Skip to main content
U.S. flag
Back to results
 

Supervisory Medicaid Fraud Specialist

Department of Health and Human Services
Office of Inspector General
Office of Evaluation and Inspections

Summary

This position is located in the Department of Health and Human Services, Office of Inspector General, Office of Evaluation and Inspections,

You must meet the requirements of the job by 11:59 (Eastern Standard Time) of the closing date: 12/24/2025.

Resumes must be no more than 2-pages in length.

There is one vacancy that may be located at any one of the following locations: Atlanta, GA; Boston, MA; Chicago, IL; Dallas, TX; Kansas City, KS; Philadelphia, PA; San Fransico, CA; Washington, DC.

Overview

Help
Accepting applications
Open & closing dates
12/18/2025 to 12/24/2025
Salary
$146,481 to - $190,424 per year

Your exact salary will be calculated based on your location upon selection. See the "Summary" for office locations.

Pay scale & grade
GS 15
Location
1 vacancy in the following location:
Location Negotiable After Selection
Remote job
No
Telework eligible
Yes—Eligible for situational/ad-hoc telework.
Travel Required
25% or less - You may be expected to travel for this position.
Relocation expenses reimbursed
No
Appointment type
Permanent
Work schedule
Full-time
Service
Competitive
Promotion potential
None
Supervisory status
Yes
Security clearance
Not Required
Drug test
No
Position sensitivity and risk
High Risk (HR)
Trust determination process
Financial disclosure
Yes
Bargaining unit status
No
Announcement number
HHS-OIG-IMP-26-12853350
Control number
852824600

This job is open to

Help

Clarification from the agency

Career Transition Assistance Plan Eligibles (CTAP); OR Current Federal employees serving under career or career-conditional competitive service appointments with the Department of Health and Human Services, Office of Inspector General.

Videos

Duties

Help

  • Oversee the Medicaid Fraud Control Unit Oversight Division (MOD), which has oversight of the 53 State Medicaid Fraud Control Units (MFCUs) and recertifies and conducts onsite reviews of the MFCUs to ensure compliance with the 12 MFCU Performance Standards established by OIG, in accordance with section 13625 of the Omnibus Budget Reconciliation Act of 1993.
  • Provide direction and guidance for MFCU oversight functions, working with OIG components, State MFCUs, and others to carry out the mission of MOD.
  • Supervise and monitor research on legal and program issues concerning the interpretation, application, and enforcement of MFCU-related statues, rules, and regulations.
  • Advise and inform OIG and other officials on matters under the Division's purview.
  • Supervise MOD staff responsible for a variety of planning, reporting, research, data collection, and analytic tasks.
  • Develop and direct the work of MOD staff, including establishing priorities and overseeing schedules for completion of work.

Requirements

Help

Conditions of employment

  • U.S Citizenship is required.
  • Registration with the Selective Service (if applicable).
  • Suitability for Federal employment determined by background investigation.
  • One-year probationary period may be required.
  • Time in grade must be met within 30 days of closing date of announcement.
  • One-year supervisory probationary period may be required.

Qualifications

Applicants must meet all the qualification requirements, including education, and any selective placement factors described below within 30 days of the closing date of this announcement.

Applicants must have 1 year of specialized experience equivalent to the next lower grade level in the Federal service which provided the applicant with the knowledge, skills and abilities to perform the duties of the position. Qualifying specialized experience must demonstrate the following:

  1. Apply a wide range of qualitative and/or quantitative methods for the assessment and improvement of program effectiveness and improvement of complex processes related to Medicaid program integrity;
  2. Administer oversight of programs that are responsible for preventing, detecting, or taking enforcement action against Medicaid fraud; AND
  3. Contribute to the development of materials to advise and inform officials on matters of Medicaid program integrity effectiveness and improvement.
Experience refers to paid and unpaid experience, including volunteer work done through National Service programs (e.g., Peace Corps, AmeriCorps) and other organizations (e.g., professional; philanthropic; religious; spiritual; community, student, social). Volunteer work helps build critical competencies, knowledge, and skills and can provide valuable training and experience that translates directly to paid employment. You will receive credit for all qualifying experience, including volunteer experience. Your resume should include the dates of all qualifying experience (from month/year to month/year) and the number of hours worked/volunteered per week. Federal experience is not required. The experience may have been gained in the public sector, private sector or Volunteer Service. One year of experience refers to full-time work; part-timework is considered on a prorated basis. To ensure full credit for your work experience, please indicate dates of employment by month/year, and indicate number of hours worked per week, on your resume.

