68063568 - SENIOR HUMAN SERVICES PROGRAM SPECIALIST 1

Requisition No: 849427 

Agency: Agency for Health Care Administration

Working Title: 68063568 - SENIOR HUMAN SERVICES PROGRAM SPECIALIST 1

 Pay Plan: Career Service

Position Number: 68063568 

Salary:  $1,598.52 - $2,078.08 Biweekly 

Posting Closing Date: 03/23/2025 

Total Compensation Estimator Tool

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.

 

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 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 immed