MEDICAL HEALTH CARE PROGRAM ANALYST - 65000523

Requisition No: 859112 

Agency: Elder Affairs

Working Title: MEDICAL HEALTH CARE PROGRAM ANALYST - 65000523

 Pay Plan: Career Service

Position Number: 65000523 

Salary: $3,972.34-$4,166.67 MONTHLY 

Posting Closing Date: 08/26/2025 

Total Compensation Estimator

DEPARTMENT OF ELDER AFFAIRS

LONG-TERM CARE AND SUPPORT

*****OPEN COMPETITIVE*****

POSITION OVERVIEW AND RESPONSIBILITIES:

The primary functions of the Medical/Health Care Program Analyst are to oversee the functions regarding Medicaid Fair Hearings (MFH) and to service as the primary point of contact for the Independent Consumer Support Program (ICSP).

PAY:

Salary will be commensurate with experience and qualifications, ranging from $47,668.08 to $55,000.04, annually.

DUTIES AND RESPONSIBILITIES:

• Must maintain a working knowledge of Statewide Medicaid Managed Care Long Term Care (SMMC LTC) including eligibility and enrollment requirements.
• Conduct inbound and outbound calls to SMMC LTC applicants and MFH petitioners, or their representatives, and route calls to appropriate departments and agencies as needed.
• Research and respond to all written correspondence.
• Plan, organize, coordinate, and represent the Department's interest in MFHs for the screening of individuals for possible placement on the Medicaid Home and Community Based Services waitlist.
• Reviews requests for MFHs and documents data and information collected from MFH request, eCIRTS, and other data sources. Assigns new cases to self and other staff for completion.
• Conducts pre-hearing conferences with clients/caregivers to discuss the MFH request, and information discovered, with the client and try to address the situation as needed.
• Analyze, prepare, and distribute required evidence to the Office of Appeal Hearings and the client/caregiver within the allotted timeframe.
• Analyze ICSP, Aging and Disability Resource Center (ADRC), and SMMC LTC data to compile regular summary reports and special reports on identified trends, program deficiencies, and recommendations for improvement. This includes process improvements and developing appropriate policies, procedures, and training to address them.
• Provides policy interpretation and technical assistance to headquarters staff, clients/caregivers, and CARES staff on issues related to MFHs and the SMMC LTC Program.
• Interacts and communicates clearly and efficiently with outside entities, including state agencies, local Adult and Disability Resource Centers, and individuals/caregivers.
• Maintains accurate records and updates internal systems to respond to requests for information and data tracking.
• Demonstrates proficiency with eCIRTS, FMMIS, Healthtrack databases for client research to assist with MFHs and ICSP inquiries.
• Coordinates work with other staff members in the unit.
• Assist to resolve waitlist and enrollment issues via client, legislative and gubernatorial inquiries and responds timely.
• Works independently to manage a daily workflow and ensure accurate, timely response, and data entry.
• Follows HIPAA and Information Security protocols/rules and regulations/policies.
• Completes other duties as assigned.

KNOWLEDGE, SKILLS, AND ABILITIES:

• Knowledge of administrative principles & practices.
• Microsoft Office Proficiency, excellent written and verbal communication skills, research skills, attention to detail.
• Ability to conduct fact finding interviews, accurately prepare and maintain records, work with a diverse range of people, adapt well to change, and professionally handle stressful situations.
• Knowledge of office procedures & practices.
• Ability to utilize problem solving techniques.
• Ability to plan, organize & coordinate work assignments.
• Ability to communicate effectively.
• Ability to establish & maintain effective working relationships with others.

REQUIREMENTS:

• Bachelor’s degree or at least four (4) years’ experience in a health-related program, human services, social work, call center, customer service or related field.

THE 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 employee benefits including:

• State Group Health Insurance Coverage;
• $25,000 Life Insurance Policy (100% paid by employer);
• Dental, vision, and other supplemental insurance options available;
• Annual and Sick Leave benefits,
• 10 paid holidays each year;
• Retirement plan options, including employer contributions (For more information, please click
• Flexible Spending Accounts; and
• Tuition waivers to attend State of Florida community colleges, colleges, and universities!

For a more complete list of benefits, click

OUR ORGANIZATION AND MISSION:

The Department is dedicated to promoting the well-being, safety, and independence of Florida's seniors, their families, and caregivers. Its vision is for all Floridians to live well and age well.

SPECIAL NOTE:

Candidate Profile (application) must be complete in its entirety.

• Include supervisor names and phone numbers of all periods of employment.
• Account for and explain any gaps in employment so that the hiring process is not delayed. Gaps of employment for 3 months or more MUST be addressed on application.
• Experience, education, training, knowledge, skills, and/or abilities as well as responses to pre-qualifying questions must be verifiable to meet the minimum qualifications.
• It is unacceptable to use the statement “See Resume” in place of entering work history.
• Periods of employment should be entered with the most recent/current listed first.
• If you are a retiree of the Florida Retirement System (FRS), please contact the FRS to determine if your current benefits may be affected if you are reemployed with the State of Florida in an FRS-covered position. Your current retirement benefits may be canceled, suspended, or deemed invalid depending upon the date of your retirement.
• If claiming Veteran’s Preference, candidates MUST attach supporting documentation (DD214).
• If claiming Right to First Interview, candidates MUST attach a copy of your official layoff letter when applying.
• All documentation is due by the close of the vacancy announcement.

If you experience problems applying online, please call the People First Service Center at (877) 562-7287.

BACKGROUND CHECKS:

Successful completion of a Level 2 Criminal History Background Check is required for all applicants selected for this position.

APPLICANT INFORMATION:

Applicants should apply on-line via the People First Website by 11:59 p.m. (EST) on the closing date of the position vacancy advertisement but are strongly encouraged to apply by 6:00 p.m. on the closing date to avoid any system down times or any other complications that may arise.

If you have problems applying on-line, call the People First Service Center at 1-877-562-7287 . Paper applications will not be accepted by the agency.

The Department of Elder Affairs is an "older worker-friendly" employer and also lists vacancies on the Silver Edition website, found at , that connects persons age 50 and older with other businesses/volunteer organizations/employers who specify they are "older worker-friendly."

The Department of Elder Affairs is an E-Verify employer and will provide the Social Security Administration (SSA) and, if necessary, the Department of Homeland Security (DHS), with information from each New Employee’s I-9 Form to confirm work eligibility.

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.