This position is a temp to perm position with primary emphasis on fulfilling the Senior Medicare Patrol grant performance measures.

Responsibilities:

• Successfully completes all required SHINE, SMP, STARS, SIRS and Presentation Skills training.
• Develop partnerships with senior housing developments, physician offices, hospitals, law enforcement and organizations that can refer potential Medicare fraud cases.
• Develop relationship with local media stations to educate Medicare Beneficiaries about the SMP program and how to detect, prevent and report Medicare fraud.
• Enters all partnership development and outreach activity into STARS reporting system.
• Presents Florida Department of Elder Affairs SMP Presentations to small or large community groups to educate on how to prevent, detect and report Medicare fraud.
• Attends outreach events such as health fairs and senior resource fairs in Miami-Dade & Monroe counties to educate consumers on Medicare fraud. Disseminates SMP brochures and information approved by the Alliance for Aging.
• Speaks with Medicare beneficiaries who want to report suspected Medicare fraud.
• Reports suspected Medicare fraud cases into the STARS and SIRS reporting systems.
• Manages complex interactions with beneficiaries who are reporting specific instances of Medicare fraud, error and abuse.
• Participates in SMP calls with the Florida Department of Elder Affairs.
• Performs related tasks as assigned by supervisory staff and Senior Management.
• Performs other related duties as required.
• Maintains all documents in a locked file or a digital file.
• Observes HIPAA rules and regulations and keeps all information in strictest confidence.

Minimum Education and Experience:

• Associates degree and one (1) year of experience
• Successful completion of Level 2 background screening
• Bi-lingual English and Spanish. Creole helpful but not necessary.
• Any exceptions to the minimum requirements must be approved by the President and CEO.

Required Skills and Knowledge:

• Able to relate positively and respectfully to older individuals, the public, community officials and agency staff.
• Computer literate.
• Possess the ability to communicate effectively, diplomatically and concisely.
• Requires a passing score of 80% or higher on the SHINE Basic Training program exam within 3 months of date of hire.
• Must obtain certification as a SHINE Presenter within three months of date of hire.
• Able to set priorities, meet deadlines and organize tasks efficiently.
• Must be able to work with minimal direction to meet performance objectives.
• Must not hold a license to sell insurance including but not limited to life, health and variable annuity.
• Must not have a conflict of interest.

Physical Requirements:

• Ability to work under stressful situations.
• Ability to lift and carry at least 10 pounds as you may be required to take a cart of materials to an outreach event.
• Ability to operate a computer and other office equipment including a copier and scanner.
• Ability to sit at a desk for more than 1 hour at a time.
• Ability to bend and stoop in order to file and shelve.

Work Environment:

This position may work remotely or at the Alliance for Aging office or a combination of both.

• Work is Monday through Friday from 9am to 6pm.

Some weekend work may be required to attend health fairs.

• Work may not exceed 40 hours per week.
• Firearms and weapons are prohibited on the Alliance for Aging premise and while performing this work in the community.
• All documents must be kept in a locked, confidential area in a home office and the Alliance for Aging reserves the right to inspect the home office work environment to check for HIPAA compliance.
• SMP Specialist is prohibited from meeting with clients at an individual’s residence. All meetings must be held a prior-approved SHINE partner sites.

Job Types: Full-time, Temporary

Pay: $18.26 per hour

Benefits:

• 401(k)
• 401(k) matching
• Dental insurance
• Employee assistance program
• Employee discount
• Health insurance
• Life insurance
• Paid time off
• Retirement plan
• Tuition reimbursement
• Vision insurance

Schedule:

• 8 hour shift
• Holidays
• Monday to Friday
• Weekends as needed

Work Location: In person