68064976 - FINANCIAL ADMINISTRATOR - SES

Requisition No: 859820 

Agency: Agency for Health Care Administration

Working Title: 68064976 - FINANCIAL ADMINISTRATOR - SES

 Pay Plan: SES

Position Number: 68064976 

Salary:  $2,510.40 - $4,214.56 Biweekly 

Posting Closing Date: 09/05/2025 

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 Financial Administrator-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 Program Finance (MPF).

MPF manages and projects Florida’s over $35 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 supervising the Graduate Medical Education Unit (GMEU) and the Supplemental Payments Unit (SPU) housed within the Bureau of Medicaid Program Finance (MPF).

The incumbent will work closely with internal stakeholders, including other Bureaus and Divisions within the Agency for Health Care Administration as well as external stakeholders, including but not limited to CMS, industry associations, providers, committees established by statute, the Governor’s Office, and legislative staff.

The incumbent will oversee, review, and approve the design and calculations of all financial allocation models developed by the GMEU and SPU.

This position will also be responsible for the preparation and final review and approval of all reporting and application requirements, both State and Federal, for the programs administered by GMEU and SPU, including but not limited to quarterly and annual reports required by the legislature, Preprints and State Plan Amendments (SPAs), and contributions to Waiver requests.

The incumbent is responsible for the development and implementation of plans for new programs initiated by the legislature and Governor’s office; coordination of the functions of the GMEU and SPU including SPA, Preprint, and Waiver submissions to CMS; development and maintenance of desk guides for each program in the GMEU and SPU; and reviewing all models, reports, and other communications generated by GMEU and SPU that will be shared with internal and external stakeholders for accuracy and polish.

This position will operate in a fast-paced environment and will be required to manage multiple simultaneous deadlines.

The incumbent will also be required to fill ad hoc requests on an as-needed basis by Agency leadership.

This is a high visibility role, and the incumbent will be required to present materials professionally verbally and in writing and will be required to manage productive relationships with various stakeholders across the state.

Strong management skills, Excel skills, and a deep knowledge of the programs administered by the GMEU and SPU are required to be successful in this position.

This position requires extreme attention to detail and the ability to coordinate cross-functional and interdisciplinary teams to achieve the goals of the Agency as directed by leadership, the legislature, and the Governor’s Office.

The incumbent leads and oversees the Low-Income Pool (LIP) program including physician supplemental payments, the Disproportionate Share (DSH) program, the Indirect Medical Education (IME) program, Directed Payment Program (DPP), and the Graduate Medical Education (GME) funding program for the Medicaid Program.

This includes, but is not limited to, coordinating activities such as planning, development, and implementation of the Medicaid LIP, DSH, IME, DPP, and GME programs as well as reimbursement polices and procedures; assisting in the development of short- and long-range plans for the LIP, DSH, IME, DPP, and GME programs and developing and implementing LIP, DSH, IME, DPP, and GME informational and operational procedures and manuals.

The incumbent in this position is responsible for coordinating work and supervising employees within the GMEU and SPU.

The incumbent is responsible for communicating with, motivating, training, 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 system models.

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

The incumbent in this position shall 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 reimbursement and rate setting methods of other states; remain informed about health care cost containment issues on the local, state, and national level; and maintaining detailed knowledge of accepted accounting and auditing principles, procedures, and techniques.

The incumbent in this position leads, develops, coordinates, and/or executes strategic planning activities for the LIP, DSH, IME, DPP, and GME programs 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 the LIP, DSH, IME, DPP, and GME programs.

The incumbent in this position is responsible for providing consultation in the calculation of LIP, DSH, IME, DPP, and GME payments in accordance with Medicaid reimbursement plans and policies and applicable federal and state rules and regulations.

The incumbent in this position is responsible for assisting in the coordination of the activities necessary for the semi-annual (or annual, if mandated) rate setting for all hospitals and non-institutional providers enrolled in the Medicaid program.

The incumbent in this position is responsible for assisting in planning, developing, and implementing policies and procedures for LIP, DSH, IME, DPP, and GME programs and for rate analysis.

Assist in developing LIP, DSH, IME, DPP, and GME manuals as appropriate for the application of Special Medicaid Payments, cost reimbursement plans, and principles of reimbursement.

Assist in planning for and coordinating the implementation of LIP, DSH, IME, DPP, and GME programs and rate setting policies and procedures with other staff in the Agency offices, contractors, providers, and provider associations; assist in identifying and resolving any problems in the implementation of LIP, DSH, IME, DPP, and GME program policy and procedure revisions.

Review and analyze revisions to CMS Pub. 15-1 “Principles of Reimbursement”, federal rules and regulations, and other related material to determine their impact on the LIP, DSH, IME, DPP, and GME programs.

Direct and supervise the requests from Medicaid providers for LIP, DSH, IME, DPP, and GME adjustments and determine if the adjustments should be authorized.

