68064245 - FINANCIAL SPECIALIST

Requisition No: 841556 

Agency: Agency for Health Care Administration

Working Title: 68064245 - FINANCIAL SPECIALIST

 Pay Plan: Career Service

Position Number: 68064245 

Salary:  $1,907.10 - $2,479.23 Biweekly 

Posting Closing Date: 11/28/2024 

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 Financial Specialist 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).

MPF manages and projects Florida’s $34.5 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 processing, examining, analyzing, or interpreting accounting records or investigative financial information for the purpose of giving advice or preparing statements or reports.

Also, this includes installing, or advising on, systems of recording costs or other financial and budgetary data.

This position analyzes and audits hospital providers’ cost reports and makes appropriate desk audit adjustments to determine allowable costs.

Set facility rates in accordance with Medicaid reimbursement plans, policies, applicable federal and state rules, and regulations.

Identify the need for and obtain additional Information and cost data from providers to complete the preliminary desk audit and set a facility's rates.

The incumbent in this position will be responsible for assisting in the planning, development, and implementation of Medicaid reimbursement policies and procedures, assisting in the development and implementation of short- and long-range plans for the cost reimbursement analysis subsection.

Developing and implementing cost reimbursement informational and operational procedures and manuals; assist in the development and implementation of various training and education programs for Agency staff, provider groups, associations, and other organizations on Medicaid reimbursement methods.

Auditing provider cost reports and establishing provider reimbursement rates; developing procedures for requests from providers for increases in reimbursement rates and procedures to determine if an increase should be granted.

Assist in preparing special reports and analyses on provider cost and the fiscal effects of the hospital cost reimbursement plans including the mechanism, rates, grouping criteria, caps, cost projections, inflation allowances, cost allocations, rate revision frequency, geographic differentials, rate appeals, cost reports, and profit allowances.

Performs complex statistical and financial analyses to assess the impact on overall Medicaid reimbursement.

Assist in the development and compilation of various special management or provider cost comparisons from cost report data.

Maintain up-to-date knowledge concerning the Florida Medicaid program, including pertinent statutes, Florida rules, regulations of the Department of Health and Human Services, provider manuals, and Medicaid billing procedures. Remain informed about Medicaid activities of the Agency for Health Care Administration and about operations of the fiscal agent contractor.

Maintain detailed knowledge of Medicaid financial and statistical information at both state and national levels.

Maintain detailed knowledge of Medicare and other health care program cost reimbursement principles and the Medicaid cost reimbursement and rate setting methods of other states.

Remain informed about health care cost containment issues on the local, state, and national level.

Maintain detailed knowledge of accepted accounting and auditing principles, procedures, and techniques.

Perform additional duties as assigned.

This position is not a remote or telework position; it will have to report to a Field Office or the Headquarters in Tallahassee.

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

Knowledge of accounting principles and procedures.

Knowledge of principles and techniques of effective communications.

Knowledge of basic mathematics and economics.

Knowledge of financial forecasting techniques.

Ability to prepare audit reports.

Ability to conduct research and investigations.

Ability to review, analyze and evaluate financial and operational data.

Ability to audit financial forecasted statements.

Ability to compile statistical data.

Ability to understand and apply laws, rules, regulations, policies, and procedures.

Ability to process and respond to consumer complaints.

Ability to verify the accuracy of numerical data.

Ability to plan, organize and coordinate work assignments.

Ability to communicate effectively.

Ability to establish and maintain effective working relationships with others.

Ability to prepare financial statements.

Ability to utilize problem-solving techniques.

MINIMUM QUALIFICATIONS REQUIREMENTS

- At least two years of work experience with processing, examining, analyzing, or interpreting accounting records or investigative financial information.

-Two years of experience using Microsoft Excel, Word, and Outlook.

-Bachelor’s degree from an accredited college or university in accounting, finance, mathematics, or related field is highly preferred. Experience can substitute on a year-for-year basis for the preferred education.

LICENSURE, CERTIFICATION, OR REGISTRATION REQUIREMENTS

N/A

CONTACT: TORI HATCHER 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.