Requisition No: 454741
Agency: Agency for Health Care Administration
Working Title: 68019502 – CHIEF OF MEDICAID PROGRAM FINANCE
Position Number: 68019502
Salary: $3,846.16 / Bi-Weekly
Posting Closing Date: 09/13/2021
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 the Chief of Medicaid Program Finance 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 leading a fast-paced, team based work environment.
This position is located in the Bureau of Medicaid Program Finance (MPF) and a part of AHCA. This position reports directly to the Assistant Deputy Secretary for Medicaid Finance and Analytics. MPF manages and projects Florida’s $34.4 billion Medicaid Services budget, oversees financial reporting of the Agency’s contracted Medicaid health plans, calculates both institutional and non-institutional Medicaid reimbursement rates, and disburses supplemental payments to Medicaid providers.
This position is responsible for but not limited to, the following: Estimating, implementing and tracking the budget and caseloads for the Medicaid program as well as projecting and presenting expenditure and caseload forecasts for consideration by the principals of the Social Services Estimating Conference.
Overseeing the financial reporting process for Medicaid health plans as well as reviewing the reporting of the Medical Loss Ratio and Achieved Savings Rebate.
Preparing analyses for potential financial budgetary impacts of changes in laws, rules, regulations, or policy on the Medicaid program.
Overseeing the rate-setting process for institutional providers in the fee-for-service Medicaid program, including inpatient and outpatient hospitals, nursing facilities, county health departments, federally qualified health centers and intermediate care facilities for individuals with intellectual disabilities. This includes both prospective rate-setting and cost-based reimbursement methodologies.
Overseeing the operations of the Low Income Pool, Disproportionate Share Hospital and Graduate Medical Education Statewide Medicaid Residency programs.
Maintaining relationships with key Medicaid stakeholders in relation to the duties of this position, including relationships with the Governor’s office, legislative staff, provider organizations, advocacy groups and the health plans representing Medicaid enrollees. This involves representing the Division of Medicaid before these groups.
Working closely with the Agency for Health Care Administration’s executive management team and Division of Medicaid leaders to identify interactions between and impacts of budgeting/rate-setting/financial monitoring and the Division’s policy and operational functions.
Oversees coordinating and supervising activities of the 53 staff members in the Bureau of Medicaid Program Finance to ensure continuing operations, compliance with state and federal mandates, and maximizing productivity and efficiency.
AHCA Offers An Excellent Array Of Benefits, Including
- Health insurance
- Life insurance
- Dental, vision and supplemental insurance
- Retirement benefits
- Vacation and sick leave
- Paid holidays
- Opportunities for career advancement
- Tuition waiver for public college courses
- Training opportunities
For more information about the Bureau of Medicaid Program Finance, 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
- Ability to supervise people and communicate effectively.
- Ability to develop and present written analyses and reports relating to rates, budgets and management/facility utilization.
- Ability to conduct research, review, analyze, evaluate and interpret financial, operational and statistical data with accuracy.
- Ability to determine work priorities by coordinating, assigning work and ensuring proper completion of work assignments.
- Ability to solve problems and make decisions.
- Ability to provide technical assistance and advice to hospital staff.
- Ability to establish and maintain effective working relationships with others.
- Ability to travel with or without accommodations.
Minimum Qualification Requirements
A Bachelor’s degree in the field of finance, accounting, economics, mathematics or other related business field is preferred.
Licensure, Certification, Or Registration Requirements
CONTACT: BRITTANY GRAY 850-412-3695
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.
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