OPERATIONS REVIEW SPECIALIST OPS

by Florida Jobs in

Job role overview

  • Date posted

    May 7, 2026

  • Hiring location

    Alachua

Description

Operations Review Specialist Ops

This is an administrative Hearing Officer position that conducts administrative hearings related to Medicaid for the Department of Children & Families. The hearing officer must afford a fair and complete hearing and conduct the proceeding so that the record affirmatively shows that the hearing has met all requirements of the law. The hearing is a formal hearing under the Administrative Procedures Act, Chapter 120 F.S. and federal program requirements, as it often involves disputes of facts requiring specific evidentiary determinations.

Conduct the hearing following statutory guidelines. Administer oaths, establishes the burden and standard of proof required of the parties at the hearing. Develop the record, rule on motions and the admissibility of evidence. Research, review, analyze and maintain an up-to-date knowledge of the various programs, including pertinent statutes, court decisions, Florida Administrative Code, federal regulations and the agencies' interpretation of such authorities. Monitor the agencies' implementation of these authorities to determine the correctness of the action. Review hearing requests for jurisdiction, facilitate settlement negotiations, issue /orders for prehearing conferences and discovery. Schedule the hearing, assuring all of the requirements of law have been met. Issue and rule on subpoena requests. Prepare a written decision, setting forth in a concise manner, the facts of the cases and the effect of the application of law to those facts. The decision must respond to proposed findings of fact and arguments submitted by each party.

Preferred Qualifications: Four years of professional experience working in public assistance programs. A bachelor's degree can substitute for the required experience. Experience as a Hearing Officer utilizing the Uniform Rules of Administrative Procedure. Experience making eligibility determinations for applicants of public assistance. Valid Driver License.

Knowledge, Skills, and Abilities: Communicating effectively with others in writing as indicated by the needs of the audience Reading Comprehension Effective verbal communication Problem Identification Information Gathering Knowing how to find information and identifying essential information Listening to what other people are saying and asking questions as appropriate

Candidate Profile (application) must be completed in its entirety. Include supervisor names and phone numbers for all periods of employment. Account for and explain any gaps in employment so that the hiring process is not delayed. Experience, education, training, knowledge, skills and/or abilities as well as responses to pre-qualifying questions must be verifiable to meet the minimum qualifications. It is unacceptable to use the statement "See Resume" in place of entering work history.

Growth Opportunities: With 12,000 employees across the state DCF promotes opportunities and training for all. Our jobs are among the most challenging, complex, and difficult in State government. They are also among the most rewarding. All employees are encouraged to take advantage of available Department opportunities for advancement and professional development.

Where you will work: Florida is the only state that borders both the Atlantic Ocean and the Gulf of Mexico. In other words, no matter where you land in Florida, you're never more than 60 miles from a body of saltwater. And if the beach isn't your scene, there are 175 state parks to explore! Meanwhile, Floridians hail from a wide range of backgrounds, cultures, ethnicities, and walks of life, making it an incredibly diverse melting pot that many residents and visitors to Florida love. The Sunshine State is a great place to live and work – Come join our team!

About Department of Children and Families: Mission: The mission of the Department of Children and Families is to work in partnership with local communities to protect the vulnerable, promote strong and economically self-sufficient families, and advance personal and family recovery and resiliency. Vision: We are a highly skilled workforce committed to empowering people with complex and varied needs to achieve the best outcomes for themselves and their families. In collaboration with community stakeholders, we will deliver world class and continuously improving service focused on providing the people we serve with the level and quality that we would demand and expect for our own families. Values: A workforce that operates with integrity maintains loyalty to a code of ethics that requires the courage to take responsibility for providing the highest quality of service to the vulnerable. We are a solutions-focused learning organization built on a foundation of transparency in action and accountability of results. Both within the organization and among our stakeholders, we thrive in a culture of respect for diversity of opinion that is nurtured through open communication. High performing and committed, we are unified in our goal of excellence in achieving quality outcomes for those we serve.

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