68064838 - GOVERNMENT OPERATIONS CONSULTANT III

Requisition No: 881647

Agency: Agency for Health Care Administration

Working Title: 68064838 - GOVERNMENT OPERATIONS CONSULTANT III

Pay Plan: Career Service

Position Number: 68064838

Salary: $2,128.47 - $2,263.77 Biweekly

Posting Closing Date: 08/15/2026

Total Compensation Estimator Tool

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 the 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 Government Operations Consultant III 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 Plan Management Operations

(PMO). PMO is responsible for the primary oversight of Medicaid’s managed care programs, with a focus on the Statewide Medicaid Managed Care (SMMC) program.

The bureau’s primary responsibility is ensuring that the managed care plans meet Medicaid contractual requirements, including the timely provision of medically needed services and provider payment for such services.

This position is responsible for analyzing, developing, implementing, coordinating, and/or monitoring contracted medical assistance and long-term care services for the Statewide Medicaid Managed Care Program (SMMC) within the Bureau of Plan Management.

This position serves as a Comprehensive Contract Manager and the lead point of contact for their assigned Medicaid contract.

The Incumbent in this position maintains up-to-date knowledge concerning the Florida Medicaid program, including pertinent Federal laws and regulations, state statutes and rules.

This position is not a remote or telework position.

Benefits of Working for the State of Florida:

Working for the State of Florida is more than a paycheck. We offer an excellent array of benefits, including:

• 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)

• Student loan forgiveness opportunities (eligibility required)

• Training opportunities

• Flexible Spending Accounts

• Shared Savings Program for select medical services

• Lower copays for prescription drugs

• Health and Wellness discounts

For a more complete list of benefits, please visit

For more information about the Bureau of Plan Management Operations, 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 of basic management principles and practices.

•Ability to coordinate a consultative program designed to ensure the resolution of managerial and operational problems.

•Ability to communicate effectively, both verbally and in writing;

•Ability to travel with or without accommodations;

•Ability to assess budgetary needs

•Ability to establish and maintain effective working relationships

•Ability to work cooperatively as a member of the team;

•Ability to work independently

•Ability to understand and apply applicable statutes, rules, regulations, policies and procedures;

•Ability to determine work priorities, assign and ensure proper completion of work assignments in a timely manner;

•Knowledge of methods necessary for efficient compiling, organization and analyzing data;

•Ability to collect, analyze and evaluate data quickly, develop reports, and make recommendations;

•Knowledge of, and experience with, word processing, spreadsheet and/or database software as required;

•Knowledge of state procurement laws and contract management policies/procedures; and

•Ability to apply state procurement laws and contract management policies/procedures

•Ability to organize data into logical formation for presentation in reports, documents and other written materials;

•Ability to conduct fact finding research;

•Ability to solve problems and decisions

•The incumbent must have knowledge of federal and state managed care requirements

MINIMUM QUALIFICATIONS REQUIREMENTS

•One (1) year of Medicaid Plan Contract Management experience.

•One (1) year of experience working with a Managed Care organization.

•One (1) year of experience working with long-term care programs is preferred.

LICENSURE, CERTIFICATION, OR REGISTRATION REQUIREMENTS

N/A

CONTACT: NEIRE BRAYNEN View phone number on us.fitly.work

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 us.fitly.work). 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.