Eligibility Specialist II — Quality & Training Lead

My Florida CFO; Northern (KY); Hybrid; USD 32,000 - 43,000; Full time

Job summary

The Florida Department of Children and Families, Office of Economic Self-Sufficiency, seeks an Eligibility Specialist II in Fort Pierce to support daily case reviews and ensure accurate processing of public assistance benefits. You will review case data, provide feedback, mentor unit members, maintain electronic records, and escalate fraud or overpayment as needed while meeting required deadlines.

This is a professional Career Service position with state benefits and mandatory background

Qualifications

• Reviews case reading errors with the Eligibility Self Sufficiency Specialist I, and ensures corrections are completed accurately and timely.
• Follows established unit procedures to determine eligibility for public assistance benefits within designated time frames.

Responsibilities

• 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.
• Maintains assigned work responsibilities by taking prompt action on all case management activities including medical expense 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.

Job description

The Florida Department of Children and Families, Office of Economic Self-Sufficiency, seeks an Eligibility Specialist II in Fort Pierce to support daily case reviews and ensure accurate processing of public assistance benefits. You will review case data, provide feedback, mentor unit members, maintain electronic records, and escalate fraud or overpayment as needed while meeting required deadlines.

This is a professional Career Service position with state benefits and mandatory background