State of Florida
68022240 - SENIOR HUMAN SERVICES PROGRAM SPECIALIST
State of Florida, Miami, Florida, us, 33222
68022240 - SENIOR HUMAN SERVICES PROGRAM SPECIALIST
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Requisition Information Requisition No: 861205 Agency: Agency for Health Care Administration Working Title: 68022240 - SENIOR HUMAN SERVICES PROGRAM SPECIALIST Pay Plan: Career Service Position Number: 68022240 Salary: $1,956.70 Biweekly Posting Closing Date: 10/28/2025
Agency Overview The Agency for Health Care Administration (AHCA) is Florida's chief health policy and planning entity. It administers the Florida Medicaid program, regulates nearly 50,000 health care facilities, and promotes health care transparency initiatives. 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.
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. The position requires a candidate who is creative, flexible, innovative and who will thrive in a fast‑paced, team‑based work environment. It is located in the Bureau of Medicaid Recipient and Provider Assistance (RPA). The incumbent provides full‑time customer service to a high‑volume contact center, answers recipient and/or provider questions regarding Medicaid covered services, provides Choice Counseling regarding Statewide Medicaid Managed Care programs, and makes referrals to appropriate agencies. The role maintains up‑to‑date knowledge of the Florida Medicaid program and meets or exceeds established contact center performance measures and metrics. This position is not a remote or telework position.
Responsibilities
Deliver full‑time customer service in a high‑volume contact center.
Answer recipient and provider questions regarding Medicaid services.
Provide Choice Counseling for Statewide Medicaid Managed Care programs.
Make referrals to appropriate agencies.
Maintain up‑to‑date knowledge of Florida Medicaid policies, procedures, and programs.
Meet or exceed contact center performance measures and metrics.
Perform other duties as required.
Knowledge, Skills, and Abilities
Knowledge of, or ability to learn, detailed Medicaid policies and procedures.
Knowledge of, or ability to learn, Statewide Medicaid Managed Care programs.
Knowledge of, or ability to learn, contact center policies and procedures, including Choice Counseling.
Knowledge of several computer-based systems and programs such as Outlook, Excel, Word, SharePoint.
Basic knowledge of medical terminology.
Knowledge of correct spelling, grammar, and punctuation.
Excellent verbal and written communication skills.
Efficient time management, organizational, and multi‑tasking skills.
Professional interpersonal skills in one‑on‑one and group settings.
Professional telephony skills in a high call volume setting.
Proficient computer typing and keyboarding skills.
Analytical and problem‑solving skills.
Ability to meet deadlines and work well under pressure.
Ability to handle sensitive information and adhere to confidentiality requirements.
Ability to follow instructions and learn new knowledge.
Ability to adapt to changes and maintain effective working relationships.
Minimum Qualifications
Two years of experience providing a professional level of customer service in a fast‑paced, consumer‑centric environment.
Preference
Moderate to extensive experience and abilities using different computer programs such as Excel, Outlook, and Word.
Six months of experience in a Medicaid call center or high‑volume setting.
Bilingual (English/Spanish language skills).
Benefits of Working for the State of Florida
State Group Insurance Coverage Options, including health, life, dental, vision, and other supplemental insurance options.
Flexible Spending Accounts.
State of Florida retirement options, including employer contributions.
Generous annual and sick leave benefits.
9 paid holidays a year and 1 personal holiday each year.
Career advancement opportunities.
Tuition waiver for courses offered by Florida’s nationally ranked State University System.
Training and professional development opportunities.
And more!
Equal Opportunity Employer The State of Florida is an Equal Opportunity Employer/Affirmative Action Employer, and does not tolerate discrimination or violence in the workplace. Candidates requiring a reasonable accommodation, as defined by the Americans with Disabilities Act, must notify the hiring authority and/or People First Service Center (1-866-663-4735). The State of Florida supports a Drug‑Free workplace. All employees are subject to reasonable suspicion drug testing in accordance with Section 112.0455, F.S., Drug‑Free Workplace Act.
Veterans’ Preference VIP privileges are available to eligible veterans; please provide the required documentation on each application.
Background Screening Applicants must complete a State and National criminal history check and any required local checks. Screening results must be approved before beginning employment.
