68021191 - Senior HUMAN Services Program Specialist

Senior Human Services Program Specialist

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 planning and conducting virtual and on-site New Provider Enrollment Reviews and validating re-enrollment reviews of current Medicaid providers to determine if they meet Medicaid provider enrollment requirements. Verifies professional licenses, business tax receipt, and lease information, among other information. Researches Internet to determine/verify business status and ownership (e.g. State of Florida Division of Corporations website and corporate websites). Submits findings and recommendations to Medicaid Fiscal Agent Operations for further action. Coordinates with Medicaid providers, Headquarters staff, and SMMC plans as needed to research and resolve assigned Medicaid Provider Enrollment and Site Visit related issues and documents their activities in the complaint module, per current protocols. Represents the Agency on Government and Community partnerships, Medicaid overview presentations, secret shopper events, transportation boards, community alliances, interagency agreement teams, local planning groups and HIV planning councils as assigned by the Field Office Manager (FOM) or Program Administrator (PA). Performs other duties as assigned. This position requires travel. This position will report to the Clearwater Field Office. This position is not a remote or telework position.

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!

Knowledge, Skills, and Abilities

Knowledge, skills and abilities, including utilization of equipment, required for the position:

• Knowledge of the Medicaid arena, Medicaid policies, and Medicaid procedures
• Skills to utilize computer equipment/software and analyze data
• Ability to perform effectively in stressful situations
• Ability to communicate effectively, verbally and in writing
• Ability to utilize problem-solving techniques
• Ability to plan, organize, and coordinate work assignments
• Skill to provide customer service
• Ability to establish and maintain effective working relationships
• Ability to provide training to providers, recipients, coworkers, community agencies, and the general public
• Ability to travel with or without accommodations

Minimum Qualifications Requirements

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.

Contact

GAYLE NINIS 727-552-1925

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.

Location

CLEARWATER, FL, US, 33760 Nearest Major Market: Tampa