68025865 - MEDICAL/HEALTH CARE PROGRAM ANALYST
About The Position
The Medical/Health Care Program Analyst works in the Bureau of Medicaid Plan Management Operations, which oversees Medicaid managed care programs, including the Statewide Medicaid Managed Care and Dual Eligible Special Needs programs. The bureau ensures that managed care plans meet contractual requirements, including timely provision of medically needed services and payment to providers. The analyst supports D-SNP contract managers by analyzing, developing, implementing, and/or monitoring contracted Medicare and Medicaid services. The work includes reviewing administrative policies, procedures, guidelines, and related directives that affect D-SNP contract compliance, and providing technical assistance and support. The position is not remote or telework.
Requirements
- At least one year of experience working with contract- or program-related activities, such as compliance reviews or providing technical assistance.
- At least one year of experience analyzing data.
- Ability to use problem-solving techniques.
- Ability to understand and apply rules, regulations, policies, and procedures pertaining to a health services program.
- Ability to prioritize workload.
- Ability to manage a health services program.
- Ability to communicate effectively.
- Ability to establish and maintain effective working relationships.
- Ability to travel with or without accommodations.
Nice To Haves
- Experience working with managed care plans.
Responsibilities
- Support D-SNP contract managers within the Bureau of Plan Management Operations.
- Analyze, develop, implement, and/or monitor contracted Medicare and Medicaid services.
- Review administrative policies, procedures, guidelines, and related directives affecting D-SNP contract compliance.
- Provide technical assistance and support.
- Direct and coordinate planning and implementation of operational and program reviews and monitoring activities.
- Develop reports and research models.
- Collect and analyze financial data and assess budgetary needs.
- Formulate policies and procedures.
- Plan, organize, and coordinate work activities.
Benefits
- Health insurance, including individual and family coverage for eligible employees.
- Free $25,000 life insurance policy, with the 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 State employee.
- Ability to earn up to 104 hours of sick leave annually.
- Nine paid holidays and one personal holiday each year.
- Career advancement opportunities.
- Tuition waivers accepted by major Florida colleges and universities.
- Student loan forgiveness opportunities, subject to eligibility.
- Training opportunities.
- Flexible Spending Accounts.
- Shared Savings Program for select medical services.
- Lower prescription drug copays.
- Health and wellness discounts.
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What This Job Offers
Job Type
Full-time
Education Level
No Education Listed
