Responsibilities
- Act as a liaison between the Agency and the actuarial vendor.
- Facilitate meetings and calls; keep track of notes and action items.
- Procure and follow up on items needed by the actuarial vendor from within and outside of MDA.
- Work with other units to ensure all issues impacting rate setting are conveyed to the actuarial vendor.
- Keep track of items owed to and from the vendor.
- Review deliverables for actuarial vendors, other vendors, another agency, or within AHCA for accuracy and consistency.
- Ensure all delivery requirements are met.
- Acts as point of contact for the unit to coordinate and facilitate regular communication on actuarial projects.
- Provides timely feedback/responses to requests from leadership.
- Assists the supervisor with facilitating meetings, coordinating or tracking requests, and developing project materials.
- Provides assistance in responding to internal inquiries and external requests related to rate setting and other actuarial services unit projects and tasks.
- Maintains detailed project logs tracking logs
- Coordinates with unit and Agency staff to ensure that projects stay on schedule and resource needs are met.
- Ensures that project deadlines are met and escalates tasks as needed.
- Participates in rate setting as well as analyses, studies, or research projects.
- Performs data analysis, including summarizing, reviewing, verifying, and reconciling data as needed for rate setting and other actuarial unit projects.
- Creates reports under the direction of the supervisor to meet needs both internally and externally.
- Assists with actuarial reporting including Federal rate filings.
- Facilitates the finalization and implementation of rates.
- Keep files organized on shared drive.
- Attend meetings both internally with other units and bureaus within the Agency, as well as externally with health care plans.
- Document, organize and standardize work processes, improve file quality, and speed up work process whenever possible.
- Keep documentation on noteworthy events, monthly magic, and Agency payments.
- Ensure the accuracy of work assigned through the development and use of reconciliation techniques.
- Facilitate meetings and calls both with the actuarial vendor and other entities; keep track of notes and action items.
- Show initiative and participate in brainstorming ways to improve all processes; propose new ideas to supervisor.
- Participates in strategic planning for Agency goals.
- Follow all unit, bureau, and Agency procedures.
- Performs other duties as assigned.
Requirements
- Three years of professional experience in project management, business management, program planning/design, or program evaluation.
- Two years of professional experience utilizing Access, SQL, Python, or other Database programs.
Nice to Have
- Contract management experience overseeing administrative, programmatic, and financial operations.
Benefits
- 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
Additional Information
- 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 (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.
- 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.
