$1,833.39 biweekly; not specified; not specified p...
On-site
Fraud prevention programs
Compliance assessment
Investigative process
The Florida Department of Corrections is seeking a Medical/Health Care Program Analyst to support fraud and abuse prevention efforts within the Bureau of Medicaid Program Integrity. The role involves compliance oversight, investigations, and collaboration with other units to ensure adherence to Medicaid policy
Job Summary
This Medical Health Care Program Analyst position will support the fraud and abuse prevention efforts within the Bureau of Medicaid Program Integrity (MPI) by providing compliance oversight of Managed Care Plans.
The selected candidate is responsible for conducting investigations into possible fraud or abuse, visiting providers, identifying overpayments, writing investigative summary reports, and making recommendations.
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: 85
The Florida Department of Corrections is seeking a Medical/Health Care Program Analyst to support fraud and abuse prevention efforts within the Bureau of Medicaid Program Integrity. The role involves compliance oversight, investigations, and collaboration with other units to ensure adherence to Medicaid policy.
Salary
$1,833.39 Biweekly; Not specified; Not specified
Skills & Requirements
Must-have
fraud prevention programs
compliance assessment
investigative process
audit processes
health and business data analysis
research and analysis
Nice-to-have
desire to innovate
collaborate with team members
dynamic and fast-paced units
novel methods and technologies
Key Requirements
Two years of experience in regulatory or health service setting
Associate's degree in a related field or equivalent experience
Program integrity professional certification preferred
Professional experience in business or information analysis preferred