Medicaid Fraud & Compliance Program Analyst

Civicworks; Tallahassee (FL); On-site; USD 45,000 - 65,000; Full time

Job summary

The Florida Agency for Health Care Administration is seeking an OPS Medical/Health Care Program Analyst to support fraud and abuse prevention within the Bureau of Medicaid Program Integrity. The role involves conducting investigations, analyzing complex data to identify fraudulent patterns, developing referrals to law enforcement, and assisting with audits and compliance activities for Medicaid providers.

This full-time, Monday–Friday position requires knowledge of fraud prevention,

Qualifications

• Ability to conduct investigations and accurately document findings.
• Ability to identify, analyze, and interpret trends in complex data sets.
• Ability to review and comprehend federal and state laws, rules, policies related to health care.
• Proficiency with Microsoft Office (Word, Excel, Outlook, PowerPoint, SharePoint).
• Ability to communicate effectively verbally and in writing.
• Ability to work independently in a fast-paced environment.

Skills

Investigations

Data trend analysis

Legal/regulatory understanding

Microsoft Office

Written and verbal communication

Independent work

Tools

Microsoft Office

Job description

The Florida Agency for Health Care Administration is seeking an OPS Medical/Health Care Program Analyst to support fraud and abuse prevention within the Bureau of Medicaid Program Integrity. The role involves conducting investigations, analyzing complex data to identify fraudulent patterns, developing referrals to law enforcement, and assisting with audits and compliance activities for Medicaid providers.

This full-time, Monday–Friday position requires knowledge of fraud prevention,