Florida Licensed Ombudsman

Job Summary

To support member advocacy activities, the full-time Florida Licensed Ombudsman will investigate and resolve member grievances, uphold member rights, and collaborate with stakeholders to enhance the member experience in a remote setting.

Key responsibilities

• Investigate member issues and work towards fair resolutions while addressing systemic challenges in healthcare access
• Provide education on member rights and assist members in navigating the healthcare system, ensuring confidentiality and cultural sensitivity
• Document interactions and prepare reports to identify trends and propose improvements in member services

Required qualifications

• At least 3 years of experience in a managed care environment, preferably in Medicaid
• Knowledge of state Medicaid policies and programs
• Strong problem-solving and conflict resolution skills
• Ability to maintain confidentiality and handle sensitive information with integrity
• Proficiency in record-keeping and data management