Medicaid Fraud Investigator

Job Title:

Medicaid Fraud Investigator (Auditor‑Senior)

Job

Location:

Madison

Agency:
Justice

Full/Part Time:
Full‑Time

Regular/Temporary:
Regular

Seniority level:
Mid‑Senior level

Employment type:

Full‑time

Job function:
Legal;
Industries:
Non‑profit Organizations

It is the mission of the Wisconsin Department of Justice (DOJ) to protect the public and ensure that justice is done. To continue to meet this mission, the principles of equity, inclusion, and employee well‑being have become a foundation for all work performed at DOJ, on behalf of Wisconsinites.

The DOJ is committed to developing and supporting a workforce and culture that is rich in diversity and innovation. It is the department’s goal to ensure that all DOJ employees are empowered to be authentic, claim belonging, and thrive. This is your opportunity to make and be the difference.  to learn more about DOJ.

In addition to working with a dynamic group of people, we offer amazing benefits, such as excellent health insurance, ample paid leave, flexible work schedules, and an employee assistance program that offers a variety of programs and resources to help promote wellness. Furthermore, employment within the state of Wisconsin provides job stability, work/life balance, and numerous intrinsic rewards from doing meaningful work.

Under the general supervision of the Unit Director and a Deputy Unit Director, the Medicaid Fraud Investigator audits complaints of patient or resident abuse and/or neglect and complaints of Medicaid fraud. These are challenging positions that plan and conduct complex criminal and civil investigative audits of financial transactions of Medicaid providers such as durable medical equipment companies, home health agencies, hospitals, medical clinics, board‑and‑care facilities, adult family homes, pharmacies, and other entities.

This position is also responsible for planning and conducting highly complex and sensitive investigations involving patient deaths, physical abuse, neglect, or misappropriation to identify health care or Medicaid fraud. This professional position requires working independently and collaboratively in the unit and engaging in professional development.

The Medicaid Fraud Investigator (Auditor‑Senior) position is in pay schedule 07 and pay range 03. The starting pay will be between $37.00 – $44.33/hour (approx. $76,960 – $92,206 annually). Pay for current or former state employees will follow the provisions found in the State of Wisconsin Compensation Plan. A 12‑month probationary period may be required.

This position may be eligible to work remotely up to 3‑days per week as part of a hybrid schedule, following an initial training period. Travel to the headquarters is not eligible for travel reimbursement. High‑speed internet access is required to meet the needs of remote work.

The Department of Justice does not sponsor work visas at the time of hire or anytime during employment. All persons hired will be required to verify identity and eligibility to work in the United States and complete the required Employment Eligibility Form I‑9.

A background check, including fingerprints, will be completed on applicants prior to selection.

The Final date to receive applications for this job announcement is Wednesday, May 7, 2025, at 11:59pm. For any questions, please contact Angie Rizner, Human Resources Specialist‑Senior .us or (608) 347‑9393.