68064693 - Medical Health Care Program Analyst

Florida Department of Corrections

TALLAHASSEE, FL, US
$1,833.39 biweekly; not specified; not specified p...
On-site
Complex claim analysis
Provider clinical and compliance reviews
Medicaid policy evaluation
The Florida Department of Corrections is seeking a Medical Health Care Program Analyst in Tallahassee, FL, to support fraud and abuse prevention efforts within the Bureau of Medicaid Program Integrity. The position requires strong analytical skills, knowledge of Medicaid policies, and the ability to conduct investigations, with a focus on Durable Medical Equipment (DME)

Job Summary

  • The Bureau of Medicaid Program Integrity (MPI) supports fraud and abuse prevention efforts by conducting audits and investigations of healthcare providers suspected of fraudulent or abusive behavior.
  • This position is responsible for identifying, investigating, and supporting the prevention of fraud, waste, and abuse with a primary focus on Durable Medical Equipment and Supplies (DME).
  • Benefits of working for the State of Florida include health insurance, life insurance, retirement options, paid leave, holidays, and opportunities for career advancement.

Matching Summary

Match Score: 75

The Florida Department of Corrections is seeking a Medical Health Care Program Analyst in Tallahassee, FL, to support fraud and abuse prevention efforts within the Bureau of Medicaid Program Integrity. The position requires strong analytical skills, knowledge of Medicaid policies, and the ability to conduct investigations, with a focus on Durable Medical Equipment (DME).

Salary

$1,833.39 Biweekly; Not specified; Not specified

Skills & Requirements

Must-have

  • complex claim analysis
  • provider clinical and compliance reviews
  • Medicaid policy evaluation
  • fraud, waste, and abuse investigation
  • Durable Medical Equipment and Supplies (DME)

Nice-to-have

  • innovative methods and technologies
  • diverse educational and experience backgrounds
  • collaborative and innovative units
  • desire to innovate

Key Requirements

  • Two years of experience in regulatory or health service setting
  • Associate's degree in a related field or equivalent experience
  • Proficiency in Microsoft Word, Excel, Outlook, PowerPoint, SharePoint
  • Ability to travel

Work Rights

Not specified

Tailored Resume

Cover Letter