Eligibility Specialist II — Quality & Training Lead

Florida; Florida; Presencial; USD 33.000 - 41.000; Jornada completa

Descripción de la vacante

Florida Department of Children and Families in Florida is seeking an Eligibility Specialist II to support the Office of Economic Self-Sufficiency. The role involves reviewing cases, mentoring unit staff, and handling high-volume, deadline-driven work while maintaining accuracy and compliance with federal and state requirements.

This professional position requires thorough knowledge of public assistance rules, strong prioritization skills, and the ability to adapt to changing processes;

Formación

• 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.

Responsabilidades

• 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.

Descripción del empleo

Florida Department of Children and Families in Florida is seeking an Eligibility Specialist II to support the Office of Economic Self-Sufficiency. The role involves reviewing cases, mentoring unit staff, and handling high-volume, deadline-driven work while maintaining accuracy and compliance with federal and state requirements.

This professional position requires thorough knowledge of public assistance rules, strong prioritization skills, and the ability to adapt to changing processes;