68020522 - AGENCY FOR HEALTH CARE ADMINISTRATOR - SES

Requisition No: 880252 

Agency: Agency for Health Care Administration

Working Title: 68020522 - AGENCY FOR HEALTH CARE ADMINISTRATOR - SES

 Pay Plan: SES

Position Number: 68020522 

Salary:  $2,073.73 - $3,862.11 Biweekly 

Posting Closing Date: 07/30/2026 

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 an AHC 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 is a highly responsible position within the Bureau of Medicaid Policy that leads and oversees the Behavioral Health Policy Unit.

This includes, but is not limited to, coordinating activities that include planning, directing, coordinating and implementing policy and program development functions for the Behavioral Health Policy Unit including overseeing policy regarding behavioral health and health facilities under the Medicaid program and overseeing and providing guidance for the continued update of Medicaid coverage policies/handbooks and fee schedules

This position is responsible for the incumbent in this position is responsible for coordinating work and supervising employees. 

The incumbent is responsible for communicating with, motivating, training, and evaluating employees, and planning and directing employees’ work. 

The incumbent in this position has the authority to hire, transfer, suspend, lay off, recall, promote, discharge, assign, reward, and discipline subordinate employees supervised by the position or effectively recommend such action. 

The incumbent in this position shall maintain up-to-date knowledge concerning the Florida Medicaid program, including pertinent Federal laws and regulations, state statutes and rules, the Florida Medicaid State Plan and its amendment processes, Medicaid Managed Care Waivers and Medicaid program manuals. 

The incumbent in this position shall remain informed about the operations of the Medicaid fiscal agent; including Medicaid claims processing, billing procedures, reimbursement methodologies and provider enrollment. 

The incumbent in this position shall remain informed about Medicare and other federal and state health care related programs; including other state and national Medicaid-related research and demonstration projects, health care program innovations for special populations, and alternative financing and service delivery systems models. 

The incumbent shall maintain knowledge about the Medicaid State Plan, waivers, regulations, and processes.     

The incumbent in this position leads, develops, coordinates, and/or executes strategic planning activities for Behavioral Health Care Services in order to assist in implementing goals, objectives and priorities of the Medicaid program.

The incumbent oversees program planning activities in order to promote access to care, improve the quality of care and increase the efficiency and cost-effectiveness of the Medicaid program related to Behavioral Health Care Services policy, coverage policies/handbooks and fee schedules. 

The incumbent in this position is responsible for overseeing and providing guidance for the continued update of all applicable Medicaid handbooks and fee schedules.

The incumbent in this position is responsible for planning, developing, and implementing policies and procedures related to Behavioral Health Care Services policy, including handbook, rule and state plan amendment updates and changes.

The incumbent in this position is responsible for working collaboratively with other departments within the Agency and other state Agencies on health care issues, policies and procedures, and Medicaid fraud and abuse issues, as needed.

The incumbent in this position is responsible for acting as the liaison between the Bureau of Fiscal Agent Operations to ensure that the claims processing system has the correct edits and audits in order to adjudicate claims correctly for all Behavioral Health Care Services.

The incumbent in this position is responsible for participating in (also serving as the Agency representative) and serving as a witness in fair hearings or other Agency-related litigation, as needed.

The incumbent in this position is responsible for assisting with the development of performance measures for the SMMC waivers, recommending program design modifications with regards to the SMMC program, policy language for the SMMC contracts and amendments, Dear Health Plan letters, policy transmittals, provider alerts, SMMC report guide.

The incumbent in this position is responsible for planning, organization, execution and coordination of program training and provision of technical assistance relating to Behavioral Health Care Services policy, handbooks and fee schedules, to ensure consistency in program operation and conformity with goals and objectives of the Agency and state and federal laws, rules, regulations and guidelines.

The incumbent in this position responsible for directing the appropriate planning, organization, execution and coordination of program evaluation activities to evaluate the efficiency and effectiveness of Behavioral Health Care Services policy, handbooks and fee schedules, and assess the achievement of goals, objectives and priorities of the Medicaid program related to the Medicaid program.

The incumbent in this position shall represent the Agency in local, state or national meetings, conferences, workshops and seminars related to Behavioral Health Care Services policy, handbooks and fee schedules. 

The incumbent in this position shall lead and coordinate meetings within the Agency, between the Agency and other state agencies and with other organizations for the purpose of presenting and evaluating Behavioral Health Care Services policy, handbooks and fee schedules. 

The incumbent in this position shall participate in meetings, conferences and workshops on Behavioral program policy. 

The incumbent in this position shall prepare and deliver speeches and present programs to provider groups, provider associations, and other local, state and national associations and organizations. 

The incumbent in this position shall represent the Medicaid office on health care related committees, task forces, and special projects as assigned. 

This position has been identified as mission essential.

The incumbent in this position may be required to work during the weekend or on holidays.

In addition, mission essential personnel will be required to work during disasters, to include but not limited to, work before, during and/or beyond normal work hours or days in the event of an emergency.

Emergency work may involve the incumbent to work in another county or staffing location to assist other State Agencies with emergency work.

Emergency duties may include, but not limited to, responses to or threats involving any disaster or threat of disaster, man-made or natural.

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.

This position is not a remote or telework position.

Benefits of Working for the State of Florida:

Working for the State of Florida is more than a paycheck. We offer an excellent array of benefits, including:

•              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

For a more complete list of benefits, please visit https://www.mybenefits.myflorida.com/

For more information about the Bureau of Medicaid Policy, 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

•  Knowledge of principles and processes involved in business and organizational planning, coordination, and execution, including strategic planning, resource allocation, manpower modeling, leadership techniques, and production methods.  

• Knowledge of policies and practices involved in personnel/human resource functions.  

• Knowledge of instructional methods and training techniques including curriculum design principles, learning theory, group and individual teaching techniques, design of individual development plans, and test design principles.  

• Knowledge of the structure and content of the English language including the meaning and spelling of words, rules of composition, and grammar.  

• Knowledge of principles and processes for providing customer and personal services including needs assessment techniques, quality service standards, alternative delivery systems, and customer satisfaction evaluation techniques.

• 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 workflow and other activities relating to the improvement of management practices.

• Ability to coordinate a consultative program designed to ensure the resolution of managerial and operational problems.

• Ability to determine work priorities and ensure proper completion of work assignments.

• Ability to assess budgetary needs.

• Ability to formulate health care policies in addition to operational guides and procedures.

• Ability to understand and apply applicable rules, regulations, policies, and procedures relating to operational and management analysis activities.

• 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 travel with or without accommodations.

MINIMUM QUALIFICATIONS REQUIREMENTS

- Three years of experience in the field of health care administration or human services.

- Two years of supervisory experience.

- Two years of experience implementing and managing complex projects.

- Two years of experience developing health care related policies.

- Two years of experience serving as a lead or an assistant on a major research project.

- Preference will be given to applicants who hold a current FCCM certification.

- Preference will be given to candidates with professional writing experience (e.g., policy development, grant writing/submissions, rule promulgation, research publications, white papers, etc.).

- 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.

NOTE: The elements of the selection process may include a writing sample and will include an interview.

LICENSURE, CERTIFICATION, OR REGISTRATION REQUIREMENTS

N/A

CONTACT: KIM QUINN 850-412-4277

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.

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.