68064784 - MEDICAL/HEALTH CARE PROGRAM ANALYST

State of Florida•Tallahassee, FL

59d•$47,668 - $61,969•Onsite

About The Position

The Medical/Health Care Program Analyst works in the Bureau of Medicaid Policy and researches, develops, implements, evaluates, and maintains policies for the Florida Medicaid program. The role supports the development, coordination, and implementation of Medicaid policies and helps ensure program operations align with Agency objectives and applicable state and federal laws, rules, regulations, and guidelines. This is an onsite position and is not eligible for remote work or telework. The analyst maintains knowledge of the Florida Medicaid program, health care trends, Medicaid fiscal agent operations, Medicare policies, and Medicaid research and innovations. The role also analyzes program and health care information, supports program and fiscal impact analyses, prepares research reports, contributes to budget and grant proposals, and assists with legislative reports and program planning. The position develops and maintains program policies and procedures, helps draft policy-related documents, and monitors document approval and routing. It also supports statewide training and technical assistance by identifying training needs, designing materials, conducting training, communicating program information, and representing the Agency at relevant meetings and events. The position requires travel, with or without accommodations. Applicants must successfully complete the required State and National criminal history screening before employment begins.

Requirements

At least one year of experience developing health care-related policies.
At least one year of technical writing experience.
At least one year of experience managing complex assignments.
Ability to direct and coordinate planning and implementation of operational and program reviews and program monitoring activities.
Ability to use problem-solving techniques.
Ability to understand and apply rules, regulations, policies, and procedures applicable to a health services program.
Ability to prioritize workload and develop reports.
Ability to design, develop, and implement research models.
Ability to manage a health services program.
Ability to assess budgetary needs and collect and analyze financial data.
Ability to formulate policies and procedures and plan, organize, and coordinate work activities.
Ability to communicate effectively and maintain effective working relationships.
Ability to travel with or without accommodations.
Successful completion of required State and National criminal history screening before beginning employment.

Nice To Haves

Two years of professional experience in program planning, program research, or program evaluation.
Bachelor's degree from a college or university.

Responsibilities

Maintain current knowledge of Florida Medicaid, including federal regulations, state statutes, administrative rules, and the Florida Medicaid State Plan.
Monitor relevant health care trends, Medicaid fiscal agent operations, Medicare policies, Medicaid research and demonstration projects, program innovations, and alternative financing and service delivery models.
Research assigned topics using peer-reviewed research, laws, reliable evidence sources, the Medicaid State Plan, Agency communications, State Medicaid Director Letters, and vendor contracts.
Analyze health care and program information, including alternative financing and reimbursement strategies, for effects on Florida Medicaid and compliance with applicable laws.
Assist with analysis and development of programmatic and fiscal impact statements for proposed federal or state program and policy changes.
Prepare reports of research findings and present complex or large amounts of information in useful formats.
Assist in developing legislative budget requests, program proposals, grant proposals, and legislative reports, including gathering necessary data.
Assist with developing and implementing program designs, projects, and plans to meet bureau goals and priorities.
Develop and maintain Florida Medicaid program policies and procedures consistent with Agency objectives and applicable laws, rules, regulations, and guidelines.
Assist in drafting policy language for Medicaid Managed Care report guides, Medicaid contracts and amendments, Dear Managed Care Plan letters, contract interpretations, policy transmittals, and provider alerts.
Track and monitor policy-document routing and approvals to ensure timely completion and compliance with Agency deadlines.
Assist with developing training and providing technical assistance to support consistent program operations and compliance with applicable requirements.
Develop, coordinate, and implement statewide program training plans; identify and document training needs; and design and evaluate training programs and materials.
Conduct statewide and local training as required and provide technical assistance on program policies and procedures.
Provide consultation through accurate presentation of data and program information.
Represent the Agency at local, state, or national meetings, conferences, workshops, and seminars related to Florida Medicaid.
Prepare presentation materials as assigned.
Plan and coordinate operational and program reviews and program monitoring activities.
Assess budgetary needs and collect and analyze financial data.
Prioritize workload, organize work activities, communicate effectively, and establish and maintain effective working relationships.
Travel with or without accommodations.

Benefits

Health insurance, including individual and family coverage for eligible employees.
Free $25,000 life insurance policy, with an 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 copays for prescription drugs.
Health and wellness discounts.