Requisition No: 569993
Agency: Agency for Health Care Administration
Working Title: 68024191 – MEDICAL HEALTH CARE PROGRAM ANALYST
Position Number: 68024191
Salary: $1,574.93 Bi-Weekly
Posting Closing Date: 02/18/2022
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 Healthcare 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 is a complex analytical position in the Bureau of Medicaid Fiscal Agent Operations (MFAO) within the Agency for Healthcare Administration (AHCA).
This position is responsible for coordinating provider terminations with the Office of the Medicaid Director, the Bureau
of Medicaid Program Integrity and MFAO’s Provider Enrollment Unit.
The incumbent will evaluate Florida Department of Health practitioner and AHCA facility licensure actions and
coordinate appropriate Medicaid action.
The incumbent will conduct investigations surrounding Medicaid provider types that are considered “high risk” for
fraud.
The incumbent will review providers that are potentially excluded from federal healthcare programs.
The incumbent will utilize Business Objects programs to prepare ineligible Medicaid provider reporting to Medicaid contracted
health plans.
The incumbent will assist in evaluating incoming referrals of a fraud-based nature received from AHCA-contracted
health plans, other AHCA bureaus and other agencies.
The incumbent will provide research assistance and Medicaid enrollment/eligibility information to other state agencies
and AHCA bureaus.
The incumbent shall possess and maintain up-to-date knowledge concerning the Florida Medicaid Program, including
the Florida Medicaid Management Information System (FMMIS), pertinent state and federal laws and administrative
rules and codes governing state and federal healthcare programs, Medicaid provider handbooks and Medicaid provider
enrollment procedures.
The incumbent shall be responsible for replying to denied, terminated, and suspended Medicaid providers or
applicants utilizing standard/approved language that protects and supports the Florida Medicaid Program.
Incumbent shall possess outstanding organizational and formal writing skills.
The Incumbent will be hired at the base rate of $1574.93 Bi-weekly
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
For more information about the Bureau of Medicaid Fiscal Agent Operations, 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 determine work priorities
- Ability to communicate effectively
- Ability to establish and maintain effective working relationships with others
- Ability to understand and apply applicable rules, regulations, policies and procedures relating to management
- analysis activities
- Ability to collect, evaluate and analyze data
- Ability to develop alternative recommendations, solve problems, documents and other activities relating to the
- improvement of management practices
- Ability to organize data into a logical format for presentation in reports, documents, and other written material
- Ability to utilize problem-solving techniques and make decisions independently
Minimum Qualifications Requirements
Two years of professional experience in a health or rehabilitation program involving program or policy planning
and development, program research or evaluation, finance, statistical analysis, accounting, auditing or budget
analysis.
Licensure, Certification, Or Registration Requirements
N/A
CONTACT: DEBBIE KELLEY (850) 412-3449
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.