Senior Human Services Program Specialist

• 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 responsible for researching and responding to Medicaid issues, concerns, and complaints, as well as providing technical assistance to help recipients and providers understand Medicaid coverage policy and assure that recipients receive proper care as set forth in State Statutes, rules, policies, and Code of Federal Regulations.
• Coordinates with Medicaid recipients, providers, policy staff, plan management staff, and Statewide Medicaid Managed Care (SMMC) plans as needed to research and resolve assigned Medicaid managed care issues.
• Receives, researches, and responds to special assignments regarding questions and priority issues on behalf of Medicaid recipients and providers.
• Contacts constituent to obtain information. Researches, resolves, and responds to issues, making appropriate referrals as needed.
• Completes assessments of newly assigned issues in the complaint module to confirm issues were entered correctly.
• Represents the Agency on government and community partnerships, community outreach events, and Secret Shopper assignments.
• Performs other duties as assigned.

• Two years of experience providing a professional level of customer service in a fast-paced consumer centric environment.
• Moderate to extensive experience and abilities using different computer programs such as Excel, Outlook, and Word, etc., including quick and accurate typing/keyboarding skills.

Demonstrates expertise in Medicaid policy and customer service, with strong abilities in research, problem-solving, and effective communication. Proficient in utilizing various computer programs to support Medicaid recipients and providers in a fast-paced environment.

• Medicaid Policy Knowledge
• Customer Service Experience
• Research and Problem-Solving
• Technical Assistance
• Computer Proficiency

• Creativity
• Flexibility
• Innovation
• Team Collaboration

• Medicaid
• State Statutes
• Code of Federal Regulations
• Managed Care
• Community Outreach

• Excel
• Outlook
• Word