68900246 - OPS RESEARCH ASSISTANT

My Florida Families; Tallahassee, Northern (FL, KY); Hybrid; USD 21,000 - 22,000; Full time

Job summary

The Agency for Health Care Administration in Florida is seeking an OPS Research Assistant to support the Medicaid Program Integrity Bureau with administrative tasks, data handling, and documentation management. Full-time, Monday–Friday 8:00 a.m.–5:00 p.m., with hourly rate $15.00–$16.00 based on experience.

The role includes gathering, recording, and archiving confidential correspondence, coordinating reporting, and collaborating with MPI units on special projects.

Qualifications

• Two years of customer service experience.
• Preference for a high school diploma or equivalent.
• Background and fingerprint screening required.

Responsibilities

• Support MPI operations with daily office management, special projects, and reporting.
• Gather, prepare, record, and archive secure/confidential correspondence timely.
• Maintain MPI tracking systems and project/case status monitoring.
• Collaborate with other MPI units on projects and ensure timely document flow.
• Maintain orderly electronic and physical files with accurate history.

Skills

Research and analysis

Independent work

Data organization

Education

High school diploma or equivalent

Tools

Microsoft Word

Excel

PowerPoint

Outlook

Internet Explorer

SharePoint

Adobe Acrobat

Job description

Requisition No:884747

Agency: Agency for Health Care Administration

Working Title: 68900246 - OPS RESEARCH ASSISTANT

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The State Personnel System is an E-Verify employer. For more information click on our E-Verify Website .

The Agency for Health Care Administration 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.

Position Overview:

This is a full-time OPS position, with regularly scheduled hours of Monday-Friday 8:00 a.m. to 5:00 p.m.

This OPS Research Assistant position will be filled at a rate of $15.00 - $16.00 per hour based on the candidate's experience.

This position does not require travel.

The Agency requires background and fingerprint screening as a condition of employment.

The Florida Medicaid program is one of the five largest in the country and has an estimated $38 billion annual budget.

Each month Florida Medicaid covers medical services for almost 4 million recipients.

To most effectively serve this large patient population, one of the Agency goals is to ensure fewer budgeted dollars are lost to fraud, abuse, and waste.

The Bureau of Medicaid Program Integrity (MPI) does this specifically through audits and investigations of healthcare providers, including managed care plans, suspected of engaging in fraudulent or abusive behavior, as well as overpayment recoveries, administrative sanctions, and the referral of suspected fraud or other criminal violations for law enforcement investigation.

Medicaid Program Integrity is a fast-paced bureau that addresses abusive behavior in the Florida Medicaid program to fight fraud, abuse, and waste.

To do this, the highly collaborative and innovative units rely on a team with diverse educational and experience backgrounds.

The selected candidate will be responsible for various level of administrative activities to support the Managed Care Unit's operations that include daily office management, special projects, reporting, electronic documentation distribution both incoming and outgoing, documentation tracking, and other major office functions.

The selected candidate will primarily gather, prepare, record, and archive secure/confidential correspondence in a timely manner to meet required deadlines.

This position will be privy to sensitive information, and the candidate is expected to maintain information in the strictest confidence.

The selected candidate will be responsible for providing oversight of the Medicaid Health Plan's (MCPs) compliance with program integrity requirements set forth in state and federal law, as well as the provisions of contract and Medicaid policies.

The candidate is responsible for the factual intake, review and reconciliation of the MCPs reports and submissions. In addition, receiving and forwarding documents to the appropriate staff member in a timely manner.

The selected candidate will be responsible for maintaining all files, electronic and otherwise, in a logical, orderly, and complete manner.

The candidate is responsible for ensuring the history and documentation for all reporting and submission assignments are appropriately maintained on a current basis in the proper MPI tracking systems.

The selected candidate will also be responsible for working collaboratively with other MPI operational units participating in special projects, and monitoring and tracking the associated project/case statuses.

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 assignment, and terminations at the pleasure 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.

KNOWLEDGE, SKILLS, AND ABILITIES

• Knowledge of principles and techniques of research and analysis.
• Knowledge of Microsoft Word, Excel, PowerPoint, Outlook, Internet Explorer, SharePoint, and Adobe Acrobat.
• Ability to work independently.
• Ability to collect and organize data into logical format for presentation in reports, documents, spreadsheets, and other written materials.
• Ability to conduct fact-finding research.
• Ability to utilize problem-solving techniques.
• Ability to understand and apply applicable rules, regulations, policies and procedures relating to research and analysis.
• Ability to plan, organize, and coordinate work assignments.
• Ability to multi-task in a quick and efficient manner.
• Ability to communicate effective.
• Ability to establish and maintain effective working relationships with others.

MINIMUM QUALIFICATIONS REQUIREMENTS

Two years of customer service experience.

Preference will be given to candidates that have a high school diploma or its equivalent.

LICENSURE, CERTIFICATION, OR REGISTRATION REQUIREMENTS

N/A

CONTACT: HELEN GUNN 850-412-4626

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 (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.

For assistance, call the People First Service Center at [phone] Monday - Friday, 8:00 a.m. to 6:00 p.m., Eastern time. Pursuant to Florida Law, 110.211 F. S., the State of Florida is an EEO employer.