68063501 - MEDICAL/HEALTH CARE PROGRAM ANALYST

Requisition No: 869729 

Agency: Agency for Health Care Administration

Working Title: 68063501 - MEDICAL/HEALTH CARE PROGRAM ANALYST

 Pay Plan: Career Service

Position Number: 68063501 

Salary:  $1,833.39 Biweekly 

Posting Closing Date: 02/19/2026 

Total Compensation Estimator Tool

Agency Overview:

The Agency for Health Care Administration was statutorily created by Chapter 20, Florida Statutes as the chief health policy and planning entity for the state.

We are primarily responsible for the state's estimated $38 billion Medicaid program that serves approximately 4.7 million Floridians, the licensure and regulation of the state's more than 50,500 health care facilities and empowering consumers through health care transparency initiatives.

 

Bureau of Medicaid Program Integrity:

To effectively serve our large recipient 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 health care providers, including managed care plans, suspected of engaging in fraudulent or abusive behavior, as well as through overpayment recoveries, administrative sanctions, and referrals of suspected fraud or other criminal violations to law enforcement for investigation.

 

Position Overview:

This is a career service position located in the Orlando MPI field office, with regularly scheduled hours of Monday-Friday 8:00a.m. to 5:00 p.m.

This Medical Health Care Program Analyst position is anticipated to be filled at a rate of $1,833.39 b/w and is non-negotiable.

This position will involve travel-related activities from 1-75%.

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

A good attendance record is essential for any individual in this position as the work involved occurs daily and is time sensitive. 

All applicants selected for interview will be required to perform a skills assessment that consist of proficient English reading and writing comprehension and an understanding about legal proceedings and investigations related to health care fraud and abuse.

 

MPI operates with dynamic and fast-paced units that work closely together to serve the overall mission of the Bureau.

The selected candidate will be responsible for conducting investigations/audits, visiting providers, identifying overpayments, initiating payment restrictions, writing summary reports, and making referrals to other entities involving Medicaid providers or issuing audit reports 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 leading and/or participating in special projects or project initiatives.

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

The candidate should have experience in conducting interviews as well as investigations or other similar professional experience such as compliance monitoring or auditing sufficient to demonstrate the capability of analysis of Medicaid providers (billing information as well as other investigative findings) to determine violations of Medicaid policies and laws. 

 

This position requires a broad array of knowledge and experience specifically related to fraud prevention programs, compliance assessment, legal analysis, and report writing in the investigative and audit process as well as a desire to innovate. 

The selected candidate will assist in conducting investigations related to fraud, abuse, and waste through research and analysis of complex health and business-related data.

 

This position has been identified as mission essential.

The incumbent in this position may be required to work during the weekend or on holidays.

In addition, mission essential personnel will be required to work during disasters, to include but not limited to, work before, during and/or beyond normal work hours or days in the event of an emergency.

Emergency work may involve the incumbent to work in another county or staffing location to assist ot