Government Operations Consultant III

State of Florida

. Maintain current knowledge of the Florida Medicaid program, federal regulations, state statutes, administrative rules, and the Florida Medicaid State Plan .

Posted 10/8/2026full-timeTallahassee • Florida • United StatesJuniorMid-Level💰 $1,946 - $2,529 per weekWebsite

Core Competencies

Role fit

Core Competencies

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Demonstrates expertise in Florida Medicaid program regulations, policy development, and fiscal analysis, with strong capabilities in technical writing and program management. Proficient in conducting research, developing training programs, and preparing comprehensive reports to support programmatic goals.

Highest-signal resume keywords

Florida Medicaid Program KnowledgeTechnical Writing ExperiencePolicy DevelopmentData Collection and AnalysisProgram Planning and Evaluation

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills

Policy FormulationClaims ProcessingReimbursement StrategiesResearch and AnalysisProgram DesignBudget AssessmentFact-Finding ResearchTraining Program DevelopmentReport PreparationLegislative Proposal Development

Soft Skills

Effective CommunicationProblem SolvingRelationship BuildingIndependent WorkOrganizational Skills

Certifications & Qualifications

Bachelor's Degree PreferredState and National Criminal History Check

Industry Keywords

MedicaidMedicareHealth Care PolicyAdministrative RulesProgram InnovationsFiscal-Agent OperationsProvider EnrollmentLegislative Budget RequestsManaged CareOperational Analysis

About the role

Key responsibilities & impact

Maintain current knowledge of the Florida Medicaid program, federal regulations, state statutes, administrative rules, and the Florida Medicaid State Plan
Monitor health care and industry trends affecting Florida Medicaid and policy development
Research Medicaid fiscal-agent operations, claims processing, billing, reimbursement, encounter submissions, and provider enrollment
Research Medicare policies, Medicaid research and demonstration projects, program innovations, and alternative financing and delivery models
Conduct research using peer-reviewed articles, laws, regulations, the Medicaid State Plan, Agency communications, State Medicaid Director Letters, and vendor contracts
Analyze health care and program information, financing strategies, and reimbursement strategies for program impact and legal compliance
Develop programmatic and fiscal impact statements for proposed federal or state changes
Consult with staff to identify improvement areas
Prepare reports synthesizing complex or large amounts of information
Develop legislative budget requests, program proposals, grant proposals, and legislative reports
Develop and implement program designs, projects, and plans supporting bureau goals
Develop and maintain Florida Medicaid policies and procedures
Draft policy language for managed care report guides, contracts, amendments, letters, interpretations, transmittals, and provider alerts
Track policy-document routing and approvals
Provide technical assistance and consultation regarding service and program policies and procedures
Advise higher-level management on improvement areas and concerns
Identify and document training needs
Prepare presentation materials
Develop, coordinate, and implement statewide program training plans
Design, prepare, and evaluate training programs and materials
Conduct statewide and local training
Represent the Agency at meetings, conferences, workshops, and seminars
Perform other duties and responsibilities as required

Requirements

What you’ll need

Two years of experience developing health care related policies
Two years of technical writing experience
Two years of experience managing complex assignments
Ability to travel with or without accommodations
Knowledge of basic management principles and practices
Knowledge of data collection and analysis methods
Ability to coordinate consultative programs addressing managerial and operational problems
Ability to determine work priorities and complete assignments
Ability to communicate effectively
Ability to establish and maintain effective working relationships
Ability to assess budgetary needs
Ability to formulate policies and procedures
Ability to apply rules, regulations, policies, and procedures to operational and management analysis
Ability to organize data into logical formats for reports and presentations
Ability to conduct fact-finding research
Ability to work independently
Ability to solve problems and make decisions
Successful completion of a State and National criminal history check before employment
A skills test may be required
Bachelor's degree from a college or university is preferred
Four years of professional experience in program planning, program research, or program evaluation is preferred

Benefits

Comp & perks

Health insurance, including individual and family coverage
Free $25,000 life insurance policy, with option to purchase additional life insurance
Dental, vision, and supplemental insurance
State of Florida retirement options, including employer contributions
Up to 104 hours of paid annual leave as a new employee
Up to 104 hours of sick leave annually
Nine paid holidays and one personal holiday annually
Career advancement opportunities
Tuition waivers accepted by major Florida colleges/universities
Student loan forgiveness opportunities, subject to eligibility
Training opportunities
Flexible Spending Accounts
Shared Savings Program for select medical services
Lower prescription drug copays
Health and Wellness discounts
Veterans’ Preference for eligible candidates
Reasonable accommodation for candidates with disabilities