68058971 - SENIOR HUMAN SERVICES PROGRAM SPECIALIST

Requisition No: 877681 

Agency: Agency for Health Care Administration

Working Title: 68058971 - SENIOR HUMAN SERVICES PROGRAM SPECIALIST

 Pay Plan: Career Service

Position Number: 68058971 

Salary:  $1,636.98 - $2,128.07 Biweekly 

Posting Closing Date: 06/25/2026 

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 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 researching and responding to recipient issues and concerns, as well as providing technical assistance to help recipients understand Medicaid coverage policy and assure that recipients receive proper care.

 

The individual in this position is also responsible for researching and responding to recipient requests for assistance and for Recipient Enrollment Support Center functions.

 

A good attendance record is essential for any individual in this position as the work involved occurs daily and is time sensitive. The individual in this position is expected to report to work daily and on time.

 

Examples of work include, but are not limited to:

Receive, research, and respond to county code errors, unable to locate, segment updates, Third Party Liability (TPL) file maintenance requests, and other file problems.

Research errors using FMMIS, FLORIDA, and Health Track.

Remain informed about Medicare and other federal and state health care related programs.

Research, resolve, and respond to Medicare premium payment issues, changes to Medicare Part A and B coverage, and corrections to Medicare numbers.

Communicate with Headquarters, Department of Children and Families (DCF), Social Security Administration (SSA), Statewide Medicaid Managed Care (SMMC) plans, and Medicaid recipients in order to resolve assistance requests.

Work with providers to resolve complex recipient issues.

Research, resolve, and respond to beneficiary billing issues and concerns Provider Choice Counseling assistance to Medicaid recipients Explain the differences between partial Medicaid programs, Fee-For-Service (FFS), and SMMC.