68065041 - GOVERNMENT OPERATIONS CONS III

State of Florida•Tallahassee, FL
•$50,585 - $65,760•Onsite

About The Position

The Agency for Health Care Administration (AHCA) is Florida’s chief health policy and planning entity. It administers the Florida Medicaid program, licenses and regulates health care facilities, and supports health care transparency initiatives. This position is in the Bureau of Medicaid Policy, which develops, coordinates, and implements Florida Medicaid policies and related federal authorities, rules, coverage policies, managed care contracts, and other program materials. The Government Operations Consultant III researches, plans, develops, coordinates, implements, evaluates, and maintains policies under the Florida Medicaid program. The role analyzes program and health care information, develops policy and authority documents, provides technical assistance, coordinates with stakeholders, and supports statewide training and communication. The position is not remote or telework. The successful candidate will work in a fast-paced, team-based environment and should be creative, flexible, and innovative. A skills test may be required before interviews. Employment is contingent on successful completion and approval of required background screening.

Requirements

  • At least two years of experience developing health care-related policies.
  • At least two years of technical writing experience.
  • At least two years of experience managing complex assignments.
  • Knowledge of basic management principles and practices.
  • Knowledge of data collection and analysis methods.
  • Ability to coordinate a consultative program designed to resolve managerial and operational problems.
  • Ability to determine work priorities and ensure assignments are completed properly.
  • Ability to communicate effectively and establish and maintain effective working relationships.
  • Ability to assess budgetary needs and formulate policies and procedures.
  • Ability to understand and apply applicable rules, regulations, policies, and procedures related to operational and management analysis.
  • Ability to organize data into logical formats for reports, documents, and other written materials.
  • Ability to collect, evaluate, and analyze data; develop alternative recommendations; solve problems; and document work and activities related to improving operational and management practices.
  • Ability to conduct fact-finding research, work independently, solve problems, and make decisions.
  • Ability to travel with or without accommodations.
  • Successful completion and approval of required State and National criminal history background screening before beginning employment.

Nice To Haves

  • Professional writing experience, such as policy development, grant writing or submissions, rule promulgation, research publications, or white papers.

Responsibilities

  • Maintain current knowledge of the Florida Medicaid program, relevant laws and regulations, health care trends, Medicaid fiscal agent operations, Medicare policies, and Medicaid research and innovations.
  • Research assigned topics using peer-reviewed research, laws, the Florida Medicaid State Plan, Agency communications, State Medicaid Director Letters, vendor contracts, and other reliable sources.
  • Analyze health care and program information, including alternative financing and reimbursement strategies, for effects on Florida Medicaid and compliance with federal and state requirements.
  • Develop programmatic and fiscal impact statements for proposed federal or state program and policy changes.
  • Consult with staff about areas for improvement and prepare reports that synthesize research findings and complex information.
  • Develop legislative budget requests, program proposals, grant proposals, and legislative reports.
  • Develop and implement program designs, projects, and plans to meet bureau goals and priorities.
  • Develop and maintain Florida Medicaid program policies and procedures consistent with Agency goals and applicable laws, rules, regulations, and guidelines.
  • Develop policy language for Medicaid waivers, coverage policies, handbooks, provider alerts, and other policy documents.
  • Track policy documents through routing and approval to support timely completion and adherence to Agency deadlines.
  • Plan and coordinate public meetings in accordance with technical and operational requirements.
  • Coordinate and correspond with relevant internal and external governing bodies and stakeholders.
  • Provide technical assistance concerning program operations, policies, procedures, and conformity with Agency objectives and applicable requirements.
  • Present data and other program information accurately and advise higher-level management about areas of improvement or concern and possible solutions.
  • Identify and document training needs; prepare presentation materials; and develop, coordinate, and implement statewide program training plans.
  • Design, prepare, and evaluate training programs and materials, and conduct statewide and local training as required.
  • Represent the Agency at local, state, and national meetings, conferences, workshops, and seminars related to Florida Medicaid.
  • Perform other duties and responsibilities as required.

Benefits

  • Health insurance, including individual and family coverage for eligible employees.
  • Life insurance, including a free $25,000 policy and the option to purchase additional coverage.
  • Dental, vision, and supplemental insurance.
  • State of Florida retirement options, including employer contributions.
  • Ability to earn up to 104 hours of paid annual leave as a new State employee.
  • Ability to earn up to 104 hours of sick leave annually.
  • Nine paid holidays and one personal holiday each year.
  • Career advancement opportunities.
  • Tuition waivers accepted by major Florida colleges and universities.
  • Student loan forgiveness opportunities, subject to eligibility.
  • Training opportunities.
  • Flexible Spending Accounts.
  • Shared Savings Program for select medical services.
  • Lower prescription drug copays.
  • Health and wellness discounts.
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