68064935 - MEDICAL/HEALTH CARE PROGRAM ANALYST

State of Florida•Tallahassee, FL

5d•$2,134 - $2,333•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 Policy. Medicaid Policy is responsible for the development, coordination, and implementation of Florida Medicaid program policies, including: all Medicaid federal authorities (e.g. the Florida State Plan, 1115 waivers and home and community based waivers), administrative rules, coverage policies, managed care plan contracts, bill analyses, drug utilization review boards, preferred drug lists, supplemental rebate contracts, and KidCare/Title 21. This position is responsible for researching, developing, implementing, evaluating, and maintaining policies under the Florida Medicaid program.

Requirements

One year of experience developing health care related policies.
One year of technical writing experience.
One year of experience managing complex assignments.
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 or without accommodations.

Nice To Haves

A bachelor's degree from an accredited college or university.
Two years of professional experience in program planning, program research, or program evaluation.

Responsibilities

Maintain up-to-date knowledge concerning all aspects of the Florida Medicaid program, including federal regulations, state statutes, administrative rules, and the Florida Medicaid State Plan
Maintain up-to-date knowledge of health care and relevant industry trends that may have an impact on Florida Medicaid or may inform policy development activities
Remain informed about the operations of the Medicaid fiscal agent, including Medicaid claims process, billing procedures, reimbursement methodologies, encounter submissions, and provider enrollment
Remain informed about Medicaid policies, national Medicaid-related research and demonstration projects, Medicaid medical assistance program innovations for general and special populations, and alternative financing and service delivery systems models
Conduct research on assigned topics, including, but not limited to: performing a review of peer-reviewed research articles, federal and state laws, other reliable sources of evidence, the Medicaid State Plan, Agency communications, State Medicaid Director Letters, and vendor contracts
Analyze health care/program related information (including alternative financing and reimbursement strategies) in order to determine the effect on the Florida Medicaid program and compliance with federal and state laws
Assist in the analysis and development of programmatic and fiscal impact statements based on proposed federal/state program or policy changes
Prepare reports of research findings, including synthesizing complex and/or large amounts of information into a useful format and presentation
Assist in the development of legislative budget requests and program proposals
Assist in the development of grant proposals
Assist in the completion of legislative reports, including collection of necessary data elements
Assist in the development and implementation of program designs, projects, and/or plans in order to meet bureau goals/priorities
Develop and maintain program policies and procedures under the Florida Medicaid program to ensure that programs operate in accordance with the goals and objectives of the Agency, state and federal laws, rules, regulations, and guidelines
Assist in the development of policy language for: The Statewide Medicaid Managed Care report guide, contracts and amendments; Dear Managed Care Plan letters, contract interpretations, policy transmittals, and provider alerts
Track and monitor the routing and approval of all policy documents to ensure timely completion and adherence to Agency established deadlines
Assist in the development of training and providing technical assistance to ensure consistency in service/program operation and conformity with goals and objectives of the Agency, state and federal laws, rules, regulations, and guidelines
Develop, coordinate, and implement statewide program training plans
Identify and document training needs
Design and evaluate training programs and materials
Conduct statewide and local trainings, as required
Provide technical assistance regarding service/program policies and procedures
Provide consultation through the accurate presentation of data and other service/program information
Participate on behalf of the Agency in local, state or national meetings, conferences, workshops, and seminars related to the Florida Medicaid program
Prepare presentations materials, as assigned
Perform other duties and responsibilities as required.

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