Eligibility Specialist Iii; Coe

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date: feb 24, 2026

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requisition no:870874

agency: children and families

working title: eligibility specialist iii (coe) -

this role was formerly the eligibility specialist i position with the specialized medicaid center of excellence within the office of economic self sufficiency. The position has been upgraded to an eligibility specialist iii (coe) and determines eligibility for highly complex medicaid programs for long term care, nursing homes, hospice and home and community based services (hcbs) waivers and disability determinations.

this is an internal agency opportunity and only qualified candidates currently employed with the department of children and families will be considered. This position may be located anywhere in the state of florida and would be assigned to the statewide specialized medicaid center of excellence and may be assigned to a long-term care (icp) processing or inquiry unit, disability determination (ddd) unit.

location: any county in the state of florida. This position is eligible for teleworking.

the salary for this position is $39,838.76 annually.

this is a professional position in the economic self sufficiency program for the statewide specialized medicaid center of excellence (smcoe). The primary function is determining eligibility for government assistance programs. This position requires the ability to apply highly complex policy accurately and effectively for the state of florida’s most vulnerable customers for the smcoe. The work performed includes processing of a broad range of paperwork and entering information into a computer-based eligibility system with very time sensitive federal, state, agency, and legal deadlines.

primary duties may include but not limited to:

• instructing customers and providers in completion of various forms, and reviewing the applications and forms submitted for completeness and accuracy.
• determining program eligibility in accordance with current regulations using a computer-based eligibility system.
• research case information thoroughly to develop recommendations and alternative solutions. Utilizes problem solving and critical thinking by combining, evaluating, and reasoning with information and data to make decisions and solve problems.
• reporting cases where identity theft or fraud is suspected.
• advising clients and providers of deadlines, time frames, and necessary actions to be taken.
• working with customers and providers who may not take the necessary actions within the required time frame.
• establishing and maintaining multiple electronic files and conducting regular reviews and updates.
• documenting all communications and contacts with customers and providers.
• managing an electronic caseload that varies based on the community needs, ensuring that accuracy levels are maintained, and cases are processed within the specified time frames set by federal and state regulations.
• assists customers and providers with questions or concerns pertaining to eligibility and effectively manages and resolves customer complaints and escalations.
• staying current with changes in rules, laws, procedures, etc. That affect timeliness and accuracy.
• assists in the dissemination of policies and procedures while offering educational support to internal and external stakeholders.
• provide technical expertise and guidance to support the development, delivery, and assessment of training for human services programs.
• this position may require face-to-face contact with customers and providers.
• customer service with goals of problem solving and resolution.
• performs special work assignments and other related work/duties as required or assigned.

knowledge, skills and abilities include but not limited to:

• apply the laws, rules, and regulations governing eligibility and grant determination for multiple government assistance programs and the case administration of these programs.
• ability to review images such as pictures or handwritten notes to make eligibility determinations based on the information provided.…