68064249 - Medical/health Care Program Analyst

68064249 - MEDICAL/HEALTH CARE PROGRAM ANALYST Date: May 15, 2024 Location: TALLAHASSEE, FL, US, 32308 The State Personnel System is an E-Verify employer. For more information click on our E-Verify Website (http://www.dms.myflorida.com/workforceoperations/humanresourcemanagement/forjobapplicants/everify) .Requisition No: 829374 Agency: Agency for Health Care AdministrationWorking Title: 68064249 - MEDICAL/HEALTH CARE PROGRAM ANALYSTPay Plan: Career ServicePosition Number: 68064249 Salary: $1,659.66 - $2,157.56 Biweekly Posting Closing Date: 05/29/2024 Total Compensation Estimator Tool (https://compcalculator.myflorida.com/) Agency Overview: The Agency for Health Care Administration (AHCA) is Florida's chief health policy and planning entity. The Agency is responsible for administering the Florida Medicaid program, the licensure and regulation of nearly 50,000 health care facilities, and empowering consumers through health care transparency initiatives. Under the direction of the Agency Secretary, AHCA is focused on advancing Governor DeSantis’ vision for Florida’s health care system to be the most cost-effective, transparent, and high-quality health care system in the nation. The Medicaid program provides low-income families and individuals with access to health care. If you have a desire to use your talent and skills at an organization that provides critical services to millions of individuals and families across the state, AHCA invites you to apply to become an essential member of our team. As one of Florida’s leading state agencies, AHCA’s diverse workforce community of more than 1,400 employees is proud of its efforts to serve the people of Florida. Agency Objectives: HIGH QUALITY Emphasizing quality in all that we do to improve health outcomes, always putting the individual first. TRANSPARENT Supporting initiatives that promote transparency and empower consumers in making well informed healthcare decisions. COST-EFFECTIVE Leveraging Florida’s buying power in delivering high quality care at the lowest cost to taxpayers. Position Overview: 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 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. The bureau’s primary responsibility is ensuring that the managed care plans meet Medicaid contractual requirements, including the timely provision of medically needed services and provider payment for such services. This position is responsible for analyzing, developing, implementing, coordinating, and/or monitoring contracted Medicare Advantage Dual Eligible Special Needs Plans (D-SNPs) within the Bureau of Plan Management. This position serves as a D-SNP Contract Manager and the lead point of contact for their assigned Agency contract. D-SNPs enroll individuals who are entitled to Medicare and Medicaid. The Incumbent in this position maintains up-to-date knowledge concerning the Florida Medicaid program and the Federal Medicare program, including pertinent Federal laws and regulations, state statutes and rules. This position is not a remote or telework position; it will have to report to a Field Office or the Headquarters in Tallahassee. Benefits of Working for the State of Florida: Working for the State of Florida is more than a paycheck. The State’s total compensation package for employees features a highly competitive set of employee benefits including: State Group Insurance Coverage Options, including health, life, dental, vision, and other supplemental insurance options; Flexible Spending Accounts; State of Florida retirement options, including employer contributions; Generous annual and sick leave benefits; 9 paid holidays a year and 1 Personal Holiday each year; Career advancement opportunities; Tuition waiver for courses offered by Florida’s nationally ranked State University System; Training and professional development opportunities; And more! For more information about the Bureau of Plan Management Operations, please visit our website at http://ahca.myflorida.com/Medicaid/index.shtml. Join us at the Agency for Health Care Administration in fulfilling our mission to provide “Better Health Care for all Floridians.” KNOWLEDGE, SKILLS, AND ABILITIES Ability to communicate effectively verbally and in writing. Ability to travel with or without accommodations. Ability to work cooperatively as a member of the team. Ability to accurately collect, analyze and evaluate data quickly, develop reports and make recommendations. Ability to understand and apply applicable statutes, rules, regulations, policies, and procedures. Ability to determine work priorities, assign and insure proper completion of work assignments in a timely manner. Knowledge of methods necessary for efficient compilation, organization and analyzation of data. Knowledge of health care facilities, operations, and management. Knowledge of word processing, spreadsheet, and/or database software. Knowledge of state procurement laws and contract management policies/procedures. Ability to apply state procurement laws and contract management policies/procedures. MINIMUM QUALIFICATIONS REQUIREMENTS At least one (1) year of work experience in Medicaid and/or a Managed Care Organization. At least one (1) year of experience working with contract or program related activities (e.g. compliance reviews, providing technical assistance). At least one (1) year of experience analyzing data preferred. Preference will be given to the applicant who has experience working with Medicare Advantage Plans. LICENSURE, CERTIFICATION, OR REGISTRATION REQUIREMENTS N/A CONTACT: BETTHANY GARDNER 850-412-4260 BACKGROUND 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. The State of Florida is an Equal Opportunity Employer/Affirmative Action Employer, and does not tolerate discrimination or violence in the workplace.Candidates requiring a reasonable accommodation, as defined by the Americans with Disabilities Act, must notify the agency hiring authority and/or People First Service Center (1-866-663-4735). Notification to the hiring authority must be made in advance to allow sufficient time to provide the accommodation.The State of Florida supports a Drug-Free workplace. All employees are subject to reasonable suspicion drug testing in accordance with Section 112.0455, F.S., Drug-Free Workplace Act.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 clickinghere (http://www.dms.myflorida.com/content/download/97612/566545) . All documentation is due by the close of the vacancy announcement. Nearest Major Market:Tallahassee