Senior Human Services Program Specialist

State of Florida

. Plan and conduct on-site New Provider Enrollment Reviews .

Posted 10/2/2026full-timeFort Myers • Florida • United StatesSenior💰 $1,637 - $2,128 per weekWebsite

Core Competencies

Role fit

Core Competencies

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Demonstrates expertise in Medicaid provider enrollment processes, including validation and compliance with Medicaid policies. Proficient in customer service, data analysis, and effective communication to resolve enrollment issues and maintain relationships with stakeholders.

Highest-signal resume keywords

Medicaid Policies KnowledgeCustomer Service SkillsData Analysis SkillsEffective CommunicationProblem-Solving Techniques

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills

Provider Enrollment ReviewsDocumentation VerificationData AnalysisTyping/Keyboarding SkillsWork Assignment Coordination

Soft Skills

Effective Relationship BuildingStress ManagementOrganizational SkillsTraining Ability

Tools & Technologies

ExcelOutlookWord

Certifications & Qualifications

State and National Criminal History CheckBackground Screening Compliance

Industry Keywords

Medicaid Provider EnrollmentConsumer Centric EnvironmentCommunity PartnershipsInteragency AgreementsHIV Planning Councils

About the role

Key responsibilities & impact

Plan and conduct on-site New Provider Enrollment Reviews
Validate re-enrollment reviews of current Medicaid providers
Determine whether providers meet Medicaid provider enrollment requirements
Verify professional licenses, business tax receipts, lease information, and other documentation
Research internet sources to determine or verify business status and ownership
Submit findings and recommendations to Medicaid Provider Enrollment for further action
Coordinate with Medicaid providers, Headquarters staff, and SMMC plans to research and resolve assigned enrollment and site-visit issues
Document activities in the complaint module according to current protocols
Represent the Agency in government and community partnerships, Medicaid overview presentations, secret shopper events, transportation boards, community alliances, interagency agreement teams, local planning groups, and HIV planning councils
Perform other duties as assigned
Travel 25–50%

Requirements

What you’ll need

Two years of experience providing a professional level of customer service in a fast-paced consumer centric environment
Knowledge of the Medicaid arena, Medicaid policies, and Medicaid procedures
Skills to utilize computer equipment/software and analyze data
Ability to perform effectively in stressful situations
Ability to communicate effectively, verbally and in writing
Ability to utilize problem-solving techniques
Ability to plan, organize, and coordinate work assignments
Skill in providing customer service
Ability to establish and maintain effective working relationships
Ability to provide training to providers, recipients, coworkers, community agencies, and the public
Ability to travel with or without accommodation
Preference for moderate extensive experience using Excel, Outlook, Word, and other computer programs, including quick and accurate typing/keyboarding skills
Successful completion of a State and National criminal history check before employment
Compliance with applicable background screening requirements, including fingerprinting
Subject to reasonable suspicion drug testing under the Drug-Free Workplace Act

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
Veterans’ Preference for eligible candidates
Reasonable accommodations for candidates with disabilities