68064828 - MEDICAL / HEALTH CARE PROGRAM ANALYST

Medical / Health Care Program Analyst

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.

The Bureau of 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 / Childrens Health Insurance Program (CHIP).

The incumbent shall :

• Maintain up-to-date knowledge concerning all aspects of the Florida Medicaid / CHIP program, including federal regulations, state statutes, administrative rules, and the Florida Medicaid State Plan / CHIP State Plan.
• Maintain up-to-date knowledge of health care and relevant industry trends that may have an impact on Florida Medicaid / Florida CHIP 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 Medicare policies / CHIP policies, national Medicaid-related research / CHIP related research and demonstration projects, Medicaid / CHIP 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 / CHIP State Plan, Agency communications, State Medicaid Director Letters, and vendor contracts

This position is not a remote or telework position. A good attendance record is essential for any individual in this position as the work involved occurs daily and is time sensitive. The individual in this position is expected to report to work daily and on time.

Working for the State of Florida is more than a paycheck. We offer an excellent array of benefits, including : health insurance, life insurance, dental, vision and supplemental insurance, state of Florida retirement options, paid annual leave, sick leave, paid holidays, career advancement, tuition waivers, student loan forgiveness opportunities, training opportunities, flexible spending accounts, shared savings program for select medical services, lower copays for prescription drugs, and health and wellness discounts.