68900156 - OPS MEDICAL/HEALTH CARE PROGRAM ANALYST

Requisition No: 866954 

Agency: Agency for Health Care Administration

Working Title: 68900156 - OPS MEDICAL/HEALTH CARE PROGRAM ANALYST

 Pay Plan: Student/Gradte Assnt

Position Number: 68900156 

Salary:  $22.92 Hourly 

Posting Closing Date: 12/29/2025 

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 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 OPS 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.

This position is located in the Bureau of Medicaid Program Finance (MPF). 

MPF manages and projects Florida’s $34.4 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 assisting in the development, coordination, and implementation of the programs relating to Medicaid Hospital DPP, Indirect Medical Education (IME), and School District Administrative Claiming (SDAC).

Prepare Hospital DPP, IME, and SDAC payment requests. Prepare "ad­hoc" reports from Public Records and Legislative requests.

Produce Hospital DPP, IME, SDAC, and Threshold models for Legislative Planning.

Also, coordinate with outside vendors and Centers for Medicare and Medicaid Services (CMS) on audit requests and annual reconciliations.

Prepare and distribute Hospital DPP models and analyses of other supplemental payment programs that interact with the Hospital DPP program.

Maintain current and archive versions of Hospital DPP, IME, and SDAC audits and analyses. 

The incumbent is responsible for analyzing cost reports and audits of school district providers and making appropriate adjustments to determine allowable costs.

Calculate reimbursements in accordance with Medicaid reimbursement plans and policies and applicable federal and state rules and regulations.

Identify the need for and obtain additional information and cost data from providers to complete the process of establishing reimbursement rates.

Establish district-specific rates for various Medicaid services.

Prepare cost report computer documents for all school district providers.

The incumbent in this position will act as the MPF team lead for school-based services and will coordinate with other Bureaus within the Agency to implement the Medicaid school-based services programs.

Interpret State and Federal statutes to determine provider eligibility for participation in supplemental payment programs.

Coordinate data transfers between Florida managed care plans and the Agency for Health Care Administration for model development and program reconciliations.

Implement policies and procedures of the Agency, as well as the audit and program analysis functions within the section.

Maintains up-to-date knowledge concerning the Florida Medicaid Program, including pertinent statutes, Florida State Plan for Medicaid, Florida administrative rules and regulations, program manuals, and operations for the Budget & Supplemental Funding Unit.

Review draft policy manuals and administrative rule changes and provide comments to appropriate units.

This position will be filled at a salary of $22.92 per hour and is non-negotiable.

This position will report to the Headquarters location in Tallahassee.

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 Other Personal Services (OPS) employees features a highly competitive set of employee benefits, including:

•              No state income tax for residents of Florida;

•              State Group Insurance coverage options (must meet eligibility requirements), including health, life, dental, vision, and other supplemental insurance options;

•              Savings & Spending Accounts;

•              401 (a) FICA Alternative Plan administered through VALIC (tax-deferred Retirement Savings Plan);

•              Participation in the Florida Deferred Compensation Plan (457b)

For a more complete list of benefits and eligibility requirements, visit www.mybenefits.myflorida.com.

What is OPS employment?

OPS employment is a temporary employer/employee relationship used for accomplishing short term or intermittent tasks. OPS employees are at-will employees and are subject to actions such as pay changes, changes to work assignments, and terminations at the discretion of the Agency head or designee. OPS employees do not serve probationary periods or become permanent in their positions because they serve at the pleasure of the Agency head.

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 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 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 plan, organize and coordinate work activities.

Ability to communicate effectively verbally and in writing.

Ability to establish and maintain effective working relationships with others.

Knowledge of macros.

MINIMUM QUALIFICATIONS REQUIREMENTS

Three years of experience using Microsoft Excel, including advanced skills and knowledge of Pivot Tables, V-Lookup, X-Lookup, IF statements, and formatting for publication/mail merge.

Preference will be given to candidates who have a bachelor's degree from an accredited college or university in a relevant discipline such as mathematics, economics, or a related field.

LICENSURE, CERTIFICATION, OR REGISTRATION REQUIREMENTS

N/A

CONTACT: KIANA REDDING 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.