68053420 - Medical/Health Care Program Analyst

Business and Financial Operations; Fort Myers (FL); On-site; USD 65,000 - 90,000; Full time

Job summary

The Agency for Health Care Administration (AHCA) in Florida seeks a Medical/Health Care Program Analyst to lead the Bureau of Medicaid Recipient Services. The role reports on Medicaid issues, complaints and concerns while providing technical assistance to recipients and providers.

The incumbent maintains expertise in Florida Medicaid policy, federal laws, and managed care operations to resolve complex issues.

Qualifications

• Knowledge of Florida Medicaid program, federal laws, regs and rules.
• Ability to research and respond to Medicaid issues and complaints with strong policy expertise.
• Experience coordinating with Medicaid recipients, providers and policy staff.
• Proficiency in complaint resolution and documentation protocols.

Responsibilities

• Lead a team in researching Medicaid issues, complaints and concerns.
• Provide technical assistance to recipients and providers.
• Maintain expertise in Florida Medicaid policy, federal regulations and managed care operations.
• Support facility closure coordination and issue resolution activities.

Skills

Policy knowledge

Research abilities

Team coordination

Complaint resolution

Communication skills

Job description

The Medical/Health Care Program Analyst position at the Agency for Health Care Administration (AHCA) serves as a team lead in the Bureau of Medicaid Recipient Services. The role involves researching and responding to Medicaid issues, complaints, and concerns while providing technical assistance to recipients and providers. The incumbent maintains expertise in Florida Medicaid program policy, federal regulations, and managed care operations to resolve complex Medicaid-related issues and support facility closure coordination.

Key qualifications:

• Knowledge of Florida Medicaid program, federal laws, regulations, state statutes and rules
• Ability to research and respond to Medicaid issues, complaints, and complaints with strong policy expertise
• Experience coordinating with Medicaid recipients, providers, policy staff, and managed care plans
• Proficiency in complaint resolution and documentation protocols
• Ability to thrive in a fast-paced, team-based work environment with strong communication skills