SENIOR PUBLIC ASSISTANCE SPECIALIST - 64054461

State of Florida • Tampa, FL

6d • $36,036 - $49,796 • Onsite

About The Position

The Senior Public Assistance Specialist conducts operations for the AIDS Drug Assistance Program (ADAP) and Insurance Premium Plus Programs. The role determines clients’ medical and economic eligibility for enrollment in ADAP and Ryan White (RW) programs and for periodic recertifications; coordinates medication access with providers, pharmacies, clinical trials, and other sources; monitors prescription use and physician prescribing patterns; and provides clients with information about ADAP and RW services. The specialist reviews client files at each six-month reenrollment to ensure they include documentation required to determine eligibility.

The position maintains working knowledge of multiple databases and information technology programs used by ADAP and the health department, coordinates client referrals and follow-up with community-based organizations and community resources, initiates COBRA enrollments, enters Prescription Dispense Authorizations for pharmacy operations, maintains the Prescription Main folder, and responds to emails about clients’ ACA/Marketplace enrollment issues.

This is an internal opportunity open only to current Florida Department of Health employees. The position is based at the Department of Health in Hillsborough County, Disease Control Division, AIDS Drug Assistance Program, 1105 East Kennedy Boulevard, Tampa, Florida. Incumbents may be required to perform emergency duty before, during, or beyond normal work hours or days.

Requirements

• At least two years of experience with private and public health insurance.
• At least two years of experience making financial eligibility determinations.
• At least two years of customer service experience.
• At least one year of experience with data entry and web-based applications.
• Knowledge of HIV/AIDS.
• Knowledge of private and public health insurance.
• Skill in making eligibility determinations.
• Skill in data entry.
• Ability to communicate effectively orally and in writing, tailored to the audience.
• Ability to establish and maintain effective working relationships.
• Ability to work with a diverse population without regard to sex, gender, race or ethnicity, age, socioeconomic status, physical disability, or sexual preference.
• Ability to multitask and handle face-to-face public interactions.
• Ability to plan, organize, and coordinate work assignments.
• Ability to use Microsoft 365 applications, including Outlook, Excel, Word, PowerPoint, and MS Teams, to create documents, spreadsheets, and presentations and conduct meetings.
• Ability to learn and communicate effectively, orally and in writing, in English.
• Must complete a security background check; drug screening and direct deposit are also required by the posting.

Nice To Haves

• Experience with the Ryan White HIV/AIDS Program.
• Experience with the Affordable Care Act.
• Bilingual in English and Spanish.

Responsibilities

• Determine client medical and economic eligibility for ADAP and Ryan White program enrollment and periodic recertification.
• Coordinate access to medications with providers, pharmacies, clinical trials, and other sources.
• Monitor client prescription usage and physician prescribing patterns.
• Provide clients with information about ADAP and Ryan White services.
• Review ADAP client files at each six-month reenrollment to verify required eligibility documentation.
• Acquire and maintain working knowledge of databases and IT programs used by ADAP and the health department, including MS 365 applications, HMS, Provide, e2Hillsborough, CAREWare, FMMIS, STARS, WAGES, LOGI Reports, Lab Corp, Quest, and Chart view.
• Coordinate client referrals and follow-up services with community-based organizations and community resources.
• Initiate and complete COBRA enrollments to assist Broward Regional in completing documentation for qualified clients.
• Enter Prescription Dispense Authorizations daily into the system for pharmacy operations.
• Update the Prescription Main folder with new and active prescriptions.
• Monitor and respond to emails from Broward Regional concerning clients’ ACA/Marketplace enrollment issues.

Benefits

• Annual and sick leave.
• Nine paid holidays and one personal holiday each year.
• State Group Insurance coverage options, including health, life, dental, vision, and supplemental insurance.
• Retirement plan options, including employer contributions.
• Flexible Spending Accounts.
• Tuition waivers.
• Professional development opportunities, including mentorships and educational and skills training.
• Continuing education opportunities at no cost to the employee.
• Tuition reimbursement program.

What This Job Offers

• Job Type: Full-time
• Career Level: Senior
• Education Level: No Education Listed