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REGULATORY ANALYST III - 68064245

Date: Dec 4, 2017

Location: TALLAHASSEE, FL, US, 32308

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Requisition No: 25018 

Agency: Agency for Health Care Administration

Working Title: REGULATORY ANALYST III - 68064245

Position Number: 68064245 

Salary:  $1,402.60 Bi-Weekly 

Posting Closing Date: 12/17/2017 

This is a highly responsible, specialized professional position in the Cost Reimbursement unit in the Bureau of Medicaid Program Finance (MPF). MPF is within the Division of Medicaid which is part of the Agency for Health Care Administration (AHCA). The individual selected for this position will be responsible for setting hospital reimbursement rates by analyzing and auditing hospital provider cost reports, and making appropriate desk audit adjustments to determine allowable costs. Rate setting is performed in accordance with Medicaid reimbursement plans, policies, and applicable federal and state rules and regulations.  The individual hired into this role will be responsible for establishing provider reimbursement rates for the annual rate setting for all hospital providers enrolled in the Medicaid program. They will also be responsible for processing rate change based on audits, amended cost reports, and all other situations requiring retroactive rate adjustments. The incumbent will provide technical assistance regarding policies and procedures for provider rate setting and fulfill data requests to departmental staff, provider associations, and other organizations and interested persons.  The individual hired into this role will assist in preparing special reports and analyses on provider costs and the fiscal effect of the primary features of the hospital cost reimbursement plan including the mechanism, rates, grouping criteria, caps, cost projections, inflation allowances, cost allocation, rate revision frequency, geographic differentials, rate appeals, cost reports, allowable costs, depreciation, quality of care incentives, and profit allowances.  The incumbent will be required to maintain up-to-date knowledge concerning the Florida Medicaid program, including pertinent statutes, Legislative changes, Florida rules and regulations of the Department of Health and Human Services, provider manuals, and Medicaid billins procedures. This also includes knowledge of Medicaid financial and statistical information at both state and national levels, maintaining detailed knowledge of Medicare and other health care program cost reimbursement principles.  Perform other duties and resposibilites as required by Medicaid Program Finance. 

 

KNOWLEDGE, SKILLS, AND ABILITIES

  • Knowledge of accounting principles and procedures.
  • Knowledge of the methods and compiling, organizing, and analyzing data. 
  • Knowledge of basic mathematics. 
  • Ability to use Excel, Word, and Outlook at an intermediate to high level. 
  • Ability to review, analyze, and evaluate financial data. 
  • Ability to develop various reports. 
  • Ability to establish and maintain effective working relations with others. 
  • Ability to plan, organize, and coordinate work assignments.
  • Ability to communicate effectively. 
  • Ability to utilize problem-solving techniques. 

 

MINIMUM QUALIFICATIONS REQUIREMENTS

  • One year professional experience in accounting, finance, economics, or statistics. 
  • One year professional experience related to Medicaid reimbursement. 
  • Bachelor's degree from an accredited college or university with a degree in a business related field such as accounting, finance, economics, or statistics being highly preferred.
  • Experience can also be substituted on a year-for-year basis for the preferred education.
  • Having detailed knowledge of acceptable accounting and auditing principles, procedures, and techniques is a plus.

 

CONTACT: JESSE BOTTCHER (850) 412-4095

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