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68900263 - Ops Senior Human Services Program Specialist

Job in Miami, Miami-Dade County, Florida, 33178, USA
Listing for: Florida Jobs
Full Time position
Listed on 2026-08-21
Job specializations:
  • Healthcare
    Public Health, Healthcare Administration, Community Health, Health Education & Promotion
Salary/Wage Range or Industry Benchmark: 18 USD Hourly USD 18.00 HOUR
Job Description & How to Apply Below
Position: 68900263 - OPS SENIOR HUMAN SERVICES PROGRAM SPECIALIST

OPS SENIOR HUMAN SERVICES PROGRAM SPECIALIST

This is an exciting opportunity to help shape the quality of health care in Florida. We are seeking to hire an OPS SENIOR 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 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 providing full-time customer service to a high-volume Contact Center. This position is also responsible for answering recipient and/or provider questions regarding Medicaid covered services, provides Choice Counseling regarding the Statewide Medicaid Managed Care (SMMC) programs and make referrals to the appropriate agencies.

Responsible for maintaining up-to-date knowledge concerning the Florida Medicaid program. Performs other duties as required. The incumbent in this position must maintain high quality professional consumer service standards and must meet or exceed established contact center performance measures and contact center metrics. This position is not a remote or telework position.

Salary: $18.00 hourly and is non-negotiable.

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 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.

Position Overview:

This position is responsible for providing full-time customer service to a high-volume Contact Center. This position is also responsible for answering recipient and/or provider questions regarding Medicaid covered services, provides Choice Counseling regarding the Statewide Medicaid Managed Care (SMMC) programs and make referrals to the appropriate agencies. Responsible for maintaining up-to-date knowledge concerning the Florida Medicaid program. Performs other duties as required.

The incumbent in this position must maintain high quality professional consumer service standards and must meet or exceed established contact center performance measures and contact center metrics. This position is not a remote or telework position.

Location:

DORAL, FL, US, 33166

Position Requirements
10+ Years work experience
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