Senior Human Services Prog Analyst

Job Overview

Requisition No:864166
Agency:
Department of Health

Working Title:

SENIOR HUMAN SERVICES PROG ANALYST
- Pay Plan:
Career Service
Position Number:
Salary: $1,680.00 Biweekly
Posting Closing Date: 01/31/2026
Program:
Sunshine Care Center - ADAP

Location:

832 West Central Boulevard, Orlando, FL 32805

** DOH – Orange is a tobacco free agency.*
* ** This advertisement may be used to fill future vacancies as they become available.*
* This is a "pool" announcement and applicants will not be considered after 6 months.

*
* NOTE:

Your responses to qualifying questions for this position must be verifiable by documentation provided through the electronic application process.**

• 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 including Medicare, Medicaid, private insurance, ACA Health Insurance, or VA Insurance Premium.
• Incumbent has never been debarred, suspended, or excluded from any federal assistance programs.
• Emergency Duty

This position works with a high volume of clients for patient care services within the Ryan White HIV/AIDS Program (RWHAP) AIDS Drug Assistance Program (ADAP) Unit of the Sunshine Care Center (SCC). It is responsible for interviewing clients, analyzing and determining eligibility for the ADAP Direct Dispense or ADAP Premium Plus programs. All services are documented in data management systems required by DOH‑Orange, state program office, and RWHAP Part B ADAP Services (e.g., Health Management System [HMS], ADAP Provide Enterprise [PE], RWHAP Part B Portal).

The role collaborates with the Case Management Team, Peer Navigator Team, Targeted Outreach for Pregnant Women Act (TOPWA) Team, Nursing Team, and Medical Providers on a Patient‑Centered Care Team Model to provide clients’ medical care.

• ADAP Eligibility Responsibilities:
  • Determine ADAP Eligibility
  • Maintain and manage the RWHAP Part B portal to ensure up‑to‑date documentation
  • Maintain a caseload of at least 250 clients
  • Interview clients, review records, and confer with medical providers and case managers to evaluate adherence
  • Provide counseling to help clients transition to ACA health insurance coverage, handle copayments and deductibles, and manage life changes
  • Educate clients on Medicare Parts C and D, including 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 copay, deductible, and medication coverage
• Statewide Target Rate Responsibilities:
  • Contact clients regarding medication pickup for Direct Dispense and retail clients
  • Contact clients regarding expiring or expired ADAP eligibility
  • Update client labs in the Provide database every six months
  • Analyze data to measure program effectiveness
• Perform other related duties as assigned.

• Basic computer skills.
• Ability to read laboratory reports and prescriptions and familiarity with medical terminology.
• Professional communication skills to communicate with providers and the public.
• Knowledge of all available funding sources for HIV medication.
• Knowledge of insurance terminology.
• Ability to analyze documentation and maintain accurate records.
• Communicate with case managers, medical teams, and pharmacy agencies.
• Ensure RWHAP is the payor of last resort.
• Knowledge of community resources and agencies.
• Ability to identify client needs and coordinate services.

Mission: To protect, promote & improve the health of all people in Florida through integrated state, county & community efforts.

Vision: To be the healthiest state in the nation.

Values: Innovation, Collaboration, Accountability, Responsiveness, Excellence.