OPERATIONS REVIEW SPECIALIST - 64007497

Requisition No: 869990

Agency: Department of Health

Working Title: OPERATIONS REVIEW SPECIALIST - 64007497

Pay Plan: Career Service

Position Number: 64007497

Salary: $47,668.01 - $48,668.01

Posting Closing Date: 02/23/2026

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Department of Health

Division of Medical Quality Assurance

Bureau of Enforcement

Consumer Services Unit

Internal Agency Opportunity

Applicants accepted only from Department of Health employees, (includes OPS, Career Service, SES or SMS employees).

Applicants will not be accepted from outside of the department.

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.

Minimum Qualifications

• High school diploma or equivalent
• One (1) year of professional experience conducting regulatory, healthcare, criminal or law enforcement investigations; or
• One (1) year of professional 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 can substitute the required experience.

Preferred Qualifications

• Bachelor’s degree from an accredited college or university in a related field of study

Additional Requirement

• Must have a valid driver's license, satisfactorily complete a background investigation, fingerprinting, and participation in direct deposit are requirements for employment.

Mission

Florida Department of Health Mission, Vision, and Values:

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

Benefits

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 );

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

For a more complete list of benefits, including monthly costs, visit .

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:

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.

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.