68064306 - GOVERNMENT OPERATIONS CONSULTANT III

State of Florida•Tallahassee, FL

1d•$55,340 - $60,000•Onsite

About The Position

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 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 analyzing, developing, implementing, coordinating, and/or monitoring contracted medical assistance and long-term care services for the Statewide Medicaid Managed Care Program (SMMC) within the Bureau of Plan Management. This position serves as a Comprehensive Contract Manager and the lead point of contact for their assigned Medicaid contract. The Incumbent in this position maintains up-to-date knowledge concerning the Florida Medicaid program, including pertinent Federal laws and regulations, state statutes and rules. This position is not a remote or telework position.

Requirements

Ability to communicate effectively, both verbally and in writing.
Ability to travel with or without accommodations.
Ability to work cooperatively as a member of the team.
Ability to understand and apply applicable statutes, rules, regulations, policies and procedures.
Ability to determine work priorities, assign and ensure proper completion of work assignments in a timely manner.
Knowledge of methods necessary for efficient compiling, organization and analyzing data.
Ability to collect, analyze and evaluate data quickly, develop reports, and make recommendations.
Knowledge of, and experience with, word processing, spreadsheet and/or database software as required.
Knowledge of state procurement laws and contract management policies/procedures.
Ability to apply state procurement laws and contract management policies/procedures.
Knowledge of federal and state managed care requirements.
One (1) year of Managed Care Contract Management experience.
One (1) year of experience working with a Managed Care organization.

Responsibilities

Analyzing, developing, implementing, coordinating, and/or monitoring contracted medical assistance and long-term care services for the Statewide Medicaid Managed Care Program (SMMC) within the Bureau of Plan Management.
Serves as a Comprehensive Contract Manager and the lead point of contact for their assigned Medicaid contract.
Maintains up-to-date knowledge concerning the Florida Medicaid program, including pertinent Federal laws and regulations, state statutes and rules.

Benefits

Health insurance (i.e., individual and family coverage) to eligible employees
Life insurance; $25,000 policy is free plus option to purchase additional life insurance
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 employee with the State of Florida
Ability to earn up to 104 hours of sick leave annually
Nine paid holidays and 1 personal holiday each year
Opportunities for career advancement
Tuition waivers (accepted by major Florida Colleges/universities)
Student loan forgiveness opportunities (eligibility required)
Training opportunities
Flexible Spending Accounts
Shared Savings Program for select medical services
Lower copays for prescription drugs
Health and Wellness discounts