10

03
Do you have experience with Pivot Tables?
  • Yes
  • No

Required Question