68020069 - REGULATORY SPECIALIST I

Requisition No: 820554 

Agency: Agency for Health Care Administration

Working Title: 68020069 - REGULATORY SPECIALIST I

 Pay Plan: Career Service

Position Number: 68020069 

Salary:  $1,260.00 Biweekly 

Posting Closing Date: 04/29/2024 

Total Compensation Estimator Tool

Agency Overview:

The Agency for Health Care Administration (AHCA) is Florida's chief health policy and planning entity.

The Agency is responsible for administering the Florida Medicaid program, the licensure and regulation of nearly 50,000 health care facilities, and empowering consumers through health care transparency initiatives.

Under the direction of the Agency Secretary, AHCA is focused on advancing Governor DeSantis’ vision for Florida’s health care system to be the most cost-effective, transparent, and high-quality health care system in the nation.

The Medicaid program provides low-income families and individuals with access to health care. 

If you have a desire to use your talent and skills at an organization that provides critical services to millions of individuals and families across the state, AHCA invites you to apply to become an essential member of our team.

As one of Florida’s leading state agencies, AHCA’s diverse workforce community of more than 1,400 employees is proud of its efforts to serve the people of Florida.

Agency Objectives:

HIGH QUALITY

Emphasizing quality in all that we do to improve health outcomes, always putting the individual first.

TRANSPARENT

Supporting initiatives that promote transparency and empower consumers in making well informed healthcare decisions.

COST-EFFECTIVE

Leveraging Florida’s buying power in delivering high quality care at the lowest cost to taxpayers.

Position Overview:

This is an exciting opportunity to help shape the quality of health care in Florida.

We are seeking to hire a Regulatory Specialist I 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 Recipient and Provider Assistance (RPA). 

RPA serves as a primary point of contact for enrolled Medicaid providers, Medicaid recipients, and members of the community with questions and concerns about Medicaid.

This position is responsible for administrative functions necessary to ensure the field office remains in compliance with applicable human resource regulations, including the handling of confidential and sensitive personnel information.

Serves as personnel liaison for the field office and works closely with the Agency’s human resource department to answer personnel questions or issues raised by staff.

Develops, updates, and maintains local administrative files on all personnel including current position descriptions, mandatory training certificates, P-Card assignment, ID badges and parking passes.

Works with appropriate staff to resolve any discrepancies.

The incumbent maintains an inventory of supplies and equipment to ensure that staff have adequate resources to perform their job functions.

Conducts a periodic review of existing inventory to confirm accuracy and identify any additional needs and/or discrepancies.

The incumbent initiates office supply orders using Agency systems and obtains prior authorization from Field Office Manager prior to completing purchases.

Compiles ongoing budget information.

The incumbent oversees general office operations related to maintenance of telephone and office equipment.

Obtains bids and initiates lease or purchase agreements; coordinates all issues related to vendor and landlord issues; coordinates issues related to computer equipment or technology with the local IT Representative.

The incumbent assists with tracking field-based activities such as provider application interviews and site visits, secret shopper activities, community outreach events, transportation meetings and social service forums.

This includes updating related databases and preparing reports, as needed.

The incumbent assists with redacting data in response to public records requests.  

The incumbent is responsible for reviewing data and preparing unit-specific reports related to Medicaid complaints/issues and Medicaid fair hearings.

This position will be hired at the base salary of $1,260.00 bi-weekly, non-negotiable.

This position is not a remote or telework position; it will have to report to a Field Office or the Headquarters in Tallahassee.

Benefits of Working for the State of Florida:

Working for the State of Florida is more than a paycheck. The State’s total compensation package for employees features a highly competitive set of employee benefits including:

• State Group Insurance Coverage Options, including health, life, dental, vision, and other supplemental insurance options;

• Flexible Spending Accounts;

• State of Florida retirement options, including employer contributions;

• Generous annual and sick leave benefits;

• 9 paid holidays a year and 1 Personal Holiday each year;

• Career advancement opportunities;

• Tuition waiver for courses offered by Florida’s nationally ranked State University System;

• Training and professional development opportunities;

• And more!

For more information about the Bureau of Medicaid Recipient and Provider Assistance, please visit our website at http://ahca.myflorida.com/Medicaid/index.shtml.

Join us at the Agency for Health Care Administration in fulfilling our mission to provide “Better Health Care for all Floridians.”

KNOWLEDGE, SKILLS, AND ABILITIES

Skill in establishing and maintaining effective working relationships with others.

Skill in knowing when there is a need for information; and identifying, locating, evaluating, and effectively using that information for the issue or question at hand.

Skill in managing and organizing multiple work tasks simultaneously while maintaining a satisfactory work product and meeting all required deadlines. 

Skill in reviewing, correcting, and synopsizing written grammar.

Skill in understanding and applying applicable Medicaid rules, regulations, policies, and procedures.

Skill in utilizing different types of technologies to find/access information, including (but not limited to); basic Computer Software Programs, web-based resources and supporting tools.

Skill in utilizing Microsoft Office Suite. 

Skill to accurately complete detailed forms, web-entries, and documents, with no mistakes, typos or miscalculations.

Ability to communicate effectively, verbally and in writing.

Ability to determine work priorities, assign work and ensure proper completion of work assignments within established timeframes.

Ability to maintain composure and act in a professional manner when interacting with distressed and/or angry individuals.

Ability to maintain strict confidentiality of all personnel, performance, disciplinary and related matters.

Ability to solve problems and make decisions in a timely manner.

Ability to work independently.

Ability to travel with or without accommodation.

MINIMUM QUALIFICATIONS REQUIREMENTS

At least two years of professional experience in administrative work, professional regulation, consumer complaint program work, interviewing, business administration, customer or public relations, or investigations.

Preference will be given to the applicant that has:

Moderate to extensive experience and abilities using different computer programs such as Excel, Outlook, and Word, etc., including quick and accurate typing/keyboarding skills.

LICENSURE, CERTIFICATION, OR REGISTRATION REQUIREMENTS

N/A

CONTACT: INGRID PAIGE 239-335-1313

BACKGROUND SCREENING

It is the policy of the Florida Agency for Health Care Administration that any applicant being considered for employment must successfully complete a State and National criminal history check as a condition of employment before beginning employment, and, if applicable, also be screened in accordance with the requirements of Chapter 435, F.S., and Chapter 408, F.S.  No applicant may begin employment until the background screening results are received, reviewed for any disqualifying offenses, and approved by the Agency.  Background screening shall include, but not be limited to, fingerprinting for State and Federal criminal records checks through the Florida Department of Law Enforcement (FDLE) and Federal Bureau of Investigation (FBI) and may include local criminal history checks through local law enforcement agencies.

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.  Certain service members may be eligible to receive waivers for postsecondary educational requirements.  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.