68047302 - PROGRAM ADMINISTRATOR - SES

Requisition No: 852886 

Agency: Agency for Health Care Administration

Working Title: 68047302 - PROGRAM ADMINISTRATOR - SES

 Pay Plan: SES

Position Number: 68047302 

Salary:  $1,907.10 - $2,407.03 Biweekly 

Posting Closing Date: 05/26/2025 

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 Program Administrator 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 Plan Management Operations (PMO).

PMO is responsible for the primary oversight of Medicaid’s managed care programs, with a focus on the Statewide Medicaid Managed Care (SMMC) program.

The bureau’s primary responsibility is ensuring that the managed care plans meet Medicaid contractual requirements, including the timely provision of medically needed services and provider payment for such services.

This position is responsible for managing the oversight and coordination of the Marketing Oversight Unit to include but not be limited to: reviewing administrative policies, procedures, guidelines and related directives impacting a managed care plan contract's compliance; evaluating contract compliance through oversight of managed care plan and dental plan activities; identifying potential compliance issues and problems; and recommending appropriate action.

Maintaining up to date knowledge concerning the Florida Medicaid program, including pertinent federal regulations, state statutes, administrative rules, Florida Medicaid State Plan, and Medicaid manuals. 

Directing activities of staff designated for monitoring and analyzing marketing activities of the Statewide Medicaid Managed Care Plans; ensuring deficiencies identified during monitoring are escalated appropriately; providing technical assistance to Plans in relation to their marketing activities.

The incumbent will ensure the appropriate planning for organization and coordination of strategic planning and management activities is in place in order to assist in the development of program goals, objectives and priorities of the program and special projects related to marketing.

The incumbent will also represent the Agency at local, state, and Federal meetings, participate in workshops, and coordinate with other state agencies.

The position supervises employees and has responsibility for hiring, evaluating, motivating, and directing employee work.

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 Plan Management Operations, 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, and experience with spreadsheet and/or database software as required;

•Knowledge of state procurement laws and contract management policies/procedures;

•Knowledge of methods necessary for efficient compiling, organization and analyzing data;

•Knowledge of administrative principles and practices.

•Knowledge of the principles and practices of supervision and management.

•Knowledge of problem-solving techniques.

•Knowledge of the principles and techniques of effective communication

•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 analyze processes/functions and take corrective action

•Ability to determine work priorities, assign and ensure proper completion of work assignments in a timely manner;

•Ability to collect, analyze and evaluate data quickly, develop reports, and make recommendations;

•Ability to apply state procurement laws and contract management policies/procedures;

•Ability to conduct research, program evaluation of systems development.

•Ability to supervise people;

•Ability to travel with or without accommodations; and

•Ability to provide technical assistance regarding program issues

MINIMUM QUALIFICATIONS REQUIREMENTS

•At least two (2) years of experience working with contract related activities (e.g. deliverables, compliance, technical assistance).

•At least two (2) years of experience in marketing.

•At least two (2) years of supervisory experience.

LICENSURE, CERTIFICATION, OR REGISTRATION REQUIREMENTS

N/A

CONTACT: KELLY KOLLEN 813-350-4838

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.