Apply on Employer Site

State of Florida · 2 months ago

SENIOR HUMAN SERVICES PROG ANALYST - 64003893

Orlando, FL

Full-time

Onsite

Mid, Senior Level

0+ years exp

The Florida Department of Health is committed to protecting and improving the health of all people in Florida. The Senior Human Services Program Analyst will work with a high volume of clients for patient care services within the Ryan White HIV/AIDS Program, responsible for interviewing clients, analyzing eligibility, and collaborating with medical providers to ensure comprehensive care.

Government Administration

Responsibilities

Determine ADAP Eligibility

Maintain and manage the RWHAP Part B portal to ensure up-to-date documentation

Maintain caseload of at least 250 clients

Interview clients, review records, and confer with medical providers and case managers to evaluate clients’ adherence

Counsel clients individually to assist in overcoming deficiencies regarding transitioning to ACA health insurance coverage; handling co-payments and deductibles as well as adjusting to life and making changes

Educate clients on Medicare Parts C and D and their co-payments and deductibles

Complete ADAP enrollment or re-enrollment

Collect insurance and supporting documentation per program requirements

Document progress notes in databases per program requirements

Collaborate with case managers, physicians, and pharmacies to ensure program requirements are met

Communicate with health insurance companies regarding client’s copay, deductible and medication coverage

Contacting clients regarding Medication pickup for Direct Dispense and retail clients

Contacting clients regarding expiring or expired ADAP eligibility

Updating Clients lab in the Provide database every six months

Analyzing data to measure the effectiveness of programs

Performs other related duties as assigned

Qualification

Data entry experienceCustomer service experienceInsurance processingMedical terminologyProfessional communicationClient interviewingBasic computer skillsCommunity resourcesAnalyze documentation

Required

At least six months of verifiable data entry experience utilizing an electronic medical record

At least six months of verifiable professional customer service

Verifiable experience interviewing/counseling clients

Verifiable experience processing the copayments and deductibles of various types of insurance to include Medicare, Medicaid, private insurance, ACA Health Insurance, or VA Insurance Premium

Incumbent has never been debarred, suspended, or excluded from any federal assistance programs

Basic computer skills

Able to read laboratory reports, prescriptions and familiar with medical terminology

Professional Communication skills to communicate with providers and public

Knowledge of all available funding sources for HIV medication

Knowledge of insurance terminology

Ability to analyze documentation and document

Communicate with Case managers, Medical, Pharmaceutical and BRHPC

Ensure Ryan White HIV AIDS Program (RWHAP) is the Payor of last resort

Knowledge of community resources/agencies

Ability to identify a need on a client and coordinate services