Remote Fraud Analyst Jobs in Michigan (NOW HIRING)

Salary : $2,393.60 - $3,498.40 Biweekly
Location : Multiple Locations Available - See Posting for Details, MI
Job Type: Permanent Full Time
Remote Employment: Flexible/Hybrid
Job Number: 3947-26-OIG-29-EST
Department: Health and Human Services - Central Office
Opening Date: 06/10/2026
Closing Date: 6/24/2026 11:59 PM Eastern
Bargaining Unit: NON-EXCLUSIVE REPRESENTED EMPLOYEE (NERE)
Job Description
The MDHHS mission is to provide opportunities, services, and programs that promote a healthy, safe, and stable environment for residents to be self-sufficient. We are committed to ensuring a diverse workforce and a work environment whereby all employees are treated with dignity, respect and fairness. For more information, please visit our MDHHS Diversity, Equity, and Inclusion Plan.
OFFICE OF INSPECTOR GENERAL (OIG) - CAREER BROCHURE
This position functions as a Senior Managed Care Oversight Analyst within the Michigan Department of Health and Human Service (MDHHS) Office of Inspector General (OIG). The MDHHS OIG is a criminal justice agency housed within MDHHS charged with investigating fraud, waste and abuse in programs administered by MDHHS and increasing program integrity and accountability.
The Senior Analyst reviews and investigates the most complex activities and submissions of Medicaid Managed Care Entities (MCEs) and MI Choice Waiver Agencies in relation to fraud, waste, and abuse. Ensures compliance with program integrity requirements through identification and resolution of deficiencies, Credible Allegation of Fraud (CAF), and issues and monitors corrective action plans, sanctions, and penalties of the MCEs including, but not limited to Medicaid Health Plans (MHPs), Prepaid Inpatient Health Plans (PIHPs), Non-Emergency Medical Transportation (NEMT) plan, MI Choice Waiver Agencies, and Dental plans, all of which are responsible for managing certain aspects of health care for Medicaid beneficiaries enrolled in their managed care entities.
The Senior Analyst advises and provides guidance on the interpretation of regulatory changes, develops and updates managed care oversight tools to evaluate, track and monitor program integrity and statewide impact, and conducts annual contract reviews.
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To be considered for this position you must:

• apply for this position online via NEOGOV; click on "Apply" in the job posting for instructions on submitting your electronic application. Hard copy applications are not accepted.
• attach a resume identifying specific experience and dates of employment. Dates of employment should include month and year and hours per week.
• attach a cover letter.
• If applicable, attach a copy of an official transcript(s). We accept scanned copies of official transcripts. We do not accept web-based, internet, or copies of unofficial transcripts. Official transcripts provide the name of the institution, confirmation that a degree was awarded and on what date, and the registrar's signature. Please review Civil Service's guidelines regarding Official Transcripts:

Failure to complete any of the above items may result in your application not being considered. See instructions for attaching files here: Instructions
Required Education and Experience
Education
Possession of a bachelor's degree in any major.
Experience
Departmental Analyst 12 - Three years of professional experience, including one year of experience equivalent to the experienced (P11) level in state service.
Preferred experience in accounting and auditing, managed care, and Medicaid or similar health services program. Experience developing and maintaining policy, procedure and guidelines for highly complex functional areas based on broad and nonspecific operational criteria.
Alternate Education and Experience
Alternative Education and Experience
Departmental Analyst 9 - 12 Educational level typically acquired through completion of high school and the equivalent of at least two years of full-time active-duty experience at or above the E-6 level in the uniformed services may be substituted for the education requirement.
Additional Requirements and Information
The use of artificial intelligence (AI) software of any kind is prohibited in all areas of the selection process; including, but not limited to, responses to application questions, and responses to interview questions or exercises.
If you previously held status in this classification and departed within the last three (3) years, please contact Human Resources regarding your interest in a potential reinstatement. Reinstatement is not guaranteed or required.
Your application for any position does not guarantee you will be contacted by the Department/Agency for further consideration. Only those applicants interviewed will be notified of the results.
Position Location/Remote Office: The physical location of this position is 235 S Grand Ave, Lansing, MI 48933. Based on operational needs and within established limits, remote work and alternate or hybrid work schedule requests for this position may be considered. Selected candidates who have been approved to work remotely or a hybrid schedule must complete that work within Michigan. Candidates should confirm work location and schedule at the time of interview.
Employees will be provided computers to perform state work. Phones may also be provided for necessary communications. If working remotely, employees will be responsible for providing other components of a remote office at their own expense, including:

• A secure work location that allows privacy and prevents distractions.
• A high-speed internet connection of at least 25 Mbps download and 5 Mbps upload.
• Suitable lighting, furniture, and utilities.

