OPS MEDICAL MALPRACTICE INVESTIGATOR - 64801505

State of Florida•Saint Petersburg, FL
•Onsite

About The Position

The Florida Department of Health’s Division of Medical Quality Assurance, Bureau of Enforcement, Investigative Services Unit in Saint Petersburg is hiring an OPS Medical Malpractice Investigator. The position investigates allegations that unlicensed individuals are violating state or federal laws by posing as licensed health care practitioners. Investigations may be complex and involve evidence collection, review and analysis of medical records and legal documents, coordination with law enforcement, and covert investigative techniques. The investigator prepares reports and citations, coordinates with legal counsel and regulatory and law enforcement agencies, assists with administrative and legal proceedings, and may testify or present evidence. The position also supports allied health investigations, inspections, drug profiles, undercover investigations, staff training, and public outreach. The employee must be physically present in the office to perform the job effectively. The office is in Saint Petersburg, Florida, and primarily covers Hardee, Manatee, Sarasota, and Pinellas counties. Emergency duty may be required before, during, or beyond normal work hours or days. This is an OPS position with a stated pay plan of Temp and pay of $22.00 per hour. The posting describes benefits available to eligible OPS employees, including the mandatory State of Florida 401(a) FICA Alternative Plan and access to state group insurance upon meeting eligibility requirements.

Requirements

  • At least one year of investigative experience.
  • Three years of professional experience in one or more of the following: investigative work; law enforcement; work in the juvenile or adult criminal justice system; regulatory inspections; regulatory compliance; resource protection; affirmative action; equal employment opportunity; regulatory work as a paraprofessional or higher; claims adjusting; auditing; financial examining; land appraisal; human relations; personnel; or work as a licensed health care professional regulated by the Division of Medical Quality Assurance.
  • Must be physically present in the office to effectively perform job duties and responsibilities.
  • Proficient computer skills, including Word, Excel, PowerPoint, and Outlook; knowledge of computer databases and the Agency’s compliance management and licensing systems.
  • Knowledge of laws, legal codes, court procedures, government rules and regulations, and English language structure and usage.
  • Ability to understand work-related written material and communicate effectively verbally and in writing.
  • Ability to establish and maintain effective working relationships, listen actively, and ask appropriate questions.
  • Ability to conduct fact-finding research; collect and analyze data; organize information for reports and other written materials; identify essential information; and classify multiple pieces of information.
  • Ability to write detailed narrative investigative reports.
  • Ability to plan, organize, and prioritize assignments; work independently; investigate and research; inspect and evaluate quality; maintain accuracy and attention to detail; manage time; exercise sound judgment; and maintain strict confidentiality.
  • Valid driver license.
  • Satisfactory completion of a background investigation and fingerprinting.
  • Participation in direct deposit is required for employment.
  • Current authorization to work in the United States without employer sponsorship.
  • Ability to learn and communicate effectively in English, orally and in writing.

Nice To Haves

  • Bachelor’s degree from an accredited college or university in a related field of study. Professional experience described in the qualifications may substitute year-for-year for the preferred college education.

Responsibilities

  • Investigate allegations of state and federal law violations by unlicensed individuals posing as licensed health care practitioners.
  • Investigate alleged unlicensed activity complaints and coordinate with local law enforcement agencies regarding potential criminal prosecution.
  • Collect evidence and review and analyze medical records, court documents, and other relevant records, using covert investigative techniques when appropriate.
  • Prepare and serve uniform unlicensed activity citations and/or cease-and-desist agreements in accordance with established policies and procedures.
  • Coordinate investigative activity through legal counsel as requested or directed.
  • Prepare comprehensive reports of final, supplemental, and probation investigations.
  • Coordinate investigations with federal, state, and local law enforcement officials and regulatory agencies as requested or directed by a supervisor or manager.
  • Coordinate with and assist department legal and board staff on administrative hearings, subpoena service, administrative complaints, final orders, and disciplinary enforcement requests.
  • Testify and/or present evidence at administrative hearings, depositions, or trials.
  • Serve as a member of the prosecution team as directed.
  • Develop and maintain professional contacts with risk managers, hospital administrators, nursing directors, and other health care providers.
  • Assist with allied health investigations as needed; participate in in-service training of medical investigative staff; conduct inspections, drug profiles, and undercover investigations; and mentor new investigators as directed.
  • Answer public inquiries, make referrals, participate in public speaking engagements, make professional contacts, and promote the Department’s goals and mission, including participation in Sterling-related activities and events.
  • Perform other duties as required.

Benefits

  • State of Florida 401(a) FICA Alternative Plan (mandatory).
  • Participation in state group insurance upon meeting eligibility requirements.
  • Workers’ Compensation (mandatory, if needed).
  • Reemployment Assistance (Unemployment Compensation) (mandatory, if needed).
  • Deferred Compensation (voluntary).
  • Employee Assistance Program (voluntary).
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