REGULATORY SPECIALIST I

Company: State of Florida
Location: Fort Lauderdale
Posted on: September 20, 2022

Job Description:

Requisition No:733321

Agency: Agency for Health Care Administration

Working Title: 68022137 - REGULATORY SPECIALIST I

Position Number:68022137

Salary: 1,200.00 - $1,560.00 Bi-Weekly

Posting Closing Date: 09/15/2022

Agency Overview:



The Agency for Health Care Administration 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 Agency Secretary Simone Marstiller, the Agency is focused on advancing Governor DeSantis vision for Floridas health care system to be the most cost-effective, transparent, and high-quality health care system in the nation. Current Agency initiatives include implementing Floridas groundbreaking Canadian Prescription Drug Importation Program, overhauling Floridas healthcare technological ecosystem, and increasing insight in the cost of health care services.

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 Floridas 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. The Agency for Health Care Administration (AHCA) is the State of Florida agency responsible for oversight of the Medicaid program. 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 Floridas leading state agencies, AHCAs diverse workforce community of more than 1,400 employees is proud of its efforts to serve the people of 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 Plan Management Operations (PMO). PMO is responsible for the primary oversight of Medicaids managed care programs, with a focus on the Statewide Medicaid Managed Care (SMMC) program. The bureaus 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 facilitating the operation of the Ft. Lauderdale field office and overseeing the personnel functions for the employees of the field office. The Regulatory Specialist I position reports directly to the AHC Administrator and is responsible for the following:



Examples of work:



Maintaining up to date knowledge of purchasing policies and MyFloridaMarketPlace, including the use of e-quotes for procurement of goods and services.



Maintaining field office personnel files. Assists the AHC Administrator with hiring and separation of personnel. Serves as the personnel and People First Liaison for the Ft. Lauderdale Plan Management Unit.



Receives and routes telephone calls regarding the regulatory functions in Medicaid, the answers which may involve interpretation of policy and procedures. Provides backup coverage for other administrative support staff in office, as needed.



Develops and maintains a system for the daily handling of all incoming mail. This position is responsible for filing documents related to Ft. Lauderdale Plan Management Operations.



Oversees the maintenance and performance of all office equipment. Works with the building manager and landlord to address building maintenance and repair issues.



Manages Other Capital Outlay (OCO) and expense expenditures. Assist in preparation of the Surplus Deficit Report. Receives all purchasing requisition, ensure all fiscal codes are correct and that budget is available prior to submission to purchasing office. Research, trouble shoots invoice/billing problems.



Make travel arrangements and submit for reimbursement.



Participates in supervisory conferences, staff meetings, training seminars as assigned. Prepares meeting agenda, collects materials for meetings, take meeting minutes, and keeps records of meeting.



Conducts research in Health Track and FMMIS. Updates information in Health Track for each complaint received and Assigns provider billing complaints to appropriate staff.



Manages conference room reservations and assists with public meetings if need is determined by supervisor.



Assists with special projects and performs other related duties, as assigned.





Benefits of Working for the State of Florida:
Working for the State of Florida is more than a paycheck. The States 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 Floridas 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 office procedures and practices.
• Knowledge of the standard practices in the fields of government personnel management, and budgeting.
• Knowledge of AHCA/Medicaid operation including policies, procedures, organization, workflow, regulations, and record keeping.
• Skilled in the operation of Microsoft Word, Excel, PowerPoint, and Outlook.
• Skilled in operating a variety of standard office equipment such as computers, telephone system, and multi-function copier.
• Ability to collect, evaluate, and analyze data relating to administrative functions such as budgeting, personnel, or purchasing.
• Ability to understand and apply applicable rules, regulations, policies, and procedures.
• Ability to plan, organize, and coordinate work assignments and activities.
• Ability to organize files and maintain records management system.
• Ability to communicate effectively.
• Ability to work independently
• Ability to establish and maintain effective working relationships with others.
• Ability to travel with or without accommodations.
  
  MINIMUM QUALIFICATIONS REQUIREMENTS
  
  
  • At least two years of experience using my Florida Market Place (MFMP)or an electronic system to credit requisitions and purchase orders.
  • At least two years of experience using FLAIR or an electronic system to reconcile fiscal accounts.
  • At least two years of experience tracking budgets.
  • At least two years of experience overseeing HR personnel functions.
  • At least two years of experience using computers and various software programs such as Microsoft Outlook, Word, Excel, and PowerPoint.
    
    
    
    LICENSURE, CERTIFICATION, OR REGISTRATION REQUIREMENTS
    
    N/A
    
    CONTACT: TAMARA PRICE (954) 958-6525
    
    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 . All documentation is due by the close of the vacancy announcement.
    
    Nearest Major Market: Fort Lauderdale
    Nearest Secondary Market: Miami
    

Keywords: State of Florida, Fort Lauderdale , REGULATORY SPECIALIST I, Other , Fort Lauderdale, Florida