OPERATIONS REVIEW SPECIALIST OPS - 60934464

State of Florida•Jacksonville, FL

3d•Remote

About The Position

This is an Other Personal Service (OPS) employment type. Multiple positions available. This is a 12 to 18-month temporary opportunity. Pay rate: $23 per hour. This is an administrative Hearing Officer position that conducts administrative hearings related to Medicaid for the Department of Children & Families. The hearing officer must afford a fair and complete hearing and conduct the proceeding so that the record affirmatively shows that the hearing has met all requirements of the law. The hearing is a formal hearing under the Administrative Procedures Act, Chapter 120 F.S. and federal program requirements, as it often involves disputes of facts requiring specific evidentiary determinations.

Requirements

Candidate Profile (application) must be completed in its entirety.
Include supervisor names and phone numbers for all periods of employment.
Account for and explain any gaps in employment so that the hiring process is not delayed.
Experience, education, training, knowledge, skills and/or abilities as well as responses to pre-qualifying questions must be verifiable to meet the minimum qualifications.
It is unacceptable to use the statement “See Resume” in place of entering work history.
Male candidates born on or after October 1, 1962, will not be eligible for hire or promotion into an authorized position unless they are registered with the Selective Service System (SSS) before their 26th birthday or have a Letter of Registration Exemption from the SSS.
Participation in the State of Florida Direct Deposit Program is required as a condition of employment per F.S. 110.113, and enrollment must be completed within the first 30 calendar days of your appointment.
Must successfully complete a State and National criminal history check as a condition of employment before beginning employment, and also be screened in accordance with the requirements of Chapter 435, F.S., and, if applicable, Chapter 408, F.S.
Background screening shall include, but not be limited to, fingerprinting for State and Federal criminal records checks through the Florida Department of Law Enforcement (FDLE) and Federal Bureau of Investigation (FBI) and may include local criminal history checks through local law enforcement agencies.

Nice To Haves

Four years of professional experience working in public assistance programs. A bachelor’s degree can substitute for the required experience.
Experience as a Hearing Officer utilizing the Uniform Rules of Administrative Procedure.
Experience making eligibility determinations for applicants of public assistance.
Valid Driver License.

Responsibilities

Conduct the hearing following statutory guidelines.
Administer oaths, establishes the burden and standard of proof required of the parties at the hearing.
Develop the record, rule on motions and the admissibility of evidence.
Research, review, analyze and maintain an up-to-date knowledge of the various programs, including pertinent statutes, court decisions, Florida Administrative Code, federal regulations and the agencies’ interpretation of such authorities.
Monitor the agencies’ implementation of these authorities to determine the correctness of the action.
Review hearing requests for jurisdiction, facilitate settlement negotiations, issue /orders for prehearing conferences and discovery.
Schedule the hearing, assuring all of the requirements of law have been met.
Issue and rule on subpoena requests.
Prepare a written decision, setting forth in a concise manner, the facts of the cases and the effect of the application of law to those facts.
The decision must respond to proposed findings of fact and arguments submitted by each party.