Employment Type : Full-Time
Requisition No: 512462 Agency: Agency for Health Care Administration Working Title: 68024191 - MEDICAID MANAGEMENT REVIEW MONITOR Position Number: 68024191 Salary: $1,486.92- $3,152.54 Bi-Weekly Posting Closing Date: 11/27/2021 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 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. We are seeking to hire a Medicaid Management Review Monitor who desires to work to enhance the delivery of health care services through the Florida Medicaid Program. This position requires a candidate who is This position is located in the Bureau of Medicaid Fiscal Agent Operations (MFAO). MFAO serves as the primary organizational unit within the Agency to provide oversight and monitoring of the Agency’s Medicaid fiscal agent; responsible for the processing of Florida Medicaid claims and multiple supporting systems; ensuring Medicaid providers are properly enrolled into the program, Medicaid recipients receive proper coverage, enrollment into managed care plans; extracting, analyzing, and/or reporting Medicaid data; and ensuring that new Agency systems are planned and procured. This position is responsible for monitoring assigned subsystems of the FMMIS. This includes the identification and analysis of management problems and the development of specific solutions using operations research, method analysis, critical path scheduling and other appropriate management techniques. Responsibilities also include claims and operational issue research involving the subsystems of the FMMIS and assisting the Recipient and Provider Assistance (RPA) Bureau with issues resolution. AHCA offers an excellent array of benefits, including: For more information about the Bureau of Medicaid Fiscal Agent 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: MINIMUM QUALIFICATIONS REQUIREMENTS: LICENSURE, CERTIFICATION, OR REGISTRATION REQUIREMENTS: N/A CONTACT : DEBBIE KELLEY 850-412-3449 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.
Nearest Major Market: Tallahassee