Program analyst [h1.location_city]

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 other State Agencies with emergency work.

Emergency duties may include, but are not limited to, responses to or threats involving any disaster or threat of disaster, man-made or natural.

Benefits of Working for the State of Florida :

Working for the State of Florida is more than a paycheck. We offer an excellent array of benefits, including :

• Health insurance (i.e., individual and family coverage) to eligible employees
• Life insurance; $25,000 policy is free plus option to purchase additional life insurance
• Dental, vision and supplemental insurance
• State of Florida retirement options, including employer contributions
• Ability to earn up to 104 hours of paid annual leave as a new employee with the State of Florida
• Ability to earn up to 104 hours of sick leave annually
• Nine paid holidays and 1 personal holiday each year
• Opportunities for career advancement
• Tuition waivers (accepted by major Florida Colleges / universities)
• Student loan forgiveness opportunities (eligibility required)
• Training opportunities
• Flexible Spending Accounts
• Shared Savings Program for select medical services
• Lower copays for prescription drugs
• Health and Wellness discounts

For a more complete list of benefits, please visit https : / / www.mybenefits.myflorida.com /

KNOWLEDGE, SKILLS, AND ABILITIES

MINIMUM QUALIFICATIONS REQUIREMENTS

LICENSURE, CERTIFICATION, OR REGISTRATION REQUIREMENTS

N / A

CONTACT : HELEN GUNN 850-412-4626

BACKGROUND SCREENING

It is the policy of the Florida Agency for Health Care Administration that any applicant being considered for employment must successfully complete a State and National criminal history check as a condition of employment before beginning employment, and, if applicable, also be screened in accordance with the requirements of Chapter 435, F.S., and Chapter 408, F.S.  No applicant may begin employment until the background screening results are received, reviewed for any disqualifying offenses, and approved by the Agency.  Background screening shall include, but not be limited to, fingerprinting for State and Federal criminal records checks through the Florida Department of Law Enforcement (FDLE) and Federal Bureau of Investigation (FBI) and may include local criminal history checks through local law enforcement agencies.

The State of Florida is an Equal Opportunity Employer / Affirmative Action Employer, and does not tolerate discrimination or violence in the workplace.

Candidates requiring a reasonable accommodation, as defined by the Americans with Disabilities Act, must notify the agency hiring authority and / or People First Service Center (1-866-663-4735). Notification to the hiring authority must be made in advance to allow sufficient time to provide the accommodation.

The State of Florida supports a Drug-Free workplace. All employees are subject to reasonable suspicion drug testing in accordance with Section 112.0455, F.S., Drug-Free Workplace Act.

VETERANS’ PREFERENCE.   Pursuant to Chapter 295, Florida Statutes, candidates eligible for Veterans’ Preference will receive preference in employment for Career Service vacancies and are encouraged to apply.  Certain service members may be eligible to receive waivers for postsecondary educational requirements.  Candidates claiming Veterans’ Preference must attach supporting documentation with each submission that includes character of service (for example, DD Form 214 Member Copy #4) along with any other documentation as required by Rule 55A-7, Florida Administrative Code.  Veterans’ Preference documentation requirements are available by clicking here .  All documentation is due by the close of the vacancy announcement.