68046113 - SYSTEMS PROJECT ANALYST

Requisition No: 851639 

Agency: Agency for Health Care Administration

Working Title: 68046113 - SYSTEMS PROJECT ANALYST

 Pay Plan: Career Service

Position Number: 68046113 

Salary:  $1,794.92 - $2,490.42 Biweekly 

Posting Closing Date: 05/06/2025 

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 a Systems Project 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 Program Finance (MPF) and a part of AHCA.

This position reports directly to the Bureau Chief of Medicaid Finance. 

MPF manages and projects Florida’s $33.7 billion Medicaid Services budget, oversees financial reporting of the Agency’s contracted Medicaid health plans, calculates both institutional and non-institutional Medicaid reimbursement rates, and disburses supplemental payments to Medicaid providers.

This position is responsible for assisting with the development of Social Services Estimating Conference materials including the KidCare Caseload, KidCare Expenditures, Medicaid Caseload and Medicaid Expenditures. 

Maintains statistical summaries, based on Social Services Estimating Conference, which will provide thorough charts, graphs, and tables using basic data that is relevant to the Florida Medicaid Program. 

Produces monthly statistical summary of caseloads and Medicaid expenditures.

Assists in the Develop of fiscal analyses of proposed program changes including proposed federal and state legislation, rules, regulations, or other proposals which would have an impact on the Medicaid program. 

Assists in Coordinating the responses from other affected programs within the Agency and with other state agencies.  Assists in the preparation of fiscal notes to bill analyses or, when appropriate, complete bill analyses. 

Assists in conceptualizing new approaches for examining expenditures, utilization of Medicaid services, and enrollment in Medicaid programs and finances to develop recommendations for revisions to program policies or procedures for improving the efficiency and effectiveness of the Medicaid program.

Assists in designing and conducting various research studies and analyzes Medicaid’s program expenditures, caseloads, service utilization, service costs, and other factors which have the most significant impact on the growth of Medicaid costs. 

Assists in the development of expenditure projections and trend analyses for detecting and analyzing trends and deviations in programs; conducts data collection and analysis activities related to the completion of special analyses and studies of research projects.

Designs models needed to collect, assimilate, and report Medicaid program data and information necessary for program assessment and decision making. 

Maintains detailed, up-to-date knowledge of Florida Medicaid including the Florida State Plan, Florida Statues, Florida Administrative Code, Federal Medicaid rules and regulations, rules and regulations for Health Care Administration, provider manuals, Medicaid billing procedures, basic computer processing, statistical analysis software, information retrieval, and management reporting capabilities.

Remain informed about Medicaid-related activities of the Agency and about the operations of the Medicaid fiscal agent.

Provides research support and data analysis to other Medicaid offices.

Upon request of supervisor or other management staff. Assists in federal reporting requirements, fiscal analyses, analyzing utilization patterns.

Analyzes actual and projected Medicaid expenditure, caseload, price, and utilization data to produce quarterly HCFA Form 37 reports (CMS 37). 

Compare the prior quarterly CMS 37 projections report to the HCFA Form 64 (CMS 64) actual expenditures quarterly report to determine the accuracy of the projected expenditures.  

Performs other related duties as required.

This position will have to report to the Headquarters in Tallahassee.     

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 Program Finance, 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

Advanced Excel skills, including knowledge of Pivot Tables, Lookup functions, IF statements, nesting formulas, formatting for publication, mail merge, and other more complex functions.

Knowledge of macros is preferred.

Knowledge of and skill using Microsoft Office Programs. 

Ability to create process flows/workflows for automated and manual business systems.

Ability to create computer flowcharting techniques. 

MINIMUM QUALIFICATIONS REQUIREMENTS

Two years professional experience related to economics, accounting, actuarial science, applied mathematics, or statistics.

Two years of professional experience using Microsoft Excel at an advanced level.

Bachelor's degree from an accredited college or university with a degree in a field related to economics, accounting, actuarial science, applied mathematics, or statistics being highly preferred.

Professional experience as described above can be substituted on a year-to-year basis for the preferred college education.

LICENSURE, CERTIFICATION, OR REGISTRATION REQUIREMENTS

N/A

CONTACT: KATIE GHENT 850-412-4101

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.