PROVIDER LIAISON - 67055525
About The Position
The Provider Liaison is a professional Career Service position with the Florida Agency for Persons with Disabilities (APD). The role independently performs work to improve provider service quality and delivery practices, provide training and technical assistance, investigate provider-related complaints, and ensure providers address deficiencies through timely, responsive remediation plans. The position documents communications with providers and stakeholders, directs providers to the Agency for Health Care Administration when billing discrepancies are identified, and collaborates with external organizations while adhering to HIPAA requirements. The position is not telework eligible and must report to the APD office in the area it serves. Work includes provider follow-up, complaint response, and wellness visits, with travel for wellness visits, provider meetings, and other assigned meetings. Future vacancies may be filled from this candidate pool for up to six months.
Requirements
- High school diploma or equivalent.
- Valid driver's license or another efficient means of transportation, and willingness to travel for work.
- Knowledge of Microsoft Office programs, including Word, Excel, Outlook, Teams, and SharePoint.
- Knowledge of iConnect for completing business processes.
- Ability to demonstrate and provide responsive customer service.
- Ability to work with individuals with developmental disabilities.
- Ability to multitask effectively.
- Ability to use tracking systems to monitor and complete assignments within required timeframes.
- Ability and willingness to travel for wellness visits, provider quarterly meetings, and other assigned meetings.
Responsibilities
- Review Quality Improvement Organization (QIO) reports, identify deficiencies, notify providers, and provide plan-of-remediation templates.
- Review providers’ remediation plans for timely correction of deficiencies and record remediation activities in the remediation tracker.
- Follow up with providers to ensure rights and health and safety alerts are addressed within required timeframes.
- Follow up on provider complaints and ensure identified client health and safety issues are addressed immediately.
- Require and track remediation plans for verified complaints.
- Conduct assigned wellness visits within 72 hours for allegations of Abuse, Neglect, or Exploitation in APD-licensed facilities, Adult Day Training programs, and supported living arrangements, using the wellness visit template.
- Assist with Provider Adverse Action Request Forms for administrative complaints or provider terminations.
- Ensure Corrective Action Plans are generated for deficiencies involving APD-licensed facilities in annual QIO reviews.
- Collaborate with the APD waiver and clinical teams to research complaints.
- Collaborate with external agencies, including Medicaid Program Integrity, QIO, and the Medicaid Fraud Control Unit, to address provider performance concerns.
- Direct providers to the Agency for Health Care Administration when billing discrepancies are identified.
- Document communications with providers and stakeholders and uphold HIPAA requirements.
- Perform other related 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
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What This Job Offers
Job Type
Full-time
Education Level
High school or GED
