Agency for Health Care Administrator – SES

State of Florida

AHC Administrator - SES leading Florida's Medicaid Behavioral Health Policy Unit. Enhancing delivery of health care services through policy and program development within the Bureau of Medicaid Policy.

Posted 7/24/2026full-timeTallahassee • Florida • 🇺🇸 United StatesMid-LevelSenior💰 $2,074 - $3,862 per biweeklyWebsite

Core Competencies

Role fit

Core Competencies

Use this summary to align your resume positioning with the role.

Demonstrates expertise in health care administration, particularly within the Florida Medicaid Program, with a strong focus on policy development, program planning, and team leadership. Proven ability to manage complex projects and enhance the quality of behavioral health care services.

Highest-signal resume keywords

Health Care AdministrationPolicy DevelopmentProject ManagementSupervisory ExperienceFCCM Certification

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills

Behavioral Health PolicyProgram PlanningProgram EvaluationMedicaid Coverage PoliciesClaims ProcessingHealth Care RegulationsPerformance MeasurementTechnical AssistanceResearch Project ManagementPolicy Writing

Soft Skills

Team LeadershipCommunicationMotivating EmployeesTraining and DevelopmentCollaboration

Certifications & Qualifications

FCCM Certification

Industry Keywords

Florida Medicaid ProgramMedicaid Managed Care WaiversHealth Care ServicesFederal Laws and RegulationsState Statutes and Rules

About the role

Key responsibilities & impact

This is an exciting opportunity to help shape the quality of health care in Florida.
We are seeking to hire an AHC Administrator - SES 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 is a highly responsible position within the Bureau of Medicaid Policy that leads and oversees the Behavioral Health Policy Unit.
This includes, but is not limited to, coordinating activities that include planning, directing, coordinating and implementing policy and program development functions for the Behavioral Health Policy Unit including overseeing policy regarding behavioral health and health facilities under the Medicaid program and overseeing and providing guidance for the continued update of Medicaid coverage policies/handbooks and fee schedules.
This position is responsible for the incumbent in this position is responsible for coordinating work and supervising employees.
The incumbent is responsible for communicating with, motivating, training, and evaluating employees, and planning and directing employees’ work.
The incumbent in this position has the authority to hire, transfer, suspend, lay off, recall, promote, discharge, assign, reward, and discipline subordinate employees supervised by the position or effectively recommend such action.
The incumbent in this position shall maintain up-to-date knowledge concerning the Florida Medicaid program, including pertinent Federal laws and regulations, state statutes and rules, the Florida Medicaid State Plan and its amendment processes, Medicaid Managed Care Waivers and Medicaid program manuals.
The incumbent in this position shall remain informed about the operations of the Medicaid fiscal agent; including Medicaid claims processing, billing procedures, reimbursement methodologies and provider enrollment.
The incumbent in this position shall remain informed about Medicare and other federal and state health care related programs; including other state and national Medicaid-related research and demonstration projects, health care program innovations for special populations, and alternative financing and service delivery systems models.
The incumbent shall maintain knowledge about the Medicaid State Plan, waivers, regulations, and processes.
The incumbent in this position leads, develops, coordinates, and/or executes strategic planning activities for Behavioral Health Care Services in order to assist in implementing goals, objectives and priorities of the Medicaid program.
The incumbent oversees program planning activities in order to promote access to care, improve the quality of care and increase the efficiency and cost-effectiveness of the Medicaid program related to Behavioral Health Care Services policy, coverage policies/handbooks and fee schedules.
The incumbent in this position is responsible for overseeing and providing guidance for the continued update of all applicable Medicaid handbooks and fee schedules.
The incumbent in this position is responsible for planning, developing, and implementing policies and procedures related to Behavioral Health Care Services policy, including handbook, rule and state plan amendment updates and changes.
The incumbent in this position is responsible for working collaboratively with other departments within the Agency and other state Agencies on health care issues, policies and procedures, and Medicaid fraud and abuse issues, as needed.
The incumbent in this position is responsible for acting as the liaison between the Bureau of Fiscal Agent Operations to ensure that the claims processing system has the correct edits and audits in order to adjudicate claims correctly for all Behavioral Health Care Services.
The incumbent in this position is responsible for participating in (also serving as the Agency representative) and serving as a witness in fair hearings or other Agency-related litigation, as needed.
The incumbent in this position is responsible for assisting with the development of performance measures for the SMMC waivers, recommending program design modifications with regards to the SMMC program, policy language for the SMMC contracts and amendments, Dear Health Plan letters, policy transmittals, provider alerts, SMMC report guide.
The incumbent in this position is responsible for planning, organization, execution and coordination of program training and provision of technical assistance relating to Behavioral Health Care Services policy, handbooks and fee schedules, to ensure consistency in program operation and conformity with goals and objectives of the Agency and state and federal laws, rules, regulations and guidelines.
The incumbent in this position responsible for directing the appropriate planning, organization, execution and coordination of program evaluation activities to evaluate the efficiency and effectiveness of Behavioral Health Care Services policy, handbooks and fee schedules, and assess the achievement of goals, objectives and priorities of the Medicaid program related to the Medicaid program.
The incumbent in this position shall represent the Agency in local, state or national meetings, conferences, workshops and seminars related to Behavioral Health Care Services policy, handbooks and fee schedules.
The incumbent in this position shall lead and coordinate meetings within the Agency, between the Agency and other state agencies and with other organizations for the purpose of presenting and evaluating Behavioral Health Care Services policy, handbooks and fee schedules.
The incumbent in this position shall participate in meetings, conferences and workshops on Behavioral program policy.
The incumbent in this position shall prepare and deliver speeches and present programs to provider groups, provider associations, and other local, state and national associations and organizations.
The incumbent in this position shall represent the Medicaid office on health care related committees, task forces, and special projects as assigned.
This position has been identified as mission essential.
The incumbent in this position may be required to work during the weekend or on holidays.
This position is not a remote or telework position.

Requirements

What you’ll need

Three years of experience in the field of health care administration or human services.
Two years of supervisory experience.
Two years of experience implementing and managing complex projects.
Two years of experience developing health care related policies.
Two years of experience serving as a lead or an assistant on a major research project.
Preference will be given to applicants who hold a current FCCM certification.
Preference will be given to candidates with professional writing experience (e.g., policy development, grant writing/submissions, rule promulgation, research publications, white papers, etc.).
A bachelor's degree or a master's degree from an accredited college or university and three years of professional experience in systems analysis, management analysis, program planning, program research, program evaluation, engineering or administrative work is preferred.

Benefits

Comp & perks

Health insurance (i.e., individual and family coverage) to eligible employees
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 176 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