68046114 - ECONOMIST SUPERVISOR - SES / ACTUARIAL MANAGER

Requisition No: 862158 

Agency: Agency for Health Care Administration

Working Title: 68046114 - ECONOMIST SUPERVISOR - SES / ACTUARIAL MANAGER

 Pay Plan: SES

Position Number: 68046114 

Salary:  $2,033.07 - $5,670.80 Biweekly 

Posting Closing Date: 10/14/2025 

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 an Actuarial Manager (Economist Supervisor-SES) 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 Data Analytics.

Join Data Analytics as we gather, explore, and examine data to provide meaningful and impactful analysis that shapes the future of Florida Medicaid.

As the Agency hub for analytics, reporting, and visualization, the Bureau of Medicaid Data Analytics examines critical aspects of Floridians’ health, health care services and costs, and is vital to managed care rate setting, health care economics, and health plan evaluation.

This position is responsible for providing management and consultative services to the Bureau Chief and leads and oversees the Medicaid Actuarial Services section.

This position has the Working Title of Actuarial Manager.

This includes, but is not limited to, coordinating activities that include analyses and technical and analytical support with regards to the managed care rate setting process and methodologies and serving as consultants regarding impact of state, federal or other policy changes. 

The incumbent in this position is responsible for coordinating work and supervising employees. 

The incumbent is responsible for communicating with, motivating, training, and evaluating employees, and planning and directing employees’ work. 

The incumbent in this position has the authority to hire, transfer, suspend, lay-off, recall, promote, discharge, assign, reward, and discipline subordinate employees supervised by the position or effectively recommend such action. 

The incumbent in this position shall maintain up-to-date knowledge concerning the Florida Medicaid program, including pertinent Federal laws and regulations, state statutes and rules, the Florida Medicaid State Plan and its amendment processes, Medicaid Managed Care Waivers and Medicaid program manuals. 

The incumbent in this position shall remain informed about the operations of the Medicaid fiscal agent, including Medicaid claims processing, billing procedures, reimbursement methodologies and provider enrollment. 

The incumbent in this position shall remain informed about Medicare and other federal and state health care related programs, including other state and national Medicaid-related research and demonstration projects, health care program innovations for special populations, and alternative financing and service delivery systems models. 

The incumbent shall maintain knowledge about the Medicaid State Plan, waivers, regulations, and processes. 

The incumbent in this position shall maintain up-to-date knowledge of the Florida Medicaid Management Information Systems (FMMIS), basic computer processing, statistical analysis software, and information retrieval and management reporting capabilities.

The incumbent in this position is responsible for coordinating work and supervising employees. 

The incumbent in this position leads, develops, coordinates, and/or executes strategic planning activities for the Medicaid Actuarial Services Section in order to assist in implementing goals, objectives and priorities of the Medicaid program.

The incumbent oversees program planning activities in order to promote access to care, improve the quality of care and increase the efficiency and cost-effectiveness of the Medicaid program related to Medicaid programs. 

The incumbent in this position is responsible for performing independent analyses and working with Agency staff and contracted entities as a resource in the Medicaid managed care rate setting process; reviewing managed care rates to determine compliance with applicable state and federal laws, rules, and regulations and making recommendations to the Bureau Chief of Medicaid Data Analytics for Medicaid for action on findings, and providing technical and analytical support to Agency analytical staff on work related to state Medicaid managed care plans, claims administration, financial analysis/projections.

The incumbent in this position shall utilize experience and expertise in matters of rate analysis for managed medical assistance care and managed long term care for various populations covered by Medicaid categories, IBNR analysis, Medical Loss Ratio analysis, achieved savings analysis, benchmark analysis, and plan financial analysis; shall  develop cost estimates for Medicaid programs; shall serve as actuarial consultant regarding impact of legislative changes, review proposed legislation, and make recommendations for revisions of statutes or administrative rules, and shall serve as a resource to the Agency in all other rate setting processes. 

The incumbent in this position is responsible for the reporting, analyzing, and interpreting of statutorily required data and statistics related to Medicaid data, and Agency rules and regulations consistent with Agency interpretation. 

The incumbent in this position shall represent the Agency in local, state or national meetings, conferences, workshops and seminars related to managed care rate setting for the Medicaid program. 

Other duties as assigned.

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. 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/

For more information about the Bureau of Medicaid Data Analytics, 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

• Knowledge of Excel.

• Knowledge of Access, SQL, or other Database programs.

• Knowledge of the methods of data collection and analysis.

• Ability to work with large data sets, preferably health care data.

• Ability and knowledge to apply actuarial principles to managed care rate setting analysis.

• Ability to collect, evaluate, and analyze data to develop alternative recommendations and solve problems.

• Ability to communicate technical concepts effectively.

• Ability to organize data into logical format for presentation in reports, documents, and other materials.

• Ability to multi-task, work in a fast-paced environment, and follow through on assignments.

• Ability to work well both independently and with others.

• Ability to establish and maintain effective working relationships with others.

• Ability to effectively supervise a staff of actuarial analysts.

• Ability to travel with or without accommodations.

MINIMUM QUALIFICATIONS REQUIREMENTS

• Three years of professional experience utilizing Excel.

• Four years of professional experience utilizing Access, SQL, SAS, or other Database programs.

• One year of actuarial experience in managed care is preferred.

• Candidates who have passed more than three actuarial exams will be given preference. Three (3) VEE credits may substitute for an exam.

• Preference will be given to candidates with a bachelor’s degree or a more advanced degree from an accredited college or university in a relevant discipline such as mathematics, actuarial science, or statistics.

LICENSURE, CERTIFICATION, OR REGISTRATION REQUIREMENTS

N/A

CONTACT: JOYCEE BARRY 850-412-4248

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.