68053446 - SENIOR HUMAN SERVICES PROGRAM SPECIALIST

Senior Human Services Program SpecialistThis 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 Provider Services (MPS).

MPS serves as a primary point of contact for enrolled Medicaid providers with questions and concerns about Medicaid. This position is responsible for planning and conducting 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 Provider Enrollment 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.Benefits of Working for the State of Florida: Working for the State of Florida is more than a paycheck. We offer an excellent array of benefits, including:Health insurance (i.e., individual and family coverage) to eligible employeesLife insurance; $25,000 policy is free plus option to purchase additional life insuranceDental, vision and supplemental insuranceState of Florida retirement options, including employer contributionsAbility to earn up to 104 hours of paid annual leave as a new employee with the State of FloridaAbility to earn up to 104 hours of sick leave annuallyNine paid holidays and 1 personal holiday each yearOpportunities for career advancementTuition waivers (accepted by major Florida Colleges/universities)Student loan forgiveness opportunities (eligibility required)Training opportunitiesFlexible Spending AccountsShared Savings Program for select medical servicesLower copays for prescription drugsHealth and Wellness discountsKnowledge, skills and abilities, including utilization of equipment, required for the position:Knowledge of the Medicaid arena, Medicaid policies, and Medicaid proceduresSkills to utilize computer equipment/software and analyze dataAbility to perform effectively in stressful situationsAbility to communicate effectively, verbally and in writingAbility to utilize problem-solving techniquesAbility to plan, organize, and coordinate work assignmentsSkill to provide customer serviceAbility to establish and maintain effective working relationshipsAbility to provide training to providers, recipients, coworkers, community agencies, and the general publicAbility to travel with or without accommodationsMinimum qualifications requirements:Two years of experience providing a professional level of customer service in a fast-paced consumer centric environment.Contact: JEROME HILL Location: CLEARWATER, FL, US, 33760