68000614 - AUDIT EVALUATION & REVIEW ANALYST

Requisition No: 838293 

Agency: Agency for Health Care Administration

Working Title: 68000614 - AUDIT EVALUATION & REVIEW ANALYST

 Pay Plan: Career Service

Position Number: 68000614 

Salary:  $1,794.92 biweekly 

Posting Closing Date: 10/08/2024 

Total Compensation Estimator Tool

Where You Will Work:

This position is situated in the Bureau of Central Services within the Division of Health Care Policy and Oversight. The Bureau provides services and support to the facility licensure function of the Agency and is comprised of four units: the Background Screening Unit, the Financial Analysis Unit, the Central Intake Unit, and the Systems, Training, and Support Unit. These units are responsible for the receipt and distribution of all health care facility applications and processing of associated fees; the background screening of facility owners, administrators, personnel, and Medicaid providers, and other personnel working with Florida’s vulnerable population; the financial analysis and financial data collection of health care facilities; and the systems management, data support and training within the Division of Health Care Policy and Oversight.

 

The Work You'll Do:

The incumbent in this position will report directly to the manager of the Financial Analysis Unit and performs the following duties:

 

PFA - Perform proof of financial ability to operate (PFA) reviews for Home Health Agencies, Nurse Registries, Home Medical Equipment companies, Skilled Nursing Facilities, Assisted Living Facilities, Clinics, Hospices, Hospitals, and all other health care entities that are required to submit PFA as part of the Agency’s licensure processes.  May require new or additional data to identify issues and omissions with the PFA filings.  Uses statistical data for comparisons and to reach conclusions.  Provides information and technical assistance to applicants and licensure units on PFA issues, including testifying in hearings on the process and procedures used to reach conclusions in the PFA review.

 

CON - Perform the financial review portion of CON applications which includes an analysis of the applicant’s ability to fund the project, the feasibility of the project, and an analysis of any cost savings as a result of increase competition due to the project.  Understand the concept of hospital grouping, including case mix and be able to testify in hearings on the process and procedures used to reach conclusions in the CON review.  Assist the CON analyst in evaluating and compiling statistical data from both internal and external sources.

 

FHURS/FNHURS - Audits, analyzes, and presents findings of the financial statements, actual reports, and other related data submitted by hospitals and nursing homes to the Agency.  May require new or additional data to facilitate an investigative approach to problems with the FHURS/FNHURS reports, and other submitted data.  Uses statistical data for comparisons and to reach conclusions.  Draft correspondence and final orders related to FHURS/FNHURS reviews, PMATF assessments, and HCRA eligibility.  Provides information and technical assistance to hospitals.

 

Assist with special projects and perform other reviews such as Gold Seal financial eligibility and Escrow accounts for exemption from the patient compensation fund. Maintains and organizes all files for PFA reviews, CON reviews, nursing home FNHURS reviews and hospital FHURS reviews assigned to the position.

 

All of the above is required in this position to maintain a current knowledge base on all regulations that affect the financial feasibility of health care entities regulated by the agency including issues and trends in Medicaid and Medicare rate setting.  A thorough understanding of economics, accounting, and statistical analysis is also necessary to accomplish the above duties and responsibilities.  Develop ways to increase the efficiency of reviews by utilizing computer programs and standardized processes.

 

Assists with the orientation and professional development of new and existing staff members as directed by the supervisor and all other duties assigned.

 

This position will