68021261 - senior human services program specialist

Requisition No:

Agency: Agency for Health Care Administration

Working Title: SENIOR HUMAN SERVICES PROGRAM SPECIALIST

Pay Plan: Career Service

Position Number:

Salary: $1,551.96 biweekly

Posting Closing Date: 07/22/2024

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Agency Overview:

The Agency for Health Care Administration (AHCA) is Florida's chief health policy and planning entity. The Agency is responsible for administering the Florida Medicaid program, the licensure and regulation of nearly 50,000 health care facilities, and empowering consumers through health care transparency initiatives.

Under the direction of the Agency Secretary, AHCA is focused on advancing Governor DeSantis' vision for Florida's health care system to be the most cost-effective, transparent, and high-quality health care system in the nation. Current Agency initiatives include implementing Florida's groundbreaking Canadian Prescription Drug Importation Program, overhauling Florida's healthcare technological ecosystem, and increasing insight in the cost of health care services.

The Medicaid program provides low-income families and individuals with access to health care. If you have a desire to use your talent and skills at an organization that provides critical services to millions of individuals and families across the state, AHCA invites you to apply to become an essential member of our team. As one of Florida's leading state agencies, AHCA's diverse workforce community of more than 1,400 employees is proud of its efforts to serve the people of Florida.

Agency Objectives:

HIGH QUALITY

Emphasizing quality in all that we do to improve health outcomes, always putting the individual first.

TRANSPARENT

Supporting initiatives that promote transparency and empower consumers in making well informed healthcare decisions.

COST-EFFECTIVE

Leveraging Florida's buying power in delivering high quality care at the lowest cost to taxpayers.

Position Overview:

This is an exciting opportunity to help shape the quality of health care in Florida. We are seeking to hire a Senior Human Services Program Specialist who desires to work to enhance the delivery of health care services through the Florida Medicaid Program. This position requires a candidate who is creative, flexible, innovative, and who will thrive in a fast-paced, team-based work environment.

This position is located in the Bureau of Medicaid Recipient and Provider Assistance (RPA). RPA serves as a primary point of contact for enrolled Medicaid providers, Medicaid recipients, and members of the community with questions and concerns about Medicaid.

This position is responsible for researching and responding to Medicaid issues, concerns, and complaints, as well as providing technical assistance to help recipients and providers understand Medicaid coverage policy and assure that recipients receive proper care as set forth in State Statutes, rules, policies, and Code of Federal Regulations.

The incumbent shall coordinate with Medicaid recipients, providers, policy staff, plan management staff, and Statewide Medicaid Managed Care (SMMC) plans as needed to research and resolve assigned Medicaid managed care issues and document their activities in the complaint module, per current protocols. The incumbent shall alert their immediate supervisor if/when plan responses are not received by due date, the plan's actions appear to be non-compliant with specific contract provisions, and/or the information provided by the plan in response to any issue appears to be insufficient or inaccurate.

This position will be hired at the base rate of $1,551.96 bi-weekly/non-negotiable.

Travel will be 1-25%

Monday - Friday

8:00 a.m. - 5:00 p.m.

This position is not a remote or telework position; it will have to report to a Field Office or the Headquarters in Tallahassee.

Benefits of Working for the State of Florida:

Working for the State of Florida is more than a paycheck. The State's total compensation package for employees features a highly competitive set of employee benefits including:

• State Group Insurance Coverage Options, including health, life, dental, vision, and other supplemental insurance options;

• Flexible Spending Accounts;

• State of Florida retirement options, including employer contributions;

• Generous annual and sick leave benefits;

• 9 paid holidays a year and 1 Personal Holiday each year;

• Career advancement opportunities;

• Tuition waiver for courses offered by Florida's nationally ranked State University System;

• Training and professional development opportunities;

• And more

For more information about the Bureau of Medicaid Recipient and Provider Assistance, please visit our website at

Join us at the Agency for Health Care Administration in fulfilling our mission to provide "Better Health Care for all Floridians."

KNOWLEDGE, SKILLS, AND ABILITIES

Ability to communicate effectively, verbally and in writing.

Ability to determine work priorities, assign work and ensure proper completion of work assignments.

Ability to establish and maintain effective working relationships with others.

Ability to investigate, analyze and resolve complaints.

Ability to organize data into logical format for presentation in reports, documents, and other written material.

Ability to provide training to providers, coworkers, and community agencies.

Ability to review and evaluate plans and programs.

Ability to solve problems and make decisions in a timely manner.

Ability to understand and apply applicable rules, regulations, policies, and procedures.

Ability to use databases.

Ability to utilize Microsoft Office Suite.

Ability to work independently.

Ability to travel with or without accommodation.

MINIMUM QUALIFICATIONS REQUIREMENTS

At least two years of experience providing a professional level of customer service in a fast-paced consumer-centric environment.

Preference will be given to the applicant that has:

Moderate to extensive experience and abilities using different computer programs such as Excel, Outlook, and Word, etc., including quick and accurate typing/keyboarding skills.

LICENSURE, CERTIFICATION, OR REGISTRATION REQUIREMENTS

N/A

CONTACT: ALMA MARTINEZ

BACKGROUND SCREENING

It is the policy of the Florida Agency for Health Care Administration that any applicant being considered for employment must successfully complete a State and National criminal history check as a condition of employment before beginning employment, and, if applicable, also be screened in accordance with the requirements of Chapter 435, F.S., and Chapter 408, F.S. No applicant may begin employment until the background screening results are received, reviewed for any disqualifying offenses, and approved by the Agency. Background screening shall include, but not be limited to, fingerprinting for State and Federal criminal records checks through the Florida Department of Law Enforcement (FDLE) and Federal Bureau of Investigation (FBI) and may include local criminal history checks through local law enforcement agencies.

The State of Florida is an Equal Opportunity Employer/Affirmative Action Employer, and does not tolerate discrimination or violence in the workplace.

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 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 , 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.