AIDS Healthcare Foundation

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Associate Director of Government Contract

Associate Director of Government Contract

Req No 
2018-8202
Job Locations 
US-FL-Fort Lauderdale
Category 
Managed Care
Type 
Regular Full-Time

More information about this job

WHO WE ARE

PHP is a Medicare Advantage Prescription Drug health plan specifically for Medicare beneficiaries who are living with HIV and reside in Duval, Broward and Miami-Dade Counties.
PHP is the first HIV-specific special needs health plan approved by the Centers for Medicare & Medicaid Services (CMS). This plan covers routine doctor and specialist office visits, emergency and urgent care, hospitalization, and more. It also includes a prescription drug benefit for no monthly premium.
 
PHC Florida
PHC Florida is a Medicaid managed care plan designed specifically for HIV-positive individuals who are eligible for Medicaid and live in Broward, Miami-Dade and Monroe Counties.  PHC Florida is a Managed Medical Assitance (MMA) plan offered through Florida’s statewide Medicaid Managed Care Program

AMAZING INDIVIDUALS WORKING FOR POSITIVE PEOPLE at AIDS Healthcare Foundation!

 

Does the idea of doing something that really makes a difference in people’s lives while being well-compensated intrigue you? Are you looking to work for an organization that encourages growth and success from each and every one of its employees?

 

If so, AIDS Healthcare Foundation is the place for you!

 

Founded in 1987, AIDS Healthcare Foundation is the largest specialized provider of HIV/AIDS medical care in the nation. Our mission is to provide cutting edge medicine and advocacy, regardless of ability to pay. Through our healthcare centers, pharmacies, health plan, research and other activities, AHF provides access to the latest HIV treatments for all who need them.

  

AHF’s core values are:

 

• Patient-Centered

• Value Employees

• Respect for Diversity

• Nimble

• Fight for What’s Right

 

STILL INTERESTED? Please continue!

 

BENEFITS AT AHF
AHF offers comprehensive benefits to help our employees do and be their very best! These benefits are intended to enhance employee physical, financial, spiritual, and professional health.

YOUR CONTRIBUTION TO OUR SUCCESS!

The Associate Director, Government Contracts (ADGC) is a key leader in AHF’s Managed Care Division and health plans.  This leadership position is responsible for oversite of health plan government contracts in order to assure the health plans remain complaint with contractual, regulatory, accreditation and internal MCO standards.  The ADGC serves as the principal liaison between the health plans and the federal and/or state regulator.  By building a stronger relationship between the plans and regulator, the ADCG positions the health plans to grow and retain membership.

 

The ADCG contributes to the success of the AHF MCO by ensuring the MCO team is executing the assigned contract(s) and meeting the terms of the contract in a compliant, effective and efficient manner. The ADGC is responsible for analyzing the business requirements of the contracts, with a focus on lowering contract management costs, improving and maintaining contract compliance and avoiding contractual conflicts within the organization and with external Contractors, e.g., Agency for Health Care Administration (AHCA), CMS, etc. This position contributes significant capacity to management by managing multiple competing objectives, prioritizing, and  communicating complex information, guidance and leadership in clear and unambiguous terms to the management team, cross-functional team members and end user personnel.  The ADGC must be independent and self-motivated who can develop a strategic analytical approach customized to meet the needs of health plan contract or assigned project.

 

The ADGC additionally contributes to the success of AHF MCO by oversight that assures the day-to-day contract compliance and reporting is timely and accurately executed. Success comes to the ADCG while working closely the department directors, Chief of Managed Care, Senior Director, Health Plan Operations (SDHPO), Compliance Officer and other executive management to ensure plan execution, compliance with contract requirements, and avoidance of any sanctions or liquidated damages, as related to reporting, data submissions, up-to-date policies and procedures, provider network adequacy, complaints and grievances marketing/community outreach and ad hoc requests.

 

 

We at AIDS Healthcare Foundation believe that each individual is entitled to equal employment opportunities without regard to race, color, creed, gender, sexual orientation, gender identity, marital status, national origin, age, veteran status or disability. The right of equal employment opportunity extends to recruiting, hiring selection, transfer, promotion, training and all other conditions of employment.