Medical/Health Care Program Analyst

State of Florida

. Coordinate, submit, and track contracts, rate certifications, and rate certification questions to and from federal CMS .

Posted 9/15/2026full-timeTallahassee • Florida • United StatesJunior💰 $1,833 - $2,383 per weekWebsite

Core Competencies

Role fit

Core Competencies

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Demonstrates expertise in Florida Medicaid policies, federal regulations, and contract management, with strong capabilities in technical writing, research, and program development. Proficient in analyzing health care trends and financial data to support policy formulation and operational reviews.

Highest-signal resume keywords

Florida Medicaid KnowledgeContract Management CertificationTechnical Writing ExperiencePolicy DevelopmentResearch and Analysis

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills

Health Care Policy DevelopmentContract ManagementFinancial Data AnalysisReport DevelopmentResearch Model Implementation

Soft Skills

Problem-SolvingEffective CommunicationWorkload PrioritizationOrganizational SkillsRelationship Building

Certifications & Qualifications

Certified Contract Manager

Industry Keywords

Florida MedicaidFederal CMSClaims ProcessingReimbursement MethodologiesInteragency Agreements

About the role

Key responsibilities & impact

Coordinate, submit, and track contracts, rate certifications, and rate certification questions to and from federal CMS
Research, develop, implement, and maintain interagency agreements for the Florida Medicaid Program
Maintain current knowledge of Florida Medicaid, federal regulations, state statutes, administrative rules, and the Florida Medicaid State Plan
Research health care and industry trends affecting Florida Medicaid and policy development
Monitor Medicaid fiscal agent operations, claims processing, billing, reimbursement methodologies, encounter submissions, and provider enrollment
Research Medicare policies, Medicaid research and demonstration projects, medical assistance innovations, and alternative financing and service delivery models
Conduct research using peer-reviewed articles, laws, regulations, the Medicaid State Plan, Agency communications, State Medicaid Director Letters, and vendor contracts
Analyze health care and program information, including financing and reimbursement strategies, for effects on Florida Medicaid and legal compliance
Assist with programmatic and fiscal impact statements, legislative budget requests, program proposals, grant proposals, legislative reports, and program designs
Prepare reports synthesizing complex or large amounts of information
Develop and maintain Medicaid program policies and procedures
Develop policy language for interagency agreements
Track policy document routing and approvals
Assist with training and provide technical assistance
Serve as primary contact for Managed Care contract and rate submissions to federal CMS
Coordinate responses to rate certification questions between CMS and the Agency's actuarial unit
Develop and maintain tracking systems for submissions, questions, and responses
Identify submission exceptions and communicate them to leadership
Participate in meetings, conferences, workshops, and seminars related to Florida Medicaid
Prepare presentation materials
Perform contract management, including developing interagency agreements, reviewing deliverables and invoices, tracking provider expenditures, and maintaining contract files
Perform other duties and responsibilities as required

Requirements

What you’ll need

One year of experience developing health care-related policies
One year of technical writing experience
One year of experience managing complex assignments
A bachelor's degree from a college or university is preferred and can substitute for the required experience
Must successfully complete training in contract management and become a certified contract manager within six months of hire
Must successfully complete a State and National criminal history background check before beginning employment
May be subject to fingerprinting and local criminal history checks
Subject to reasonable suspicion drug testing
Ability to direct and coordinate planning and implementation of operational and program reviews and monitoring activities
Ability to use problem-solving techniques
Ability to understand and apply health services program rules, regulations, policies, and procedures
Ability to prioritize workload
Ability to develop reports
Ability to design, develop, and implement research models
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
Ability to communicate effectively and establish effective working relationships
Ability to travel with or without accommodations
Selection process may include a writing sample

Benefits

Comp & perks

Health insurance, including individual and family coverage
Free $25,000 life insurance policy, with option to purchase additional life insurance
Dental, vision, and supplemental insurance
State of Florida retirement options, including employer contributions
Up to 104 hours of paid annual leave as a new employee
Up to 104 hours of sick leave annually
Nine paid holidays and one personal holiday each year
Career advancement opportunities
Tuition waivers accepted by major Florida colleges/universities
Student loan forgiveness opportunities, subject to eligibility
Training opportunities
Flexible Spending Accounts
Shared Savings Program for select medical services
Lower prescription drug copays
Health and Wellness discounts
Veterans’ Preference for eligible candidates