Medical/Health Care Program Analyst
The Florida Department of Children and Families (DCF) is the state of Florida’s social services agency. The agency oversees services for child safety, fostering, adoption, domestic violence, adult protective services, refugees, homelessness, mental health, substance abuse, childcare providers, human trafficking and public assistance. The agency’s mission is to work in partnership with local communities to protect the vulnerable, promote strong and economically self-sufficient families, and advance personal and family recovery and resiliency.
Within DCF, the Substance Abuse and Mental Health (SAMH) Program office is recognized as the single state authority for substance abuse and mental health services. The Office of SAMH is statutorily responsible for the planning, evaluation, and implementation of a comprehensive statewide system of care for the prevention, treatment, and recovery of children and adults with serious mental illnesses or substance use disorders.
TO BE CONSIDERED FOR THIS POSITION RESPONSES TO THE QUALIFYING QUESTIONS ARE REQUIRED AND MUST BE VERIFIABLE BASED ON YOUR SUBMITTED APPLICATION.
THIS IS NOT A TELEWORK POSITION. CANDIDATE WILL BE REQUIRED TO WORK IN THE TALLAHASSEE OFFICE.
This is a highly responsible and professional position that will serve as the state coordinator for the Behavioral Health Network Program (BNET). The BNet program provides behavioral health services to children and youth from age 5 through age 18 who are enrolled in the Children’s Medical Services Healthy Kids insurance plan. BNet is a capitated managed care plan. The position works closely with the Department of Health, Healthy Kids, Managing Entities, and BNet Lead Agencies. This position will collaborate with each section within the program office and be required to use independent judgement, take initiative in carrying out duties and responsibilities and should be extraordinarily detail oriented.
Specific Duties and Responsibilities include:
- Serves as Subject Matter expert for the BNet program.
- Reviews existing policies and plans related to the processes of eligibility determination, enrollment, budget management, and data collection and analysis. Develops policies and plans as needed. Annually reviews the BNet Guidance Document and making any updates needed.
- Provides training and technical assistance for regions, circuits, Managing Entities and their lead agency Behavioral Health Network contractors on eligibility determination and enrollment, budget management, and data collection and analysis.
- Serves as Behavioral Health Network program liaison with the Department of Health, Managing Entities and BNet Lead Agencies. Serves as an administrative liaison with the other KidCare Partners including the Agency for Health Care Administration, and Florida Healthy Kids.
- Maintains an enrollment database. Securely sends and receives program enrollment information to and from Children’s Medical Services and incorporates it into the database. Manually enters data from the BNet Lead Agencies.
- Distributes enrollment rosters monthly to Lead Agencies and Managing Entities.
- Tracks spending and recommends budget allocations and re-allocations on at least an annual basis.
- Creates reports on projections for enrollment and program spending for the Legislative Budget Commission’s Social Services Estimating Conferences.
- Develops long range medicaid, utilization or state health office programs, fiscal and cost reimbursement plans; coordinates the development of program objectives and goals; develops program performance standards and criteria.
- Develops, coordinates and monitors assigned components for the state health office.
- Develops, coordinates and monitors opportunities for alternative funding sources for the state health office program activities.
- Directs and coordinates the planning and implementation of operational reviews, program reviews and program monitoring activities.
- Designs, develops and implements program research, demonstration and pilot projects.
- Designs and conducts research projects and special studies using epidemiological techniques related to analysis of public health problems and disease outbreaks.
- Prepares program analysis, reviews and reports.
- Analyzes medicaid, utilization program or state health office expenditures and prepares surplus/deficit analysis.
- Analyzes state health office expenditures and service needs.
- Analyzes and develops fiscal impact statements on proposed cost containment measures and program revisions.
- Analyzes cost reimbursement methodologies for all medicaid or utilization services to determine the affect on provider participation, quality of care, efficiency, economy and compliance with federal and state laws, rules and regulations.
- Assists in the design and implementation of various cost reporting and data collection techniques related to medicaid, state health office or medical cost reimbursement planning.
- Develops medical and surgical fee schedule, guidelines and procedures.
- Develops medicaid cost reimbursement manuals, guidelines and procedures.
- Represents the department in local, state and national meetings.
- Performs related work as required.
An ideal candidate will be able to:
- Engage cooperatively and professionally with internal and external stakeholders.
- Simultaneously Manage multiple priority projects nimbly and seamlessly.
- Be flexible and able to function and succeed both with and without extensive direction.
- Understand and appreciate SAMH’s vision and demonstrate the ability to execute projects, assignments, and policy updates timely and accurately within a fast-paced environment.
- Function both independently and in a team environment.
- Propose solutions to complex problems.
- Determine the best “yes,” through the use of comprehensive research.
Knowledge, Skills and Abilities required:
- Ability to direct and coordinate the planning and implementation of operational and program reviews and program monitoring activities.
- Ability to utilize problem-solving techniques.
- Ability to understand and apply applicable rules, regulations, policies and procedures pertaining to a health services program.
- Ability to prioritize work load.
- Ability to develop various 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.
- Ability to establish and maintain effective working relationships with others.
Minimum Qualifications:
- A bachelor's degree from an accredited college or university and four years of professional experience in a health or rehabilitation program involving program or policy planning and development, program research or evaluation, finance, statistical analysis, accounting, auditing or budget analysis; or
- A master's degree from an accredited college or university in business, statistics, mathematics, economics, public administration, health or social services administration and three years of professional experience as described above; or
- A doctorate from an accredited college or university in any of the areas of major study described above and two years of professional experience as described above.
- Professional experience as described above may substitute on a year-for-year basis for the required college education.
Preference will be given to applicants who have:
- Experience in the behavioral health field.
- Experience with Access.
- Experience managing a project involving multiple entities.
Benefits of Working for the State of Florida:
- Health insurance
- Life insurance; $25,000 policy is free plus option to purchase additional life insurance
- Dental, vision and supplemental insurance
- Retirement plan options, including employer contributions
- (For more information, please click www.myfrs.com);
- Nine paid holidays and one Personal Holiday each year;
- Flexible Spending Accounts;
- Opportunities for career advancement
- Tuition waiver for public college courses
DCF EMPLOYMENT DISCLOSURES
US CITIZEN REQUIREMENT Only US citizens and lawfully authorized alien workers will be hired.
SELECTIVE SERVICE SYSTEM REGISTRATION All selected male candidates born on or after October 1, 1962, will not be eligible for hire or promotion into an authorized position unless they are registered with the Selective Service System (SSS). Verification of Selective Service registration will be conducted prior to hire. For more information, please visit the SSS website: http://www.sss.gov.
RETIREE NOTICE If you are a retiree of the Florida Retirement System (FRS), please check with the FRS on how your current benefits will be affected if you are re-employed with the State of Florida. Your current retirement benefits may be suspended or voided, and you required to repay all benefits received depending upon the date of your retirement.
BACKGROUND SCREENING It is the policy of the Florida Department of Children and Families 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 clicking here. All documentation is due by the close of the vacancy announcement.