PROVIDER LIAISON - 67055525

My Florida CFO; Orlando (FL); On-site; USD 38,000 - 41,000; Full time

Job summary

Agency for Persons with Disabilities in Florida seeks a Provider Liaison to independently improve provider service delivery, train and assist providers, investigate complaints, and ensure remediation plans meet regulatory standards. The role works with QA organizations and external agencies to uphold HIPAA and reporting requirements.

The position emphasizes collaboration with internal teams and external partners to protect beneficiaries and improve care quality while reporting to APD offices in

Qualifications

• Knowledge of Microsoft Office programs (Word, Excel, Outlook, Teams, SharePoint).
• Ability to provide responsive customer service to diverse populations.
• Willingness to travel for work purposes.

Responsibilities

• Review QIO reports and identify deficiencies; provide remediation templates.
• Track remediation activities and ensure timely completion.
• Follow up with providers to address health and safety alerts within timeframes.
• Follow up on provider complaints and address client health and safety issues.
• Require a remediation plan for all verified complaints.
• Add complaints to the remediation tracker.
• Conduct wellness visits within 72 hours for allegations of Abuse Neglect or Exploitation (ANE).
• Assist in completing the Provider Adverse Action Request Form.
• Generate Corrective Action Plans for deficiencies in annual QIO reviews.
• Collaborate with APD waiver and clinical teams on complaints.
• Coordinate with external agencies (MPI, QIO, MFCU) on provider performance.
• Perform other related duties as assigned.

Skills

Microsoft Office

iConnect

Education

Highschool Diploma or equivalent

Job description

Requisition No:883661

Agency: Agency for Persons with Disabilities

Working Title: PROVIDER LIAISON - 67055525

Position Number:67055525

Salary: $38,264.20 to $41,025.40 Annually

WORKING TITLE: PROVIDER LIAISON

POSITION NUMBER: 67055525

OPEN COMPETITIVE OPPORTUNITY

This posting may close before the posted closing date.

CANDIDATE POOL: Future vacancies may be filled from this advertisement for a period of up to six months.

This position is not a Telework position and is required to report to the APD office in the area it serves.

The 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 eligible employees features a highly competitive set of employee benefits, including:

• Annual and Sick Leave benefits.
• Nine paid holidaysand onePersonal Holiday each year.
• State Group Insurance coverage options, including health, life, dental, vision, and other supplemental insurance options.
• Retirement plan options, including employer contributions (For more information, please click www.myfrs.com ).

The Agency seeks team members who contribute to a culture that develops individuals and strengthens teams through transparency and a commitment to professional growth. Team members are expected to provide exceptional customer service, demonstrate humility, recognize and share credit with others, remain self-motivated, and exercise sound judgment and awareness in team interactions and group dynamics.

This position with APD will serve staff and management across the Agency. Your work will impact the workplace culture, our community, and the population we serve as we continuously strive to achieve the Agency’s mission.

*Responses to the qualifying questions are required and must be verifiable based on your submitted application, and “see resume” will not be considered an acceptable response.

SALARY RANGE

$38,264.20 - $41,025.40 Annually $1,471.70 - $1,577.90 Bi-weekly

Position Summary

This is a professional position responsible for independently performing a variety of duties related to quality improvement and enhancement of provider service delivery practices, training and technical assistance, researching provider related complaints, ensuring providers who are not in compliance submit and follow a plan of remediation which is responsive to cited deficiencies, directing providers to the Agency for Health Care Administration (AHCA) when billing discrepancies are identified, documenting communication with providers and stakeholders to address identified concerns, collaborating with external stakeholders including the Quality Improvement Organization (QIO), Medicaid Program Integrity (MPI) and the Medicaid Fraud Control Unit ( MFCU) as while upholding HIPAA requirements. The incumbent’s duties include, but are not limited to, the following:

The Work You Will Do

Review the QIO reports and identify deficiencies needing correction. Notify the provider of deficiencies needing correction and provide a plan of remediation template for provider completion.

Review the provider plan of remediation to ensure all deficiencies are remediated within required timeframes and add remediation activities onto the remediation tracker.

Follow up with the provider to ensure all rights and health and safety alerts are addressed within required timeframes.

Follow up on any provider complaints received. Ensure any identified client health and safety issues are immediately addressed.

Require a plan of remediation for all verified complaints.

Add the complaint onto the remediation tracker.

Conduct wellness visits within 72 hours as assigned for allegations of Abuse Neglect or Exploitation (ANE) in APD licensed facilities, Adult Day Training programs and supported living arrangements using the wellness visit template.

Assist in completion of the Provider Adverse Action Request Form for request for administrative complaints or provider terminations.

Ensure that a Corrective Action Plan is generated for all deficiencies involving APD licensed facilities in annual QIO reviews.

Collaborate with the APD waiver team and clinical team in researching complaints.

Collaborate with external agencies (MPI, QIO, MFCU) in addressing provider performance concerns.

Perform other related duties as assigned.

Minimum Qualifications

• Highschool Diploma or its equivalent.
• Valid Driver’s license or other efficient means of transportation and willing to travel for work purposes.

Knowledge, Skills, And Abilities

Knowledge of:

• Microsoft Office Programs (Word, Excel, Outlook, Teams, SharePoint).
• iConnect to complete business processes.

Ability to:

• Demonstrate and provide responsive customer service.
• Work with individuals with developmental disabilities.
• Use tracking systems to monitor and complete work assignments within required timeframes.
• Travel to complete wellness visits, attend provider quarterly meetings, attend other meetings as assigned.

Additional Information

Profile Completion

To qualify for this position, applicants must complete all fields in the Candidate Profile, including their work history with the month and year.

Resumes and other documentation can be attached to provide additional information but will not replace the required completed Candidate Profile.

Retiree Notice

If you are a retiree of the Florida Retirement System (FRS), please check with the FRS on how your current benefits will be affected if you are re-employed with the State of Florida. Your current retirement benefits may be suspended or voided, and you will be required to repay all benefits received depending upon your retirement date.

Direct Deposit Program

As a condition of employment, a person appointed to a position in the State Personnel System is required to participate in the Direct Deposit Program. Rather than receiving a paper paycheck, your funds will be deposited directly into your account at your financial institution. This will be accomplished by Electronic Funds Transfer. Banks, savings and loan associations, and credit unions are eligible to accept such deposits. Retirement funds are also required to be in the Direct Deposit Program.

It is the policy of the Florida Agency for Persons with Disabilities that applicants for employment undergo Level 2 employment screening in accordance with the requirements of Chapter 435, Florida Statutes, as a condition of employment or being permitted to serve as a volunteer.

No applicant for a designated position will be employed or permitted to volunteer until the Level 2 screening results are received, reviewed, and approved by the Agency.
Level 2 background screening shall include, but not be limited to, fingerprinting for Statewide criminal and juvenile records checks through the Florida Department of Law Enforcement and Federal criminal records checks through the Federal Bureau of Investigation and may include local criminal records checks through local law enforcement agencies.

Pursuant to S. 110.1127(1), Florida Statutes, this position requires a background investigation, including fingerprinting.

APD only hires U.S. citizens and those lawfully authorized to work in the U.S. APD participates in the U.S. government’s employment eligibility verification program (E-Verify), which electronically confirms an employee’s eligibility to work in the U.S. after completing the employment eligibility verification form (I-9).

Responses to the qualifying questions are required to be considered for this position.Answers to the qualifying questions must be verifiable based on your submitted application.

Candidates requiring a reasonable accommodation, as defined by the Americans with