Medicaid waiver liaison - 67016227

Salary Range

$38,264.20 - $55,001.96 Annually $1,471.70 - $2,115.46 Bi-weekly

Position Summary

This is a professional position in the Home and Community- Based iBudget Medicaid waiver unit. This position has primary responsibility for conducting medical necessity reviews for individuals served through the Medicaid waiver program, processing cost plan amendment requests for changes in Medicaid waiver services, processing requests for changes in Medicaid Waiver funding due to programmatic functions of the iBudget Waiver program, and in working with Medicaid waiver support coordinators. The Work You Will Do Processes documentation for medical necessity reviews while ensuring the accuracy of the documents being submitted for assigned part of Medwaiver consumer case load. Processes the Allocation Implementation Meeting (AIM) documentation for medical necessity while ensuring the accuracy of the documents for new waiver enrollees (Crisis and Waitlist to Waiver Transition). Processes iConnect requests as received from Waiver Support Coordinators and/or supervisor per case load assignment in a timely and accurate manner. Checks iConnect system periodically daily and meets timelines for processing assigned requests based on established policy and procedures. Processes requests for Budget Increase Requests within the required timeframe, while ensuring the accuracy of the document submitted based on the established policy and procedures. This includes entering the required information on the Regional and State Office tracking system within the established policy and procedures. Performs duties to support the Regional Medicaid Waiver Unit, including but not limited to, working with Medicaid waiver enrolled service providers, special assignments relating to changes in the Medicaid Waiver as needed. Assists in the identification and resolution of Regional specific problems concerning policy implementation and service delivery. Provides technical assistance regarding programmatic and consumer issues and assists in interpreting rules, policies and standards. Initiates and maintains open communication with community, service providers and stakeholders. Assists, as assigned, with investigations of incidents and/or complaints regarding agency services providers. Participates in workshops, training sessions and meetings as assigned. Provides technical assistance to Medicaid waiver providers as needed/directed by the supervisor. Provides iBudget/iConnect technical assistance to Waiver Support Coordinators as necessary. Performs other duties as necessary to support the Regional office functions, including but not limited to: serving as back up staff for other Regional waiver staff and duties required during an emergency as specified in the Regional Emergency Management Plan.

Minimum Qualifications

Must have valid Driver’s License or other efficient means of transportation.

Must have High School Diploma or its equivalent.

Must have knowledge and proficient use of Microsoft applications (Excel, Word, Power Point Share Point) and other required computer software applications.

Must have at least two years of experience in working with people with disabilities, care coordination, or in the health and human services field.

Knowledge, Skills, And Abilities Knowledge of

In-service orientation - actively looking for ways to help people and exceed the expectations of the person being served.

Microsoft applications (Excel, Word, Power Point Share Point) and other required computer software applications.

Ability to

Understand, interpret, demonstrate, and manage oneself and handle interpersonal relationships.

Listen and understand what others may be saying and asking questions.

Analyze available information, observations, and evidence to determine appropriate action.

Manage time effectively, prioritize tasks, set goals, and develop systems for achieving those goals.

Effectively communicate, respectfully conversing with others to achieve a desired outcome.

Write and edit using proper grammar and writing style outlined by agency and program requirements.

Demonstrate Skills in

Active Learning - Working with new material or information to grasp its implications and ability to apply.

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. Background Screening Requirement 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). All applicants should complete the online application process. If you need assistance applying for this position, please call the People First service center at 1-877-562-7287. 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 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. VETERANS’ PREFERENCE. 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.