This position is responsible for coordinating and monitoring quality improvement programs and initiatives within the Florida Medicaid Program.
Maintain up-to-date knowledge concerning all aspects of the Florida Medicaid program, including federal regulations, state statutes, administrative rules, the Florida Medicaid State Plan and all waivers.
Maintain up-to-date knowledge of health care and relevant industry trends that may have an impact on Florida Medicaid or may inform quality improvement activities.
Provide management consultant services to assist the Agency in meeting its goals related to the Medicaid program and to improve health outcomes for the Medicaid population.
Lead and direct clinical quality improvement initiatives, as directed by the incumbent’s supervisor.
Utilize data to support recommendations for quality improvement.
Analyze health care/program related information in order to determine compliance with federal and state laws.
Prepare correspondence to entities for which a monitoring review will be conducted to relay key information needed to complete the review.
Ensure that all written materials (reports, correspondences, presentations, etc.) are of good quality and comply with Agency and bureau style guide requirements.
Develop training and technical assistance to internal and external stakeholders to ensure consistency in service/program operation and conformity with goals and objectives of the Agency, state and federal laws, rules, regulations, and guidelines.
Performing other duties and responsibilities as required.
Requirements
Three years of professional experience in systems analysis, management analysis, program planning, program research, program evaluation, engineering or administrative work.
Benefits
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)