68064373 - MEDICAL/HEALTH CARE PROGRAM ANALYST

Requisition No: 883736

Agency: Agency for Health Care Administration

Working Title: 68064373 - MEDICAL/HEALTH CARE PROGRAM ANALYST

Pay Plan: Career Service

Position Number: 68064373

Salary: $1,833.39 - $2,383.41 Biweekly

Posting Closing Date: 09/22/2026

Total Compensation Estimator Tool

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 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 coordinating, submitting, and tracking Contracts, Rate Certifications, and Rate Certification questions to and from federal CMS and researching, developing, implementing, and maintaining Interagency Agreements for the Medicaid Program.

Research

•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 Medicare 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

Program Planning and Analysis

•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

Policy Development

•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: interagency agreements relating to the operation of the Medicaid program.

•Track and monitor the routing and approval of all policy documents to ensure timely completion and adherence to Agency established deadlines

Communication

•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

•Be the primary contact for Managed Care contract and rate submissions to federal CMS for review and approval, including coordinating responses for rate certification questions between federal CMS and the Agency’s actuarial unit.

•Develop, coordinate, and implement tracking systems to ensure timely submission of all Managed Care contracts and rates, receipt of questions, and submission of responses in the specified timeframes.

•Identify any exceptions to submission requirements and communicate exceptions with leadership.

•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

Performing other duties and responsibilities as required.

Additional Objections Based On Specific Positions

Contract Management

•Perform contract management activities in accordance with goals and objectives of the agency and state and federal laws, rules, regulations, and guidelines.

•Develop and execute interagency agreements addressing standard contract documents, services to be provided, manner of service provision, method of payment, and special provisions.

•Process, inspect, review, and approve deliverables, and invoices for payment.

•Track and monitor provider expenditures.

•Maintain appropriate contract files and records.

•Carry out other necessary contract management activities

This position is not a remote or telework position.

Benefits of working for the State of Florida:

Working for the State of Florida is more than a paycheck. We offer an excellent array of benefits, including:

• 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

For a more complete list of benefits, please visit

For more information about the Bureau of Medicaid Policy, please visit our website at

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 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 workload.

•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.

MINIMUM QUALIFICATIONS REQUIREMENTS

One year of experience developing health care related policies.

One year of technical writing experience.

One year of experience managing complex assignments.

Two years of professional experience in program planning, program research, or program evaluation is preferred.

A bachelor's degree from a college or university is preferred and can substitute for the required experience.

Must successfully complete training in contract management and become a certified contract manager within six months of hire in accordance with section 287.057(15)(c), F.S.

NOTE: The selection process may include a writing sample.

LICENSURE, CERTIFICATION, OR REGISTRATION REQUIREMENTS

N/A

CONTACT: HALEY FOWLER View phone number on aiapply.co

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.

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 View phone number on aiapply.co). 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 clicking here. All documentation is due by the close of the vacancy announcement.