Medicaid Fraud Investigator Madison, WI

Position Details

Medicaid Fraud Investigator – Job  – Madison, WI – Agency:
Justice – Full‑Time – Regular.

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. This involves planning and conducting 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.

The role also includes planning and conducting highly complex and sensitive investigations involving patient deaths, physical abuse, neglect, or misappropriation in order to identify health care or Medicaid fraud. The position requires working independently and collaboratively within the unit while engaging in professional development.

The Medicaid Fraud Investigator (Auditor‑Senior) position is in pay schedule 07, pay range 03. The starting pay is between $37.00 and $44.33 per hour (approximately $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 three 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 for remote work. The Department of Justice does not currently sponsor work visas. 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.