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Requisition No: 795268
Agency: Agency for Health Care Administration
Working Title: 68064861 – MEDICAL/HEALTH CARE PROGRAM ANALYST
Position Number: 68064861
Salary: $1,659.66 – $2,157.56 Biweekly
Posting Closing Date: 03/02/2023
The Agency for Health Care Administration (AHCA) is Florida’s chief health policy and planning entity. The Agency is responsible for administering the Florida Medicaid program, the licensure and regulation of nearly 50,000 health care facilities, and empowering consumers through health care transparency initiatives.
Under the direction of the Agency Secretary Jason Weida, AHCA is focused on advancing Governor DeSantis’ vision for Florida’s health care system to be the most cost-effective, transparent, and high-quality health care system in the nation. Current Agency initiatives include implementing Florida’s groundbreaking Canadian Prescription Drug Importation Program, overhauling Florida’s healthcare technological ecosystem, and increasing insight in the cost of health care services.
The Medicaid program provides low-income families and individuals with access to health care. If you have a desire to use your talent and skills at an organization that provides critical services to millions of individuals and families across the state, AHCA invites you to apply to become an essential member of our team. As one of Florida’s leading state agencies, AHCA’s diverse workforce community of more than 1,400 employees is proud of its efforts to serve the people of Florida.
Emphasizing quality in all that we do to improve health outcomes, always putting the individual first.
Supporting initiatives that promote transparency and empower consumers in making well informed healthcare decisions.
Leveraging Florida’s buying power in delivering high quality care at the lowest cost to taxpayers.
This is an exciting opportunity to help shape the quality of health care in Florida. We are seeking to hire a Medical Healthcare Program Analyst who desires to work to enhance the delivery of health care services through the Florida Medicaid Program. This position requires a candidate who is creative, flexible, innovative, and who will thrive in a fast-paced, team-based work environment.
This position is located in the Bureau of Medicaid Fiscal Agent Operations (MFAO). MFAO serves as the primary organizational unit within the Agency to provide oversight and monitoring of the Agency’s Medicaid fiscal agent; responsible for the processing of Florida Medicaid claims and multiple supporting systems; ensuring Medicaid providers are properly enrolled into the program, Medicaid recipients receive proper coverage, enrollment into managed care plans; extracting, analyzing, and/or reporting Medicaid data; and ensuring that new Agency systems are planned and procured.
This position is responsible for ensuring that new and/or updated Medicaid policy is analyzed, tracked, and shared appropriately within the Bureau of Medicaid Fiscal Agent Operations as well as with the Medicaid fiscal agent.
The incumbent will serve as a primary liaison with Centers for Medicare and Medicaid Services (CMS), other State Medicaid Agencies, and the bureau of Medicaid policy.
The incumbent will assist in high priority tasks including health plan assistance and researching complex enrollment issues.
The incumbent will provide research assistance and Medicaid enrollment/eligibility information to other state agencies and AHCA bureaus.
The incumbent shall possess and maintain up-to-date knowledge concerning the Florida Medicaid Program, including the Florida Medicaid Management Information System (FMMIS), pertinent state and federal laws and administrative rules and codes governing state and federal healthcare programs, Medicaid provider handbooks and Medicaid provider enrollment procedures.
The incumbent shall possess outstanding organizational and formal writing skills.
Answers to the qualifying questions must be supported by your applicant profile and/or resume`.
Benefits of Working for the State of Florida:
Working for the State of Florida is more than a paycheck. The State’s total compensation package for employees features a highly competitive set of employee benefits including:
• State Group Insurance Coverage Options, including health, life, dental, vision, and other supplemental insurance options;
• Flexible Spending Accounts;
• State of Florida retirement options, including employer contributions;
• Generous annual and sick leave benefits;
• 9 paid holidays a year and 1 Personal Holiday each year;
• Career advancement opportunities;
• Tuition waiver for courses offered by Florida’s nationally ranked State University System;
• Training and professional development opportunities;
• And more!
For more information about the Bureau of Medicaid Fiscal Agent Operations, please visit our website at http://ahca.myflorida.com/Medicaid/index.shtml.
Join us at the Agency for Health Care Administration in fulfilling our mission to provide “Better Health Care for all Floridians.”
KNOWLEDGE, SKILLS, AND ABILITIES
•General knowledge of Florida Medicaid program including managed health care.
•General knowledge of health care licensing practices in the State of Florida.
•Ability to conduct research using various information databases.
•Ability to create reports and effectively present findings.
•Ability to understand and apply relevant statutes, rules, regulations, policies, and procedures.
•Ability to research Medicaid provider handbooks to provide guidance with provider enrollment topics.
•Ability to use Microsoft Office software.
•Ability to work both independently and as part of a team.
•Ability to plan, organize, and coordinate work assignments.
•Ability to communicate effectively verbally and in writing.
•Ability to establish and maintain effective working relationships with others.
MINIMUM QUALIFICATIONS REQUIREMENTS
- Two or more years of professional experience relating to health care delivery or health care administration, or two or more years of experience relating to health care regulation involving compliance monitoring of local, state, or federal requirements.
Preference given to applicants with:
*A Bachelor’s or advanced degree from an accredited university in the field of health, social services or human services is preferred; documented professional work experience in these fields can substitute on a year-for-year basis for the preferred college education.
*Previous experience working in the Florida Medicaid Management Information System.
*Previous experience researching or analyzing statute, rule, policy, or administrative code.
LICENSURE, CERTIFICATION, OR REGISTRATION REQUIREMENTS
CONTACT: DEBBIE KELLEY (850) 412-3449
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.