68064375 - SENIOR HUMAN SERVICES PROGRAM SPECIALIST

Requisition No: 882097

Agency: Agency for Health Care Administration

Working Title: 68064375 - SENIOR HUMAN SERVICES PROGRAM SPECIALIST

Pay Plan: Career Service

Position Number: 68064375

Salary: $1,636.98 Biweekly

Posting Closing Date: 09/02/2026

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Agency Overview:

The Agency for Health Care Administration 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.

Position Overview:

This is a full-time career service position, with regularly scheduled hours of Monday-Friday 8:00 a.m. to 5 p.m.

The Senior Human Services Program Specialist position is to be filled at a rate of $1,636.98 bi-weekly and is non-negotiable.

This position may involve travel-related activities from 1-15%.

The Agency requires background and fingerprint screening as a condition of employment.

The Florida Medicaid program is one of the five largest in the nation, with an estimated $38 billion annual budget serving nearly five million recipients.

The Bureau of Medicaid Program Integrity (MPI) protects the integrity of the Florida Medicaid program by identifying fraud, abuse, and noncompliance through provider oversight, investigations, administrative sanctions, and coordination with state and federal partners.

The Senior Human Services Program Specialist serves within the Bureau's Sanctions and Enforcement Unit and performs professional investigative, analytical, and regulatory work supporting administrative enforcement actions involving Florida Medicaid providers.

Working under the direction of management, the incumbent conducts administrative investigations, reviews and evaluates documentary evidence, researches applicable laws, rules, and policies, and prepares investigative summaries and recommendations supporting administrative sanctions.

The incumbent is responsible for preparing and processing administrative legal documents, including notices of intent, suspension notices, termination notices, payment restriction notices, proposed final orders, final orders, and other investigative correspondence.

The position ensures investigative files and enforcement actions are complete, accurate, and legally sufficient while maintaining the highest level of confidentiality.

This position works closely with Bureau leadership, Agency attorneys, investigators, Provider Enrollment, and other Agency staff throughout the investigative and sanctions process.

The incumbent participates in weekly Bureau and Agency meetings to provide updates regarding provider sanctions, enforcement activities, and facility actions while assisting with the coordination and tracking of cases from initiation through final disposition.

The incumbent performs investigative research, analyzes provider records and supporting documentation, identifies potential violations of Medicaid laws and rules, prepares written recommendations, and assists in developing appropriate administrative enforcement actions.

As knowledge and experience are gained, the incumbent will progressively assume greater responsibility in managing investigative assignments and administrative sanctions.

Strong analytical, organizational, research, written communication, and critical thinking skills are essential.

The successful candidate must exercise sound judgment, maintain strict confidentiality, and effectively manage multiple priorities in a fast-paced regulatory environment.

Benefits of Working for the State of Florida:

Working for the State of Florida is more than a paycheck. We offer an excellent array of benefits, including:

• 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

For a more complete list of benefits, please visit

KNOWLEDGE, SKILLS, AND ABILITIES

•Knowledge of investigative principles, research techniques, and analytical methods.

•Knowledge of, or the ability to learn, the Florida Medicaid program and applicable federal and state laws, rules, policies, and procedures.

•Ability to review and analyze documents, identify discrepancies, and evaluate investigative information.

•Ability to conduct administrative investigations and accurately document investigative findings.

•Ability to prepare clear, concise, and well-organized reports, correspondence, notices, and legal documents.

•Ability to interpret statutes, administrative rules, policies, and regulatory requirements.

•Ability to establish and maintain effective working relationships with management, Agency attorneys, coworkers, providers, and external stakeholders.

•Ability to prioritize workload, manage multiple assignments, and meet established deadlines.

•Ability to exercise sound judgment while maintaining strict confidentiality.

•Proficiency with Microsoft Word, Excel, Outlook, PowerPoint, SharePoint, and other computer applications.

•Ability to travel with or without accommodation.

MINIMUM QUALIFICATIONS REQUIREMENTS

One year of professional or nonprofessional experience in a role involving research, records review, compliance, investigations, audits, casework, or analytical work.

Preferences may be given to candidates who have completed coursework toward, or obtained, an associate’s degree or higher from an accredited college or university.

Preference will be given to candidates with professional certifications related to compliance, auditing, research, data analysis, or program support functions.

LICENSURE, CERTIFICATION, OR REGISTRATION REQUIREMENTS

N/A

CONTACT: HELEN GUNN View phone number on aiapply.co

BACKGROUND SCREENING

It is the policy of the Florida Agency for Health Care Administration that any applicant being considered for employment must successfully complete a State and National criminal history check as a condition of employment before beginning employment, and, if applicable, also be screened in accordance with the requirements of Chapter 435, F.S., and Chapter 408, F.S. No applicant may begin employment until the background screening results are received, reviewed for any disqualifying offenses, and approved by the Agency. Background screening shall include, but not be limited to, fingerprinting for State and Federal criminal records checks through the Florida Department of Law Enforcement (FDLE) and Federal Bureau of Investigation (FBI) and may include local criminal history checks through local law enforcement agencies.

Candidates requiring a reasonable accommodation, as defined by the Americans with Disabilities Act, must notify the agency hiring authority and/or People First Service Center View phone number on aiapply.co). Notification to the hiring authority must be made in advance to allow sufficient time to provide the accommodation.

The State of Florida supports a Drug-Free workplace. All employees are subject to reasonable suspicion drug testing in accordance with Section 112.0455, F.S., Drug-Free Workplace Act.

VETERANS’ PREFERENCE. Pursuant to Chapter 295, Florida Statutes, candidates eligible for Veterans’ Preference will receive preference in employment for Career Service vacancies and are encouraged to apply. Certain service members may be eligible to receive waivers for postsecondary educational requirements. Candidates claiming Veterans’ Preference must attach supporting documentation with each submission that includes character of service (for example, DD Form 214 Member Copy #4) along with any other documentation as required by Rule 55A-7, Florida Administrative Code. Veterans’ Preference documentation requirements are available by clicking here. All documentation is due by the close of the vacancy announcement.