68064253 - GOVERNMENT OPERATIONS CONSULTANT III

Requisition No: 842636 

Agency: Agency for Health Care Administration

Working Title: 68064253 - GOVERNMENT OPERATIONS CONSULTANT III

 Pay Plan: Career Service

Position Number: 68064253 

Salary:  $1,907.11 - $2,016.38 Biweekly 

Posting Closing Date: 01/21/2025 

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 a Government Operations Consultant III 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 developing and maintaining program policies and procedures under the Florida Medicaid Program to ensure the program operates in accordance with the goals and objectives of the Agency, state and federal laws, rules, regulations, and guidelines.

The incumbent will serve as the lead point of contact for their assigned Medicaid contracts and maintains active agency contract manager certification, adhere to established Agency procurement policies and procedures, participate in the programmatic and financial operations of assigned contracts, maintain appropriate and up-to-date contract files, and serve as liaison with assigned contract vendor(s).

The incumbent in this position maintains up-to-date knowledge concerning the Florida Medicaid Program, including pertinent federal laws and regulations, state statutes, and rules.

The Government Operations Consultant III will be responsible for carrying out research and policy development related to Managed Care Policy and Contract Development. Specific duties include:

- Coordinating with internal and external customers to negotiate and develop contracts and initiate contract amendments, extensions, and renewals.

- Conducting policy research of issues of importance to the Agency.

- Researching laws and professional literature.

- Conducting focus groups and other forms of qualitative information gathering.

- Designing and administering surveys.

- Reviewing and analyzing Agency records.

- Identifying and drafting policy alternatives.

- Writing grammatically correct and accurate reports that concisely communicate results.

- Preparing reports, memoranda, meeting minutes, literature reviews, issue briefs, and presentations.

- Making presentations for stakeholders and executive leadership.

- Participating in internal and external meetings.

- Performing other duties as assigned.

Research analysts help to plan and convene meetings, design and implement qualitative studies and analyses, and assist in drafting written materials such as briefs, fact sheets, proposals, and presentations.

An ideal candidate will be able to:

- Acquire and maintain up-to-date knowledge of the Florida Medicaid Program, including pertinent federal laws and regulations, state statutes, and rules.

- Utilize fine-tuned research skills to provide consultative information to internal and external stakeholders related to federal and state authorities.

- Execute projects, assignments, and policy updates timely and accurately within a fast-paced environment.

- Provide consultation and expert advice to leadership using logic and analysis to identify the strengths and weaknesses of different approaches.

- Communicate effectively both verbally and in writing.

- Establish and maintain effective working relationships with others.

- Function both independently and in a team environment.

- Be flexible to function and succeed both with and without extensive direction.

- Determine work priorities and ensure proper completion of work assignments.

- Communicate, correspond, and provide trainings/presentations to both internal and external inquirers.

- Understand the Medicaid Policy vision and have the ability to implement/execute projects, assignments, and policy updates timely and accurately within a fast-paced environment.

- Propose solutions to complex problems.

- Determine the best solutions through the use of comprehensive research.

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

This position may require travel.

This is an anticipated vacancy.

The salary is negotiable within the listed range and will be commensurate with experience and demonstrated successful management of complex project and initiatives.

All applicants must ensure that all employment and detailed information about work experience is listed on your application, applicant profile, and/or resumé (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

- Ability to communicate effectively, both verbally and in writing.

- Ability to work cooperatively as a member of the team.

- Ability to understand and apply applicable statutes, rules, regulations, policies, and procedures.

- Ability to determine work priorities and assign and ensure proper completion of work assignments in a timely manner.

- Knowledge of methods necessary for efficient compiling, organization, and analysis of data.

- Ability to collect, analyze, and evaluate data quickly and develop reports to make recommendations.

- Knowledge of and experience with word processing, spreadsheets, and/or database software as required.

- Knowledge of and ability to apply state procurement laws and contract management policies/procedures.

- Knowledge of the methods of data collection and analysis.

- Knowledge of basic management principles and practices.

- Ability to organize data in 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 understand and apply applicable rules, regulations, policies, and procedures relating to operational and management analysis activities.

- 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

- Two years of experience using Microsoft Office Suite products (e.g., Word, Excel, PowerPoint, etc.).

- Two years of experience developing and writing communications/documents for external distribution and/or public webpage posting.

- Two years of experience implementing and managing complex projects.

- Preference will be given to applicants who hold a current Florida Certified Contract Manager (FCCM) certification.

- Preference will be given to applicants with professional writing experience (e.g., contracts, agreements, policy development, grant writing/submissions, rule promulgation, research, and invoices).

- At least a four (4) year (bachelor's) degree from an accredited college or university is preferred and can substitute for the required experience.

NOTE: The selection process may include a writing sample.

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.

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.