68900326 - OPS GOVERNMENT ANALYST II

Requisition No:886631 Agency: Agency for Health Care Administration Working Title: 68900326 - OPS GOVERNMENT ANALYST II 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, AHCA 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. 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:

HIGH QUALITY

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

TRANSPARENT

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

COST-EFFECTIVE

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 an OPS Government Analyst II 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 Policy. Medicaid Policy is responsible for the development, coordination, and implementation of Florida Medicaid program policies, including: all Medicaid federal authorities (e.g. the Florida State Plan, 1115 waivers and home and community based waivers), administrative rules, coverage policies, managed care plan contracts, bill analyses, drug utilization review boards, preferred drug lists, supplemental rebate contracts, and KidCare/Title 21. This position is responsible for the evaluation of applied behavior analysis (ABA) services documentation submitted to and produced by the Agency. This position requires advanced expertise in ABA, a thorough understanding of behavioral principles, and demonstrated ability to collaborate with multidisciplinary teams to promote positive outcomes. Key Responsibilities: Evaluate the design and implementation of individualized treatment plans rooted in ABA methodologies, aligning interventions with Medicaid service definitions and standards. Identify plan deficits as needed to ensure compliance with Medicaid policy and optimize client outcomes. Evaluate treatment plan alignment with behavior assessment and data. Conduct evaluations of behavioral assessments and analyze client data to identify needs and develop effective intervention strategies. Ensure all evaluation and intervention activities comply with Medicaid coverage policies, medical necessity standards, and documentation requirements. Collaborate with Agency staff in the development of policy, evaluation tools and processes, and communications regarding ABA services. Provide training to Agency staff regarding ABA principles and practices. Participate in team meetings. Evaluate provider documentation of client progress. Maintain Medicaid-related records in accordance with Agency and HIPAA guidelines, ensuring all practices adhere to regulatory standards and ethical guidelines. Conduct research of current evidence-based or best practices related to ABA services. Ensure all practices are consistent with Medicaid policy, regulatory standards, ethical guidelines as promulgated by certifying entities, and relevant federal and state statutes. This position is not a remote or telework position. This position will be hired at $50.00 Hourly and is non-negotiable. 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 Other Personal Services (OPS) employees features a highly competitive set of employee benefits, including: No state income tax for residents of Florida; State Group Insurance coverage options (must meet eligibility requirements), including health, life, dental, vision, and other supplemental insurance options; 401 (a) FICA Alternative Plan administered through VALIC (tax-deferred Retirement Savings Plan); Participation in the Florida Deferred Compensation Plan (457b) OPS employment is a temporary employer/employee relationship used for accomplishing short term or intermittent tasks. OPS employees are at-will employees and are subject to actions such as pay changes, changes to work assignments, and terminations at the discretion of the Agency head or designee. OPS employees do not serve probationary periods or become permanent in their positions because they serve at the pleasure of the Agency head. For more information about the Bureau of Medicaid Policy, 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, skills, and abilities Knowledge, skills, and abilities, including utilization of equipment, required for the position: Advanced knowledge of Medical Necessity Criteria (MNC) specific to ABA services. Knowledge of Medicaid coverage, benefit limitations, and state/federal mandates. Deep literacy in clinical assessment metrics to verify objective baseline data and client progress. Strong written and verbal communication, organizational, and problem-solving skills Ability to work independently and as part of a collaborative team, maintaining a positive working relationship with others. Ability to quickly interpret graphical behavioral data and progress notes to spot plateaued progress or over-utilization. Ability to have a strict focus on clinical evidence, guidelines, and contractual policies over subjective peer sentiment. Ability to identify and clearly record documentation deficiencies. Ability to independently manage manual workflow tracking missing provider data. Ability to effectively manage multiple priorities. Ability to review information for accuracy. Preferred Qualification Three years of direct clinical ABA experience to ensure deep familiarity with standard provider treatment plans. Active certification as a Board Certified Behavior Analyst (BCBA) in good standing with the Behavior Analyst Certification Board (BACB). Licensure, certification, or registration requirements N/A Contact

TIM BUEHNER View phone number on click.appcast.io

Background Screening It is the policy of the Florida Agency for Health Care Administration that any applicant being considered for employment must successfully complete a State and National criminal history check as a condition of employment before beginning employment, and, if applicable, also be screened in accordance with the requirements of Chapter 435, F.S., and Chapter 408, F.S. No applicant may begin employment until the background screening results are received, reviewed for any disqualifying offenses, and approved by the Agency. Background screening shall include, but not be limited to, fingerprinting for State and Federal criminal records checks through the Florida Department of Law Enforcement (FDLE) and Federal Bureau of Investigation (FBI) and may include local criminal history checks through local law enforcement agencies. 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 View phone number on click.appcast.io). 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. Location TALLAHASSEE, FL, US, 32308 TALLAHASSEE, FL, US, 32311 TALLAHASSEE, FL, US, 32301 TALLAHASSEE, FL, US, 32399 TALLAHASSEE, FL, US, 32309 TALLAHASSEE, FL, US, 32312 TALLAHASSEE, FL, US, 32305 TALLAHASSEE, FL, US, 32316 TALLAHASSEE, FL, US, 32303 TALLAHASSEE, FL, US, 32302 TALLAHASSEE, FL, US, 32317 TALLAHASSEE, FL, US, 32307 TALLAHASSEE, FL, US, 32304 TALLAHASSEE, FL, US, 32310 For assistance, call the People First Service Center at View phone number on click.appcast.io Monday - Friday, 8:00 a.m. to 6:0 #J-18808-Ljbffr State of Florida