GOVERNMENT OPERATIONS CONSULTANT II - 64085864

Requisition No: 851210 

Agency: Department of Health

Working Title: GOVERNMENT OPERATIONS CONSULTANT II - 64085864

 Pay Plan: Career Service

Position Number: 64085864 

Salary:  $44,060.11 - $93,415.51 

Posting Closing Date: 04/19/2025 

Total Compensation Estimator Tool

DEPARTMENT OF HEALTH

DIVISION OF DISABILITY DETERMINATIONS

INTERNAL AGENCY

POSSIBLE MULTI-HIRE

THIS POSITION IS LOCATED IN THE DISABILTY HEARINGS UNIT

TITLE: Government Operations Consultant II

POSITION LOCATION: TAMPA/ HILLSBOROUGH COUNTY

POSITION #:   64085864

SALARY:         $44,060.11 - $93,415.51

Your Specific Responsibilities:

This is an independent and complex administrative consultative/review position for monitoring of claims decisional accuracy and division-wide operations and quality management performance for the Division of Disability Determinations.  The position will be located in Tampa in the Disability Hearings Unit (DHU) where the selected individual will review Title II and Title XVI CDR Reconsideration (AKA Pre-Hearing) claims.  The individual in this position must possess an extensive working knowledge of existing and proposed Social Security Disability Program and Supplemental Security Income Program rules, regulations, guidelines, policies and procedures related to the federal and state programs.  Prior experience and success in developing, evaluating and processing adult and child CDR and CDR-Recon claims is a must.  This position requires a comprehensive understanding of medical, vocational and legal aspects involved in case development and adjudication, quality goals and continuous improvement in basic functions and relationships of the various entities within DDD.  The work involves data collection and analysis to support evaluation and decision making at various levels within the organization.  The individual serves as a management consultant/advocate to ensure operation and management practices are consistent with federal quality goals and standards.  Work is independently performed under the general supervision of a Social Service Manager and is reviewed through conferences and written reports to ensure attainment of targeted goals.

Reviews and analyzes statewide sample of disability decisions at the CDR Reconsideration (Pre-hearing) level to assess compliance with established program policies and to ensure conformance within established federal quality guidelines and standards.

Identifies decisional or documentation deficiencies in a statewide sample of claims; formulates appropriate plans to resolve specific issues or problems and prepares a written summary analysis of the deficiencies, to include specific recommendations for corrective action.

Identifies statewide operational problems in implementation of federal and state program policies and procedures and provides strategic guidance throughout implementation.

Monitors statewide applications of established cost effectiveness policies through sample case review; collects and analyzes data on developmental practices related to consultative examination purchases and provides written feedback regarding compliance or noncompliance with cost effectiveness policies.  Provides recommended alternative solutions for resolving issues in cost containment.

Consults with supervisory, medical and other professional staff to resolve problem areas identified in individual sample cases or other claims referred for specialized technical assistance.

Consults with operations staff regarding problematic adjudicative issues or to develop solutions for complex or sensitive case situations.

Reviews information from case review to monitor individual area office performance and identify potential quality problems or other significant trends in area office performance and provides recommended solutions.  Facilitates positive communication within the statewide area offices to resolve complex issues and programmatic requirements. 

Evaluates publications and issuances of Social Security, DDD and other state agencies to keep abreast of changes in medical/vocational and administrative aspects of disability, maintains revisions to operating manuals and modifies case review procedures as appropriate to ensure program performance conforms with current established policies and procedures. 

Assists in preparing and presenting formal statewide training on a wide range of medical, vocational, administrative or operational issues. 

Attends seminars, conferences and related meetings as necessary.

Performs related work as required.

 Required Knowledge, Skills, and Abilities:

Knowledge of anatomy, physiology, function, dysfunction, and disease processes.

Knowledge of computer operation, and office automation equipment.

Ability to understand and apply applicable rules, regulations, policies and procedures relating to the processing of Social Security disability benefits.

Preferred Qualifications:

Current DHU Hearing Officer. 

At least 4 years of experience adjudicating and processing Federal Social Security disability claims.

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:

Tampa

The Benefits of Working for the State of Florida:

Working for the State of Florida is more than a paycheck. The State’s total compensation package for employees features a highly competitive set of employee benefits including:

• Annual and Sick Leave benefits;
• Nine paid holidays and one Personal Holiday each year;
• State Group Insurance coverage options, including health, life, dental, vision, and other supplemental insurance options;
• Retirement plan options, including employer contributions
  (For more information, please click www.myfrs.com);

• Flexible Spending Accounts;
• Tuition waivers;

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 participation in direct deposit.

Your conditional job offer and access to Social Security Administration’s (SSA’s) systems, data, information, and/or premises are contingent upon you passing the SSA suitability process.

*Note: This covers the preliminary screening (pre-screen) and the final background adjudication stage of the suitability process.

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.

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.

VETERANS’ PREFERENCE.  Pursuant to Chapter 295, Florida Statutes, candidates eligible for Veterans’ Preference will receive preference in employment for Career Service vacancies and are encouraged to apply.  Certain service members may be eligible to receive waivers for postsecondary educational requirements.  Candidates claiming Veterans’ Preference must attach supporting documentation with each submission that includes character of service (for example, DD Form 214 Member Copy #4) along with any other documentation as required by Rule 55A-7, Florida Administrative Code.  Veterans’ Preference documentation requirements are available by clicking here.  All documentation is due by the close of the vacancy announcement.