Overview
HUMAN SERVICES PROGRAM ANALYST -
This position is a Ryan White Eligibility and ADAP Specialist for FDOH Alachua. This is a Career Service position that works directly with new and existing eligible clients for Ryan White Services and support in Alachua County.
Responsibilities
- Performs eligibility services for the Florida Ryan White and AIDS Drug Assistance Program (ADAP). This is a highly sensitive position where easy access to HIV/AIDS services are essential, and information security is maintained following the need-to-know information security guidelines. Duties include: enrolling newly diagnosed and currently active HIV+ clients in DOH Area 3, completing annual enrollment for Ryan White Services and ADAP, documenting financial eligibilities in the FL Ryan White Patient Care Eligibility Portal, CareWare, and HMS; uploading relevant documents in Provide Enterprise (PE) and HMS; determining eligibility in accordance with program guidelines; verifying insurance, income, and residency; and conducting interviews to determine eligibility for presumptive Medicaid benefits where applicable. Collaborates with economic services staff to facilitate referrals and assist clients with the Medicaid application process; serves as back up for Area 3 Staff and travels as needed.
- Ensures eligibility and clinical data are entered timely and accurately following program guidelines. Enters viral loads and CD4 counts every 4-6 months into the PE module to ensure viral suppression and participates in ADAP monthly telephone conference calls.
- Maintains knowledge of Medicare Part C & D, ACA and private insurance programs. Monitors adequate coverage based on ADAP standards, assists with premium payments, and reviews applications for completeness and accuracy; advocates on behalf of clients with health plan representatives, CMS, and other entities; processes disenrollments; and maintains knowledge of other benefit programs (Medicare, Medicaid, SSI, SSDI, and related programs). Communicates information to case managers, field staff and medical providers.
- Collaborates with community-based organizations and pharmacy personnel to ensure continuity of care.
- Completes EARS Weekly; attends and participates in staff meetings and trainings.
- Performs all other related duties as requested.
Qualifications
- Minimum: Must have valid driver’s license and access to reliable transportation. Experience working in Electronic Medical Records. Strong communication and customer service skills. Ability to handle confidential information.
- Knowledge, Skills and Abilities: Knowledge of Microsoft Systems; experience working in Electronic Medical Records; strong Organization, Communication and Customer Service skills.
- Preferred: Experience Working With Community Based Organizations.
Benefits and Compliance
The State of Florida offers a comprehensive benefits package and encourages applicants to review details at This position requires a security background check and/or drug screening and participation in direct deposit. E-Verify may be used. The State is an Equal Opportunity Employer/Affirmative Action Employer. Veterans’ Preference may apply as described in statute. Reasonable accommodations are available for applicants with disabilities.
Work Location
DOH-Alachua, 224 SE 24th Street, Gainesville, FL 32641
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