Government Operations Consultant III
State of Florida
full-time
Posted on:
Location Type: Office
Location: Tallahassee • Florida • 🇺🇸 United States
Visit company websiteSalary
💰 $50,585 - $65,760 per year
Job Level
JuniorMid-Level
About the role
- Assist in development, coordination, and implementation of programs relating to Medicaid Hospital DPP, DSH, and LIP programs
- Prepare Hospital DPP, DSH, and LIP payment requests and produce payment models
- Prepare ad-hoc reports from Public Records and Legislative requests
- Produce Hospital DPP, DSH, LIP, and Threshold models for Legislative Planning
- Coordinate with outside vendors and CMS on audit requests and annual reconciliations
- Prepare and distribute Hospital DPP models and analyses of other supplemental payment programs
- Maintain current and archive versions of Hospital DPP, DSH, and LIP audits and analyses
- Interpret State and Federal statutes to determine provider eligibility for supplemental payment programs
- Coordinate data transfers between Florida managed care plans and AHCA for model development and reconciliations
- Act as agency contract manager for assigned Medicaid contracts, including procurement participation, oversight of administrative/programmatic/financial operations, enforcing contract terms, vendor performance monitoring, and maintaining contract files
- Implement agency policies and procedures and assist state and federal auditors in examinations
- Maintain up-to-date knowledge of Florida Medicaid Program statutes, State Plan, administrative rules, program manuals, and provide technical assistance to Supplemental Payments Unit
- Perform other duties and ad hoc requests as assigned
Requirements
- Knowledge of Microsoft Windows, MS Word, and Advanced MS Excel (Pivot tables, VLOOKUP/XLOOKUP, Index/Match, formatting)
- Knowledge of organizational planning, coordination, and execution
- Working knowledge of accounting practices and statistics
- Ability to analyze needs and product requirements
- Ability to create process flows/workflows for automated and manual business systems
- Ability to conduct fact-finding research and communicate technical concepts effectively
- Ability to organize data into logical formats for reports and presentations
- Ability to multi-task and work in a fast-paced environment
- Two years of experience related to mathematics, analytical thinking, and/or project management (minimum)
- Two years of experience using Microsoft Excel and Word (minimum)
- Two years of experience writing official documents with state and federal requirements (minimum)
- Two years of experience interpreting, analyzing, and implementing state and federal language (minimum)
- Preference for experience managing a contract
- Preference for a bachelor’s degree or more advanced degree in economics, mathematics, statistics, health care administration, or project management
- Preference for Florida Certified Contract Manager's certification
- Must successfully complete State and National criminal history check and background screening before employment
Benefits
- Health insurance (i.e., individual and family coverage)
- Life insurance; $25,000 policy is free plus option to purchase additional life insurance
- Dental, vision and supplemental insurance
- State of Florida retirement options, including employer contributions
- Ability to earn up to 104 hours of paid annual leave as a new employee with the State of Florida
- Ability to earn up to 104 hours of sick leave annually
- Nine paid holidays and 1 personal holiday each year
- Opportunities for career advancement
- Tuition waivers (accepted by major Florida Colleges/universities)
- Student loan forgiveness opportunities (eligibility required)
- Training opportunities
- Flexible Spending Accounts
- Shared Savings Program for select medical services
- Lower copays for prescription drugs
- Health and Wellness discounts
Applicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard skills
Microsoft WindowsMS WordAdvanced MS ExcelPivot tablesVLOOKUPXLOOKUPIndex/Matchaccounting practicesstatisticsdata analysis
Soft skills
organizational planningcoordinationexecutionanalytical thinkingcommunicationmulti-taskingfact-finding researchtechnical assistanceprocess flowsworkflow creation
Certifications
Florida Certified Contract Managerbachelor's degreeadvanced degree in economicsadvanced degree in mathematicsadvanced degree in statisticsadvanced degree in health care administrationadvanced degree in project management