Requisition No: 851060
Agency: Agency for Health Care Administration
Working Title: 68000194 - AUDIT EVALUATION & REVIEW ANALYST
Pay Plan: Career Service
Position Number: 68000194
Salary: $1,794.92 - 2,490.42 biweekly
Posting Closing Date: 04/28/2025
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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. Current Agency initiatives include implementing Florida’s groundbreaking Canadian Prescription Drug Importation Program, overhauling Florida’s healthcare technological ecosystem, and increasing insight in the cost of health care services.
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 an Audit Evaluation & Review Analyst 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). MPF manages and projects Florida’s $33.7 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:
Performing technical, analytical reviews and evaluations of audits performed by contract CPA firms engaged in the compliance auditing of the fiscal cost reports and compliance transactions for third-party service providers. This position is the team lead over the other Audit Evaluation & Review Analysts and responsible for reviewing their work along with desk audits.
Evaluates support provided after receipt of petition filed subsequent to audit issuance or performs special review requested by management.
Provides technical advice and assistance to contract auditors, other areas within the Agency, and other governmental agencies on cost report requirements and audit results.
Develops and recommends documentation standards and audit requirements incorporating current rules and regulations, federal and state statutes, and standards for auditing.
Represents the Agency in formal and informal administrative and court proceedings.
Conducts training programs to maintain and improve the professional standards and qualifications of the audit staff.
Performs related work as required.
This position is not a remote or telework position.
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 accounting and auditing principles and procedures.
Knowledge of basic mathematics
Ability to understand, interpret and apply laws, rules and regulations, policies and procedures.
Ability to review, analyze, and evaluate data.
Ability to determine the extent of compliance, the extent to which assets are accounted for and the reliability of the accounting procedures utilized within the organization.
Ability to perform technical analytical reviews and evaluation of audits.
Ability to develop and maintain documentation standards.
Ability to conduct seminars, studies, and in-house training programs.
Ability to provide expert testimony.
Ability to understand, interpret and apply laws, rules, regulations, policies and procedures.
Ability to plan, organize and coordinate work assignments.
Ability to establish and maintain effective working relationships with others.
MINIMUM QUALIFICATIONS REQUIREMENTS
Four years experience related to accounting, auditing, financial analysis, economics, statistics, or mathematics.
Four years of professional experience researching, analyzing and reconciling financial data.
Three years detailed knowledge of generally accepted accounting principles (GAAP), procedures, and techniques.
Three years knowledge of documentation standards and audit requirements incorporating current rules and regulations, federal and state statutes, and standards for auditing.
Three years professional experience using Microsoft Excel, Word, and Outlook.
Preference will be given to applicants with experience in performing audits.
Preference will be given to applicants who possess a CPA License.
Bachelor's degree from an accredited college or university with a degree in a business-related field such as accounting, finance, economics, statistics, or mathematics being highly preferred. Experience can be substituted for education on a year-for-year basis.
LICENSURE, CERTIFICATION, OR REGISTRATION REQUIREMENTS
N/A
CONTACT: RICHARD ODUM (850) 412-4101
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 clicking here. All documentation is due by the close of the vacancy announcement.
