68064785 - GOVERNMENT OPERATIONS CONSULTANT II

Requisition No: 851003 

Agency: Agency for Health Care Administration

Working Title: 68064785 - GOVERNMENT OPERATIONS CONSULTANT II

 Pay Plan: Career Service

Position Number: 68064785 

Salary:  $1,694.62 - $2,452.11 biweekly 

Posting Closing Date: 04/27/2025 

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. Current Agency initiatives include implementing Florida’s groundbreaking Canadian Prescription Drug Importation Program, overhauling Florida’s healthcare technological ecosystem, and increasing insight in the cost of health care services.

 

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 II 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 Program Finance (MPF). MPF manages and projects Florida’s $34.5 billion Medicaid Services budget, oversees financial reporting of the Agency’s contracted Medicaid health plans, calculates both institutional and non-institutional Medicaid reimbursement rates, and disburses supplemental payments to Medicaid providers.

 

This position is responsible for setting reimbursement rates in accordance with Medicaid reimbursement plans, policies, and applicable federal and state rules and regulations. The incumbent will also be responsible for maintaining the Versa database and Laserfiche files for the bureau. It is necessary to understand and comprehend the significance of complicated legal documents and to have a working knowledge of the diverse organizational programmatic aspects of AHCA for this position. Duties and responsibilities involving complex work assignments with minimum instructions include, but are not limited to, the following:

 

Enter notices, final orders, and disposition (including other relevant information) in Versa/FRAES including all relevant fields. Create Audit Transmittal Memos for Nursing Homes, ICF, and Hospitals. Manage the production of all annual Nursing Home reports. Analyze and review nursing home provider budgeted cost reports and make appropriate adjustments to establish an interim budgeted rate. Set facility rates in accordance