Operations Review Specialist - 64085459

OPERATIONS REVIEW SPECIALIST - 64085459

The State Personnel System is an E-Verify employer. For more information click on our E-Verify Website.

Requisition No: 862302

Agency: Department of Health

Working Title: OPERATIONS REVIEW SPECIALIST - 64085459

Pay Plan: Career Service

Position Number: 64085459

Salary: $47,668.01

Posting Closing Date: 10/21/2025

Your Specific Responsibilities:

• Analyzes and processes medical/allied health complaints consisting of Code 15 Reports (Hospital, Nursing Home & Assisted Living Facility), civil malpractice settlements, civil complaints, hospital disciplinary reports, internet prescribing/unlicensed storefront pharmacies and consumer complaints against Florida health care licensees to determine conformity with existing quality assurance principles and standards. The hospital, nursing home & assisted living facility complaints are complex. Data is analyzed and employee develops solutions or alternative methods of proceeding or resolving issues.
• Consults with federal, state, and local organizations on matters related to the above reports/complaints.
• Interprets and applies statutes, policies, and regulations in analyzing complex data regarding patient care and malpractice issues involving health care practitioners.
• Reviews documents and/or contacts appropriate parties to ensure compliance with applicable statutory and regulatory requirements.
• Conducts investigations when appropriate; issues subpoenas, citations, cease and desist agreements and notices of non-compliance; contacts and interviews witnesses and experts as necessary when conducting investigations; prepares investigative reports and prepares file for legal review; testifies at hearings as necessary.
• Provides technical assistance, consultative services and direction for development, implementation and evaluation of data and reports.
• Researches, prepares, and disseminates reports of a topical or statistical nature as required by management or agency officials.
• Consults with, assists, and acts as liaison between and among the professional boards, complainants, licensees, consultants, other governmental agencies, and the various sections of the agency; assists in the development of consumer education materials.
• Evaluates and interprets laws, rules, and regulations as they apply to various practice acts and related statutes and recommends changes as necessary.
• Represents the agency at board meetings, probable cause panel meetings, hearings, conferences; attends education seminars to enhance professional development and expertise.
• Assists as mediator in resolution of complaint issues.
• Assists with training in use of new forms, reports, procedures according to policy.
• Performs other duties as required.

Required Knowledge, Skills, and Abilities:

Proficient computer skills to include Word, Excel, PowerPoint and Outlook; knowledge of computer data bases; 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; ability to plan, organize and prioritize work assignments; ability to work independently; ability to maintain a high degree of accuracy and close attention to detail; effectively manage time; make sound judgements; ability to maintain strict confidentiality.

Preferred Qualifications:

• High School Diploma or equivalent
• (2) years of experience to include data entry, case management, reviewing or auditing documents for specific criteria; applying applicable laws, rules, regulations, policies and procedures; researching and gathering data; preparing reports and correspondence.
• College education may substitute for the required experience on a year-for-year basis.
• Must have a valid driver's license, satisfactorily complete a background investigation, fingerprinting, and participation in direct deposit are requirements for employment.

Where You Will Work:

Tallahassee, FL

The Benefits of Working for the State of Florida:

• 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
• Flexible Spending Accounts
• Tuition waivers
• And more!

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