Education

This job does not have an education qualification requirement.

Additional information

Security and Background Requirements: A background security investigation will be required for all appointees. Appointment will be subject to the applicant's successful completion of a background security investigation and favorable adjudication. Failure to successfully meet these requirements may be grounds for appropriate personnel action. In addition, if hired, a background security reinvestigation or supplemental investigation may be required at a later time. Applicants are also advised that all information concerning qualifications is subject to investigation. False representation may be grounds for non-consideration, non-selection and/or appropriate disciplinary action.

E-Verify: If you are selected for this position, the documentation that you present for purposes of completing the Department of Homeland Security (DHS) Form I-9 will be verified through the DHS "E-Verify" System. Federal law requires DHS to use the E-Verify System to verify employment eligibility of all new hires, and as a condition of continued employment obligates the new hire to take affirmative steps to resolve any discrepancies identified by the system. The U.S. Department of Health and Human Services is an E-Verify Participant.

Direct Deposit: All Federal employees are required to have Federal salary payments made by direct deposit to a financial institution of their choosing.

EEO Statement: HHS is an equal opportunity employer. Selection for this position will be based solely on merit without regard to race, color, religion, age, gender, national origin, political affiliation, disability, sexual orientation, marital or family status, or other differences.

Disabled Veteran Leave: HHS OIG participates in the Wounded Warrior Federal Leave Act of 2015. To learn more about this benefit, please go to: Disabled Veteran Leave (opm.gov).

Fair Chance to Compete for Jobs Act ("Fair Chance Act"): The Fair Chance to Compete for Jobs Act (FCA) prohibits federal agencies from requesting an applicant's criminal history record prior to extending a conditional offer of employment. In accordance with 5 U.S. Code § 9202(c) and 5 C.F.R § 920.201 certain positions are exempt from the provisions of the FCA. Applicants who believe they have been subjected to a violation of the FCA may submit a written complaint to the Department by email at FairChanceAct@hhs.gov.

Candidates should be committed to improving the efficiency of the Federal government, passionate about the ideals of our American republic, and committed to upholding the rule of law and the United States Constitution.

How you will be evaluated

You will be evaluated for this job based on how well you meet the qualifications above.

Your eligibility for consideration and qualifications for the position will be determined based upon a review of your detailed resume. Your resume will be evaluated based on evidence of your ability to demonstrate possession of all specialized experience.

Your resume will be evaluated by subject matter expert(s) to determine if you meet the qualifications for the position and will serve as a basis for an initial rating.


You do not have to provide a narrative response to the KSA's.

  • Attention to Detail
  • Decision Making
  • Interpersonal Skills
  • Oral Communication
  • Writing


Please note that a complete application is required for consideration. (Please review the "Required Documents" section of this job announcement to see what must be included in a complete application).

To view the application form, visit: https://apply.usastaffing.gov/ViewQuestionnaire/12853350

HHS has a critical preparedness and response mission: HHS protects the American people from health threats, researches emerging diseases, and mobilizes public health programs with domestic and international partners. In support of this mission, HHS offers its employees the opportunity to volunteer to become Federal Civilian Detailees and contribute their unique skills through voluntary temporary assignments to humanitarian emergencies or Departmental priorities countering new and emerging health, safety, and security threats.

Your session is about to expire!

Your USAJOBS session will expire due to inactivity in 8 minutes. Any unsaved data will be lost if you allow the session to expire. Click the button below to continue your session.