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 Government Operations Consultant II 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 Plan Management Operations (PMO). PMO is responsible for the primary oversight of Medicaid's managed care programs, with a focus on the Statewide Medicaid Managed Care (SMMC) program.
The bureau's primary responsibility is ensuring that the managed care plans meet Medicaid contractual requirements, including the timely provision of medically needed services and provider payment for such services. This position is responsible for the oversight of monitoring of marketing-related Statewide Medicaid Managed Care contract provisions and is a specialized unit located in Tampa, Florida. •Coordinates and performs monitoring of marketing activities (routine and ad-hoc reviews) in accordance with the Marketing Oversight Unit's established policies and procedures.
•Evaluates contract compliance through the oversight of managed care plan marketing materials and activities. •Serves as a project team lead, upon request by the Supervisor, in conjunction of monitoring activities for the specialized unit and in resolving operational issues in order to meet the goals of the bureau. •Reviews various materials such as written marketing materials, branding materials, nominal gifts, broadcast advertising, social media, telephonic scripts, and presentations.
•Analyzes the managed care plan's marketing activities in order to determine compliance including, but not limited to, participating in secret shopping activities to provide an on-site analysis of the managed care plans' marketing, public, and educational events. •Conducts a review of statewide secret shopper findings to determine compliance with the SMMC contract and makes recommendations for compliance actions. •Participates in meetings, prepares, and delivers speeches within the Agency, with managed care organizations and other stakeholders. •Represents Medicaid on health-related committees, task forces, and special projects, as assigned.
•Performs other duties, as assigned. 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 Plan Management Operations, 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 the methods of data collection and analysis for contract compliance and monitoring. • Knowledge of and ability to effectively utilize Microsoft Office Suite, including: Microsoft Word, Excel, Outlook, Power Point and Access. • Ability to collect, evaluate and analyze data to develop alternative recommendations, solve problems, document workflow and other activities relating to the improvement of operations. • Ability to organize data into logical format for presentation in reports, documents, and other written materials.
• Ability to conduct fact-finding research. • Ability to utilize problem-solving techniques. • Ability to work independently. • Ability to understand and apply applicable rules, regulations, policies, and procedures relating to operational activities. • Ability to plan, organize and coordinate work assignments. • Ability to make decisions in a timely manner. • Ability to establish and maintain effective working relationships with others. • Ability to effectively communicate both verbally and in writing. • Basic knowledge of marketing. • Ability to travel with or without accommodations.
MINIMUM QUALIFICATIONS REQUIREMENTS - One year of professional experience conducting contract/program monitoring or compliance oversight related to a health care program. - One year of experience reviewing data and evaluating that data for contract compliance. - One year of marketing experience in a health care related field. - A Bachelor's Degree or degree in a healthcare field from an accredited college or university is preferred. - Professional or non-professional experience as described above can substitute on a year-for-year basis for the preferred college education. - A Contract Management Certification is highly preferred.
LICENSURE, CERTIFICATION, OR REGISTRATION REQUIREMENTS N/A CONTACT: KELLY KOLLEN (813) 350-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.
products or services -Cold call and hunt for new potential clients to offer our marketing services in the Tampa, Florida area. -Prepare and deliver sales presentations to new and existing customers om the Tampa, FL area -Conduct research on customers to determine if there is a mutual fit for both parties.
Please apply directly to this post with your resume. Tampa, FL
