-
Regulatory Analyst IV
- MyFlorida (Tallahassee, FL)
-
REGULATORY ANALYST IV - 43003220
Date: Oct 29, 2025
The State Personnel System is an E-Verify employer. For more information click on our E-Verify Website (http://www.dms.myflorida.com/workforce\_operations/human\_resource\_management/for\_job\_applicants/e\_verify) .
Requisition No: 864206
Agency: Financial Services
Working Title: REGULATORY ANALYST IV - 43003220
Pay Plan: Career Service
Position Number: 43003220
Salary: $45,060.11 - $95,283.82
Posting Closing Date: 11/12/2025
Total Compensation Estimator Tool (https://compcalculator.myflorida.com/)
***OPEN COMPETITIVE EMPLOYMENT OPPORTUNITY***
DIVISION: WORKERS’ COMPENSATION
BUREAU: MONITORING AND AUDIT
CITY: TALLAHASSEE
COUNTY: LEON
SPECIAL NOTES:
Four (4) years of experience in a relevant field (risk management, insurance, claims handling, medical billing and reporting, financial accounting, or auditing) isrequired. A post-secondary degree from an accredited college or university can substitute for the required work experience.
Additionalrequirements:
+ Two (2) years of regulatory experience.
+ Two (2) years of experience working with Microsoft Office (Outlook, Word, Excel, and PowerPoint) and data analysis.
Preferences:
+ Two (2) years of leadership experience.
+ Two (2) years of experience interpreting rules, regulations, policies, and procedures.
+ Two (2) years of experience in workers’ compensation medical and claims data collection.
+ Two (2) years of experience utilizing investigative techniques and practices.
+ Two (2) years of Electronic Data Interchange (EDI) knowledge and experience.
+ One (1) year of experience with international Association of Industrial Accident Boards and Commissions (IAIABC) Claims EDI Release 3.
This position requires a security background check, including fingerprint as a condition of employment.
Employees of the Department of Financial Services are paid on a monthly pay cycle.
Responses to qualifying questions must be clearly supported by the state application and any omission, falsification, or misrepresentation in the answering of the qualifying questions will be cause for immediate elimination from the selection process.
Minimum Qualifications for this position include the following REQUIRED ENTRY LEVEL KNOWLEDGE, SKILLS AND ABILITIES:
Knowledge of data collection methods; problem-solving techniques; data analysis; and management principles. Ability to apply investigative principals and techniques; review, analyze and evaluate data; collect, analyze and interpret data; organize data into logical format for presentation in reports and other written materials. Ability to understand and apply applicable rules, regulation, policies and procedures relating to management analysis practices; understand and apply workers’ compensation statutes, rules and procedures; examine and evaluate data related to workers’ compensation programs. Ability to conduct fact finding investigations; conduct interviews; and prepare and maintain statistical data and reports. Ability to handle conflict and disputes in a professional and courteous manner. Demonstrated knowledge, understanding, and application of Chapter 440, FL Statutes and related rules. Skill in using personal computer and Microsoft programs. Ability to communicate verbally and in writing; utilize deductive reasoning; establish and maintain effective working relationships with others. Ability to meet performance expectations.
BRIEF DESCRIPTION OF DUTIES:
This is a highly responsible professional position that will assist in the coordination of information technology systems and resources and provide management consultation services to improve management capabilities and technology improvements on behalf of the Bureau of Monitoring and Audit. The incumbent will conduct special studies, research, and/or investigations to analyze problems and issues relating to operational problems, data collection techniques, workflow processes, and data quality. Strong skills in quantitative and qualitative investigative/research methods, writing, presentation of findings, and use of computer software are essential. Provides recommendations and actively participates with management in carrying out the implementation of recommended solutions. This position requires a thorough knowledge of the Workers’ Compensation Law, workers’ compensation rules and procedures. (s. 440.02, 440.14, 440.15 440.151, 440.16, 440.185, 440.42, 440.593; F.S. and 69L-56 F.A.C.).
The incumbent of this position provides programmatic and process training, which includes:
+ Analyzing, evaluating and interpreting various sections of Chapter 440, FL Statutes relating to Claims
+ Analyzing, evaluating and interpreting 69L-56 F.A.C.
+ Analyzing, evaluating and interpreting the IAIABC National Standard for Claims EDI
Conduct special studies, inquiries, or investigations to analyze problems and recommends corrective action to Operations Management Consultant Manager. Investigate, assess, analyzes and make recommendations to resolve Claims EDI issues and problems.
Provide direction, guidance and counsel to Triage Partners, striving to maintain positive working relationships.
Review and evaluate Claims EDI filings and statistical reports including EDI Trading Partner Report Cards, Missing SA Report, Rejected Not Resubmitted Report and DWC-1 filing statistics.
Serve as an effective liaison to establish and maintain positive working relationships and cooperative action plans with other agencies and groups with whom the Unit interacts.
Prepare presentations and serve as a public speaker or panelist to advise and educate EDI Triage Partners on filing Claims EDI transactions successfully and the consequences for failing to file timely. Conduct Webinars for EDI Triage Partners.
Review and analyze Bureau of Monitoring and Audit Workers’ Compensation data mining and collection programs for applicability with Division needs in order to achieve more efficient and effective data mining and management systems.
Evaluate and develop data mining, collection and corresponding operational procedures and rules associated with data collection processes. Create procedures geared towards achieving increased reliability and accuracy of data mining efforts as well as consistency in the tracking and maintenance of data results. Identify the need for and devise program modifications to improve data mining capability. Detect and report actual or possible encumbrances/obstacles in existing or planned data mining programs and resultant consequences. Recommend solutions and improvements to promote data collection and quality for meeting operational objectives of the Bureau. Provide management consulting services to management on business data needs, process improvements relating to data mining rules, operating procedures, user guides, and other data management programs.
Represent the Bureau of Monitoring and Audit and Division at the IAIABC national level which may include on-site meetings, teleconference, and webinars.
Other duties as assigned by the Operations & Management Consultant Manager or Bureau Chief.
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 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 clickinghere (http://www.dms.myflorida.com/content/download/97612/566545) . All documentation is due by the close of the vacancy announcement.
Location:
TALLAHASSEE, FL, US, 32312
Nearest Major Market:Tallahassee
-