ELIGIBILITY SPECIALIST II - 60064685

Florida; Florida; Vor Ort; USD 33.000 - 41.000; Vollzeit

Zusammenfassung

Florida Department of Children and Families - Office of Economic Self-Sufficiency is seeking an Eligibility Specialist II to support the service delivery model by reviewing cases, providing feedback for accuracy, and mentoring unit staff. The role requires handling high volumes with tight deadlines and ensuring proper documentation of electronic case records.

The position is based in Fort Pierce and involves compliance with state and federal requirements, including background checks and

Qualifikationen

• Performs quality management system reviews as assigned.
• Reviews case reading errors and ensures corrections.
• Reviews and analyzes data from quality control and monitoring sources and provides training.
• Determines eligibility for public assistance benefits within designated time frames.
• Maintains assigned work responsibilities including medical expense tracking and Medicaid file resolution.
• Identifies cases of possible fraud and/or overpayment.

Aufgaben

• Performs quality management system reviews as assigned.
• Reviews case reading errors with the Eligibility Self Sufficiency Specialist I, ensuring corrections are completed accurately and timely.
• Analyzes data from quality control and monitoring sources and provides training where problems are identified.
• Follows procedures to determine eligibility for public assistance benefits within required time frames.
• Maintains case management activities including medical expense tracking and Medicaid file resolution.
• Identifies possible fraud or overpayment and refers appropriately.

Kenntnisse

Quality management

Case reviews

Training and mentoring

Prioritization and planning

Deadline-driven

Fraud detection

Jobbeschreibung

Requisition No: 885942

Agency: Children and Families

Working Title: ELIGIBILITY SPECIALIST II - 60064685

Pay Plan: Career Service

Position Number: 60064685

Salary: $37,035.96

Posting Closing Date: 10/26/2026

Total Compensation Estimator Tool

ELIGIBILITY SPECIALIST II

Florida Department of Children & Families - Office of Economic Self-Sufficiency

If you are a current employee of the Florida Department of Children and Families, a State of Florida Government Agency, you can apply for this Career Service opportunity. Only employees of the Florida Department of Children and Families in Career Service, Selected Exempt Status (SES) or Other Personnel Services (OPS) positions can be considered.

Description:

This is a professional position assigned to the Office of Economic Self-Sufficiency. Position provides back-up to the unit’s supervisor in day-to-day duties which include but are not limited to; reviewing cases during the various processes in the service delivery model, performing case reviews for unit employees, giving feedback to strengthen accuracy rates and provide training and/or mentoring to unit members. The ESS II is expected to handle a high volume of work which is deadline driven requiring the ability to prioritize and plan work assignments while being flexible to change with little notice.

Location

Fort Pierce. Applicants interested in working in counties/cities other than listed will need to apply for positions advertised for those specific areas on the PeopleFirst System.

Annual Salary

$37,035.96 (Internal salaries determined by DCF salary policy)

Typical Duties

• Performs quality management system reviews as assigned.
• Reviews case reading errors with the Eligibility Self Sufficiency Specialist I, and ensures corrections are completed accurately and timely.
• Reviews and analyzes data from quality control and all monitoring sources and provides training in the areas in which problems are identified.
• Follows established unit procedures to determine eligibility for public assistance benefits within designated time frames as required by Federal and State laws and Department policy and procedures.
• Maintains assigned work responsibilities by taking prompt action on all case management activities including medical expense (bill) tracking, changes, sanctions, data exchange, alerts, ad-hoc reports, and Medicaid file resolution.
• Identifies cases of possible fraud and/or overpayment; makes appropriate referrals to fraud and overpayment departments.
• Ensures electronic case records are documented thoroughly and properly as required by Departmental procedures.

It is the policy of the Florida Department of Children and Families that any applicant being considered for employment must successfully complete a State and National criminal history check as a condition of employment before beginning employment, and, if applicable, also be screened in accordance with the requirements of Chapter 435, F.S., and Chapter 408, F.S. No applicant may begin employment until the background screening results are received, reviewed for any disqualifying offenses, and approved by the Agency. Background screening shall include, but not limited to, fingerprinting for State and Federal criminal records checks through the Florida Department of Law Enforcement (FDLE) and Federal Bureau of Investigation (FBI) and may include local criminal history checks through local law enforcement agencies.

Candidates requiring a reasonable accommodation, as defined by the Americans with Disabilities Act, must notify the agency hiring authority and/or People First Service Center (1-866-663-4735). Notification to the hiring authority must be made in advance to allow sufficient time to provide the accommodation.

The State of Florida supports a Drug-Free workplace. All employees are subject to reasonable suspicion drug testing in accordance with Section 112.0455, F.S., Drug-Free Workplace Act.

VETERANS’ PREFERENCE.

Pursuant to Chapter 295, Florida Statutes, candidates eligible for Veterans’ Preference will receive preference in employment for Career Service vacancies and are encouraged to apply. Certain service members may be eligible to receive waivers for postsecondary educational requirements. Candidates claiming Veterans’ Preference must attach supporting documentation with each submission that includes character of service (for example, DD Form 214 Member Copy #4) along with any other documentation as required by Rule 55A-7, Florida Administrative Code. Veterans’ Preference documentation requirements are available by clicking here . All documentation is due by the close of the vacancy announcement.