PROVIDER ENROLLMENT COORDINATOR - 67015302

State of Florida • Jacksonville, FL

2d • $38,264 - $40,771 • Onsite

About The Position

This professional position at the Florida Agency for Persons with Disabilities is responsible for activities related to recruiting, enrolling, and maintaining iBudget waiver applicants and providers. The role issues and renews Medicaid Waiver Service Agreements (MWSAs), processes provider expansion requests and changes of ownership in APD iConnect, and supports provider compliance with enrollment and background-screening requirements. The position serves staff and management across the Agency and must report to the APD office in the area it serves; it is not a telework position.

The coordinator provides technical assistance and timely responses to provider questions, maintains provider records and enrollment tracking, and conducts recruitment and other regional activities as needed. The role also participates in disaster-planning activities and performs other duties as assigned.

Requirements

• High school diploma or equivalent.
• Valid driver’s license or another efficient means of transportation to travel for work purposes.
• Proficiency in Microsoft Office, including Outlook, Teams, Excel, and Word.
• Ability to multitask.
• Ability to maintain, monitor, and use tracking systems.
• Ability to understand and use the Medicaid Waiver Services iBudget Handbook to ensure compliance with provider applicant qualifications and ongoing provider enrollment requirements.
• Ability to travel for enrollment activities as needed.

Responsibilities

• Review Medicaid Waiver provider application packets and notify applicants of deficiencies within 30 days; close incomplete applications and issue closure notices if required materials are not received within 45 days of notice.
• Record applicant correspondence in provider records and issue initial iBudget Waiver sign-off notices after application completeness, background-screening clearance, education, and experience have been verified.
• Track provider progress through the AHCA application process, close applications that are not completed, and notify the State Office Provider Terminations team.
• Draft, route, and issue initial Medicaid Waiver Service Agreements for applicants who meet AHCA enrollment requirements.
• Enter and track MWSA dates in iConnect and ensure renewals are processed on time and executed before current agreements expire.
• Verify waiver enrollment requirements before executing renewals, including current approved Level 2 background screening and current Professional Business Liability Insurance naming APD as certificate holder.
• Add new providers and relevant MWSA and insurance expiration dates to APD iConnect, and maintain provider records.
• Add APD residential licensed providers in ABC for room-and-board payment processing and add other service providers when general revenue payments will be issued.
• Process requests for AHCA Clearinghouse access and monitor provider re-screening compliance after enrollment.
• Process screening alerts, communicate with the State Office Background Screening unit about exemption packets and other screening matters, and provide guidance on screening requirements.
• Provide technical assistance on service provision requirements and enrollment packet completion, including documentation of qualifications, training, and experience.
• Refer providers to the TRAIN Florida unit for user account setup and respond to inquiries about Medicaid Waiver enrollment qualifications and processes.
• Process provider expansion requests, submit expansion denial action requests to the State Office for consideration, and communicate approval or denial decisions to providers.
• Assist with development and submission of Provider Agency Action Forms for providers being considered for termination.
• Conduct provider recruitment activities as needed, targeting provider types needed in the Region.
• Participate in meetings, conference calls, training, workshops, workgroups, and other activities as needed.
• Conduct activities related to disaster planning.
• Perform other duties as assigned.

Benefits

• Annual and sick leave
• Nine paid holidays and one personal holiday each year
• State Group Insurance options, including health, life, dental, vision, and supplemental insurance
• Retirement plan options, including employer contributions
• Flexible Spending Accounts
• Tuition waivers
• Paid maternity and parental leave

What This Job Offers

• Job Type: Full-time
• Career Level: Entry Level
• Education Level: High school or GED