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 De Santis’ 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 a Government Operations Consultant III 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 Policy.
Medicaid Policy is responsible for the development, coordination, and implementation of Florida Medicaid program policies, including: all Medicaid federal authorities (e. g. the Florida State Plan, 1115 waivers and home and community-based waivers), administrative rules, coverage policies, managed care plan contracts, bill analyses, drug utilization review boards, preferred drug lists, supplemental rebate contracts, and Kid Care/Title 21. This position is responsible for developing and maintaining Florida Medicaid policies to ensure that programs operate in accordance with the goals and objectives of the Agency, state and federal laws, rules, regulations, and guidelines.
The incumbent will assist in the development of policy language for: Medicaid contracts and amendments, Medicaid managed care report guides, contract interpretations, policy transmittals, and provider alerts. The incumbent will track and monitor the routing and approval of all policy documents to ensure timely completion and adherence to Agency established deadlines. Main job responsibilities and examples of work performed include but not limited to: 1. Conducting research on assigned topics utilizing state library resources, archives, and collections, and other reliable sources of information (e.
g. federal and state laws) to collect, record, analyze, and evaluate facts. 2. Collecting, analyzing, condensing, and synthesizing information to present in the form of research reports and summaries (i. e. white papers, briefings, decision points, etc. ), and making informed recommendations to leadership regarding assigned policy areas. 3. Researching, interpreting, and applying state and federal laws that govern the Medicaid program. 4. Preparing bill analysis and legislative reports.
5. Representing the Agency in local, state, and national workgroups/meetings. 6. Maintaining up-to-date knowledge concerning the Medicaid program, including federal regulations, state statutes, administrative rules, health care and relevant industry trends, Medicare policies, national Medicaid-related research and demonstration projects, Medicaid medical assistance program innovations for general and special populations, alternative financing and service delivery systems models, and Medicaid State Plans. 7. Developing and maintaining program policies and procedures under the Florida Medicaid program to ensure that programs operate in accordance with the goals and objectives of the Agency, federal and state laws, rules, regulations, and guidelines.
Examples of Medicaid policies can be found on the Agency’s administrative rule webpage at http: //ahca. /medicaid/review/index. shtml. 8. Providing technical assistance to ensure consistency in service/program operation and conformity with goals and objectives of the Agency, federal and state laws, rules, regulations, and guidelines. 9. Leading public meetings to engage the public in the policy making process and garner stakeholder feedback on proposed policy decisions.
10. Working on special projects as assigned. An ideal candidate will: 1. Write clear contracts consistent with Agency goals 2. Take ownership of drafting improvements to assigned Agency contracts 3. Read, digest, and build upon federal and state laws, rules, regulations, guidance, and contracts 4. Understand Agency goals and design and drive policy (especially contract) changes to achieve them 5. Read, synthesize, and provide substantive written feedback on policy proposals 6. Write, route, and send appropriate, clear, and concise responses to public inquiries 7.
Prioritize, organize, and self-motivate effectively 8. Work well in a team and independently 9. Provide clear and effective oral presentations to Agency employees with differing areas of expertise Salary is negotiable within the stated range depending on experience and demonstrated successful management of complex projects and initiatives. All applicants must ensure that all employment and detailed information about work experience is listed on your applicant profile and/or resume (including dates of service, reason for leaving, military service, self-employment, job-related volunteer work, internships, etc.
) and that gaps in employment are explained. Applicants who do not provide all information necessary to meet the minimum requirements, will not be considered for this position. This position may require travel. This position is not a remote or telework position; it will have to report to a Field Office or the Headquarters in Tallahassee. 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 Policy, please visit our website at http: //ahca.
/Medicaid/index. shtml. Join us at the Agency for Health Care Administration in fulfilling our mission to provide “Better Health Care for all Floridians. ” #CB KNOWLEDGE, SKILLS, AND ABILITIES Knowledge of basic management principles and practices. Knowledge of the methods of data collection and analysis. Ability to coordinate a consultative program designed to ensure the resolution of managerial and operational problems. Ability to determine work priorities and ensure proper completion of work assignments. Ability to communicate effectively. Ability to establish and maintain effective working relationships with others.
Ability to backss budgetary needs. Ability to formulate policies and procedures. Ability to understand and apply applicable rules, regulations, policies, procedures relating to operational, and management analysis activities. Ability to organize data into logical format for presentation in reports, documents, and other written materials. Ability to collect, evaluate and analyze data to develop alternative recommendations, solve problems, document work and other activities relating to the improvement of operational and management practices. Ability to conduct fact-finding research.
Ability to work independently. Ability to solve problems and make decisions. Ability to travel with or without accommodations. MINIMUM QUALIFICATIONS REQUIREMENTS Two years of experience developing health care related policies. Two years of technical writing experience Two years of experience managing complex assignments. A bachelor's degree from a college or university is preferred. Four years of professional experience in program planning, program research, or program evaluation is preferred. A master's degree from a college or university is preferred and can substitute for one year of the required experience.
Professional or nonprofessional experience as described above can substitute on a year-for-year basis for the preferred college education. Please note a skills test will be required. LICENSURE, CERTIFICATION, OR REGISTRATION REQUIREMENTS N/A CONTACT: RICHARD MANN (850) 412-xyz X 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 -xyz X).
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.
