Provider Enrollment & Development Coord

PROVIDER ENROLLMENT & DEVELOPMENT COORD - Date: Apr 15, 2024 Location: WILDWOOD, FL, US, 34785 The State Personnel System is an E-Verify employer. For more information click on our E-Verify Website (\ operations/human\ resource\ management/for\ job\ applicants/e\ verify) . Requisition No: 826921 Agency: Agency for Persons with Disabilities Working Title: PROVIDER ENROLLMENT & DEVELOPMENT COORD - Pay Plan: Career Service Position Number: Salary: $42,776.81 - $45,000.02 Annually Posting Closing Date: 04/25/2024 Total Compensation Estimator Tool AGENCY FOR PERSONS WITH DISABILITIES POSITION: Government Operations Consultant II - Career Service WORKING TITLE: Provider Enrollment & Development Coordinator POSITION'S LOCATION: Central - Wildwood, FL POSITION NUMBER: OPEN COMPETITIVE OPPORTUNITY The Agency for Persons with Disabilities works in partnership with local communities to support people with developmental disabilities in living, learning, and working in their communities. APD provides critical services and supports for customers with developmental disabilities to reach their full potential. The Agency serves people with spina bifida, autism, Down syndrome, children ages 3-5 at high risk of developmental disabilities, cerebral palsy, Prader-Willi syndrome, Phelan-McDermid syndrome, and intellectual disabilities. There is no charge or co-payment for services provided through the Agency. SALARY RANGE $ 42,776.81 - $ 45,000.02 Annually $ 1,645.26 - $ 1,730.77 Bi-weekly SPECIFIC DUTIES AND RESPONSIBILITIES Employees of the Agency for Persons with Disabilities are required to demonstrate total commitment to outstanding customer service. This includes, but is not limited to, always acting in a responsive, professional, courteous manner with the employees, customers, and public we serve at all times. Duties and responsibilities include, but are not limited to, the following: This is a professional position responsible for all activities associated with the recruitment, enrollment, and maintenance of iBudget waiver applicants; issuance and renewal of Medicaid Waiver Service Agreements (MWSA), processing provider expansion requests, and processing changes of ownership in APD iConnect in the Central Region. Responsibilities associated to this position are: Review incoming Medicaid Waiver provider application packets and notify applicant of application. Review incoming Medicaid Waiver provider application packets and notify applicant of application deficiencies within 30 days. Close applications and send notice of closure if the complete application is not received within 45 days of notice of deficiency. Maintain record of all correspondence with the applicant in the provider record. Issue APD Initial iBudget Waiver Sign-off notice to applicants for submission to the AHCA provider enrollment portal once a complete application is received and applicant's background screening clearance, education and experience has been verified. Process requests for access to the AHCA Clearinghouse for provider applicants. Once enrolled, monitor re-screening compliance and process alerts to ensure providers adhere to time frames established in the Florida laws. Maintain communication with the State Office Background Screening unit related to the processing of exemption packets and other screening matters. Provide guidance on Background Screening requirements to provider applicants and existing providers as needed. Track provider progress through the AHCA application process, close out applicants who do not complete the process and notify State Office Provider Terminations team. Draft, route and issue the initial Medicaid Waiver Service Agreements for those who meet AHCA enrollment requirements. Enter and track MWSA dates in iConnect to ensure renewals are processed within designated time frames and executed agreements are in place prior to the expiration date of the current agreement. Prior to executing renewal agreements, ensure all Waiver enrollment requirements are met, including but not limited to ensuring the provider has current approved Level 2 background screening and has provided APD with a copy of the current Professional Business Liability Insurance policy naming APD as the certificate holder. Enter new providers into APD iConnect including adding the MWSA and Business Liability Insurance expiration dates and maintain provider record in iConnect. Add all APD residential licensed providers in ABC for room and board payment processing in addition to other service providers only if general revenue payments will be issued to the provider. Provide technical assistance to providers in regard to service provision requirements. Refer provider to the TRAIN Florida unit for user account setup. Respond to provider inquiries in a timely way regarding Medicaid Waiver enrollment qualifications and processes. Conduct technical assistance with provider applicants related to the completion of the enrollment packet, and on required documentation evidencing qualifications, training, and experience. Process requests for expansion with existing providers. Submit expansion denial action requests to State Office for their consideration. Communicate the expansion approval/denial to the requesting provider. Assist in the development and submission of Provider Agency Action Forms for providers who are being considered for termination. Conduct provider recruitment activities, as needed, and target the recruitment of specific types of providers needed in the Region. Participate in meetings, conference calls, training, workshops/workgroups, and other miscellaneous activities as needed. Collaborate with each state office and regions in identifying specific iBudget waiver services where there is insufficient capacity to meet current needs and to promote client choice, ensuring that this considers provider capacity by each county within the region. Maintain tracking of findings. Work with relevant APD state office units to develop a marketing plan to increase provider enrollment throughout the state. Conducts activities related to disaster planning. REQUIRED KNOWLEDGE, SKILLS, AND ABILITIES Ability to : + Ability to develop rules, policies and procedures related to Florida's waiver program. + Ability to understand, apply and interpret applicable statutes, rules, regulations and policies related to the waiver program. + Ability to communicate effectively both in writing and verbally. + Ability to establish and maintain effective working relationships with coworkers, Field Office staff, consumers, family members and other stakeholders. + Ability to work independently. + Ability to learn and communicate complex information. + Ability to plan, organize and coordinate work assignments. Demonstrate Skills in : + Working independently, communicate effectively, problem solving. Knowledge of : + Microsoft Word and Excel; the DD/HCBS Medicaid Waiver and Florida's Developmental Disabilities system; Rules, policies and procedures related to Florida's waiver program. POSITION REQUIREMENTS High School Diploma or its equivalent. ADDITIONAL INFORMATION PROFILE COMPLETION Applicants must complete all fields in the Candidate Profile, including their work history with the month and year, to qualify for this position. Responses to Qualifying Questions must be verifiable in the Candidate Profile, and "see resume" will not be considered an acceptable response. Resumes and other documentation can be attached to provide additional information, but these 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 the date of your retirement. 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). E-verify is a program that electronically confirms an employee's eligibility to work in the U.S. after completing the employment eligibility verification form (I-9) . click apply for full job details