MEDICAL/HEALTH CARE PROGRAM ANALYST - 64003146

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OPEN COMPETITIVE

Santa Rosa Beach, FL

Your Specific Responsibilities:

The Medical/Health Care Program Analyst position’s role is to serve as liaison to the Medical Director evaluating and providing analysis of the clinical operations for FDOH Walton/Walton Community Health Center clinics and residency program to carry out daily work and delivery of health care services effectively and efficiently. This position functions under the supervision and direction of the Medical Director and works in collaboration with the Director of Nursing, Medical Executive Director, Business Manager, and Residency Program Director  to contrive, guide, organize, and monitor clinical services provided at FDOH Walton and Walton Community Health Center clinics. Adheres to Information Security policies and procedures and is key custodian for assigned areas.

 This position ensures that a patient-centered medical home approach to providing total health care to patients is used. Patient-centered is a way of saying that the patient is the most important person on the health care team.  The patient is at the center of the health care team, which includes health care professionals, trusted friends or family members, and the patient.

Provides patient-centered interactions:

• Respect patient and family values and expressed needs.
• Encourage patients to expand their role in decision-making, health-related behaviors, and self-management.
• Communicate with their patients in a culturally appropriate manner, in a language and at a level that the patient understands.
• Follow Walton Community Health Center Patient-Centered Medical Home policies and procedures for delivering exceptional care to patients.

Review programs, processes, procedures, staff configurations and confer with management and to users to identify problems and improvements with clinic operations. Interviews personnel, conducts on-site observation, and compiles data, analogies and reports to ascertain clinic process/functions, methods, equipment and personnel utilization. Designs, evaluates, and recommends changes based on needs, efficiencies, cost, and analysis. Compiles clinical data and reports for the residency director in accordance with ACGME requirements. These reports must include data on individual provider and residency clinic performance regarding:

• Clinical quality
• Health disparities
• Patient safety
• Patient satisfaction
• Continuity with patient panel (patient-sided & physician-sided)
• Referrals
• Diagnostic utilization rates
• Financial performance

Collects clinical data from the EHR to share with residency clinicians who seek data as part of QI or research projects. Provides technical assistance, consultation and direction for the development, implementation, evaluation and expansion of clinic programs and services. Confers with key management staff to ensure successful functioning of newly implemented systems or procedures. Build clinic schedules and templates in the EHR for all residency clinicians. Manage clinic schedule and template changes in the EHR for all residency clinicians. Serves as a local expert for coding and billing and provides periodic feedback to residency clinicians on how to improve financial performance through improved billing and coding. Serves as a liaison between residency clinicians and the Walton County Fire Rescue Community Health Program and Point Washington Medical Clinic. In this role he/she will ensure that patients seen by residency clinical staff outside of the Coastal Branch are able to receive appropriate follow-up care in the Coastal Branch in a timely manner.

Reviews, develops, and monitors compliance standards and procedures for clinic operations, provides recommendations for improvements.

Plans and conducts studies of clinic operations, problems, and procedures, gathers and organizes information on problems or procedures. Compiles clinic data, analyzes clinical data gathered, and develops solutions or alternative methods for improvement of clinic operations/processes and presents to management.  Works closely with clinic supervisors to ensure appropriate, efficient, cost-effective staffing of clinic with the delivery of superior customer service. This position is responsible for monitoring and reporting productivity of clinic staff, productivity reporting, and continuous quality improvement in productivity. Empanels new primary care patients to residency physicians in the EHR and actively manages all resident patient panels to ensure all panels meet Accreditation Council for Graduate Medical Education (ACGME) requirements for patient mix. Prepares manuals and trains staff relating to processes and procedures according to need. 

Works with the FQHC Grants Manager to ensure compliance with HRSA’s 19 Grant requirements and UDS reporting standards.

Assist residency leadership with ordering new medical equipment and supplies.

Active member of Clinic Management Team and Quality Assurance/Improvement Committee (i.e. represents the Residency Program when program leadership is unable to attend).

Codes Employee Activity Records accurately.  Serves on various committees, teams, and work groups to support the organization. Performs other   related duties as requested.