Contact Tiffany Trinidad, 305‑593‑3019
#J-18808-Ljbffr
Requisition Information Requisition No: 861205 Agency: Agency for Health Care Administration Working Title: 68022240 - SENIOR HUMAN SERVICES PROGRAM SPECIALIST Pay Plan: Career Service Position Number: 68022240 Salary: $1,956.70 Biweekly Posting Closing Date: 10/28/2025
Agency Overview The Agency for Health Care Administration (AHCA) is Florida's chief health policy and planning entity. It administers the Florida Medicaid program, regulates nearly 50,000 health care facilities, and promotes health care transparency initiatives. 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.
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. The position requires a candidate who is creative, flexible, innovative and who will thrive in a fast‑paced, team‑based work environment. It is located in the Bureau of Medicaid Recipient and Provider Assistance (RPA). The incumbent provides full‑time customer service to a high‑volume contact center, answers recipient and/or provider questions regarding Medicaid covered services, provides Choice Counseling regarding Statewide Medicaid Managed Care programs, and makes referrals to appropriate agencies. The role maintains up‑to‑date knowledge of the Florida Medicaid program and meets or exceeds established contact center performance measures and metrics. This position is not a remote or telework position.
Responsibilities
Deliver full‑time customer service in a high‑volume contact center.
Answer recipient and provider questions regarding Medicaid services.
Provide Choice Counseling for Statewide Medicaid Managed Care programs.
Make referrals to appropriate agencies.
Maintain up‑to‑date knowledge of Florida Medicaid policies, procedures, and programs.
Meet or exceed contact center performance measures and metrics.
Perform other duties as required.
Knowledge, Skills, and Abilities
Knowledge of, or ability to learn, detailed Medicaid policies and procedures.
Knowledge of, or ability to learn, Statewide Medicaid Managed Care programs.
Knowledge of, or ability to learn, contact center policies and procedures, including Choice Counseling.
Knowledge of several computer-based systems and programs such as Outlook, Excel, Word, SharePoint.
Basic knowledge of medical terminology.
Knowledge of correct spelling, grammar, and punctuation.
Excellent verbal and written communication skills.
Efficient time management, organizational, and multi‑tasking skills.
Professional interpersonal skills in one‑on‑one and group settings.
Professional telephony skills in a high call volume setting.
Proficient computer typing and keyboarding skills.
Analytical and problem‑solving skills.
Ability to meet deadlines and work well under pressure.
Ability to handle sensitive information and adhere to confidentiality requirements.
Ability to follow instructions and learn new knowledge.
Ability to adapt to changes and maintain effective working relationships.
Minimum Qualifications
Two years of experience providing a professional level of customer service in a fast‑paced, consumer‑centric environment.
Preference
Moderate to extensive experience and abilities using different computer programs such as Excel, Outlook, and Word.
Six months of experience in a Medicaid call center or high‑volume setting.
Bilingual (English/Spanish language skills).
Benefits of Working for the State of Florida
State Group Insurance Coverage Options, including health, life, dental, vision, and other supplemental insurance options.
Flexible Spending Accounts.
State of Florida retirement options, including employer contributions.
Generous annual and sick leave benefits.
9 paid holidays a year and 1 personal holiday each year.
Career advancement opportunities.
Tuition waiver for courses offered by Florida’s nationally ranked State University System.
Training and professional development opportunities.
And more!
Equal Opportunity Employer The State of Florida is an Equal Opportunity Employer/Affirmative Action Employer, and does not tolerate discrimination or violence in the workplace. Candidates requiring a reasonable accommodation, as defined by the Americans with Disabilities Act, must notify the hiring authority and/or People First Service Center (1-866-663-4735). The State of Florida supports a Drug‑Free workplace. All employees are subject to reasonable suspicion drug testing in accordance with Section 112.0455, F.S., Drug‑Free Workplace Act.
Veterans’ Preference VIP privileges are available to eligible veterans; please provide the required documentation on each application.
Background Screening Applicants must complete a State and National criminal history check and any required local checks. Screening results must be approved before beginning employment.
Contact Tiffany Trinidad, 305‑593‑3019
#J-18808-Ljbffr