OPS OPERATIONS ANALYST II - 64858619

Requisition No: 850055 

Agency: Department of Health

Working Title: OPS OPERATIONS ANALYST II - 64858619

 Pay Plan: Temp

Position Number: 64858619 

Salary:  $18.00 per hour 

Posting Closing Date: 04/17/2025 

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FLORIDA DEPARTMENT OF HEALTH - OPEN COMPETITIVE

Who we are:

Children’s Medical Services (CMS) is responsible for the administration of the Safety Net Program. The Safety Net Program provides limited benefits for children up to age 21 who have chronic and serious health condition(s) who do not qualify for Florida Medicaid or Florida KidCare or are unable to access medically necessary or essential family support services. 
 
The Safety Net Program is governed by Florida Statute 391.029 (3)(a) and FAC 64C-2.004.

Your Specific Responsibilities:

This position is responsible for the screening and eligibility determination of children eligible for the services for the Safety Net program. 
 
• Effectively uses FLMMIS, CMS 3.0, VIDA, and other necessary data information systems to determine program eligibility status. 
• Receive correspondence requesting SafetyNet via email or telephone.  
• Contacts parent/guardian to begin Safety Net application process. 
• Explain Safety Net Program, verify insurance, clinical diagnosis, and determine needs. Verify accuracy of documents received. 
• Resolves non-clinical issues which includes verification of eligibility and general contact information. 
• Routes calls to clinical eligibility staff to conduct clinical screening as appropriate.  
• Escalates calls and/or emails using appropriate chain of command based on the urgency of the issue.
• Processes referrals and applications for Safety Net, ensuring appropriate documentation of activities and quality assurance reviews. 
• Documents in accordance with established guidelines while using the current electronic medical record program.
• Process Safety Net Financial Eligibility Worksheet
• Calculate proof of parent/guardian income and uses Financial Eligibility Worksheet chart to determine annual federal poverty level.
• Confirm client primary and secondary diagnosis to ensure information matches on Safety Net checklist and signed application.
• Determine client Clinical Risk Group and family cost share amount.
• Process Safety Net Financial Responsibility Agreement
• Download Federal Poverty Level annually and as needed.
• Serves as a community resource professional in the specialized medical field of pediatrics. 
• Attends meetings and conferences directly related to roles and responsibilities. 

Required Knowledge, Skills, and Abilities:

Knowledge of organizational procedures, policies, practices, rules and regulations
• Ability to plan, organize and coordinate work assignments
• Ability to meet deadlines and prioritize tasks effectively
• Ability to communicate effectively verbally and in writing to express facts and ideas in a succinct and organized manner 
• Ability to effectively communicate clinical information with medical practitioners.
• Knowledge in medical terminology and procedure codes
• Ability to establish and maintain effective working relationships with others. 
• Working knowledge of Microsoft Word, Excel, and other software
* Must be able to multitask
• Must be an active listener and ask questions as appropriate
 

Qualifications:

Minimum – High School Diploma, Driver’s License

Medical setting, medical terminoloty, Pediatrics

Florida Department of Health Mission, Vision, and Values:

Mission:

To protect, promote & improve the health of all people in Florida through integrated state, county & community efforts.

Vision:

To be the Healthiest State in the Nation.

Values:

I nnovation: We search for creative solutions and manage resources wisely.

C ollaboration: We use teamwork to achieve common goals & solve problems.

A ccountability: We perform with integrity & respect.

R esponsiveness: We achieve our mission by serving our customers & engaging our partners.

E xcellence: We promote quality outcomes through learning & continuous performance improvement.

Where You Will Work:

Tallahassee, Florida

The Benefits of Working for the State of Florida:

Working for the State of Florida is more than a paycheck. As an OPS employee, the benefits below are available:

• 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)
• And more!

For a more complete list of benefits, including monthly costs, visit www.mybenefits.myflorida.com.

Please be advised:

Your responses to qualifying questions for this position must be verifiable by documentation provided through the electronic application process.  

This position requires a security background check and/or drug screening and participation in direct deposit. Any misrepresentations or omissions will disqualify you from employment consideration. Note: You will be required to provide your Social Security Number (SSN) in order to conduct this background check Successful completion of a drug test is a condition of employment for safety-sensitive positions.

Male applicants born on or after October 1, 1962, will not be eligible for hire or promotion unless they are registered with the Selective Services System (SSS) before their 26th birthday, or have a Letter of Registration Exemption from the SSS. For more information, please visit the SSS website: http://www.sss.gov 

If you are a retiree of the Florida Retirement System (FRS), please check with the FRS on how your current benefits will be affected if you are re-employed with the State of Florida.  Your current retirement benefits may be canceled, suspended or deemed ineligible depending upon the date of your retirement. 

The successful candidate will be required to complete the Form I-9 and that information will be verified using the E-Verify system.  E-Verify is operated by the Department of Homeland Security in partnership with the Social Security Administration to verify employment eligibility.   

Incumbents may be required to perform emergency duty before, during, and/or beyond normal work hours or days.

The State of Florida is an Equal Opportunity Employer/Affirmative Action Employer and does not tolerate discrimination or violence in the workplace. 

Applicants requiring a reasonable accommodation, as defined by the Americans with Disabilities Act, must notify the agency hiring authority and/or People First Service Center (1-877-562-7287). Notification to the hiring authority must be made in advance to allow sufficient time to provide the accommodation. 

The State of Florida supports a Drug-Free workplace. All employees are subject to reasonable suspicion drug testing in accordance with Section 112.0455, F.S., Drug-Free Workplace Act. 

Florida has the third largest population of veterans in the nation with more than 1.5 million service men and women.  The Florida Department of Health (department) is committed to serving members of the United States Armed Forces, veterans and their families by encouraging them to apply for vacancies that fit their area of knowledge and/or expertise.  Through the Department's VALOR program, which expedites licensing for military veterans, the Department also waives initial licensing and application fees for military veterans who apply for a health care professional license within 60 months of an honorable discharge. These initiatives help ensure that the transition from military service into the workforce is as smooth as possible and reflects our appreciation for the dedication devoted to protecting our country.    

The State of Florida is an Equal Opportunity Employer/Affirmative Action Employer, and does not tolerate discrimination or violence in the workplace.

Candidates requiring a reasonable accommodation, as defined by the Americans with Disabilities Act, must notify the agency hiring authority and/or People First Service Center (1-866-663-4735). Notification to the hiring authority must be made in advance to allow sufficient time to provide the accommodation.

The State of Florida supports a Drug-Free workplace. All employees are subject to reasonable suspicion drug testing in accordance with Section 112.0455, F.S., Drug-Free Workplace Act.