Medical​/Health Care Program Analyst

Overview

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Date:
Mar 13, 2026

The State Personnel System is an E-Verify employer. For more information click on our E-Verify Website.

Requisition No: 863686

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 Program Finance (MPF).

MPF manages and projects Florida’s $34.5 billion Medicaid Services budget, oversees financial reporting of the Agency’s contracted Medicaid health plans, calculates both institutional and non-institutional Medicaid reimbursement rates, and disburses supplemental payments to Medicaid providers.

This position is responsible for assisting with Fee for Service Rate Setting and Home and Community Based Waiver projections.

The incumbent also assists as the interagency Agreement liaison.

Processes Administrative Claim invoicing and Medicare Part D invoices.

This involves reconciling, communicating, or transmitting information to other units and/or agencies.

Review and sign off on invoice letters, outstanding interest owed letters and dispute letters quarterly for the Federal and Supplemental Drug Rebate Programs and assists with dispute resolutions between the drug manufacturers and the State of Florida.

The incumbent maintains detailed knowledge of Medicaid financial and program statistical data at the state and national levels. Maintains up-to-date knowledge of Medicare and other health care programs related to indigent health care.

Maintains detailed knowledge of fiscal planning methodologies and techniques, Medicaid expenditure experiences of other states and special studies, survey findings, and new developments in Medicaid and related program areas. Maintains basic knowledge of current program planning and evaluation methodologies and techniques.

The incumbent maintains detailed, up-to-date knowledge concerning the Florida Administrative Code, Federal Medicaid rules and regulations for Health Care Administration, provider manuals, Medicaid billing procedures, the Florida Medicaid Management Information System (FMMIS), basic computer processing, statistical analysis software, information retrieval, and management reporting capabilities. Remains informed about Medicaid related activities of the Agency and about the operations…