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Date: Jan 13, 2021

Location: FORT MYERS, FL, US, 33901

The State Personnel System is an E-Verify employer. For more information click on our E-Verify website.

Requisition No: 293062 

Agency: Agency for Health Care Administration

Working Title: 68900222 - OPS SR HUMAN SERVICES PROGRAM SPECIALIST - 68900222

Position Number: 68900222 

Salary:  $18.00 / Hourly 

Posting Closing Date: 01/26/2021 

This is an exciting opportunity to help shape the quality of health care in Florida. The Agency for Health Care Administration (AHCA) is the State of Florida agency responsible for oversight of the Medicaid program. 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 apply 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.


We are seeking to hire a OPS Senior Human Service 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 Recipient and Provider Assistance (RPA). RPA serves as a primary point of contact for enrolled Medicaid providers, Medicaid recipients, and members of the community with questions and concerns about Medicaid.


This position is responsible for researching and responding to Medicaid issues, concerns, and complaints and with assisting Medicaid recipients and providers with navigating the Medicaid healthcare system.


Travel will be 1-25%

Monday – Friday 8:00 AM – 5:00 PM

Note: This is an OPS position that does not receive paid holidays, vacation and sick leave.


AHCA offers an excellent array of benefits, including:

  • Health insurance
  • Life insurance
  • Dental, vision and supplemental insurance
  • Retirement benefits
  • Vacation and sick leave
  • Paid holidays
  • Opportunities for career advancement
  • Tuition waiver for public college courses
  • Training opportunities


For more information about the Bureau of Medicaid Recipient and Provider Assistance, please visit our website at


Join us at the Agency for Health Care Administration in fulfilling our mission to provide “Better Health Care for all Floridians.”



  • Ability to communicate effectively, verbally and in writing.
  • Ability to determine work priorities, assign work and ensure proper completion of work assignments within established timeframes.
  • Ability to explain Medicaid policies and MCOC procedures to Agency staff, recipients, providers and the public.
  • Ability to solve problems and make decisions in a timely manner.
  • Ability to travel with or without accommodations
  • Ability to use databases.
  • Ability to work independently.
  • Knowledge of structure and content of the English language including the meaning and spelling of words, rules of composition, and grammar.
  • Skill in establishing and maintaining effective working relationships with others.
  • Skill in investigating, analyzing and resolving complaints.
  • Skill in knowing when there is a need for information; and identifying, locating, evaluating, and effectively using that information for the issue or question at hand.
  • Skill in managing and organizing multiple work tasks simultaneously while maintaining a satisfactory work product, and meeting all required deadlines.
  • Skill in reviewing, correcting and synopsizing written grammar.
  • Skill in understanding and applying applicable Medicaid rules, regulations, policies and procedures.
  • Skill in utilizing different types of technologies to find/access information, including (but not limited to); basic Computer Software Programs, web-based resources and supporting tools.
  • Skill in utilizing Microsoft Office Suite.



  • Three years of professional experience in social, economic, health or rehabilitative programs or health insurance as documented on the application and/or resume.
  • Two years of experience researching and resolving customer issues and complaints as documented on the application and/or resume.
  • One year of Microsoft Excel or similar software experience as documented on the application and/or resume and subject to basic skills test.


A bachelor's degree from an accredited college or university in Business Administration, Public Administration, Health Services Administration, or Human Services may substitute for one year of the required professional experience.


Preference will be given to applicants with experience in resolving issues and complaints in a health and/or human services field as documented on the application and/or resume. Preference will be given to applicants with experience working with difficult customers and diffusing potentially volatile situations as documented on the application and/or resume. Preference will be given to applicants with direct Florida Medicaid experience, as documented on the employment application and/or resume.






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 (1-866-663-4735). Notification to the hiring authority must be made in advance to allow sufficient time to provide the accommodation.

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.

Nearest Major Market: Fort Myers
Nearest Secondary Market: Cape Coral