68064833 - System Project Consultant

Requisition No: 839282 

Agency: Agency for Health Care Administration

Working Title: 68064833 - SYSTEM PROJECT CONSULTANT

 Pay Plan: Career Service

Position Number: 68064833 

Salary:  $1,997.92 Biweekly 

Posting Closing Date: 10/28/2024 

Total Compensation Estimator Tool

This is a great opportunity within the Agency’s Bureau of Medicaid Program Integrity (MPI).  

MPI serves as the primary organizational unit within the Agency that is responsible for prevention, detection, and recoupment/enforcement related to Medicaid program oversight, as well as the lead unit for compliance with contractual and statutory requirements related to fraud and abuse activities. 

 

This role requires a highly motivated person looking to expand their knowledge.

 

Position Overview:

This is a full-time career service position, with regularly scheduled hours of Monday-Friday 8:00 a.m. to 5 p.m. 

This Systems Project Consultant position is anticipated to be filled at the rate of $1,997.92 biweekly and is non-negotiable.

This position may involve travel related activities from 1-15%. 

Successful completion of a criminal background investigation is a condition of employment.

 

The Florida Medicaid program is one of the five largest in the country and has an estimated $35 billion annual budget.

Each month Florida Medicaid covers medical services for almost 4 million recipients.

To serve this large patient population most effectively, one of the Agency goals is to ensure fewer budgeted dollars are lost to fraud, abuse, and waste.

The Bureau of Medicaid Program Integrity (MPI) does this specifically through audits and investigations of healthcare providers suspected of engaging in fraudulent or abusive behavior, as well as overpayment recoveries, administrative sanctions, and the referral of suspected fraud or other criminal activities for law enforcement investigation.

 

The Data Analysis Unit is a dynamic and fast-paced unit within MPI that uses data to investigate, detect and prevent fraud, abuse and waste in the Florida Medicaid Program.

To do this, the highly collaborative and innovative unit relies on a team of enthusiastic individuals with diverse backgrounds.

The Data Analysis Unit partners with other Units in MPI to assist with compiling, analyzing and visualizing the intricate and large data sets generated from the complex health and business-related information the agency manages.

The Data Analysis Unit develops novel methods and technologies to highlight fraudulent and abusive activities and generate investigative leads.   

 

This position requires innovation and a strong background in data science/statistical methods as well as a desire to innovate.

The selected candidate will assist in detecting and developing leads related to fraud, abuse, and waste through research and analysis of complex health and business-related data. 

Included in the functions of this position are activities such as:

 

•Compiling, cleaning, and processing data from unstructured sources

•Utilizing large data sets from structured data sources such as data warehouses and public data repositories

•Creating analysis pipelines that integrate data from many independent sources (both structured and unstructured)

•Building high quality models to generate leads for investigation

•Writing SQL queries/stored procedures in Microsoft SQL Server and Oracle SQL Developer

•Performing complex analysis in statistical programming languages such as R, SAS, and Python

•Creation of interactive data visualization in tools such as Excel, Tableau, Power BI, or R Shiny as well as generating static data reports

 

 

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 on MPI, please visit MPI at: http://ahca.myflorida.com/MCHQ/MPI/index.shtml

 

KNOWLEDGE, SKILLS, AND ABILITIES  

• Excellent programming skills in SQL.

• Excellent programming skills in Python or R

• Experienced with advanced mathematical and statistical concepts

• Ability to troubleshoot and debug code efficiently

• Knowledge of data mining principles, practices, and techniques

• Understanding of various machine learning methods and their practical application

• Ability to correctly identify, analyze, and interpret trends or patterns in complex data sets

• Ability to communicate technical observations or concepts to non-technical stakeholders

• Ability to travel with or without accommodations

 

MINIMUM QUALIFICATIONS REQUIREMENTS

• Two years of experience in an analytical field with a focus on programming or statistics.

•Two years of experience working with large data sets that may include data warehouses and public data repositories.

•Three years of experience in SQL, as well as Python or R.

 

•Preference will be given to candidates with advanced skills in Microsoft Excel including functions, PowerQuery, data models, and VBA.

•Preference will be given to candidates with a graduate degree from an accredited college or university in data analysis, informatics, business intelligence, mathematics, statistics, actuarial science, biomedical science, or a substantially similar academic discipline.

•Experience as described above can substitute on a year-for-year basis for the preferred college education

• Two years minimum of recent verifiable employment is required

 

LICENSURE, CERTIFICATION, OR REGISTRATION REQUIREMENTS

N/A

 

CONTACT: HELEN GUNN 850-412-4626

 

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.