Share this Job

MEDICAL/HEALTH CARE PROG ANALYST - 68064274

Date: Jan 11, 2019

Location: TALLAHASSEE, FL, US, 32308

The State Personnel System is an E-Verify employer. For more information click on our E-Verify website.

Requisition No: 52003 

Agency: Agency for Health Care Administration

Working Title: MEDICAL/HEALTH CARE PROG ANALYST - 68064274

Position Number: 68064274 

Salary:  $1,574.93 - $3,084.18 / Bi-Weekly 

Posting Closing Date: 01/17/2019 

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. 

This position is located in the Bureau of Medicaid Policy. Medicaid Policy is responsible for the development, coordination, and implementation of Florida Medicaid program policies, including: all Medicaid federal authorities (e.g. the Florida State Plan, 1115 waivers and home and community based waivers), administrative rules, coverage policies, managed care plan contracts, bill analyses, drug utilization review boards, preferred drug lists, supplemental rebate contracts, and KidCare/Title 21. 

Salary is negotiable and commensurate with experience.

The incumbent in this position is responsible for researching, developing, implementing, evaluating, and maintaining policies under the Florida Medicaid program.

Research
The incumbent shall:

  • Maintain up-to-date knowledge concerning all aspects of the Florida Medicaid program, including federal regulations, state statutes, administrative rules, and the Florida Medicaid State Plan
  • Maintain up-to-date knowledge of health care and relevant industry trends that may have an impact on Florida Medicaid 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, national Medicaid-related research and demonstration projects, Medicaid medical assistance program innovations for general and special populations, and alternative financing and service delivery systems models
  • 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, Agency communications, State Medicaid Director Letters, and vendor contracts.


Program Planning and Analysis
The incumbent shall:

  • Analyze health care/program related information (including alternative financing and reimbursement strategies) in order to determine the effect on the Florida Medicaid program and compliance with federal and state laws
  • 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
  • Assist in the development of legislative budget requests and program proposals
  • Assist in the development of grant proposals
  • Assist in the completion of legislative reports, including collection of necessary data elements
  • Assist in the development and implementation of program designs, projects, and/or plans in order to meet bureau goals/priorities.


Policy Development
The incumbent shall:

  • Develop and maintain program policies and procedures under the Florida Medicaid program to ensure that programs operate in accordance with the goals and objectives of the Agency, state and federal laws, rules, regulations, and guidelines
  • Track and monitor the routing and approval of all policy documents to ensure timely completion and adherence to Agency established deadlines.


Communication
The incumbent shall:

  • Assist in the development of training and providing technical assistance to ensure consistency in service/program operation and conformity with goals and objectives of the Agency, state and federal laws, rules, regulations, and guidelines
  • Develop, coordinate, and implement statewide program training plans
  • Identify and document training needs
  • Design and evaluate training programs and materials
  • Conduct statewide and local trainings, as required
  • Provide technical assistance regarding service/program policies and procedures
  • Provide consultation through the accurate presentation of data and other service/program information
  • Participate on behalf of the Agency in local, state or national meetings, conferences, workshops, and seminars related to the Florida Medicaid program
  • Prepare presentations materials, as assigned


Contract Management
The incumbent shall:

  • Perform contract management activities in accordance with goals and objectives of the agency and state and federal laws, rules, regulations, and guidelines
  • Develop and execute provider contracts addressing standard contract documents, services to be provided, manner of service provision, method of payment, and special provisions
  • Process, inspect, review, and approve deliverables, and invoices for payment
  • Track and monitor provider expenditures
  • Maintain appropriate contract files and records
  • Carry out other necessary contract management activities


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.”

 

This position may require travel.

 

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 QUALIFICATIONS REQUIREMENTS

  • At least one year of experience implementing and/or managing complex projects
  • At least one year of experience in developing, managing, or monitoring health care related contracts
  • At least one year of experience serving as a leader or assistant on a major research project.
  • At least one year of professional writing experience (e.g., policy development, grant writing/submissions, rule promulgation, research publications, white paper, etc.)?
  • A bachelor's degree from a college or university is preferred and four years of professional clinical experience in behavioral health care, program planning, program research, program evaluation.
  • 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.

 

CONTACT: DENESSA HATCHER 850-412-4195

 

 

 

 

 

 

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