68064841 - ECONOMIC ANALYST

Requisition No: 847280 

Agency: Agency for Health Care Administration

Working Title: 68064841 - ECONOMIC ANALYST

 Pay Plan: Career Service

Position Number: 68064841 

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

Posting Closing Date: 02/26/2025 

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 Economic 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 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 consultive services to the Senior Management Analyst Supervisor.

This position will work 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 analyses of data for the Medicaid program.

The incumbent will:

Prepare data and perform analysis necessary to support Medicaid operation and Medicaid expenditures for quarterly CMS 64 expenditure reporting, and CMS 64 Variance Analysis.

Perform data analysis including overseeing the operation of this application’s financial calculations for all waiver expenditures and member months.

Complete the CMS 64 quarterly budget neutrality reporting.

Develop Excel tables, charts, and other presentations to report Medicaid expenditures.

All expenditures and member months data must be complete, accurate and reconcilable to the calculations utilized for waiver reporting.

Keep electronic documentation on CMS reporting and data analysis.

Actively seek to ensure data integrity and accuracy and identify discrepancies.

Preparing financial analyses of 1115 waivers, and completing the required templates for budget neutrality, as needed. The processes for completing the financial analyses are required to be documented.

Participate in peer-review processes

Develop and maintain the database backup with all relevant data for all Federal Waivers. Create reports as required by the waivers’ Special Terms and Conditions. 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. 

Serve as a subject matter expert on Federal Reporting. 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 requests related to Federal Reporting projects and tasks. Respond to inquiries and explain reporting methodology to appropriate parties.

Maintain up-to-date knowledge of the Florida Medicaid data systems, including Florida Medicaid Management Information Systems (FMMIS), Florida Medicaid Data Warehouse/Decision Support System (DSS), SQL server and FX EDW.

Maintain up-to-date knowledge concerning the Florida Medicaid program, including the Florida State Plan for Medicaid, Florida Statuses, Florida Administrative Code, pertinent Federal laws and regulations, and FX EDW. Review of legislative bills and amendments to identify issues that would affect Medicaid waivers; ensure timely submission of review results to the Unit Manager. Maintain knowledge of the Health Information Portability and Accountability Act (HIPPA) complaint regulations, including medical procedural and diagnosis codes, electronic claim submission formats and proper security of Protected Health Information (PHI). Participate in continuing education of Medicaid and other Agency functions.

Perform other related duties and responsibilities at the direction of the Unit Manager or their designee.

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

•Experience with Excel.

•Experience with Access, SQL, or other Database programs.

•Possess a general understanding of financial and accounting principles.

•Regularly communicate project/work stream status.

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

•Ability to organize data into a 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 produce high quality work product under strict deadlines.

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

•Ability to organize electronic notes and document processes.

•Ability to communicate technical concepts effectively.

MINIMUM QUALIFICATIONS REQUIREMENTS

•1 year of experience utilizing Excel.

•1 year of experience utilizing Access, SQL, or other Database programs.

•1 year of experience researching data and drafting reports.

•A bachelor's degree or higher from an accredited college or university with a degree in mathematics, accounting, finance, statistics, or other related field is strongly preferred. Professional experience as described above may substitute on a year-for-year basis for the preferred college education.

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.