Senior Human Services Program Specialist

State of Florida

Senior Human Services Program Specialist enhancing the delivery of health care services through Florida Medicaid. Aided by research, respond to Medicaid inquiries and support recipients efficiently.

Posted 7/2/2026full-timeClearwater • Florida • 🇺🇸 United StatesSenior💰 $1,637 - $2,128 per biweeklyWebsite

About the role

Key responsibilities & impact

Receive, research, and respond to county code errors, unable to locate, segment updates, Third Party Liability (TPL) file maintenance requests, and other file problems
Research errors using FMMIS, FLORIDA, and Health Track
Remain informed about Medicare and other federal and state health care related programs
Research, resolve, and respond to Medicare premium payment issues, changes to Medicare Part A and B coverage, and corrections to Medicare numbers
Communicate with Headquarters, Department of Children and Families (DCF), Social Security Administration (SSA), Statewide Medicaid Managed Care (SMMC) plans, and Medicaid recipients in order to resolve assistance requests
Work with providers to resolve complex recipient issues
Research, resolve, and respond to beneficiary billing issues and concerns
Provider Choice Counseling assistance to Medicaid recipients
Explain the differences between partial Medicaid programs, Fee-For-Service (FFS), and SMMC
Receive and respond to inquiries and requests for assistance in order to help navigate the Medicaid health care system
Respond to questions related to Medicaid applications and eligibility status, referring to DCF or SSA when appropriate

Requirements

What you’ll need

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.

Benefits

Comp & perks

Health insurance (i.e., individual and family coverage) to eligible employees
Life insurance; $25,000 policy is free plus option to purchase additional life insurance
Dental, vision and supplemental insurance
State of Florida retirement options, including employer contributions
Ability to earn up to 104 hours of paid annual leave as a new employee with the State of Florida
Ability to earn up to 104 hours of sick leave annually
Nine paid holidays and 1 personal holiday each year
Opportunities for career advancement
Tuition waivers (accepted by major Florida Colleges/universities)
Student loan forgiveness opportunities (eligibility required)
Training opportunities
Flexible Spending Accounts
Shared Savings Program for select medical services
Lower copays for prescription drugs
Health and Wellness discounts

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills & Tools

Medicaid ApplicationsMedicare Part A and B CoverageFile MaintenanceError ResearchTyping Skills

Soft Skills

Problem SolvingInterpersonal SkillsAttention to Detail