68061952 - FINANCIAL EXAMINER/ANALYST II Date: Feb 13, 2025 The State Personnel System is an E-Verify employer. For more information click on our E-Verify Website (http://www.dms.myflorida.com/workforce\_operations/human\_resource\_management/for\_job\_applicants/e\_verify) . Requisition No: 840299 Agency: Agency for Health Care Administration Working Title: 68061952 - FINANCIAL EXAMINER/ANALYST II Pay Plan: Career Service Position Number: 68061952 Salary: $1,694.62 - $2,203.01 Biweekly Posting Closing Date: 02/19/2025 Total Compensation Estimator Tool (https://compcalculator.myflorida.com/) Agency Overview: 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 Financial Examiner/Analyst II 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) and a part of AHCA. This position reports directly to the Bureau Chief of Medicaid Finance. MPF manages and projects Florida’s $33.8 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 managing all aspects of the Financial Monitoring contracts. The person is responsible for monthly desktop monitoring that will consist of reviewing the monthly progress reports submitted by the Vendor for each audit assigned, as well as reviewing the monthly invoices submitted to ensure that staff billed, including the rate charged, are in accordance with contractual rates. Monthly invoices will be deposited with the Agency's Financial Department. Monthly expenditures will be tracked to ensure individual audits do not exceed the maximum allowable amounts per contract requirements. Monthly status reports will also be reviewed to ensure sufficient progress is being made for audit completion within 180 days of audit assignment, as required by the contract. Monitors year-end contract activities: ASR rebate letters to plans, calculates the Federal and State share remittance amount. Monitors financial performance of contracted health plans in the Statewide Medicaid Managed Care program. In this position, the employee will serve as the Agency's primary financial contact for assigned plans, communicating with health plan financial staff, performing financial reviews for NAIC health statements and Achieved Savings Rebate reports, examining solvency, conducting financial statement flux analysis and various ratio analysis. The financial examiner will track and analyze revenue and expenditure patterns and utilization trends for various Medicaid services as provided by the contracted health plans on required financial reports, as well as taking the lead to identify and resolve issues with financial staff at the assigned health insurance plans. Works with other sections and Bureaus to provide data and summaries related to plan financial performance. Provides projections and trend analyses for detecting and analyzing trends and deviations in programs; conducts data analysis activities related to the completion of special analyses, studies, or research projects. Prepares charts, tables, slides and other graphic presentations of data. Performs other duties as assigned. This position is not a remote or telework position; it will have to report to a Field Office or the Headquarters in Tallahassee. Benefits of Working for the State of Florida: Working for the State of Florida is more than a paycheck. The State’s total compensation package for employees features a highly competitive set of employee benefits including: • State Group Insurance Coverage Options, including health, life, dental, vision, and other supplemental insurance options; • Flexible Spending Accounts; • State of Florida retirement options, including employer contributions; • Generous annual and sick leave benefits; • 9 paid holidays a year and 1 Personal Holiday each year; • Career advancement opportunities; • Tuition waiver for courses offered by Florida’s nationally ranked State University System; • Training and professional development opportunities; • And more! For more information about the Bureau of Medicaid Program Finance, 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 Statutory Accounting Principles (SAP) and GAAP. Knowledge of the methods of compiling and analyzing financial data. Ability to understand, interpret, and apply laws, rules and regulations, policies, and procedures. Ability to investigate, review, analyze, and evaluate financial data. Ability to perform financial analytical reviews and evaluations of audits. Ability to develop various financial reports. Ability to prioritize workload and work independently. Ability to plan, organize, time manage and coordinate work assignments. Advanced Excel and Access skills. Be FCCM certified or get certification before end of probation. Excellent interpersonal, collaborative, verbal, and written communication skills. MINIMUM QUALIFICATIONS REQUIREMENTS Three years professional experience related to preparing and reviewing financial statements in accordance with state and federal guidelines. Two years professional experience related to accounting or auditing. Two years detailed knowledge of generally accepted accounting and auditing principles, procedures, and techniques. Two years knowledge of documentation standards and audit requirements incorporating current rules and regulations, federal and state statutes, and standards for auditing. Bachelor's degree from an accredited college or university with a degree in a business-related field such as accounting, mathematics, finance, economics, or statistics strongly preferred. Experience can also be substituted on a year-for-year basis. LICENSURE, CERTIFICATION, OR REGISTRATION REQUIREMENTS Florida Certified Contract Manager highly preferred. CONTACT: BOBBY WALKER 850-412-4092 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. The State of Florida is an Equal Opportunity Employer/Affirmative Action Employer, and does not tolerate discrimination or violence in the workplace. 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 clickinghere (http://www.dms.myflorida.com/content/download/97612/566545) . All documentation is due by the close of the vacancy announcement. Location: TALLAHASSEE, FL, US, 32308 Nearest Major Market:Tallahassee