- 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
- Knowledge of the Medicaid Program and Managed Care.
- Knowledge of the methods of data collection and analysis.
- Ability to develop tracking systems, maintain accurate information within tracking systems, and coordinate the gathering of information from various sources.
- Ability to organize data into logical formats for presentation in reports, documents, and other written materials.
- Ability to conduct fact-finding research.
- Ability to work independently.
- Ability to understand and apply applicable rules, regulations, policies, and procedures relating to plan management activities.
- Ability to plan, organize and coordinate work assignments.
- Ability to communicate effectively.
- Ability to establish and maintain effective working relationships with others.
- Ability to work with Microsoft Suite, proficient in Excel and Word.
- At least six (6) months of work experience in the health care industry.
- At least one (1) year of experience working with contract related activities (e.g., deliverables, compliance, technical assistance).
- At least one (1) year of experience analyzing data.
68024319 - human services program specialist - TALLAHASSEE, United States - State Of Florida
Description
Requisition No:
Agency:
Agency for Health Care Administration
Working Title:
# - HUMAN SERVICES PROGRAM SPECIALIST
Pay Plan:
Career Service
Position Number:
#
Salary:
$1,391.49 biweekly
Posting Closing Date: 04/04/2024
Total Compensation Estimator Tool
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.
Current Agency initiatives include implementing Florida's groundbreaking Canadian Prescription Drug Importation Program, overhauling Florida's healthcare technological ecosystem, and increasing insight in the cost of health care services.
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 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 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 Plan Management Operations (PMO).PMO is responsible for the primary oversight of Medicaid's managed care programs, with a focus on the Statewide Medicaid Managed Care (SMMC) program.
The bureau's primary responsibility is ensuring that the managed care plans meet Medicaid contractual requirements, including the timely provision of medically needed services and provider payment for such services.
This position is responsible for supporting the Bureau's Provider Network Oversight and Dental Units by coordinating requests to Managed Care Plans; utilizing Agency resources to identify potential non-compliance; aggregating findings of non-compliance; identifying non-compliance trends; recommending potential opportunities to provide technical assistance; producing and analyzing reports, assisting with secret shopper activities; researching state and federal laws that govern the Medicaid program; and representing the Agency in local, state, and national meetings.
This position is not a remote or telework position; it will have to report to a Field Office or the Headquarters in Tallahassee.
Benefits of Working for the State of Florida:
Working for the State of Florida is more than a paycheck.
The State's total compensation package for employees features a highly competitive set of employee benefits including:
Join us at the Agency for Health Care Administration in fulfilling our mission to provide "Better Health Care for all Floridians.
KNOWLEDGE, SKILLS, AND ABILITIES
MINIMUM QUALIFICATIONS REQUIREMENTS
N/A
CONTACT:
BETTHANY GARDNER
BACKGROUND SCREENING
It is the policy of the Florida Agency for Health Care Administration that any applicant being considered for employment must successfully complete a State and National criminal history check as a condition of employment before beginning employment, and, if applicable, also be screened in accordance with the requirements of Chapter 435, F.S., and Chapter 408, F.S.
No applicant may begin employment until the background screening results are received, reviewed for any disqualifying offenses, and approved by the Agency.
Background screening shall include, but not be limited to, fingerprinting for State and Federal criminal records checks through the Florida Department of Law Enforcement (FDLE) and Federal Bureau of Investigation (FBI) and may include local criminal history checks through local law enforcement agencies.
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 agency hiring authority and/or People First Service Center Notification to the hiring authority must be made in advance to allow sufficient time to provide the accommodation.
VETERANS' PREFERENCE.
Pursuant to Chapter 295, Florida Statutes, candidates eligible for Veterans' Preference will receive preference in employment for Career Service vacancies and are encouraged .
Certain service members may be eligible to receive waivers for postsecondary educational requirements.Candidates claiming Veterans' Preference must attach supporting documentation with each submission that includes character of service (for example, DD Form 214 Member Copy #4) along with any other documentation as required by Rule 55A-7, Florida Administrative Code.
Veterans' Preference documentation requirements are available by clicking here. All documentation is due by the close of the vacancy announcement.