68061450 - MEDICAL/HEALTH CARE PROGRAM ANALYST

Florida; Tallahassee (FL); On-site; USD 47,000 - 57,000; Full time

Benefits offered by this job

Health insurance

Life insurance

Dental and vision insurance

State retirement options

Paid annual leave

Sick leave

Public holidays

Career advancement

Tuition waivers

Student loan forgiveness

Shared Savings Program

Lower copays

Wellness discounts

Job summary

Agency for Health Care Administration in Florida seeks a Medical/Health Care Program Analyst to enhance Medicaid quality through data-driven monitoring and reporting. The role requires creativity, flexibility and teamwork in a fast-paced environment.

You will help ensure compliance with federal regulations, state statutes, and contract requirements while supporting initiatives to improve health outcomes and reduce costs across Florida’s Medicaid program.

Qualifications

• Knowledge of managed care, Medicaid and quality compliance.
• Ability to collect/analyze data and write descriptive reports.
• Proficiency in Excel and Microsoft Office tools.

Responsibilities

• Develop monitoring and reporting tools for Medicaid quality.
• Ensure compliance with federal/state regulations and contracts.
• Maintain up-to-date knowledge of Florida Medicaid program guidelines.

Skills

Knowledge of Medicaid program

Data analysis

Excel proficiency

Communication skills

Problem-solving

Quality monitoring

Reporting skills

Travel willingness

Education

Bachelor’s degree in a related field

Tools

Microsoft Office Suite

Job description

68061450 - MEDICAL/HEALTH CARE PROGRAM ANALYST

Date: Oct 2, 2026

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

Requisition No:884877

Agency: Agency for Health Care Administration

Working Title: 68061450 - 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.

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 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 Quality. Medicaid Quality provides data-driven, focused and systematic

feedback on the quality of Florida's Medicaid program to federal and state agencies, Medicaid recipients, Medicaid managed care

plans, and providers.

The Bureau of Medicaid Quality has a strong focus on providing more comprehensive care, improving health

outcomes, and reducing costs.

This position is responsible for developing monitoring tools as well as processing and reporting tools for Medicaid services to ensure compliance with federal regulations, statutes, administrative rules, the Florida Medicaid State Plan, contract requirements, and policies and procedures.

The position will be required to maintain up-to-date knowledge on the Florida Medicaid program including pertinent federal regulations, state statutes, administrative rules, and program guidelines.

This is an anticipated vacancy.

This position will be hired at the non-negotiable rate of $2,054.51/biweekly.

This position is not a remote or telework position.

Benefits of working for the State of Florida:

• 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)
• 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 https://www.mybenefits.myflorida.com/

For more information about the Bureau of Medicaid Quality, please visit our website at http://ahca.myflorida.com/Medicaid/index.shtml.

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

• Knowledge of managed care, health care management programs and Medicaid.
• Ability to utilize communication skills and problem-solving techniques.
• Ability to understand and apply applicable rules, regulations, policies and procedures pertaining to health services.
• Ability to coordinate the planning and implementation of Medicaid program monitoring reviews.
• Ability to collect and analyze data, clearly write, edit and develop descriptive reports, demonstrate fluency in using Excel and other software tools from Microsoft Office Suite.
• Ability to design, develop and implement various quality research models.
• Ability to effectively communicate in writing including descriptions of policies and procedures.
• Ability to plan, organize, prioritize and coordinate competing work activities.
• Ability to effectively design and edit Excel spreadsheets, tables, and graphs.
• Ability to coordinate, manage and train peers on the implementation of evaluation tools.
• Ability to travel with or without accommodations.

MINIMUM QUALIFICATIONS REQUIREMENTS

Two years of experience monitoring or auditing health care programs for quality compliance.

Preferred Qualification(s):

A bachelor’s degree from an accredited college or university in business, statistics, mathematics, economics, public administration, health or social services administration is preferred and can substitute for four years of the required experience.

LICENSURE, CERTIFICATION, OR REGISTRATION REQUIREMENTS

N/A

CONTACT

SAVETRA ROBINSON and MIRANDA ROBINSON (850) 412 - 4215

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 (1-866-663-4735). 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.

For assistance, call the People First Service Center at [phone] Monday - Friday, 8:00 a.m. to 6:00 p.m., Eastern time. Pursuant to Florida Law, 110.211 F. S., the State of Florida is an EEO employer.