68064264 - GOVERNMENT OPERATIONS CONSULTANT II

The Agency for Health Care Administration (AHCA) is seeking a Government Operations Consultant II to work in the Bureau of Medicaid Plan Management Operations (PMO). The ideal candidate will have experience in medical claims billing or processing, data analysis, and problem-solving. They will work to enhance the delivery of health care services through the Florida Medicaid Program.

Requirements

• Two (2) years of experience in medical claims billing or medical claims processing with the understanding of the Explanation of Payment and Explanation of Benefit Statements for health insurance companies/government healthcare related programs.
• One (1) year experience auditing or conducting monitoring of medical claims activities related to a healthcare program.
• Two (2) years of experience researching and interpreting policies and procedures.
• Two (2) years of experience using Microsoft Office (Outlook, Word, Excel, etc.) and various software programs.

Benefits

• 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!