68021869 - Senior Human Services Program Specialist

Community and Social Services; Fort Myers (FL); On-site; USD 70,000 - 100,000; Full time

Job summary

Agency for Health Care Administration is seeking a Senior Human Services Program Specialist to serve as a primary contact for Medicaid recipients and community members. The role requires maintaining up-to-date knowledge of Medicaid policy and coordinating with managed care plans and vendors.

The position emphasizes strong communication, teamwork in a fast-paced environment, and representation at community outreach events.

Qualifications

• Knowledge of Florida Medicaid policies, federal laws, and state statutes.
• Experience with fair hearing processes and complaint resolution.
• Ability to research, analyze, and respond to complex Medicaid-related issues.
• Strong communication and customer service skills.
• Proficiency in information systems and documentation management.

Responsibilities

• Serve as a primary point of contact for Medicaid recipients and community members.
• Maintain current knowledge of Medicaid policy and procedures.
• Process fair hearing requests and coordinate resolutions.
• Coordinate with managed care plans and vendors.
• Represent the Agency at community outreach events and partnerships.

Skills

Medicaid policy knowledge

Fair hearing processes

Complex issue analysis

Strong communication

Documentation management

Job description

The Senior Human Services Program Specialist works for the Agency for Health Care Administration's Bureau of Medicaid Recipient Services, serving as a primary point of contact for Medicaid recipients and community members with questions about the Florida Medicaid program. The role involves maintaining current knowledge of Medicaid policy, processing fair hearing requests, coordinating with managed care plans and vendors, and representing the Agency at community outreach events and partnerships. This position requires creativity, flexibility, and the ability to work effectively in a fast-paced, team-based environment.

Key qualifications:

• Knowledge of Florida Medicaid program policies, federal laws, and state statutes
• Experience with fair hearing processes and complaint resolution
• Ability to research, analyze, and respond to complex Medicaid-related issues
• Strong communication and customer service skills
• Proficiency in information systems and documentation management