OPS MEDICAL MALPRACTICE INVESTIGATOR - 64801371

State of Florida • Boynton Beach, FL

4d • Onsite

About The Position

This is a full-time OPS (Other Personal Services) position within the Department of Health, Division of Medical Quality Assurance, Bureau of Enforcement, Investigative Services Unit located in the West Palm Beach Field Office. The primary responsibility is to investigate allegations of state and federal laws against unlicensed individuals posing as licensed health care practitioners. This involves complex investigations requiring evidence collection, medical record review, coordination with law enforcement for potential prosecution, and the use of covert investigative techniques. The role also includes preparing and serving citations, coordinating with legal counsel, preparing comprehensive reports, and testifying at hearings.

Requirements

• Proficient computer skills to include Word, Excel, PowerPoint and Outlook.
• Knowledge of computer databases.
• Knowledge and use of the compliance management system and licensing system used by the Agency.
• Knowledge of laws, legal codes, court procedures, and government rules & regulations.
• Knowledge of the structure and content of the English language including the meaning and spelling of words, rules of composition, and grammar.
• Understanding written sentences and paragraphs in work-related documents.
• Communicating effectively with others verbally and in writing.
• Talking to others to effectively convey information.
• Ability to establish and maintain effective working relationships with others.
• Listening to what other people are saying and asking questions as appropriate.
• Conduct fact-finding research.
• Knowledge of the methods of data collection and analysis.
• Organize data into logical format for presentation in reports, documents, and other written materials.
• Knowing how to find information and identifying essential information.
• Finding ways to structure or classify multiple pieces of information.
• Write detailed narrative investigative reports.
• Ability to plan, organize, and prioritize work assignments.
• Ability to work independently.
• Investigating and researching.
• Inspecting and evaluating the quality of products.
• Ability to maintain a high degree of accuracy and close attention to detail.
• Effectively manage time.
• Make sound judgments.
• Ability to maintain strict confidentiality.
• One (1) year of investigative experience.
• Five (5) years of professional experience from one or more of the following fields: investigative, law enforcement, working 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 work, human relations, personnel, working as a licensed healthcare professional regulated by the Division of Medical Quality Assurance.
• Must be physically present in the office to effectively perform job duties and responsibilities.
• Must have a valid driver license.
• Satisfactorily complete a background investigation, fingerprinting, and participation in direct deposit.
• All Florida Department of Health positions require the incumbent to be able to learn and communicate effectively, orally and in writing, in English.

Nice To Haves

• Bachelor’s degree from an accredited college or university in a related field of study
• Professional experience as described above can substitute on a year-for-year basis for the required college education.

Responsibilities

• Investigate allegations of state and federal laws against unlicensed individuals posing as licensed health care practitioners.
• Investigate alleged unlicensed activity complaints and coordinate with local law enforcement agencies for potential prosecution of criminal violations.
• Collect evidence, review and analyze medical records, court documents, and other pertinent records using covert investigative techniques.
• Prepare and serve uniform unlicensed activity citations and/or cease and desist agreements.
• Coordinate investigative activity through legal counsel.
• Prepare comprehensive reports of final, supplemental, and probation investigations.
• Coordinate investigations with federal, state, and local law enforcement officials and regulatory agencies.
• Coordinate and assist department legal/board staff regarding 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 up-to-date professional contacts with risk managers, hospital administrators, nursing directors, and other health care providers.
• Assist in allied health investigations, participate in in-service training of medical investigative staff, conduct inspections, drug profiles, and undercover investigations.
• Serve as a mentor to new investigators.
• Answer public inquiries, make referrals, make public speaking engagements, make professional contacts, and promote the goals and mission of the Department.
• Perform other duties as required.

Benefits

• State of Florida 401(a) FICA Alternative Plan (mandatory)
• Participation in state group insurance (upon meeting eligibility requirements. Consult with People First and/or the serving HR office)
• Workers’ Compensation (mandatory, if needed)
• Reemployment Assistance (Unemployment Compensation) (mandatory, if needed)
• Deferred Compensation (voluntary)
• Employee Assistance Program (voluntary)

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level