68064266 - SENIOR HUMAN SERVICES PROGRAM SPECIALIST
State of FloridaAbout the role
Requisition No: 849655
Agency: Agency for Health Care Administration
Working Title: 68064266 - SENIOR HUMAN SERVICES PROGRAM SPECIALIST
Pay Plan: Career Service
Position Number: 68064266
Salary: $1,598.52 - $2,078.08 Biweekly
Posting Closing Date: 04/08/2025
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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 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.
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