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GOVERNMENT OPERATIONS CONSULTANT II - 68022139

Date: Dec 6, 2017

Location: FORT LAUDERDALE, FL, US, 33309

The State Personnel System is an E-Verify employer. For more information click on our E-Verify website.

Requisition No: 25510 

Agency: Agency for Health Care Administration

Working Title: GOVERNMENT OPERATIONS CONSULTANT II - 68022139

Position Number: 68022139 

Salary:  $1,486.92 - $1,588.77 / Bi-Weekly 

Posting Closing Date: 12/19/2017 

This position performs independent and complex administrative and consultative work providing operational and management coordination for plan management functions within the Bureau of Medicaid Plan Management Operations. This position will be located in Ft. Lauderdale. This position is full-time, requires a five-day work week (Monday-Friday, 8:00-5:00)

DUTIES INCLUDE:
Reviewing administrative policies, procedures, guidelines and related directives impacting managed care plan operations and claims management activities.

Identifying potential program and operational issues and recommending appropriate action.

Maintaining up-to-date knowledge concerning the Florida Medicaid Program.

Conducting program and planning activities.

Performing programmatic monitoring activities for Medicaid managed care plans.

Conducting program training and providing technical assistance to Medicaid managed care plans.

Conducting program evaluation activities.

Analyzing managed care plan procedures in assigned areas.

Coordinating and participating in meetings with the Agency and with managed care organizations for the purpose of representing the Medicaid program and managed care plan management operations.

 

This position requires travel.


Upon commencement of employment in compliance with Agency policy, the incumbent shall receive New Employee Orientation, Plain Language, Customer Service, Sexual Harassment, Cultural Diversity, Americans with Disabilities Act (ADA), Ethics, Supervisor, Computer Security Awareness, HIPAA and Medicaid 101 training.


KNOWLEDGE, SKILLS, AND ABILITIES

  • Knowledge of Medicaid eligibility, programs, policies, and limitations.
  • Knowledge and ability in computer skills such as Microsoft Office 2016(Word, Excel, Outlook, Power Point and Access).
  • Knowledge of the techniques used in compiling and analyzing data.
  • Ability to make decisions in a timely manner.
  • Ability to verify accuracy of data.
  • Ability to understand and apply applicable rules, regulations, policies and procedures.
  • Ability to utilize problem-solving techniques.
  • Ability to establish and maintain effective working relationships with all levels of staff.
  • Ability and able to travel with or without accommodations.
  • Effective verbal and written communication skills.
  • Effective multi-tasking skills.

 

MINIMUM QUALIFICATIONS REQUIREMENTS

  • At least two years of related work experience with health insurance claims billing (commercial/government programs) is required.
  • At least two years of experience conducting monitoring activities related to a healthcare program is required.
  • At least two years of experience interpreting policies and procedures and providing technical assistance is required. 
  • At least two years of experience using computers and various software programs such as Outlook, Word, Excel, Access and Power Point is required. 
  • A bachelor's degree or degree in a healthcare field from an accredited college or university is preferred.
  • Professional or non-professional experience as described above can substitute on a year-for-year basis for the preferred college education.

 

CONTACT: LISETTE RODRIGUEZ (954) 958-6551
 

The State of Florida is an Equal Opportunity Employer/Affirmative Action Employer, and does not tolerate discrimination or violence in the workplace.

Candidates requiring a reasonable accommodation, as defined by the Americans with Disabilities Act, must notify the agency hiring authority and/or People First Service Center (1-866-663-4735). Notification to the hiring authority must be made in advance to allow sufficient time to provide the accommodation.

The State of Florida supports a Drug-Free workplace. All employees are subject to reasonable suspicion drug testing in accordance with Section 112.0455, F.S., Drug-Free Workplace Act.

VETERANS’ PREFERENCE.  Pursuant to Chapter 295, Florida Statutes, candidates eligible for Veterans’ Preference will receive preference in employment for Career Service vacancies and are encouraged to apply.  Candidates claiming Veterans’ Preference must attach supporting documentation with each submission that includes character of service (for example, DD Form 214 Member Copy #4) along with any other documentation as required by Rule 55A-7, Florida Administrative Code.  Veterans’ Preference documentation requirements are available by clicking here.  All documentation is due by the close of the vacancy announcement. 


Nearest Major Market: Fort Lauderdale
Nearest Secondary Market: Miami