68046727 - MEDICAL/HEALTH CARE PROGRAM ANALYST

Requisition No: 843686 

Agency: Agency for Health Care Administration

Working Title: 68046727 - MEDICAL/HEALTH CARE PROGRAM ANALYST

 Pay Plan: Career Service

Position Number: 68046727 

Salary:  $1,794.92 Biweekly 

Posting Closing Date: 01/03/2025 

Total Compensation Estimator Tool

This is a full-time career service position, with regularly scheduled hours of Monday-Friday 8:00 a.m. to 5 p.m. 

This position may involve travel related activities from 1-15%. 

The position will be filled at a rate of $1,794.92 bi-weekly and is non-negotiable.

Successful completion of a criminal background investigation is a condition of employment.

 

The Florida Medicaid program is one of the top five largest in the country and has an estimated $35 billion annual budget.

Each month Florida Medicaid covers medical services for almost 4 million recipients.

To most effectively serve this large patient population, one of the Agency goals is to ensure fewer budgeted dollars are lost to fraud, abuse, and waste.

The Bureau of Medicaid Program Integrity (MPI) does this specifically through audits and investigations of healthcare providers suspected of engaging in fraudulent or abusive behavior, as well as overpayment recoveries, administrative sanctions, and the referral of suspected fraud or other criminal activities for law enforcement investigation.

 

The Detection Unit is a dynamic and fast-paced unit within MPI that works closely with other units to serve the overall bureau mission.

This Medical Health Care Program Analyst position will report to a supervisor within the Detection Unit and will support the prevention of fraud and abuse efforts within the Bureau of Medicaid Program Integrity.

The selected candidate will be responsible for conducting investigations, writing summary reports, and making referrals to other entities involving Medicaid providers in accordance with state and federal rules, laws, and statutes.

The selected candidate will also be responsible for working collaboratively with other MPI operational units and participating in special projects.

The candidate will also be responsible for utilizing open-source and proprietary resources to conduct the investigations and related administrative actions, as well as monitoring and tracking the associated case status.

The unit is seeking a candidate with a broad array of knowledge and experience specifically related to fraud prevention programs, compliance assessment, and the investigative process.

 

Benefits of Working for the State of Florida:

Working for the State of Florida is more than a paycheck. The State’s total compensation package for employees features a highly competitive set of employee benefits including:

 

     •         State Group Insurance Coverage Options, including health, life, dental, vision, and other supplemental insurance options;

     •         Flexible Spending Accounts;

     •         State of Florida retirement options, including employer contributions;

     •         Generous annual and sick leave benefits;

     •         9 paid holidays a year and 1 Personal Holiday each year;

     •         Career advancement opportunities;