68064266 - SENIOR HUMAN SERVICES PROGRAM SPECIALIST

State of Florida•South Highpoint, FL

1d•Onsite

About The Position

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 is not a remote or telework position.

Requirements

Two years of experience providing a professional level of customer service in a fast-paced consumer centric environment.
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 accommodation.

Nice To Haves

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

Responsibilities

Plan and conduct virtual and on-site New Provider Enrollment Reviews and validating re-enrollment reviews of current Medicaid providers
Verify professional licenses, business tax receipt, and lease information
Research Internet to determine/verify business status and ownership
Submit findings and recommendations to Medicaid Fiscal Agent Operations
Coordinate 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.
Represent 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).
Perform other duties as assigned

Benefits

Health insurance (i.e., individual and family coverage) to eligible employees
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 with the State of Florida
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