Entry Level Third Party Risk Analyst Jobs in Florida

Requisition No: 876845 

Agency: Department of Health

Working Title: SENIOR MANAGEMENT ANALYST SUPV - SES - 64002609

 Pay Plan: SES

Position Number: 64002609 

Salary:  $53,917.08 - $68,000.00 

Posting Closing Date: 06/17/2026 

Total Compensation Estimator Tool

Department of Health

Office of Information Technology

Clinic Management & Informatics

**Internal Agency Opportunity**

Full-time SES Position

Annual Salary: $53,917.08 - $68,000.00

Your Specific Responsibilities:

This position is responsible for developing policies and recommendations for implementation at the service level of proposed legislative rule changes regarding complex health insurance-related issues.

• This position spends the majority of the time engaged in supervisory responsibilities. This includes communicating with, motivating, training, and evaluating employees in addition to planning and directing employees' work. The incumbent has the authority to hire, transfer, suspend, lay off, recall, promote, discharge, assign, reward, or discipline subordinate employees or effectively recommend such action. The incumbent will also be required to develop performance expectations, meet with staff regularly to discuss performance, complete performance reviews, maintain vacation and work schedules, ensuring proper coverage, and complete timesheets.
• Provide supervision and coordination of technical support to county health departments, bureau chiefs and division directors on issues of access to primary health care, community partnerships and strategic planning for health care needs of low-income and uninsured populations served in the county health department clinic setting.
• Analyze legislative, regulatory and policy proposals to identify issues and trends in the health insurance industry, undertake studies and research projects on topical issues. Independently evaluate the effectiveness of regulatory programs to identify issues, trends or problems and provides technical assistance to county health departments in quality initiative activities.
• Develop service delivery models that are financially sustainable. Conduct research and analysis on industry information and data in the development of policy proposals in the regulation of healthcare insurance. Provide policies, recommendations and support regarding contract development and health care access associated with the expansion of Medicaid Managed Care systems in CHDs. Ensure timely and accurate assistance and policy analysis in consulting industry on issues as well as develop and implement communication strategies to assist consumers, insurers, and other stakeholders.
• Work with third party payers, the Agency for Health Care Administration, and the Department of Insurance at both the policy and operational level; assist offices within the Department on issues related to Medicaid, Medicare, and commercial insurance; assist in negotiating and managing contracts with health plans.
• Maintain effective liaison with managed care organizations and resolve issues as they arise.
• Act as a consultant to county health departments and agency partners and provide highly valuable expertise related to third party payment policies and the logic associated with health insurance claims adjudication systems.
• Provide training and technical assistance on billing and claims-related problem resolution to county health departments and DOH Program offices.
• Monitor county health department billing effectiveness and develop corrective actions as the need arises.
• Conduct statistical analysis including analysis based on Florida Medicaid's Decision Support System database to assess access issues and develop information for Department contracting.
• Other duties as assigned.
• Responsible for maintaining the security of information and protect confidentiality consistent with state and federal laws and rules and departmental policies, protocols and procedures.
• Comply with and monitor compliance (when applicable) of the mandatory requirements in Section 215.422, Florida Statutes, and Chapter 3A-24, Florida Administrative Code.

Required Knowledge, Skills, and Abilities:

Proficient computer skills to include Word, Excel, PowerPoint and Outlook; knowledge of monitoring processes and/or working with ticketing software; knowledge of computer data bases; knowledge of laws, legal codes, court procedures and government rules & regulations; knowledge of the structure and content of the English language including the meaning and spelling of words, rules of composition, and grammar; understanding written sentences and paragraphs in work related documents; communicating effectively with others verbally and in writing; talking to others to effectively convey information; ability to establish and maintain effective working relationships with others; listening to what other people are saying and asking questions as appropriate; knowledge of the methods of data collection and analysis; organize data into logical format for presentation in reports, documents and other written materials; knowing how to find information and identifying essential information; finding ways to structure or classify multiple pieces of information; ability to plan, organize and prioritize work assignments; ability to maintain a high degree of accuracy and close attention to detail; developing approaches for implementing an idea; basic management principles and practices; conflict resolution to include handling complaints, arbitrating disputes and resolving grievances; motivating, developing, and directing people as they work, identifying the best people for the job; time management skills; ability to prepare and conduct training; ability to maintain strict confidentiality; knowledge of principles and processes involved in business and organizational planning, coordination and execution to include strategic planning, resource allocation, manpower modeling, leadership techniques and production methods; Medicaid, managed care, county health departments, public health and clinical services, systems analysis, and cost modeling; expertise in Medicaid, as well as knowledge of other healthcare systems, such as Medicare and managed care; Health maintenance organization (HMO) contractors and their billing practices and work methodologies; Public health administration principles and practices; methods of public health data collection and analysis; Public health informatics and data bases; administrative and clerical procedures and systems; collect evaluate and analyze data to develop alternative recommendations, utilize problem-solving techniques, document work, and other activities relating to the improvement of operational and management practices; understand and apply applicable rules, regulations, policies and procedures

Minimum Qualifications:

• High School Diploma or equivalent; AND
• Five (5) years of professional experience as a desktop technician or similar technical role; AND
• Three (3) years of professional experience as a supervisor/manager or team lead.

Where You Will Work:

Tallahassee, FL

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.

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.