68025865 - MEDICAL/HEALTH CARE PROGRAM ANALYST

Medical Health Care Program AnalystThis is an exciting opportunity to help shape the quality of health care in 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 Plan Management Operations (PMO). PMO is responsible for the primary oversight of Medicaid's managed care programs, with a focus on the Statewide Medicaid Managed Care (SMMC) program and Dual Eligible Special Needs (D-SNP) program.

The bureau's primary responsibility is ensuring that the managed care plans meet contractual requirements, including the timely provision of medically needed services and provider payment for such services. This position is responsible for providing support to the D-SNP contract managers within the Bureau of Plan Management Operations, including duties such as analyzing, developing, implementing and/or monitoring contracted Medicare and Medicaid services. This work consists of reviewing administrative policies, procedures, guidelines and related directives impacting D-SNP contract compliance, and providing technical assistance and support. 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. We offer an excellent array of benefits, including:Health insurance (i.e., individual and family coverage)Life insurance; $25,000 policy is free plus option to purchase additional life insuranceDental, vision and supplemental insuranceState of Florida retirement options, including employer contributionsAbility to earn up to 104 hours of paid annual leave as a new employee with the State of FloridaAbility to earn up to 104 hours of sick leave annuallyNine paid holidays and 1 personal holiday each yearOpportunities for career advancementTuition waivers (accepted by major Florida Colleges/universities)Student loan forgiveness opportunities (eligibility required)Training opportunitiesFlexible Spending AccountsShared Savings Program for select medical servicesLower copays for prescription drugsHealth and Wellness discountsKNOWLEDGE, 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 our without accommodations.MINIMUM QUALIFICATIONS REQUIREMENTS:One (1) year of experience working with contract or program related activities (e.g.

compliance reviews, providing technical assistance).One (1) year experience analyzing data.Experience working with managed care plans is preferred.LICENSURE, CERTIFICATION, OR REGISTRATION REQUIREMENTS N/ACONTACT: NEIRE BRAYNENBACKGROUND 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.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.