68019394 - PROGRAM ADMINISTRATOR - SES

State of Florida • Tallahassee, FL

1d • $50,585 - $86,646 • 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 Program Administrator - SES 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 developing and maintaining Florida Medicaid policies to ensure 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: Specialized Health Services, contract interpretations, policy transmittals, provider alerts, Medicaid contracts and amendments, and Medicaid managed care report guides. The incumbent will track and monitor the routing and approval of all policy documents to ensure timely completion and adherence to Agency established deadlines. This is a highly responsible position within the Bureau for Medicaid Policy that is responsible for planning, directing, coordinating and implementing policy related activities for the Specialized Health Services unit.

Requirements

• Two years of experience developing health care related policies.
• Two years of experience implementing and managing complex projects.
• Two years of supervisory experience.
• Two years of experience serving as a lead or assistant on a major research project.
• Knowledge of the methods of data collection and analysis.
• Knowledge of basic management principles and practices.
• Ability to collect, evaluate and analyze data to develop alternative recommendations, solve problems, document work flow and other activities relating to the improvement of management practices.
• 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 plan, organize and coordinate work assignments.
• Ability to communicate effectively.
• Ability to establish and maintain effective working relationships with others.
• Ability to represent the agency in local, state, and national meetings, conferences, workshops, and seminars related to the Medicaid program and the rulemaking process. In addition, as assigned, deliver speeches and present programs to provider groups, provider associations and other local, state and national associations and organizations; represent the Medicaid office on health care committees and task forces; work with the executive and legislative branches of government with regard to the Medicaid program.
• Ability to plan, develop, and coordinate trainings/meetings for agency staff and other stakeholder groups, including: conducting an assessment of training needs, implementation of training/meeting plans, and the development of training/meeting packages and materials
• Ability to travel with or without accommodations.
• All applicants must ensure that all employment and detailed information about work experience is listed on your applicant profile and/or resumé (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.
• A good attendance record is essential for any individual in this position as the work involved occurs daily and is time sensitive. The individual in this position is expected to report to work daily and on time.

Nice To Haves

• A bachelor's degree or a master's degree from an accredited college or university and three years of professional experience in systems analysis, management analysis, program planning, program research, program evaluation, engineering or administrative work is preferred.
• Write clear policy language consistent with Agency goals
• Take ownership of drafting improvements to assigned Agency coverage policies, state plan amendments, and fee schedules.
• Read, digest, and build upon federal and state laws, rules, regulations, guidance, and contracts
• Understand Agency goals and design and drive policy changes to achieve them
• Read, synthesize, and provide substantive written feedback on policy proposals
• Write, route, and send appropriate, clear, and concise responses to public inquiries
• Prioritize, organize, and self-motivate effectively
• Work well in a team and independently
• Provide clear and effective oral presentations to Agency employees with differing areas of expertise

Responsibilities

• 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.
• 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.
• Researching, interpreting, and applying state and federal laws that govern the Medicaid program.
• Preparing bill analysis and legislative reports.
• Representing the Agency in local, state, and national workgroups/meetings.
• 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.
• 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.
• 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.
• Leading public meetings to engage the public in the policy making process and garner stakeholder feedback on proposed policy decisions.
• Working on special projects as assigned.

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 176 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

What This Job Offers

• Job Type: Full-time
• Career Level: Senior