Required Knowledge, Skills, and Abilities:

• Collect, manage, and analyze data to produce and compile meaningful reports.
• Possess strong teaching and presentation skills.
• Knowledge of standard billing practices.
• Strong knowledge of rules and regulations relating to insurance billing and medical documentation and coding compliance regulations.
• Ability to code accurately using ICD 10 nomenclature.
• Ability to communicate effectively verbally and in written format.
• Ability work with staff to foster and encourage teamwork and high-quality service.
• Ability to critically think to determine appropriate solutions to problems. 
• Knowledge of Quality Improvement/Quality Assurance processes.
• Ability to learn and utilize a variety of computer programs such as Outlook, Word, Excel, and HMS.
• Must be able to lift and carry 25lbs.
• Strong time management skills
• Ability to accommodate to changing directives and clinical situations

Qualifications:

Minimum - Current state driver’s license, previous experience with data collecting and analysis, experience in medical billing and coding, experience in quality improvement/quality assurance

Preferred – 2+ years previous experience with data collecting and analysis, 2+ years experience in medical billing and coding, 2+ years experience in quality improvement/quality assurance.

Florida Department of Health Mission, Vision, and Values:

Mission:

To protect, promote & improve the health of all people in Florida through integrated state, county & community efforts.

Vision:

To be the Healthiest State in the Nation.

Values:

I nnovation: We search for creative solutions and manage resources wisely.

C ollaboration: We use teamwork to achieve common goals & solve problems.

A ccountability: We perform with integrity & respect.

R esponsiveness: We achieve our mission by serving our customers & engaging our partners.

E xcellence: We promote quality outcomes through learning & continuous performance improvement.

Where You Will Work:

DeFuniak Springs

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 set of employee benefits including:

• Annual and Sick Leave benefits;
• Nine paid holidays and one Personal Holiday each year;
• State Group Insurance coverage options, including health, life, dental, vision, and other supplemental insurance options;
• Retirement plan options, including employer contributions

(For more information, please click www.myfrs.com);

• Flexible Spending Accounts;
• Tuition waivers;
• And more!

For a more complete list of benefits, including monthly costs, visit www.mybenefits.myflorida.com.

Please be advised:

Your responses to qualifying questions for this position must be verifiable by documentation provided through the electronic application process.  

This position requires a security background check and/or drug screening and participation in direct deposit. Any misrepresentations or omissions will disqualify you from employment consideration. Note: You will be required to provide your Social Security Number (SSN) in order to conduct this background check Successful completion of a drug test is a condition of employment for safety-sensitive positions.

Male applicants born on or after October 1, 1962, will not be eligible for hire or promotion unless they are registered with the Selective Services System (SSS) before their 26th birthday, or have a Letter of Registration Exemption from the SSS. For more information, please visit the SSS website: http://www.sss.gov 

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 canceled, suspended or deemed ineligible depending upon the date of your retirement. 

The successful candidate will be required to complete the Form I-9 and that information will be verified using the E-Verify system.  E-Verify is operated by the Department of Homeland Security in partnership with the Social Security Administration to verify employment eligibility.   

Incumbents may be required to perform emergency duty before, during, and/or beyond normal work hours or days.

All Florida Department of Health positions require the incumbent to be able to learn and communicate effectively, orally and in writing, in English. Applicants who do not meet this requirement will not be considered.  

The State of Florida is an Equal Opportunity Employer/Affirmative Action Employer and does not tolerate discrimination or violence in the workplace. 

Applicants requiring a reasonable accommodation, as defined by the Americans with Disabilities Act, must notify the agency hiring authority and/or People First Service Center (1-877-562-7287). 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. 

Florida has the third largest population of veterans in the nation with more than 1.5 million service men and women.  The Florida Department of Health (department) is committed to serving members of the United States Armed Forces, veterans and their families by encouraging them to apply for vacancies that fit their area of knowledge and/or expertise.  Through the Department's VALOR program, which expedites licensing for military veterans, the Department also waives initial licensing and application fees for military veterans who apply for a health care professional license within 60 months of an honorable discharge. These initiatives help ensure that the transition from military service into the workforce is as smooth as possible and reflects our appreciation for the dedication devoted to protecting our country.    

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.