Florida State Jobs
68047302 - PROGRAM ADMINISTRATOR - SES
Florida State Jobs, Tampa, Florida, United States, 33602
Program Administrator - SES
This is an exciting opportunity to help shape the quality of health care in Florida. We are seeking to hire a Program Administrator 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 Tampa-based Bureau of Medicaid Plan Management Operations (PMO). PMO is responsible for the primary oversight of Medicaid's managed care programs, with a focus on the Statewide Medicaid Managed Care (SMMC) program. The bureau's primary responsibility is ensuring that the managed care plans meet Medicaid contractual requirements, including the timely provision of medically needed services and provider payment for such services. This position is responsible for managing the oversight and coordination of the Marketing Oversight Unit to include but not be limited to: reviewing administrative policies, procedures, guidelines and related directives impacting a managed care plan contract's compliance; evaluating contract compliance through oversight of managed care plan and dental plan activities; identifying potential compliance issues and problems; and recommending appropriate action. Maintaining up to date knowledge concerning the Florida Medicaid program, including pertinent federal regulations, state statutes, administrative rules, Florida Medicaid State Plan, and Medicaid manuals. Directing activities of staff designated for monitoring and analyzing marketing activities of the Statewide Medicaid Managed Care Plans; ensuring deficiencies identified during monitoring are escalated appropriately; providing technical assistance to Plans in relation to their marketing activities. The incumbent will ensure the appropriate planning for organization and coordination of strategic planning and management activities is in place in order to assist in the development of program goals, objectives and priorities of the program and special projects related to marketing. The incumbent will also represent the Agency at local, state, and Federal meetings, participate in workshops, and coordinate with other state agencies. The position supervises employees and has responsibility for hiring, evaluating, motivating, and directing employee work. This position is not a remote or telework position. Benefits of Working for the State of Florida: Working for the State of Florida is more than a paycheck. The State's total compensation package for employees features a highly competitive set of employee benefits including: State Group Insurance Coverage Options, including health, life, dental, vision, and other supplemental insurance options; Flexible Spending Accounts; State of Florida retirement options, including employer contributions; Generous annual and sick leave benefits; 9 paid holidays a year and 1 Personal Holiday each year; Career advancement opportunities; Tuition waiver for courses offered by Florida's nationally ranked State University System; Training and professional development opportunities; And more! Knowledge, Skills, and Abilities: Ability to communicate effectively, both verbally and in writing; Ability to work cooperatively as a member of the team; Ability to understand and apply applicable statutes, rules, regulations, policies and procedures; Ability to determine work priorities, assign and ensure proper completion of work assignments in a timely manner; Knowledge of methods necessary for efficient compiling, organization and analyzing data; Ability to collect, analyze and evaluate data quickly, develop reports, and make recommendations; Knowledge of and experience with, word processing, spreadsheet and/or database software as required; Knowledge of state procurement laws and contract management policies/procedures; Ability to apply state procurement laws and contract management policies/procedures; Ability to supervise people; Ability to provide technical assistance regarding program issues; and Ability to travel with or without accommodations. Minimum Qualifications Requirements: Two (2) years of experience managing health care program related grants and/or contracts (e.g. ensuring timely submission of deliverables and/or payment of deliverables, contract monitoring, compliance determinations, providing technical assistance to contracted entity). Two (2) years of experience in marketing. Two (2) years of supervisory experience (e.g. managing/coordinating staff workloads, hiring and disciplining staff, training staff)
This is an exciting opportunity to help shape the quality of health care in Florida. We are seeking to hire a Program Administrator 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 Tampa-based Bureau of Medicaid Plan Management Operations (PMO). PMO is responsible for the primary oversight of Medicaid's managed care programs, with a focus on the Statewide Medicaid Managed Care (SMMC) program. The bureau's primary responsibility is ensuring that the managed care plans meet Medicaid contractual requirements, including the timely provision of medically needed services and provider payment for such services. This position is responsible for managing the oversight and coordination of the Marketing Oversight Unit to include but not be limited to: reviewing administrative policies, procedures, guidelines and related directives impacting a managed care plan contract's compliance; evaluating contract compliance through oversight of managed care plan and dental plan activities; identifying potential compliance issues and problems; and recommending appropriate action. Maintaining up to date knowledge concerning the Florida Medicaid program, including pertinent federal regulations, state statutes, administrative rules, Florida Medicaid State Plan, and Medicaid manuals. Directing activities of staff designated for monitoring and analyzing marketing activities of the Statewide Medicaid Managed Care Plans; ensuring deficiencies identified during monitoring are escalated appropriately; providing technical assistance to Plans in relation to their marketing activities. The incumbent will ensure the appropriate planning for organization and coordination of strategic planning and management activities is in place in order to assist in the development of program goals, objectives and priorities of the program and special projects related to marketing. The incumbent will also represent the Agency at local, state, and Federal meetings, participate in workshops, and coordinate with other state agencies. The position supervises employees and has responsibility for hiring, evaluating, motivating, and directing employee work. This position is not a remote or telework position. Benefits of Working for the State of Florida: Working for the State of Florida is more than a paycheck. The State's total compensation package for employees features a highly competitive set of employee benefits including: State Group Insurance Coverage Options, including health, life, dental, vision, and other supplemental insurance options; Flexible Spending Accounts; State of Florida retirement options, including employer contributions; Generous annual and sick leave benefits; 9 paid holidays a year and 1 Personal Holiday each year; Career advancement opportunities; Tuition waiver for courses offered by Florida's nationally ranked State University System; Training and professional development opportunities; And more! Knowledge, Skills, and Abilities: Ability to communicate effectively, both verbally and in writing; Ability to work cooperatively as a member of the team; Ability to understand and apply applicable statutes, rules, regulations, policies and procedures; Ability to determine work priorities, assign and ensure proper completion of work assignments in a timely manner; Knowledge of methods necessary for efficient compiling, organization and analyzing data; Ability to collect, analyze and evaluate data quickly, develop reports, and make recommendations; Knowledge of and experience with, word processing, spreadsheet and/or database software as required; Knowledge of state procurement laws and contract management policies/procedures; Ability to apply state procurement laws and contract management policies/procedures; Ability to supervise people; Ability to provide technical assistance regarding program issues; and Ability to travel with or without accommodations. Minimum Qualifications Requirements: Two (2) years of experience managing health care program related grants and/or contracts (e.g. ensuring timely submission of deliverables and/or payment of deliverables, contract monitoring, compliance determinations, providing technical assistance to contracted entity). Two (2) years of experience in marketing. Two (2) years of supervisory experience (e.g. managing/coordinating staff workloads, hiring and disciplining staff, training staff)