The incumbent in this position is responsible for assisting in the development and implementation of necessary procedures and forms for responding to provider appeals relating to the LIP, DSH, IME, DPP, and GME programs. Review and analyze decisions in order to determine the need for revisions to policies and procedures associated with the LIP, DSH, IME, DPP, and GME programs. The incumbent in this position is responsible for preparing special reports and analyses on the LIP, DSH, IME, DPP, and GME programs as well as provider costs and the fiscal effect of the primary features of the hospital reimbursement plan. Perform complex statistical and financial analyses of LIP, DSH, IME, DPP, and GME providers, formulas, and payments in order to assess their impact on overall Medicaid costs and for use in future Medicaid reimbursement planning.

The incumbent in this position is responsible for assisting in the development of long-range plans for policy and procedures development, implementation, and monitoring of LIP, DSH, IME, DPP, and GME programs.

The incumbent in this position is responsible for the development of plans and schedules for the review and analysis of the LIP, DSH, IME, DPP, and GME programs.

The incumbent in this position is responsible for reviewing and analyzing LIP, DSH, IME, DPP, and GME calculations in order to determine common errors and provide understanding of the formulas.

Assist in the development and revision of formulas based on these analyses.

The objectives of these activities are to implement the LIP, DSH, IME, DPP, and GME programs which assures that providers will be in compliance with Medicaid policies and reimbursement plans; to develop, seek funding of, and implement provider reimbursement methodologies and LIP, DSH, IME, DPP, and GME methodologies which assure the provider fair and reasonable compensation for services rendered while also assuring that optimal results are obtained from public funds; to develop cost reimbursement methodologies and LIP, DSH, IME, DPP, and GME methodologies which result in a positive approach to health care cost containment.

The incumbent in this position is responsible for planning, organization, execution, and coordination of program training and provision of technical assistance for the LIP, DSH, IME, DPP, and GME programs including provision of technical assistance consultation to departmental staff, provider associations, other organizations, and interested persons regarding policies and procedures for LIP, DSH, IME, DPP, and GME programs; assist in the preparation of informational and educational material on LIP, DSH, IME, DPP, and GME programs; and assist in the development and implementation of LIP, DSH, IME, DPP, and GME training programs to ensure consistency in program operation and conformity with goals and objectives of the Agency and state and federal laws, rules, regulations, and guidelines.

The incumbent in this position shall represent the Agency in local, state, or national meetings, conferences, workshops, and seminars related to the LIP, DSH, IME, DPP, and GME programs.

The incumbent in this position shall lead and coordinate meetings within the Agency, between the Agency and other state agencies, and with other organizations for the purpose of presenting and evaluating the LIP, DSH, IME, DPP, and GME programs.

The incumbent in this position shall participate in meetings, conferences, and workshops on federal and state health care related programs and the LIP, DSH, IME, DPP, and GME programs.

The incumbent in this position shall prepare and deliver speeches and present funding program objectives to provider groups, provider associations, and other local, state, and national associations and organizations.

The incumbent in this position shall represent the Medicaid office on health care related committees, task forces, and special projects as assigned.

The incumbent in this position is considered to have regulatory responsibilities and is subject to the provisions of Chapter 60K-15, DMS Career Services Rules and Regulations.

The incumbent will provide ad hoc analyses and reporting upon request by Agency leadership and/or program stakeholders.

The incumbent will perform other duties as assigned.

A good attendance record is essential for any individual in this position as the work involved occurs daily and is time sensitive.  The individual in this position is expected to report to work daily and on time.

This position has been identified as mission essential. The incumbent in this position may be required to work during the weekend or on holidays. In addition, mission essential personnel will be required to work during disasters, to include but not limited to, work before, during and/or beyond normal work hours or days in the event of an emergency. Emergency work may involve the incumbent to work in another county or staffing location to assist other State Agencies with emergency work. Emergency duties may include, but not limited to, responses to or threats involving any disaster or threat of disaster, man-made or natural.

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 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

Ability to successfully supervise, train, and motivate staff.

Ability to develop and present written analyses and reports relating to rates, budgets, and management/facility utilization.

Ability to conduct research and review, analyze, evaluate, and interpret financial, operational, and statistical data with accuracy.

Ability to determine work priorities by coordinating and assigning work and ensuring proper completion of work assignments.

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 solve problems and make decisions.

Ability to understand and apply applicable rules, regulations, and policies and procedures pertaining to a health services program.

Ability to provide technical assistance and advice to hospital staff.

Ability to prioritize workload.

Ability to develop various reports.

Ability to design, develop, and implement research methods.

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 communicate effectively verbally and in writing.

Ability to establish and maintain effective working relationships with internal and external stakeholders.

Ability to travel with or without accommodation.

MINIMUM QUALIFICATIONS REQUIREMENTS

Three years of professional experience related to mathematics, budgeting, accounting, financial analysis, statistical analysis, forecasting, or research.

Three years of professional experience interpreting, analyzing, and implementing state and federal language.

Three years of professional experience writing official documents for state and federal requirements.

Three years of experience utilizing Excel including Pivot tables, V-Lookup, X-Lookup, Models, IF statements, and formatting.

Two years of supervisor/managerial experience.

Preferences:

Preference will be given to candidates with a bachelor’s degree from an accredited college or university in a relevant discipline such as accounting, finance, economics, mathematics, or statistics and given additional consideration.

LICENSURE, CERTIFICATION, OR REGISTRATION REQUIREMENTS

N/A

CONTACT: KATHERINE GHENT 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.