REGULATORY SPECIALIST I
Company: State of Florida
Location: Fort Lauderdale
Posted on: September 20, 2022
Agency: Agency for Health Care Administration
Working Title: 68022137 - REGULATORY SPECIALIST I
Salary: 1,200.00 - $1,560.00 Bi-Weekly
Posting Closing Date: 09/15/2022
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.
Emphasizing quality in all that we do to improve health outcomes,
always putting the individual first.
Supporting initiatives that promote transparency and empower
consumers in making well informed healthcare decisions.
Leveraging Floridas buying power in delivering high quality care at
the lowest cost to taxpayers.
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
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
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
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
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
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;
For more information about the Bureau of Plan Management
Operations, please visit our website at
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
- Skilled in the operation of Microsoft Word, Excel, PowerPoint,
- Skilled in operating a variety of standard office equipment
such as computers, telephone system, and multi-function
- Ability to collect, evaluate, and analyze data relating to
administrative functions such as budgeting, personnel, or
- Ability to understand and apply applicable rules, regulations,
policies, and procedures.
- Ability to plan, organize, and coordinate work assignments and
- Ability to organize files and maintain records management
- 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
- 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
- At least two years of experience using computers and various
software programs such as Microsoft Outlook, Word, Excel, and
LICENSURE, CERTIFICATION, OR REGISTRATION REQUIREMENTS
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
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