Medical Health Care Program Analyst

State of Florida

. Gather, track, and analyze operational performance data to improve operational productivity and efficiency .

Posted 11/10/2026full-timeTallahassee • Florida • United StatesMid-LevelSenior💰 $1,833 - $2,383 per weekWebsite

Core Competencies

Role fit

Core Competencies

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Demonstrates expertise in operational performance analysis, contract compliance monitoring, and technical assistance within Medicaid programs. Proficient in data reporting, Microsoft Office applications, and effective communication with diverse stakeholders.

Highest-signal resume keywords

Operational Performance AnalysisContract Compliance MonitoringData Reporting and AnalysisMicrosoft Excel ProficiencyTechnical Assistance and Training

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills

Data AnalysisReport PreparationContract Management EvaluationProblem-Solving TechniquesTyping SkillsStatistical ReportingFile Processing AccuracySystem Documentation ReviewClient Request Test Data AnalysisEnrollment Research

Soft Skills

Effective CommunicationRelationship BuildingOrganizational SkillsCustomer Issue ResolutionTeam Coordination

Tools & Technologies

Microsoft OfficeMicrosoft ExcelWord Processing SoftwareSpreadsheet SoftwareDatabase Software

Certifications & Qualifications

State and National Criminal History Check

Industry Keywords

Medicaid ProgramAHCA ActivitiesProvider NetworkEnrollment File ProcessingManaged Care Issues

About the role

Key responsibilities & impact

Gather, track, and analyze operational performance data to improve operational productivity and efficiency
Monitor contract performance and compliance for the enrollment file processing system
Prepare reports, presentations, and data query responses
Manage and monitor daily files for timeliness and accuracy
Serve as the Agency liaison with AHCA staff and other agencies regarding file issues or delays
Provide technical assistance and training to system users, including system access support
Monitor systems and conduct recipient research concerning enrollment, beneficiary, and reject issues
Develop, review, analyze, and coordinate contractor Client Request time estimates and proposed actions
Independently analyze contractor-created Client Request test data
Review test data with requestors and explain system logic
Review system documentation for accuracy and completeness
Respond to assigned correspondence, inquiries, and complaints
Maintain current knowledge of managed care issues, Medicaid-related AHCA activities, and Medicaid fiscal agent operations
Monitor contract performance and compliance for the Provider Network file processing system
Provide technical assistance to health plans using the Provider Network file submission and processing system
Research file processing to ensure accuracy of system documentation and reports

Requirements

What you’ll need

Two years of experience in developing, evaluating and/or using data reports for planning, workload analysis or monitoring purposes
Two years of Microsoft Excel or similar software experience
Three years of experience explaining policies and procedures to customers with a limited understanding of the subject matter or researching and resolving customer issues and complaints
Knowledge of methods for compiling, organizing, and analyzing data
Knowledge of problem-solving techniques
Knowledge of word processing, spreadsheet, and/or database software
Knowledge of Microsoft Office (Outlook, Excel, Word, etc.)
Skills in typing; using computer keyboard functions efficiently
Ability to evaluate operations of contract management
Ability to coordinate agency needs and contractor's outputs
Ability to collect, analyze and disseminate essential information required by the agency to control the Medicaid program or ensure information is available when needed
Ability to travel with or without accommodation
Ability to relate effectively to clients, providers, and staff of community agencies
Ability to plan, organize, and complete work assignments
Ability to establish and maintain effective working relationships
Ability to coordinate and prepare written and statistical reports
Successful completion of State and National criminal history check before employment
N/A licensure, certification, or registration requirements

Benefits

Comp & perks

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
Veterans’ Preference for eligible candidates
Reasonable accommodation support for candidates with disabilities