68061963 - SYSTEM PROJECT CONSULTANT

Requisition No: 857971 

Agency: Agency for Health Care Administration

Working Title: 68061963 - SYSTEM PROJECT CONSULTANT

 Pay Plan: Career Service

Position Number: 68061963 

Salary:  $1,945.56 - $2,529.23 Biweekly 

Posting Closing Date: 08/11/2025 

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 System Project Consultant 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 analyses that shape 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 consultive services to the Senior Management Analyst Supervisor.

This position works in the Federal Reporting and Focused Studies Unit within the Bureau of Medicaid Data Analytics.

The responsibilities of the incumbent in this position are the preparation and analysis of data for the Medicaid program.

The incumbent will:

Develop, test, and execute computer programs using SQL and Florida Health Care Connections (FX) Enterprise Data Warehouse (EDW) to obtain data and prepare statistical analyses for responding to requests from Federal CMS, agency management, and other bureaus. Develop and maintain the database backup with all relevant data for all Florida Medicaid Waivers.

Prepare data and perform analysis necessary to support Medicaid operations and Medicaid expenditures for quarterly CMS 64 Expenditures reporting, CMS 64 Budget Neutrality reporting, and CMS 64 Variance Analysis. Develop Excel tables, charts, and other presentations to report Medicaid expenditures.

Maintain documentation of assignments and programmatic information pertaining to Medicaid expenditures. Actively seek to ensure data integrity and accuracy and identify any discrepancies.

Maintain up-to-date knowledge concerning the Florida Medicaid program, including the Florida State Plan for Medicaid, Florida Statutes, Florida Administrative Code, pertinent Federal laws and regulations, and FX EDW.

Review legislative bills and amendments to identify issues that would affect Medicaid waivers and ensure timely submission of results to the Unit Manager. Maintain knowledge of Health Information Portability and Accountability (HIPPA) complaint regulations, including medical procedural and diagnosis codes, electronic claims submission formats and proper security of Protected Health Information (PHI). Participate in continuing education of Medicaid and other Agency functions.

Serve on committees and teams in unit assigned projects. Participate in audits that will require querying data for validation for the CMS 64 PERM (Payment Error Rate Measurement). Provide assistance in responding to inquiries and external request related to Federal Reporting. Keep electronic documentation on CMS reporting and data analysis.

Performs other duties as assigned.

This is an anticipated vacancy.

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 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 computer software applications, including MS Windows Operating Systems and MS SQL Server.

- Knowledge of Florida Medicaid operations.

- Knowledge of the methods of data collection and analysis.

- Possess strong quantitative research and analytical skills.

- Possess strong communication (written and verbal) skills.

- Ability to handle detail with a high degree of accuracy.

- Ability to develop data reports that communicate effectively to internal and external clients.

- Ability to produce high quality work under strict deadlines.

- Ability to work in a team, as well as individually.

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

MINIMUM QUALIFICATIONS REQUIREMENTS

- One year of experience in health care economics or analysis.

- One year of experience working with SQL, Excel, or other statistical software packages.

- One year of professional experience working with Florida Medicaid data operations.

- One year of professional experience developing data collection and analysis methodologies.

- A bachelor's degree from an accredited college or university with a degree in mathematics, computer science, or statistics can substitute on a year for year basis for the required experience as described above.

LICENSURE, CERTIFICATION, OR REGISTRATION REQUIREMENTS

N/A

CONTACT: DIAN THOMPSON 850-412-4098

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.