Eligibility Specialist II - Case Review & Training

Florida; Florida; On-site; USD 33,000 - 41,000; Full time

Job summary

Florida Department of Children & Families - Office of Economic Self-Sufficiency is seeking an Eligibility Specialist II in Fort Pierce. The role supports unit supervisors, reviews cases, and conducts quality controls to strengthen accuracy and training across the team.

The position requires handling high-volume, deadline-driven work with flexibility, prioritization, and strong adherence to federal/state policies on public assistance eligibility.

Qualifications

• Experience performing quality reviews and providing coaching to staff.
• Ability to review cases and ensure accuracy within deadlines.
• Skills in analyzing data from QA sources and identifying trained areas.
• Knowledge of public assistance eligibility rules and timelines.

Responsibilities

• Perform quality management reviews as assigned.
• Review case readings with Eligibility Self Sufficiency Specialist I and ensure corrections are timely.
• Analyze QA data and provide training where issues are identified.
• Determine eligibility for public assistance benefits per laws and policy.
• Manage case activities including medical expense tracking, changes, sanctions, data exchange, alerts, and Medicaid files.
• Identify fraud/overpayment cases and refer to fraud/overpayment departments.
• Document electronic case records thoroughly per procedures.

Skills

Quality reviews

Case reviews

Data analysis

Training

Eligibility determination

Fraud detection

Documentation

Job description

Florida Department of Children & Families - Office of Economic Self-Sufficiency is seeking an Eligibility Specialist II in Fort Pierce. The role supports unit supervisors, reviews cases, and conducts quality controls to strengthen accuracy and training across the team.

The position requires handling high-volume, deadline-driven work with flexibility, prioritization, and strong adherence to federal/state policies on public assistance eligibility.