As a Condition of Employment: this position requires successful completion of a background investigation and a criminal records check. Due to the nature of this position, an additional extensive background check will be conducted on candidates being considered for the vacancy.
The Department of Health and Human Services reserves the right to close this posting prior to its original end date once a sufficient number of applications have been received.
For information about the specific position, please email . Please reference the job posting number in subject line.
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Accommodations
If you require a reasonable accommodation to participate in the application or selection processes, please contact the for the agency that posted this position vacancy.
State employment also offers rewarding careers where you can help Michiganders enjoy better lives. Many State of Michigan jobs offer alternate work schedules and remote-work options that can help give the flexibility you need. The State of Michigan has been recognized as a leading U.S. employer by new graduates from 2021-2023 and a best large U.S. and state employer. Recognized on the international stage for fostering positive employee engagement, the State of Michigan is a past recipient of a North America Government Agency Employees Engagement Award.
More details on benefits for our new hires are below:
Rewarding Work: State of Michigan jobs allow you to serve Michiganders in many different ways depending on your interests and skills. Help preserve and protect our environment and the public health; enforce state laws and regulations; advocate for children, families, and victims of discrimination; support our state's military and veterans; rebuild our state's infrastructure; or support other state agencies through our fiscal, IT, and HR systems.
Insurance Benefits: The State of Michigan offers health, mental health, dental, and vision insurance to eligible career employees, their spouses, and their children. The state also covers a life-insurance benefit of two times employees' annual salary (up to $200,000). The state also offers long-term-disability insurance that can provide continuing benefits if an injury or illness prevents employees from working. More information is available at www.mi.gov/employeebenefits.
Retirement Programs: The State of Michigan offers 401(k) and 457 plans for new hires to save for retirement. The state will automatically contribute an amount equal to 4% of your pay to a 401(k) account. The state will also match up to 5% of your pay if you contribute to your 401(k) account. Your contributions vest immediately, and the state's contributions fully vest after just 4 years. More information is available at http://www.mi.gov/orsstatedc.
Vacation and Sick Leave: Eligible full-time employees receive between 15 and 35 personal days and 13 sick days per year that may be rolled over to the following year if not used. Eligible employees also receive an additional day each year for community service or school functions.
Paid Parental Leave: Eligible employees can take 12 weeks of paid leave immediately after a birth or adoption to allow needed time together at home with a new child.
Paid Holidays: Eligible employees receive 13 or 14 paid holidays each year including New Year's Eve and Day, Martin Luther King Jr. Day, Presidents' Day, Memorial Day, Juneteenth, the Fourth of July, Labor Day, Election Day, Veterans Day, Thanksgiving, Thanksgiving Friday, Christmas Eve and Day.
Bonus Programs: Eligible employees with five years of service also receive annual longevity bonuses that grow as seniority increases. Some positions also may qualify for recruitment, retention, and performance bonuses or other special pay premiums.
Military Pay Differential: Employees in the guard or reserves may also qualify for supplemental pay benefits if miliary pay during qualifying duty is less than normal state pay. Prior military service may also allow seniority credits to accelerate eligibility for longevity bonuses and additional personal leave accrual.
Tax-Advantaged Programs: In addition to 401(k) and 457 retirement accounts, the state also offers flexible spending account (FSA), health savings account (HSA), and qualified transportation fringe benefit (QTFB) programs that can help you save money by reducing your taxable income.
Student Loan Forgiveness: Working for the State of Michigan may allow you to participate in programs that forgive the balance of qualifying student loans. Please view Student Loan Information to help determine if you could qualify is available from the U.S. Department of Education.
Tuition Reduction: Some colleges and universities offer savings to eligible employees and family members to further their education while working for the State of Michigan.
Professional Development: To help develop your career, programs are available to apply for reimbursement of up to $2,000 a year for education and training for college course credits and non-degree programs.
Alternative and Remote Work Schedules: Depending on the nature of their duties, many state jobs offer flexible work schedules and remote or hybrid telecommuting options that can help obtain the work-life balance that you seek.
Great Lakes and Great Times: Michigan boasts four Great Lakes, 11,000 inland lakes, 36,000 miles of rivers and streams, 20 million acres of forests, 100 state and national parks and recreation areas, 1,300 miles of bike trails, 6,500 miles of snowmobile trails, the second-most ski areas in the nation, 650 public golf courses, 600 campgrounds, and an international dark-sky park-just for starters. Our cities offer concerts and cultural events, storied sports teams, education hubs, vibrant downtowns, one-of-a-kind craft beverages, and renowned restaurants for every appetite. From urban centers to beach towns to the great outdoors, the opportunities are endless. With your state salary and benefits and Michigan's affordable cost of living, you can explore all that Michigan has to offer.
Updated: 2/28/24
01
DEPTALT - Do you possess one of the following?A bachelor's degree or higher in any major. If so, please attach a copy of your official college transcripts.ORat least one year of professional level experience in the state classified service.ORthe Educational level typically acquired through completion of high school and the equivalent of at least two years of full-time active-duty experience at or above the E-6 level in the uniformed services may be substituted for the education requirement. Please attach a copy of your DD214.

• Yes
• No

02
DEPTALTA - Do you possess at least three years of professional experience?

• Yes
• No

03
Do you possess at least a bachelor's degree?

• Yes
• No

04
Do you have experience investigating/auditing health care providers and/or monitoring the program integrity activities of Medicaid managed care entities or monitoring compliance with contracts?

• Yes
• No

05
Describe your experience investigating/auditing health care providers and/or monitoring the program integrity activities of Medicaid managed care entities or monitoring for contract compliance. If you do not possess this experience, write N/A. If your responses does not fit in the box provided, please write "see attachment" in the box and attach your response as a separate document to your application materials.
06
Do you have experience using data analytics to identify health care fraud, waste, and abuse and/or directing Medicaid managed care entities on data analytics?

• Yes
• No

07
Describe your experience using data analytics to identify health...