68022325 - MEDICAL/HEALTH CARE PROGRAM ANALYST

Requisition No: 882569

Agency: Agency for Health Care Administration

Working Title: 68022325 - MEDICAL/HEALTH CARE PROGRAM ANALYST

Pay Plan: Career Service

Position Number: 68022325

Salary: $1,833.39 - $2,115.38 Biweekly

Posting Closing Date: 09/06/2026

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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 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 to ensure 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 Conducting studies and evaluations, conducting work simplifications and measurement studies, providing technical assistance and developing operations and procedures to assist the Agency in operating more efficiently and effectively (which may include program analysis, management consulting, and examination development).

This position also acts as Agency contract manager for assigned PACE contracts, which shall include but may not be limited to maintaining active agency contract manager certification, adhering to established agency procurement policies and procedures, participating in the competitive and non-competitive procurement and development of assigned contracts, overseeing the day-to-day administrative, programmatic, and financial operations of assigned contracts, maintaining appropriate and up-to-date contract files, and serving as liaison with assigned contract vendor(s).

Also, this position organizes and coordinates the program monitoring activities for PACE plans to ensure compliance with federal regulations, statutes, administrative rules, Florida Medicaid State Plan, contract compliance and Medicaid policies and procedures, including performing contract monitoring of vendor performance at least annually.

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

KNOWLEDGE, SKILLS, AND ABILITIES

Knowledge of the Medicaid Program and Managed Care.

Knowledge of the methods of data collection and analysis.

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 develop tracking systems, maintain accurate information within tracking systems.

Ability to prioritize workload.

Ability to develop various reports, documents, and other written materials.

Ability to design, develop and implement research models.

Ability to conduct fact-finding research.

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 and assignments.

Ability to communicate effectively.

Ability to establish and maintain effective working relationships with others.

Ability to work independently.

MINIMUM QUALIFICATIONS REQUIREMENTS

•One year experience in Medicaid and/or a Managed Care Organization.

•One year experience working with contract or program related activities (e.g. compliance reviews, providing technical assistance)

•One year of experience analyzing data is preferred.

LICENSURE, CERTIFICATION, OR REGISTRATION REQUIREMENTS

N/A

CONTACT: NEIRE BRAYNEN 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.

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.