Medical​/Health Care Program Analyst

- MEDICAL/HEALTH CARE PROGRAM ANALYST

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Requisition No: 877803

Agency:
Agency for Health Care Administration

Working Title:

- MEDICAL/HEALTH CARE PROGRAM ANALYST

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.

• 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.

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 Kid Care/Title 21.

This position is responsible for researching, developing, implementing, evaluating, and maintaining policies under the Florida Medicaid program.

• 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…