GOVERNMENT OPERATIONS CONSULTANT II - 64005315

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FLORIDA DEPARTMENT OF HEALTH

DIVISION OF DISABILITY DETERMINATIONS

Career Service

Internal Agency

TITLE: Government Operations Consultant II

POSITION LOCATION: TALLAHASSEE / LEON COUNTY

POSITION #:  64005315

SALARY:  $45,060.11 - $95,283.82

Your Specific Responsibilities:

This position requires a broad knowledge of Florida Statutes, Social Security Administration (SSA) rules and regulations and Division of Disability Determination’s management practices and business processes. The position requires an understanding of these rules and regulations in order to provide recommendations for resolution of any customer complaint, problem alleged or sensitive status inquiries.  The position requires extensive communication and correspondence skills in order to assist the Bureau Chiefs and Division Director, as well as federal, state and local officials to process formal and informal congressional inquiries received on all levels and types of disability claims, both pending and closed.  The position requires competencies which include but are not limited to determining eligibility requirements in a disability program; analyzing decisions rendered for appropriateness; preparing a case analysis and recommendation; conducting work in an electronic environment.  The individual assigned to this position may review, research, analyze, develop, plan and prepare correspondence and instructional training guides on agency policy and procedures, as assigned.

Memorandum :  Completes policy guidance and memo update assignments to be in compliance with the Social Security Administration (SSA) and Florida Department of Health (DOH) policies

Reviews and maintains the online resources for Program Services 

• Ensures all online resources are current and correspond with current policy and procedures.
• Uploads and removes documents, as needed

Assists in reviewing, evaluating and consulting with federal and state officials on Consultative Examination (CE) oversight requirements and manages information for CE oversight reporting

• Assists with research and preparations of written guidelines and training modules to support Professional Relations Officers (PRO) with CE vendor recruitment and oversight activities
• Analyzes CE onsite reviews, CE vendor complaints, CE vendor panel key providers and volume provider, and annual expenditures to prepare CE oversight reports
• Reviews and analyzes Medicare Part B Physician and Non-Physician Practitioner Fee Schedule annually, compares it to Part A and Part B of Social Security Administration’s (SSA) Listings, add, delete, modify policies and procedures for purchasing consultations and ancillary tests; and compiles appropriate Current Procedural Terminology (CPT) codes and charge area fees for authorized state-based Division of Disability Determinations (DDD) DDD-CE fee schedule 
• Prepares programmatic notification to all staff of authorized CE fees
• Manages CE vendor complaint database
• Coordinates programmatic review of the CE-CPT codes and fees, makes recommendations, and works with fiscal and systems components to implement changes

Incident Reporting

• Processes all state and federal incident reports
• Reviews completed DOH incident reports and makes determination to electronically report to the Social Security Administration (SSA)

Assistance Requests (ARs)

• Processes ARs from the Office of Hearings Operations (OHO)
• Processes out-of-state ARs
• Communicates verbally and in writing with out-of-state sites regarding specific cases, policy, and business process issues

Manages Congressional Inquiries received from the Governor, Secretary of the Department, State Representatives, Congressional Members, SSA and Legislative Planning Committee

• Records receipt of all official inquiries in an electronic database
• Generates a case file to record actions taken, follow-up actions and final notification outcome
• Reviews and researches issues identified within official inquiries
• Contacts respective parties to clarify inquiries and complaints and determines any special issues or needs
• Coordinates assistance as indicated with other agencies
• Explains the disability process in an effort to promote understanding of the program and the criteria used with decisions rendered
• Prepares an analysis of claim, actions taken or pending
• Assembles proposed response recommendations

• Prepares official correspondence responding to inquiry for review and official signature
• Coordinates action to be taken on all subpoenas with SSA

Assists in Medical Evidence of Record (MER), Consultative Examination (CE) and Personalized Decision Notice (PDN) Module Letter Maintenance

• Coordinates changes to the MER, CE, and PDN modules
• Works with Operations and Information Services to create, revise, and test MER, CE, and PDN letters to ensure compliance with DOH and SSA policies

Assists in Legacy System and Closure Module Maintenance

• Participates with Operations and Information Services to review, evaluate, create and update legacy systems and closure module documents and notifications
• Maintains the legacy system and closure module document library for electronic retrieval to research, review and update

Wellness Activities

• Assists in conducting and implementing wellness activities for the Division
• Coordinates with the Area Offices and Bureaus in implementing wellness activities for staff

DDD Recognition Program:  Assists in the preparation of nominations for the DDD Recognition Program

Performs related work as assigned

Required Knowledge, Skills, and Abilities:

Knowledge of the procedures and requirements for determining eligibility for Social Security disability benefits.

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

Knowledge of Plain Language practices.

Knowledge of Computer Operation(s).

Ability to apply rules, regulations, policies and procedures for processing Social Security disability claims.

Ability to research, development and demonstrate technical and decisional accuracy and recommend effective corrective actions.

Ability to conduct effective fact-finding interviews, resolve discrepancies and document outcomes.

Ability to effectively communicate both verbally and in writing.

Skills include reviewing, researching, analyzing, and preparing clear correspondence.

Qualification:

Minimum - Must be willing to pysically come into the office to perform the duties and responsibilities of the position.

Preferred - At least 5 years of adjudicative experience processing Social Security Disability claims for the DDS.

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, FL

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. 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. 

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.

 
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.

All Florida Department of Health positions require the incumbent to be able to learn and communicate effectively, orally and in writing, in English. Applicants who do not meet this requirement will not be considered

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.  

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.