68057053 - AGENCY FOR HEALTH CARE ADMINISTRATOR-SES

Requisition No: 848270 

Agency: Agency for Health Care Administration

Working Title: 68057053 - AGENCY FOR HEALTH CARE ADMINISTRATOR-SES

 Pay Plan: SES

Position Number: 68057053 

Salary:  $2,033.07 - $3,846.15 Biweekly 

Posting Closing Date: 03/11/2025 

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 position is located in the Bureau of Medicaid Policy.

Medicaid Policy is responsible for the development, coordination, and implementation of Florida Medicaid program policies, including: all Medicaid federal authorities (e.g. the Florida State Plan, 1115 waivers and home and community based waivers), administrative rules, coverage policies, managed care plan contracts, bill analyses, drug utilization review boards, preferred drug lists, supplemental rebate contracts, and KidCare/Title 21.

This position is responsible for leading and overseeing the Managed Care Policy and Contracting Section. 

This includes, but is not limited to, coordinating activities that include planning, directing, coordinating and implementing policy and program development functions for the Managed Care Policy and Contracting Section including overseeing development of policy, contracts and managed care plan reporting requirements relating to the Statewide Medicaid Managed Care (SMMC) program and Dual’s Strategy Coordinator (D-SNP).

Examples of work include:

Development of policy related to the Statewide Medicaid Managed Care program and D-SNP;

• Contract development, amendments and plan communications;

• Managed care plan reporting;

• Developing and recommending solutions to a variety of complex programmatic issues;

• The provision of technical assistance and training to internal and external stakeholders;

• Coordination with other functional areas within the Agency;

• Development and maintenance of a comprehensive work plan for the unit, and for determining work priorities;

• Preparing policy recommendations to leadership based on trends identified in planning research.

• Management activities, including: hiring, training, evaluating, and overseeing the work of all direct reports/employees.

• Participating in internal and external meetings.

• Performing other duties as assigned.

An ideal candidate will be able to:

1. Be creative, flexible, innovative, and research oriented;

2. Possess excellent research and writing skills to execute assignments timely, accurately, and within a fast-paced environment;

3. Experience in designing and executing research to develop policy analyses, program evaluations, management reviews, budget analyses, or similar technical reviews;

4. Understanding of principles of governmental organization, budgeting, and accountability;

5. Ability to function and succeed both with and without extensive direction;

6. Move cost-saving and cost-effective health policy forward;

7. Propose solutions to complex problems utilizing existing and acquired knowledge of the Florida Medicaid program, including pertinent Federal laws and regulations, state statutes and rules, and the Florida Medicaid State Plan; and

8. Supervise multiple employees.

Salary is negotiable and commensurate with experience and demonstrates successful management of complex, multi-faceted projects, and statewide policy initiatives.

All applicants must ensure that all employment and detailed information about work experience is listed on your applicant profile and/or resume (including dates of service, reason for leaving, military service, self-employment, job-related volunteer work, internships, etc.) and that gaps in employment are explained. Applicants who do not provide all information necessary to meet the minimum requirements will not be considered for this position.

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. 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 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. A master's degree from an accredited college or university can substitute for one year of the required experience.

- Professional or nonprofessional experience as described above can substitute on a year-for-year basis for the preferred college education.

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: WENDI SMITH 850-412-4238

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.