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Agency for Health Care Admin

This is a Full-time position in Jacksonville, FL posted November 24, 2022.

Agency: Agency for Health Care Administration
Position Number: 68043635
Salary: $2,170.89 – $2,279.40 Bi-Weekly
Posting Closing Date: 11/23/2022

Agency Overview:

The Agency for Health Care Administration (AHCA) is Florida’s chief health policy and planning entity. The Agency is responsible for administering the Florida Medicaid program, the licensure and regulation of nearly 50,000 health care facilities, and empowering consumers through health care transparency initiatives.

Under the direction of Agency Secretary Simone Marstiller, the Agency is focused on advancing Governor DeSantis vision for Florida s health care system to be the most cost-effective, transparent, and high-quality health care system in the nation. Current Agency initiatives include implementing Florida s groundbreaking Canadian Prescription Drug Importation Program, overhauling Florida s healthcare technological ecosystem, and increasing insight in the cost of health care services.

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.

Agency Objectives:

Emphasizing quality in all that we do to improve health outcomes, always putting the individual first.

Supporting initiatives that promote transparency and empower consumers in making well informed healthcare decisions.

Leveraging Florida s buying power in delivering high quality care at the lowest cost to taxpayers.

Position Overview:

This is an exciting opportunity to help shape the quality of health care in Florida. We are seeking to hire a Registered Nursing Consultant 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 Quality and is open to the Tallahassee, Jacksonville, Orlando, or Miami offices. Medicaid Quality provides data-driven, focused, and systematic feedback on the quality of Florida s Medicaid program to federal and state agencies, Medicaid recipients, Medicaid managed care plans, and providers. The Bureau of Medicaid Quality has a strong focus on providing more comprehensive care, improving health outcomes, and reducing costs.

This position is responsible for:
Developing, planning, and scheduling the review and analysis of program policies and procedures through monitoring.
Developing, designing, and implementing monitoring tools.
Conducting on-site monitoring visits or desk reviews of managed care plans, providers, and other entities as required.
Maintaining ongoing dialogue with managed care contract and service providers during monitoring activities.
Creating and completing reports of monitoring findings and recommended compliance actions including data analysis, charts,
tables, and other reporting formats to clearly communicate results.
Implementing and tracking corrective action plans as necessary and follow-up activities as needed.
Preparing necessary program monitoring information for review using Excel documents, tables, charts, and dashboards.
Developing responses to compliance reviews and recommendations for resolving identified areas of concern.
Representing the Agency in various meetings as required.
Using Clinical nursing skills to evaluate and monitor health care service delivery through medical records review.

This position is being offered at a ranged salary of $2,170.89 – $2,279.40 bi-weekly.

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!

    For more information about the Bureau of Medicaid Quality, please visit our website at

    Join us at the Agency for Health Care Administration in fulfilling our mission to provide Better Health Care for all Floridians.


  • Knowledge of managed health care service objectives.
  • Knowledge of Medicaid covered services and policies.
  • Knowledge of community resources.
  • Knowledge of methods for compiling, organizing, and analyzing data.
  • Ability to assess and evaluate health care systems.
  • Ability to schedule, organize, and prioritize work.
  • Ability to develop methods for monitoring and evaluating quality of service and compliance with rules, policies, and statutes.
  • Ability to review and evaluate plans and programs.
  • Ability to identify improvements and adjustments needed to ensure program effectiveness and efficiency.
  • Ability to plan, organize, and coordinate work activities.
  • Ability to communicate effectively, both verbally and in writing.
  • Ability to establish and maintain effective working relationships with others.
  • Ability to travel with or without accommodations.


  • Licensure as a Registered Professional Nurse in accordance with Florida Statute 464 or eligible to practice nursing in accordance with Florida Administrative Code 210-8.27 and three years of professional nursing experience.

    A Bachelor’s degree from an accredited college or university with a major in nursing or a related field can substitute for one year of the required general professional nursing experience.

    A Master’s degree from an accredited college or university in nursing, nursing education, public health, or a related field can substitute for two years of the required general professional nursing experience.

    Licensure as a Registered Professional Nurse in accordance with Chapter 464, F.S. or eligible to practice nursing in accordance with Florida Administrative Code 210-8.22, 8.27, or Certification as a Physician s Assistant in accordance with Chapter 458, F.S.
    CONTACT: CIEL PAULK (850) ###-####

    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-###-####). 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.
    VETERANS PREFERENCE. Pursuant to Chapter 295, Florida Statutes, candidates eligible for Veterans Preference will receive preference in employment for Career Service vacancies and are encouraged to apply. Certain service members may be eligible to receive waivers for postsecondary educational requirements. Candidates claiming Veterans Preference must attach supporting documentation with each submission that includes character of service (for example, DD Form 214 Member Copy #4) along with any other documentation as required by Rule 55A-7, Florida Administrative Code. Veterans Preference documentation requirements are available by clicking here. All documentation is due by the close of the vacancy announcement.

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