Medicaid Program Integrity Director

My Florida CFO; Tallahassee (FL); On-site; USD 110,000 - 150,000; Full time

Benefits offered by this job

Health insurance

Retirement options

Paid holidays

Paid time off

Tuition waivers

Job summary

The Agency for Health Care Administration in Florida seeks a Chief of Medicaid Program Integrity to lead the Medicaid program integrity program, directing anti-fraud efforts and ensuring compliance with state and federal law.

Responsibilities include strategic planning, audits, investigations, data analytics, and cross‑agency collaboration with federal and state partners. Strong leadership, communication, and policy development are essential in this mission‑critical role.

Qualifications

• Knowledge of Federal Medicaid and Florida Medicaid regulations.
• Experience in program integrity, audits, investigations, or compliance.

Responsibilities

• Lead Medicaid Program Integrity operations, audits, and investigations.
• Develop and implement a comprehensive program integrity strategy.
• Provide strategic leadership for data analytics, compliance, and oversight.
• Collaborate with federal/state agencies, managed care organizations, and partners.
• Prepare executive reports and briefings for Agency leadership.

Skills

Federal Medicaid knowledge

Florida Medicaid

Program integrity

Auditing

Data analytics

Communication

Education

Graduate degree in health administration or related field

Tools

Word

Excel

Job description

The Agency for Health Care Administration in Florida seeks a Chief of Medicaid Program Integrity to lead the Medicaid program integrity program, directing anti-fraud efforts and ensuring compliance with state and federal law.

Responsibilities include strategic planning, audits, investigations, data analytics, and cross‑agency collaboration with federal and state partners. Strong leadership, communication, and policy development are essential in this mission‑critical role.