Objective: The paper is to analyze the efficiency and existing problems of personnel allocation in medical insurance fund supervision, and provide suggestions for optimizing the construction of medical insurance fund supervision personnel. Methods: The study collects the data of 14 county-level medical insurance fund supervision teams within Ji’nan City, designs 5 intensity coefficients to analyze the fairness of talent allocation, constructs a DEA-BCC model to analyze county differences in talent allocation efficiency, and summarize the existing problems in the construction of supervision talent teams. Results: Along with the improvement of the functions of the medical insurance fund supervision department, there are problems such as insufficient professional allocation, weak professional foundation, high work intensity, uneven allocation fairness, and allocation efficiency to be improved. Conclusion: Optimization and improvement strategies are proposed from four aspects of improving the supervision system, optimizing personnel allocation, improving supervision efficiency, and expanding supervision channels.