State of Florida
Requisition No: 860161
Working Title:
HUMAN SERVICES PROGRAM ANALYST - 64086307
Pay Plan:
Career Service
Position Number:
64086307
Salary:
$38,000 - $39,150
Posting Closing Date:
10/27/2025
Responsibilities:
Perform eligibility services for the Florida Ryan White and ADAP.
Enroll newly diagnosed and active HIV+ clients in DOH Area 3, completing annual enrollment for Ryan White Services and ADAP.
Complete financial eligibility per Florida guidelines and enter data in FL Ryan White Patient Care Eligibility Portal, CareWare, HMS, and PE software systems. Verify insurance, income, residency, conduct ADAP eligibility, upload prescriptions, labs, and insurance changes. Interview pregnant women for presumptive Medicaid benefits using manual procedures and a computerized Florida system.
Assess clients for psycho-social needs such as food stamps, housing, transportation, legal, mental health, and substance abuse. Refer as appropriate and establish liaisons with economic services staff to facilitate Medicaid application process. Provide backup for Area 3 Staff and travel throughout Area 3/13 as needed.
Enter and maintain eligibility and clinical data timely and accurately, entering viral loads and CD4 counts every 4-6 months into PE module, and participate in ADAP monthly telephone conference calls.
Maintain knowledge of Medicare Part C & D, Affordable Care Act and private insurance programs. Review applications for completeness, advocate on behalf of clients with health insurance plan representatives, MCPs, Medicaid, Medicare, CMS, and the Federal Insurance Marketplace; dispute with health plans and other benefit programs. Process disenrollments. Maintain expertise in other benefit programs (Medicare, Medicaid, SSI, SSDI, state’s health insurance premium payment program).
Collaborate with community‑based organizations and pharmacy personnel to ensure continuity of care.
Complete EARS Weekly reporting and attend staff meetings and trainings.
Perform all related duties as requested.
Required Knowledge, Skills, and Abilities:
Knowledge of Microsoft systems.
Experience working in Electronic Medical Records.
Strong organization, communication and customer service skills.
Ability to handle confidential information.
Qualifications:
Minimum: Valid driver’s license and reliable transportation.
Experience working in Electronic Medical Records.
Strong communication and customer service skills.
Preferred: Experience working with community‑based organizations.
Benefits:
Annual and Sick Leave benefits.
Nine paid holidays and one personal holiday each year.
State group insurance coverage options: health, life, dental, vision, and other supplemental insurance.
Retirement plan options with employer contributions.
Flexible Spending Accounts.
Tuition waivers.
And more!
Location: DOH‑Alachua 224 SE 24th Street, Gainesville, FL 32641
Equal Opportunity Statement: The State of Florida is an Equal Opportunity Employer/Affirmative Action Employer and does not tolerate discrimination or violence in the workplace.
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Working Title:
HUMAN SERVICES PROGRAM ANALYST - 64086307
Pay Plan:
Career Service
Position Number:
64086307
Salary:
$38,000 - $39,150
Posting Closing Date:
10/27/2025
Responsibilities:
Perform eligibility services for the Florida Ryan White and ADAP.
Enroll newly diagnosed and active HIV+ clients in DOH Area 3, completing annual enrollment for Ryan White Services and ADAP.
Complete financial eligibility per Florida guidelines and enter data in FL Ryan White Patient Care Eligibility Portal, CareWare, HMS, and PE software systems. Verify insurance, income, residency, conduct ADAP eligibility, upload prescriptions, labs, and insurance changes. Interview pregnant women for presumptive Medicaid benefits using manual procedures and a computerized Florida system.
Assess clients for psycho-social needs such as food stamps, housing, transportation, legal, mental health, and substance abuse. Refer as appropriate and establish liaisons with economic services staff to facilitate Medicaid application process. Provide backup for Area 3 Staff and travel throughout Area 3/13 as needed.
Enter and maintain eligibility and clinical data timely and accurately, entering viral loads and CD4 counts every 4-6 months into PE module, and participate in ADAP monthly telephone conference calls.
Maintain knowledge of Medicare Part C & D, Affordable Care Act and private insurance programs. Review applications for completeness, advocate on behalf of clients with health insurance plan representatives, MCPs, Medicaid, Medicare, CMS, and the Federal Insurance Marketplace; dispute with health plans and other benefit programs. Process disenrollments. Maintain expertise in other benefit programs (Medicare, Medicaid, SSI, SSDI, state’s health insurance premium payment program).
Collaborate with community‑based organizations and pharmacy personnel to ensure continuity of care.
Complete EARS Weekly reporting and attend staff meetings and trainings.
Perform all related duties as requested.
Required Knowledge, Skills, and Abilities:
Knowledge of Microsoft systems.
Experience working in Electronic Medical Records.
Strong organization, communication and customer service skills.
Ability to handle confidential information.
Qualifications:
Minimum: Valid driver’s license and reliable transportation.
Experience working in Electronic Medical Records.
Strong communication and customer service skills.
Preferred: Experience working with community‑based organizations.
Benefits:
Annual and Sick Leave benefits.
Nine paid holidays and one personal holiday each year.
State group insurance coverage options: health, life, dental, vision, and other supplemental insurance.
Retirement plan options with employer contributions.
Flexible Spending Accounts.
Tuition waivers.
And more!
Location: DOH‑Alachua 224 SE 24th Street, Gainesville, FL 32641
Equal Opportunity Statement: The State of Florida is an Equal Opportunity Employer/Affirmative Action Employer and does not tolerate discrimination or violence in the workplace.
#J-18808-Ljbffr