Regulatory Specialist I

• Serve as a primary contact for enrolled Medicaid recipients and community members with Medicaid questions and concerns
• Perform confidential administrative functions related to monthly expenditures, personnel activities, and inventory of equipment and supplies
• Serve as personnel liaison and maintain local administrative files for field office personnel
• Coordinate with Human Resources to resolve personnel questions and issues
• Maintain inventory and initiate office supply orders through My Florida Market Place or P-Card
• Compile budget information and review monthly expenditure and encumbrance reports
• Oversee office operations involving telephones, office equipment, vendors, landlords, and local IT
• Track field-based activities, update databases, and prepare reports
• Assist with redacting data for public records requests
• Review data and prepare reports related to Medicaid complaints and fair hearings
• Provide backup clerical coverage, including reception, telephone routing, and mail processing
• Monitor MCOC task and public inboxes in a backup capacity
• Assess new complaint submissions, identify duplicates, and assign complaints within established time frames
• Maintain expenditure logs, complete monthly reconciliation sheets, and resolve discrepancies with finance and accounting
• Coordinate travel arrangements, reimbursement requests, and P-Card requests
• Maintain current knowledge of Florida Medicaid programs, laws, regulations, statutes, rules, and SMMC provisions
• Assist with annual records retention and disposition activities
• Perform other duties as assigned

• Two years of professional experience in administrative work, professional regulation, consumer complaint program work, interviewing, business administration, customer or public relations, or investigations
• Ability to communicate effectively, verbally and in writing
• Ability to determine work priorities, assign work, and ensure timely completion of assignments
• Ability to maintain composure and professionalism when interacting with distressed or angry individuals
• Ability to maintain strict confidentiality of personnel, performance, disciplinary, and related matters
• Ability to solve problems and make timely decisions
• Ability to work independently
• Ability to travel with or without accommodation
• Knowledge of English language structure, spelling, composition, and grammar
• Skill in establishing and maintaining effective working relationships
• Skill in identifying, locating, evaluating, and using information effectively
• Skill in managing and organizing multiple work tasks while meeting deadlines
• Skill in reviewing, correcting, and synopsizing written grammar
• Skill in understanding and applying Medicaid rules, regulations, policies, and procedures
• Skill in using basic computer software, web-based resources, and supporting tools
• Skill in using Microsoft Office Suite
• Skill in accurately completing detailed forms, web entries, and documents
• Must successfully complete State and National criminal history background screening before employment
• Must comply with applicable drug-free workplace reasonable-suspicion drug testing requirements

Demonstrates expertise in Medicaid programs, regulations, and administrative functions, with strong skills in communication, problem-solving, and maintaining confidentiality. Proficient in managing multiple tasks, preparing reports, and coordinating with various stakeholders to ensure efficient office operations.

• Medicaid Regulations
• Microsoft Office Suite
• Administrative Functions
• Effective Communication
• Problem-Solving

• Administrative Work
• Data Review
• Budget Compilation
• Expenditure Tracking
• Records Retention
• Complaint Management
• Report Preparation
• Confidentiality Maintenance
• Task Prioritization
• Information Evaluation

• Effective Communication
• Professionalism
• Relationship Building
• Independence
• Composure Under Pressure

• State and National Criminal History Background Screening

• Medicaid Programs
• Consumer Complaint Program
• Public Relations
• Personnel Activities
• Florida Medicaid Laws

• My Florida Market Place
• P-Card
• Web-Based Resources
• Database Management