68064192 - GOVERNMENT OPERATIONS CONSULTANT III

State of Florida•Tallahassee, FL

1d•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 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 KidCare/Title 21. This position is responsible for researching, planning, developing, coordinating, implementing, evaluating, and maintaining policies under the Florida Medicaid program. Research The incumbent shall: •Maintain up-to-date knowledge concerning all aspects of the Florida Medicaid program, including federal regulations, state statutes, administrative rules, and the Florida Medicaid State Plan. •Maintain up-to-date knowledge of health care and relevant industry trends that may have an impact on Florida Medicaid or may inform policy development activities. •Remain informed about the operations of the Medicaid fiscal agent, including Medicaid claims process, billing procedures, reimbursement methodologies, encounter submissions, and provider enrollment. •Remain informed about Medicaid policies, national Medicaid-related research and demonstration projects, Medicaid medical assistance program innovations for general and special populations, and alternative financing and service delivery systems models. •Conduct research on assigned topics, including, but not limited to: performing a review of peer-reviewed research articles, federal and state laws, other reliable sources of evidence, the Florida Medicaid State Plan, Agency communications, State Medicaid Director Letters, and vendor contracts. Authority Development, Editing, and Implementation The incumbent shall: •Develop and maintain 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. •Apply, study, comprehend, and interpret the Florida rulemaking and promulgation process, contained in Chapter 120, F.S. •Perform substantial and technical reviews of policy documents to ensure consistency across the Bureau, producing work products that are accurate, complete, and of professional/publishable quality. •Plan and coordinate public meetings in accordance with requisite technical and operational requirements. •Coordinate and correspond with all relevant internal and external governing bodies and stakeholders as appropriate. •Track and monitor the routing and approval of all policy documents to ensure timely completion and adherence to Agency established deadlines. Communication The incumbent shall: •Provide 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. •Provide technical assistance regarding service/program policies and procedures. •Provide consultation through the accurate presentation of data and other service/program information. •Advise higher-level management of areas of improvement and/or concern and provide possible solution, as applicable. •Identify and document individual, unit, and Bureau training needs. •Design, prepare, and evaluate presentations/training programs and materials. •Conduct statewide and local presentations/trainings, as required. •Participate on behalf of the Agency in local, state or national meetings, conferences, workshops, and seminars related to the Florida Medicaid program. •Perform other duties and responsibilities as required. This position is not a remote or telework position.

Requirements

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 assess budgetary needs.
Ability to formulate policies and procedures.
Ability to understand and apply applicable rules, regulations, policies and 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.
Two years of experience developing health care related policies.
Two years of technical writing experience.
Two years of experience managing complex assignments.

Nice To Haves

Preference will be given to candidates with professional writing experience (e.g., policy development, grant writing/submissions, rule promulgation, research publications, white papers, etc.) and experience using Microsoft Office Suites, including Microsoft Styles.
Preference will be given to applicants that have a bachelor’s degree from an accredited college or university.

Responsibilities

Maintain up-to-date knowledge concerning all aspects of the Florida Medicaid program, including federal regulations, state statutes, administrative rules, and the Florida Medicaid State Plan.
Maintain up-to-date knowledge of health care and relevant industry trends that may have an impact on Florida Medicaid or may inform policy development activities.
Remain informed about the operations of the Medicaid fiscal agent, including Medicaid claims process, billing procedures, reimbursement methodologies, encounter submissions, and provider enrollment.
Remain informed about Medicaid policies, national Medicaid-related research and demonstration projects, Medicaid medical assistance program innovations for general and special populations, and alternative financing and service delivery systems models.
Conduct research on assigned topics, including, but not limited to: performing a review of peer-reviewed research articles, federal and state laws, other reliable sources of evidence, the Florida Medicaid State Plan, Agency communications, State Medicaid Director Letters, and vendor contracts.
Develop and maintain 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.
Apply, study, comprehend, and interpret the Florida rulemaking and promulgation process, contained in Chapter 120, F.S.
Perform substantial and technical reviews of policy documents to ensure consistency across the Bureau, producing work products that are accurate, complete, and of professional/publishable quality.
Plan and coordinate public meetings in accordance with requisite technical and operational requirements.
Coordinate and correspond with all relevant internal and external governing bodies and stakeholders as appropriate.
Track and monitor the routing and approval of all policy documents to ensure timely completion and adherence to Agency established deadlines.
Provide 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.
Provide technical assistance regarding service/program policies and procedures.
Provide consultation through the accurate presentation of data and other service/program information.
Advise higher-level management of areas of improvement and/or concern and provide possible solution, as applicable.
Identify and document individual, unit, and Bureau training needs.
Design, prepare, and evaluate presentations/training programs and materials.
Conduct statewide and local presentations/trainings, as required.
Participate on behalf of the Agency in local, state or national meetings, conferences, workshops, and seminars related to the Florida Medicaid program.
Perform other duties and responsibilities as required.

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