Ops Sr Human Service Program Spec

Overview

- OPS SR HUMAN SERVICE PROGRAM SPEC

Date:
Jan 30, 2026

The State Personnel System is an E-Verify employer. For more information click on ourE-Verify Website.

Requisition No:869395

Agency:
Agency for Health Care Administration

Working Title:

- OPS SR HUMAN SERVICE PROGRAM SPEC

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 OPS position, with regularly scheduled hours of Monday-Friday 8:00 a.m. to 5 p.m.

This OPS Senior Human Services Program Specialist position is anticipated to be filled at a rate of $17.53 - $18.00 per hour, based on the selected candidate's qualifications and experience.

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 the top five largest in the country and has an estimated $38 billion annual budget. Each month Florida Medicaid covers medical services for almost 4 million recipients.

To most effectively serve this large patient population, one of the Agency goals is to ensure fewer budgeted dollars are lost to fraud, abuse, and waste.

The Bureau of Medicaid Program Integrity (MPI) does this specifically through audits and investigations of healthcare providers suspected of engaging in fraudulent or abusive behavior, as well as over payment recoveries, administrative sanctions, and the referral of suspected fraud or other criminal activities for law enforcement investigation.

The Sanctions & Enforcement Unit is a fast-paced unit within MPI that works collaboratively with internal and external partners to ensure fair, consistent, and defensible enforcement of program requirements.

The unit plays a key role in program integrity efforts by reviewing audit findings, analyzing information, evaluating compliance with, and applying applicable state and federal laws, rules, and policies to recommend and impose sanctions against Medicaid providers.

Staff prepare and issue sanction notices, and manage cases through the sanction process, including actions that proceed through the final order stage.

This OPS position provides support to the sanctions process by assisting with case tracking, quality review, and documentation management.

The role involves monitoring statutory timelines, including required notice periods, ensuring case files and supporting documentation are accurately maintained in the case tracking system, and assisting with the preparation and quality review of sanction notices and final orders.

The role also includes gathering documents and information from internal systems and online sources and assisting with investigative activities related to sanctions, including the preparation of investigative summaries or reports.

Attention to detail, organization, and the ability to manage multiple tasks are critical to supporting timely and legally sound sanction actions.

MPI provides a multitude of training opportunities for all MPI employees to enhance their professional growth.

For more information, please visit MPI at:

Benefits of Working for the State of Florida:

Working for the State of Florida is more than a paycheck. The State’s total compensation package for Other Personal Services (OPS) employees features a highly competitive set of employee benefits including:

• No state income tax for residents of Florida;
• State Group Insurance coverage options (must meet eligibility requirements), including health, life, dental, vision, and other supplemental insurance options;
• 401 (a) FICA Alternative Plan administered through VALIC (tax deferred Retirement Savings Plan);
• Participation in the Florida Deferred Compensation Plan (457b)

For a more complete list of benefits and eligibility requirements, visit

What is OPS employment?

OPS employment is a temporary employer/employee relationship used for…