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State of Florida

Government Operations Consultant III

State of Florida

. Research, plan, develop, coordinate, implement, evaluate, and maintain Florida Medicaid policies .

Posted 10/13/2026full-timeTallahassee • Florida • United StatesJuniorMid-Level💰 $1,946 - $2,529 per weekWebsite

Core Competencies

Role fit
Core Competencies

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Demonstrates expertise in developing and maintaining Medicaid policies, with a strong understanding of federal regulations and state statutes. Capable of conducting comprehensive research and analysis to inform policy development and improve program operations.

Highest-signal resume keywords
Medicaid Policy DevelopmentTechnical WritingData Collection And AnalysisPublic Speaking And PresentationStakeholder Coordination

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills
Policy FormulationResearch MethodologyProgram EvaluationClaims ProcessingBudget AssessmentFact-Finding ResearchData OrganizationTraining Program DevelopmentRegulatory ComplianceHealth Care Policy
Soft Skills
Effective CommunicationProblem SolvingRelationship BuildingIndependent WorkOrganizational Skills
Industry Keywords
Florida MedicaidMedicaid State PlanHealth Care TrendsAdministrative RulesMedicare PoliciesService Delivery ModelsPublic MeetingsStakeholder EngagementOperational ManagementPeer-Reviewed Research

About the role

Key responsibilities & impact
  • Research, plan, develop, coordinate, implement, evaluate, and maintain Florida Medicaid policies
  • Maintain knowledge of Medicaid federal regulations, state statutes, administrative rules, and the Florida Medicaid State Plan
  • Monitor health care and relevant industry trends affecting Florida Medicaid and policy development
  • Stay informed about 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 service delivery models
  • Conduct research using peer-reviewed articles, federal and state laws, reliable evidence sources, the Medicaid State Plan, Agency communications, State Medicaid Director Letters, and vendor contracts
  • Develop and maintain Medicaid program policies and procedures
  • Review policy documents for consistency, accuracy, completeness, and publishable quality
  • Plan and coordinate public meetings
  • Coordinate and correspond with internal and external governing bodies and stakeholders
  • Provide technical assistance on service/program operations, policies, and procedures
  • Present data and service/program information accurately
  • Advise higher-level management on improvements and concerns and provide solutions
  • Identify and document training needs
  • Design, prepare, and evaluate presentations, training programs, and materials
  • Conduct statewide and local presentations and trainings
  • 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
  • Knowledge of basic management principles and practices
  • Knowledge of methods of data collection and analysis
  • Ability to coordinate consultative programs and resolve 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 applicable rules, regulations, policies, and procedures
  • Ability to organize data for reports and written materials
  • Ability to collect, evaluate, and analyze data
  • Ability to conduct fact-finding research
  • Ability to work independently
  • Ability to solve problems and make decisions
  • Ability to travel with or without accommodations
  • Professional writing experience is preferred
  • Selection process may include a writing sample
  • Successful completion of State and National criminal history/background screening is required before employment
  • Employees are subject to reasonable suspicion drug testing
  • Licensure, certification, or registration requirements: N/A

Benefits

Comp & perks
  • Health insurance (individual and family coverage)
  • Life insurance; $25,000 policy is free plus option to purchase additional life insurance
  • Dental, vision and supplemental insurance
  • State of Florida retirement options, including employer contributions
  • Ability to earn up to 104 hours of paid annual leave as a new employee
  • Ability to earn up to 104 hours of sick leave annually
  • Nine paid holidays and 1 personal holiday each year
  • Opportunities for career advancement
  • Tuition waivers accepted by major Florida colleges/universities
  • Student loan forgiveness opportunities (eligibility required)
  • Training opportunities
  • Flexible Spending Accounts
  • Shared Savings Program for select medical services
  • Lower copays for prescription drugs
  • Health and Wellness discounts
  • Veterans’ Preference for eligible candidates
  • Reasonable accommodation support for candidates with disabilities