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68064372 - MEDICAL/HEALTH CARE PROG ANALYST 1

Date: Apr 6, 2021

Location: TALLAHASSEE, FL, US, 32308

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Requisition No: 341441 

Agency: Agency for Health Care Administration

Working Title: 68064372 - MEDICAL/HEALTH CARE PROG ANALYST 1

Position Number: 68064372 

Salary:  $1,574.93 / Bi-Weekly 

Posting Closing Date: 04/12/2021 

This is an exciting opportunity to help shape the quality of health care in Florida. The Agency for Health Care Administration (AHCA) is the State of Florida agency responsible for oversight of the Medicaid program.  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.

 

We are seeking to hire a 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. 

 

The incumbent in this position is responsible for researching, developing, implementing, evaluating, and maintaining policies under the Florida Medicaid program/Children’s Health Insurance Program (CHIP).  The incumbent will assist in the development of policy language for the CHIP State Plan, administrative rules, contracts and/or interagency agreements related to the implementation of the CHIP program, enrollment reports, annual reporting, and other CHIP-related duties as assigned.

 

Salary is negotiable depending on experience and demonstrated successful management of complex projects and initiatives.

 

The Medical Health Care Program Analyst will be responsible for carrying out research, policy, and statistical analysis related to Florida Medicaid program/Children’s Health Insurance Program (CHIP).  Specific duties include:

  • Maintain up-to-date knowledge concerning all aspects of the Florida Medicaid/CHIP program, including federal regulations, state statutes, administrative rules, and the Florida Medicaid State Plan/CHIP State Plan.
  • Conduct research on assigned topics, including, but not limited to: performing a review of peer-reviewed research articles, federal and state laws, other reliable sources of evidence, the Medicaid State Plan/CHIP State Plan, Agency communications, State Medicaid Director Letters, and vendor contracts
  • Maintain up-to-date knowledge of health care and relevant industry trends that may have an impact on Florida Medicaid/Florida CHIP or may inform policy development activities
  • Remain informed about the operations of the Medicaid fiscal agent, including Medicaid claims process, billing procedures, reimbursement methodologies, encounter submissions, and provider enrollment
  • Remain informed about Medicare policies/CHIP policies, national Medicaid-related research/CHIP related research and demonstration projects, Medicaid/CHIP medical assistance program innovations for general and special populations, and alternative financing and service delivery systems models
  • Assist in the analysis and development of programmatic and fiscal impact statements based on proposed federal/state program or policy changes
  • Prepare reports of research findings, including synthesizing complex and/or large amounts of information into a useful format and presentation
  • Maintaining contract management files related to the oversight of interagency agreements related to the CHIP program.
  • Track and monitor the routing and approval of all policy documents to ensure timely completion and adherence to Agency established deadlines
  • Conduct research on assigned topics, including, but not limited to: performing a review of peer-reviewed research articles, federal and state laws, other reliable sources of evidence, the Medicaid State Plan/CHIP State Plan, Agency communications, State Medicaid Director Letters, and vendor contracts
  • Writing grammatically correct and accurate reports that concisely communicate results
  • Preparing reports, memoranda, meeting minutes, literature reviews, issue briefs, and presentations
  • Making presentations to stakeholders and executive leadership
  • Participating in internal and external meetings
  • Performing other duties as assigned

 

An ideal candidate will be able to:

  • Utilize fine-tuned research skills to provide consultative information to internal and external stakeholders related to federal and state authorities
  • Be flexible and able to function and succeed both with and without extensive direction
  • Understand the Medicaid Policy vision and have the ability to implement execute projects, assignments, and policy updates timely and accurately within a fast-paced environment
  • Function both independently and in a team environment
  • Propose solutions to complex problems
  • Determine the best yes, through the use of comprehensive research
  • Move cost-saving and cost-effective health policy forward

 

The Medical/Health Care Program Analyst must obtain State of Florida Contract Manager Certification within one year of hire.

 

All applicants must ensure that all employment and detailed information about work experience is listed on your applicant profile and/or resume (including dates of service, reason for leaving, military service, self-employment, job-related volunteer work, internships, etc.) and that gaps in employment are explained.  Applicants who do not provide all information necessary to meet the minimum requirements, will not be considered for this position.

 

This position requires travel.

 

AHCA offers an excellent array of benefits, including:                     

  • Health insurance
  • Life insurance
  • Dental, vision and supplemental insurance      
  • Retirement benefits
  • Vacation and sick leave
  • Paid holidays
  • Opportunities for career advancement
  • Tuition waiver for public college courses
  • Training opportunities

 

This position is located in the Bureau of Medicaid Policy. For more information about the Bureau of Medicaid Policy, 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 work load.
  • 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 accommodations.

 

 

MINIMUM QUALIFICATION REQUIREMENTS

  • Have one year of experience implementing and managing complex projects.
  • Have one year of experience implementing and/or developing State or health care related policies.
  • Have one year of experience managing and writing contracts in the public and/or private sector.
  • Have one year of professional work experience in auditing, investigating or monitoring a program or service.

 

Preference will be given to applicants who hold a current FCCM certification.

A bachelor's degree from a college or university is preferred.

A master's degree from a college or university can substitute for one year of the required experience.

Professional or nonprofessional experience as described above can substitute on a year-for-year basis for the preferred college education.

 

LICENSURE, CERTIFICATION, OR REGISTRATION REQUIREMENTS

N/A

 

CONTACT: LAKEYSHA BOATWRIGHT 850-412-4210

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.  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. 


Nearest Major Market: Tallahassee