68061450 - MEDICAL/HEALTH CARE PROGRAM ANALYST

State of Florida•Tallahassee, FL

3d•Onsite

About The Position

This 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 Quality. Medicaid Quality provides data-driven, focused and systematic feedback on the quality of Florida's Medicaid program to federal and state agencies, Medicaid recipients, Medicaid managed care plans, and providers. The Bureau of Medicaid Quality has a strong focus on providing more comprehensive care, improving health outcomes, and reducing costs. This position is responsible for developing monitoring tools as well as processing and reporting tools for Medicaid services to ensure compliance with federal regulations, statutes, administrative rules, the Florida Medicaid State Plan, contract requirements, and policies and procedures. The position will be required to maintain up-to-date knowledge on the Florida Medicaid program including pertinent federal regulations, state statutes, administrative rules, and program guidelines. This is an anticipated vacancy. This position will be hired at the non-negotiable rate of $2,054.51/biweekly. This position is not a remote or telework position.

Requirements

Two years of experience monitoring or auditing health care programs for quality compliance.
Knowledge of managed care, health care management programs and Medicaid.
Ability to utilize communication skills and problem-solving techniques.
Ability to understand and apply applicable rules, regulations, policies and procedures pertaining to health services.
Ability to coordinate the planning and implementation of Medicaid program monitoring reviews.
Ability to collect and analyze data, clearly write, edit and develop descriptive reports, demonstrate fluency in using Excel and other software tools from Microsoft Office Suite.
Ability to design, develop and implement various quality research models.
Ability to effectively communicate in writing including descriptions of policies and procedures.
Ability to plan, organize, prioritize and coordinate competing work activities.
Ability to effectively design and edit Excel spreadsheets, tables, and graphs.
Ability to coordinate, manage and train peers on the implementation of evaluation tools.
Ability to travel with or without accommodations.

Nice To Haves

A bachelor’s degree from an accredited college or university in business, statistics, mathematics, economics, public administration, health or social services administration is preferred and can substitute for four years of the required experience.

Responsibilities

Developing monitoring tools as well as processing and reporting tools for Medicaid services to ensure compliance with federal regulations, statutes, administrative rules, the Florida Medicaid State Plan, contract requirements, and policies and procedures.
Maintain up-to-date knowledge on the Florida Medicaid program including pertinent federal regulations, state statutes, administrative rules, and program guidelines.

Benefits

Health insurance (i.e., individual and family coverage) to eligible employees
Life insurance; $25,000 policy is free plus option to purchase additional life insurance
Dental, vision and supplemental insurance
State of Florida retirement options, including employer contributions
Ability to earn up to 104 hours of paid annual leave as a new employee with the State of Florida
Ability to earn up to 104 hours of sick leave annually
Nine paid holidays and 1 personal holiday each year
Opportunities for career advancement
Tuition waivers (accepted by major Florida Colleges/universities)
Student loan forgiveness opportunities (eligibility required)
Training opportunities
Flexible Spending Accounts
Shared Savings Program for select medical services
Lower copays for prescription drugs
Health and Wellness discounts