Job ID: 26-01851
Job Title: Medical Appeals Hearing Officer
Job Location: Richmond VA
Pay Rate: $50.00/Hour
Job Type: 6+ months contract
Shift timings: Between hours of 7:00 am and 6:00 pm
Job Duties:
Computer software to be used:
MS Office: Outlook, Excel, Teams, Word, SharePoint, Adobe Pro
Duties/Responsibilities:
The scope of work of the administrative hearing officer includes independently managing a caseload of eligibility appeals to ensure timely compliance with deadlines. The administrative hearing officer will review appeal requests, case documents, and other appropriate evidence to draft and render administrative decisions in accordance with fair hearing principles. The administrative hearing officer will also contact appellants and their representatives to identify outstanding documentation requested by the Division and to answer questions about the appeal process.
Knowledge, skills, education, and/or experience:
1. Experience independently managing a caseload to meet established time frames.
2. Considerable work-related experience applying rules to facts to reach logical, legally supportable conclusions.
3. Knowledge of administrative law and / or appeals procedures.
4. Considerable knowledge of legal research methodologies, including computerized legal research.
5. Considerable experience with technology, including MS Office.
6. Considerable experience interpreting, applying, and analyzing federal and state complex laws, regulations, policies, or case law.
7. Experience in meeting deadlines.
8. Experience with internal/external stakeholders.
9. Considerable experience in legal analysis and legal writing.
Mandatory skills/certification(s) Requirement:
• Valid Driver's License, clean driving record, and ability to drive and navigate through downtown traffic
• Professional verbal and written communication skills
• Organizational and logistics skills
• Strong attention to detail
• Problem solving
• Strong interpersonal skills
• Team oriented
• Proactive critical thinking
Desired skills:
(1) demonstrated ability to use independent judgment in broad range decision-making authority,
(2) ability to build strong working relationships with peers and collaborate in executing business operations,
(3) experience applying knowledge of programs, operations, and administrative policies and procedures in a setting such as a law office, court system, or government agency,
(4) experience in researching, interpreting, and applying state and federal regulations, and
(5) the ability to communicate effectively verbally and in writing.
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