68025183 - REGULATORY SPECIALIST I

Regulatory Specialist I

This is an exciting opportunity to help shape the quality of health care in Florida. We are seeking to hire 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 Recipient and Provider Assistance (RPA). RPA serves as a primary point of contact for enrolled Medicaid providers, Medicaid recipients, and members of the community with questions and concerns about Medicaid.

This position is responsible for performs administrative functions necessary to ensure the office remains in compliance with applicable human resource regulations, including the handling of confidential and sensitive personnel information. Serves as personnel liaison for the field office and works closely with the Agency's human resource department to answer personnel questions or issues raised by staff. Develops, updates, and maintains local administrative files on all personnel including current position descriptions, mandatory training certificates, P-Card assignment, ID badges and parking passes. Works with appropriate staff to resolve any discrepancies. Maintains an inventory of supplies and equipment to ensure that staff have adequate resources to perform their job functions. Conducts a periodic review of existing inventory to confirm accuracy and identify any additional needs and / or discrepancies. The incumbent initiates office supply orders using My Florida Market Place or P-Card and obtains prior authorization from the Agency for Health Care Administrator prior to completing purchases. Oversees general office operations related to maintenance of telephone and office equipment. Obtains bids and initiates lease or purchase agreements; coordinates all issues related to vendor and landlord issues; coordinates issues related to computer equipment or technology with the local IT Representative. Assists with tracking office-based activities such as provider application interviews and site visits, secret shopper activities, community outreach events, transportation meetings and social service forums. This includes updating related databases and preparing reports, as needed. The incumbent assists with redacting data in response to public records requests. The incumbent is responsible for reviewing data and preparing unit-specific reports related to Medicaid. Ensures all critical clerical functions are covered and provides backup coverage when necessary, including but not limited to the following : sharing reception duties for the office, receiving, screening, and routing telephone calls, processing and distributing incoming and outgoing mail. Maintains a log of expenditures and assists the Agency for Health Care Administrator with review of the monthly expenditure report. Reviews the encumbrance reports to ensure that the numbers are accurate and that expenditures are within the Office budget allotment. Alerts the Agency for Health Care Administrator if / when discrepancies are identified. Resolves any discrepancies with finance and accounting. Completes and submits reconciliation sheet to the Agency for Health Care Administrator on a monthly basis. Coordinates travel arrangements for the Agency for Health Care Administrator and other staff, as directed. Prepares travel reimbursement requests for the Agency for Health Care Administrator and other staff. The incumbent coordinates request for P-Cards from staff that travel frequently and have a need to use rental cars and / or have overnight stays during travel. Maintains up-to-date knowledge about the Florida Medicaid program by participating in Agency training opportunities and through self-education utilizing available resources, including but not limited to, the Agency's internal and external web sites, provider alerts, and RPA share point sites. The incumbent knows how to search for pertinent Federal laws and regulations, applicable state statutes and Medicaid rules, as needed. The incumbent remains informed about Agency projects and initiatives by participating in available webinars, staff meetings, and by subscribing to provider alerts. The incumbent remains knowledgeable about Statewide Medicaid Managed Care (SMMC) contract provisions and amendments, SMMC talking points and guidance statements, SMMC plan subcontractors and TPAs, and information shared via SMMC all-plan communications distributed by the Agency. Assist with the annual records retention exercise to identify and process eligible documents, including preparation, routing, and submission of records disposition documents. Performs other duties as assigned.

This position will be hired at the rate of $1,456.39 / Biweekly and is non-negotiable. This position is not a remote or telework position.

Working for the State of Florida is more than a paycheck. We offer an excellent array of benefits, including :

• 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 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

For a more complete list of benefits, please visit https : / / www.mybenefits.myflorida.com / .

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

Ability to communicate effectively, verbally and in writing.

Ability to determine work priorities, assign work and ensure proper completion of work assignments within established timeframes.

Ability to maintain composure and act in a professional manner when interacting with distressed and / or angry individuals.

Ability to maintain strict confidentiality of all personnel, performance, disciplinary and related matters.

Ability to solve problems and make decisions in a timely manner.

Ability to work independently.

Knowledge of structure and content of the English language including the meaning and spelling of words, rules of composition, and grammar.

Skill in establishing and maintaining effective working relationships with others.

Skill in knowing when there is a need for information; and identifying, locating, evaluating, and effectively using that information for the issue or question at hand.

Skill in managing and organizing multiple work tasks simultaneously while maintaining a satisfactory work product and meeting all required deadlines.

Skill in reviewing, correcting, and synopsizing written grammar.

Skill in understanding and applying applicable Medicaid rules, regulations, policies, and procedures.

Skill in utilizing different types of technologies to find / access information, including (but not limited to); basic Computer Software Programs, web-based resources and supporting tools.

Skill in utilizing Microsoft Office Suite.

Skill to accurately complete detailed forms, web-entries, and documents, with no mistakes, typos or miscalculations.

Ability to travel with or without accommodation.

MINIMUM QUALIFICATIONS REQUIREMENTS

Two years of professional experience in administrative work, professional regulation, consumer complaint program work, interviewing, business administration, customer or public relations, or investigations.

Preference will be given to the applicant that has : Moderate experience and abilities using different computer programs such as Excel, Outlook, and Word, etc., including quick and accurate typing / keyboarding skills.

LICENSURE, CERTIFICATION, OR REGISTRATION REQUIREMENTS

N / A

CONTACT : DAVID WASZMER 239-223-7452

BACKGROUND SCREENING

It is the policy of the Florida Agency for Health Care Administration that any applicant being considered for employment must successfully complete a State and National criminal history check as a condition of employment before beginning employment, and, if applicable, also be screened in accordance with the requirements of Chapter 435, F.S., and Chapter 408, F.S. No applicant may begin employment until the background screening results are received, reviewed for any disqualifying offenses, and approved by the Agency. Background screening shall include, but not be limited to, fingerprinting for State and Federal criminal records checks through the Florida Department of Law Enforcement (FDLE) and Federal Bureau of Investigation (FBI) and may include local criminal history checks through local law enforcement agencies.

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