68047266 - MEDICAL/HEALTH CARE PROGRAM ANALYST at Florida Department of Agriculture and Consumer Services

Tallahassee, Florida, United States -

Full Time

Start Date

Immediate

Expiry Date

27 Dec, 25

Salary

2014.27

Posted On

28 Sep, 25

Experience

2 year(s) or above

Remote Job

Yes

Telecommute

Yes

Sponsor Visa

Skills

Problem-Solving Techniques, Understanding Rules and Regulations, Workload Prioritization, Report Development, Research Model Development, Health Services Program Management, Budget Assessment, Financial Data Analysis, Policy Formulation, Work Activity Coordination, Effective Communication, Relationship Building, Travel Capability

Industry

Government Administration

Description

Requisition No: 861202 Agency: Agency for Health Care Administration Working Title: 68047266 - MEDICAL/HEALTH CARE PROGRAM ANALYST Pay Plan: Career Service Position Number: 68047266 Salary: $2,014.27 Biweekly Posting Closing Date: 09/29/2025 Total Compensation Estimator Tool Agency Overview: 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, 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. 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. Agency Objectives: HIGH QUALITY Emphasizing quality in all that we do to improve health outcomes, always putting the individual first. TRANSPARENT Supporting initiatives that promote transparency and empower consumers in making well informed healthcare decisions. COST-EFFECTIVE Leveraging Florida’s buying power in delivering high quality care at the lowest cost to taxpayers. Position Overview: This is an exciting opportunity to help shape the quality of health care in Florida. We are seeking to hire Medical/Health Care 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 Recipient and Provider Assistance (RPA). RPA serves as a primary point of contact for enrolled Medicaid providers, Medicaid recipients, and members of the community with questions and concerns about Medicaid. This position is responsible for maintaining up-to-date knowledge concerning the Florida Medicaid program, including pertinent federal regulations, state statutes, administrative rules, Florida Medicaid State Plan, and Medicaid program manuals. Remain informed about regulations of the Agency for Health Care Administration, program manuals, and Medicaid-related activities of the agency. Remain informed about the operations of the Medicaid Enrollment Broker, including plan enrollment and eligibility rules. Remain informed about the operations of the Medicaid fiscal agent and how changes impact the Enrollment Broker operations. Conduct an evaluation of contractor's management and operations reports for compliance. This relates to the contractor's performance in establishing and maintaining satisfactory production schedules, levels of production, efficient processing and office procedures. Participate in reviewing and monitoring assigned Medicaid Enrollment Broker Vendor operations, as comprehended by Agency policy and contract expectations for the purposes of providing to departmental management essential information to be used in managing enrollment broker performance within the context of the SMMC program. Perform research and resolution activities related to Enrollment Broker Medicaid Recipient enrollment processing to determine contract compliance. This includes, but is not limited to, research and report recipient related enrollment issues, document recipient related enrollment error trends and report to the Vendor Systems Monitoring team and assist with the monitoring or implementation of resolutions to assure proper functionality and contract compliance. Assist in the development, review and approval of vendor operational procedures to ensure procedures comply with the contract and all amendments. Supports and participates in Enrollment Broker Quality Assurance monitoring. Periodic state travel in order to conduct program monitoring Performs other duties as assigned. This position will be hired at the rate $2014.27/Biweekly and is non-negotiable. This position is not a remote or telework position. 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 Recipient and Provider Assistance, 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 Ability to direct and coordinate the planning and implementation of operational and program reviews and program monitoring activities. Ability to utilize problem-solving techniques. Ability to understand and apply applicable rules, regulations, policies and procedures pertaining to a health services program. Ability to prioritize workload. Ability to develop various reports. Ability to design, develop and implement research models. Ability to manage a health services program. Ability to assess budgetary needs. Ability to collect and analyze financial data. Ability to formulate policies and procedures. Ability to plan, organize and coordinate work activities. Ability to communicate effectively. Ability to establish and maintain effective working relationships with others. Ability to travel with or without accommodation. MINIMUM QUALIFICATIONS REQUIREMENTS Two years of experience in developing, evaluating and/or using data reports; for planning, workload analysis or monitoring purposes including two years of Microsoft Excel or similar software experience. Three years of experience explaining policies and procedures to customers with a limited understanding of the subject matter or researching and resolving customer issues and complaints. LICENSURE, CERTIFICATION, OR REGISTRATION REQUIREMENTS N/A CONTACT: AYLEN GUEVARA 850-412-4221 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.

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Responsibilities

The Medical/Health Care Program Analyst will enhance the delivery of health care services through the Florida Medicaid Program. Responsibilities include maintaining knowledge of Medicaid regulations, evaluating contractor performance, and assisting in vendor operational procedures.