68900326 - OPS Government Analyst II

Business and Financial Operations; Tallahassee (FL); On-site; USD 60,000 - 85,000; Full time

Job summary

The Agency for Health Care Administration in Tallahassee seeks an OPS Government Analyst II to evaluate ABA services documentation and treatment plans for the Florida Medicaid program. You will review behavioral assessments, ensure alignment with MNC, and monitor provider documentation.

The role requires advanced ABA expertise, the ability to assess compliance with Medicaid policies, and to collaborate with multidisciplinary teams to improve service quality and policy development within the

Qualifications

• Advanced knowledge of Medical Necessity Criteria (MNC) specific to ABA services.
• Deep understanding of Medicaid coverage, benefit limits, and authority at state/federal levels.
• Thorough knowledge of behavioral principles and ABA methodologies.
• Proven ability to collaborate with multidisciplinary teams.
• Expertise in evaluating individualized treatment plans and behavioral assessments.
• Familiarity with HIPAA and regulatory compliance standards.

Skills

Medical Necessity Criteria ABA

Medicaid coverage & authorities

ABA principles & methodologies

Collaborative teamwork

Treatment plan evaluation

HIPAA compliance knowledge

Job description

The Agency for Health Care Administration seeks an OPS Government Analyst II to evaluate applied behavior analysis (ABA) services documentation and treatment plans for the Florida Medicaid program. This position, located in the Bureau of Medicaid Policy, requires advanced ABA expertise and the ability to assess compliance with Medicaid policies, develop evaluation tools, and collaborate with multidisciplinary teams. The role involves evaluating behavioral assessments, treatment plan alignment, provider documentation, and conducting research on evidence-based ABA practices.

Key qualifications

• Advanced knowledge of Medical Necessity Criteria (MNC) specific to ABA services
• Knowledge of Medicaid coverage, benefit limitations, and state/federal authorities
• Thorough understanding of behavioral principles and ABA methodologies
• Demonstrated ability to collaborate with multidisciplinary teams
• Advanced expertise in evaluating individualized treatment plans and behavioral assessments
• Knowledge of HIPAA guidelines and regulatory compliance standards