Requisition No: 833293 

Agency: Agency for Health Care Administration

Working Title: 68900342 - OPS OPERATIONS REVIEW SPECIALIST

 Pay Plan: Temp

Position Number: 68900342 

Salary: $30.00 hourly 

Posting Closing Date: 07/29/2024 

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This is an exciting opportunity to help shape the quality of health care in Florida. The Agency for Health Care Administration (AHCA) is the State of Florida agency responsible for oversight of the Medicaid program. 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.

The Agency is seeking to fill a position within the Office of the General Counsel, Fair Hearing Section. The position is full-time, requires a five-day work week (Monday through Friday), and is located in Tallahassee, Florida. The position works under the supervision of the Fair Hearing Section Chief or designee.

DUTIES INCLUDE:

Receive telephone calls and handle them appropriately.

Send and process incoming and outgoing emails, faxes and mail.

Run reports as requested.

This position will be hired at the salary rate of $36.00 hourly/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;

•Savings & Spending Accounts;

•401 (a) FICA Alternative Plan administered through VALIC (tax deferred Retirement Savings Plan);

•Participation in the Florida Deferred Compensation Plan (457b)

For a more complete list of benefits and eligibility requirements, visit www.mybenefits.myflorida.com.

What is OPS employment?

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 assignment, 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.

ADDITIONAL INFORMATION:

Upon commencement of employment in compliance with Agency policy, the incumbent shall receive New Employee Orientation, Plain Language, Customer Service, Sexual Harassment, Cultural Diversity, Americans with Disabilities Act (ADA), Ethics, Supervisor, Computer Security Awareness, HIPAA and Medicaid 101 training. In addition, the incumbent shall receive training in substantive legal topics such as the civil procedural and evidentiary rules, and on the Fair Hearing Section case management system, as well as other agency computer systems.

SUCCESSFUL COMPLETION OF A CRIMINAL BACKGROUND INVESTIGATION IS A CONDITION OF EMPLOYMENT.

KNOWLEDGE, SKILLS, AND ABILITIES

Knowledge of methods of tracking and organizing data.

Ability to plan, organize and complete work assignments and prepare reports.

Ability to use Microsoft Office software.

Ability to communicate effectively both verbally and in writing.

Ability to establish and maintain effective working relationships with others.

MINIMUM QUALIFICATIONS REQUIREMENTS

Minimum of two years’ experience working in customer service.

Minimum of one year of Microsoft Office experience.

Candidate with call center experience is preferred.

Preference may be given to bilingual candidates.

LICENSURE, CERTIFICATION, OR REGISTRATION REQUIREMENTS

N/A

CONTACT: LAURA GALLAGHER (850) 412-3634

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.

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 (1-866-663-4735). 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.