GOVERNMENT OPERATIONS CONSULTANT II - 64005315

State of Florida • Tallahassee, FL

2d • $45,060 - $95,284 • Onsite

About The Position

The Florida Department of Health’s Division of Disability Determinations is hiring a Government Operations Consultant II in Tallahassee, Florida. The role requires broad knowledge of Florida Statutes, Social Security Administration (SSA) rules and regulations, and the Division’s management practices and business processes. The consultant uses this knowledge to recommend resolutions to customer complaints, problems, and sensitive status inquiries, and communicates with agency leaders and federal, state, and local officials regarding congressional inquiries about pending and closed disability claims.

The position supports policy and memorandum updates, online program resources, Consultative Examination (CE) oversight and reporting, incident reporting, Assistance Requests, congressional inquiries, and maintenance of correspondence modules and legacy system documents. The consultant may research, analyze, plan, and prepare correspondence, guidelines, and instructional training materials. The position also supports Division wellness activities and the DDD Recognition Program, and performs related work as assigned.

The position is Career Service and requires the employee to come into the office to perform its duties. Employment is contingent on required background and SSA suitability processes. Incumbents may be required to perform emergency duty before, during, or beyond normal work hours or days.

Requirements

• Knowledge of procedures and requirements for determining eligibility for Social Security disability benefits.
• Knowledge of anatomy, physiology, function, dysfunction, and disease processes.
• Knowledge of Plain Language practices.
• Knowledge of computer operations.
• Ability to apply rules, regulations, policies, and procedures for processing Social Security disability claims.
• Ability to research, develop, and demonstrate technical and decisional accuracy, and recommend effective corrective actions.
• Ability to conduct effective fact-finding interviews, resolve discrepancies, and document outcomes.
• Ability to communicate effectively both verbally and in writing.
• Skills in reviewing, researching, analyzing, and preparing clear correspondence.
• Must be willing to physically come into the office to perform the duties and responsibilities of the position.
• Must learn and communicate effectively in English, orally and in writing.
• Must pass the required security background and SSA suitability processes; direct deposit participation is required.

Nice To Haves

• At least five years of adjudicative experience processing Social Security Disability claims for a Disability Determination Services (DDS).

Responsibilities

• Complete policy guidance and memorandum updates to comply with SSA and Florida Department of Health policies.
• Review and maintain online Program Services resources, ensuring they reflect current policy and procedures; upload or remove documents as needed.
• Assist with CE oversight requirements and reporting in consultation with federal and state officials.
• Research and prepare written guidelines and training modules to support Professional Relations Officers with CE vendor recruitment and oversight.
• Analyze CE onsite reviews, vendor complaints, key and high-volume providers, and annual expenditures to prepare oversight reports.
• Review Medicare Part B physician and non-physician practitioner fee schedules annually against SSA listings; maintain policies and procedures for purchasing consultations and ancillary tests; compile CPT codes and charge-area fees for the state-based DDD-CE fee schedule.
• Notify staff of authorized CE fees, manage the CE vendor complaint database, and coordinate review of CE codes and fees, recommending and implementing changes with fiscal and systems teams.
• Process state and federal incident reports and determine whether completed DOH incident reports should be electronically reported to SSA.
• Process Assistance Requests from the Office of Hearings Operations and out-of-state requests; communicate with out-of-state sites about cases, policy, and business processes.
• Manage congressional inquiries received from the Governor, Department Secretary, state representatives, congressional members, SSA, and the Legislative Planning Committee.
• Record official inquiries in an electronic database, create case files, research issues, contact relevant parties, coordinate assistance with other agencies, explain the disability process, analyze claims and actions, and prepare response recommendations.
• Prepare official correspondence responding to inquiries for review and signature, and coordinate actions on subpoenas with SSA.
• Assist with maintenance of Medical Evidence of Record, Consultative Examination, and Personalized Decision Notice modules; coordinate changes and work with Operations and Information Services to create, revise, and test letters for policy compliance.
• Participate with Operations and Information Services in reviewing, evaluating, creating, and updating legacy system and closure module documents and notifications; maintain the document library for electronic retrieval and updates.
• Assist in conducting and implementing Division wellness activities and coordinate activities with Area Offices and Bureaus.
• Assist with preparing nominations for the DDD Recognition Program.
• Perform related work as assigned.

Benefits

• Annual and sick leave
• Nine paid holidays and one Personal Holiday each year
• State Group Insurance coverage options, including health, life, dental, vision, and supplemental insurance
• Retirement plan options, including employer contributions
• Flexible Spending Accounts
• Tuition waivers

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level
• Education Level: No Education Listed