Medical Hearing Officer

Title: Medical Hearing Officer

State Role Title: Hearing and Legal Services Officer II

Hiring Range: $33.00 - $39.00

Pay Band: UG

Agency: Dept of Med Assistance Svcs

Location: Dept of Medical Asst Services

Agency Website: www.dmas.virginia.gov

Recruitment Type: General Public - G

Job Duties

The Department of Medical Assistance Services (DMAS) is excited to offer a competitive opportunity to serve as the Medical Hearing Officer in the Medical Appeals Unit.

The selected competitive candidate will provide exceptional delivery of services to the agency’s Appeals Division.

Job responsibilities will include, but are not limited to:

Review appeal requests, case documents, and other appropriate evidence to prepare for and conduct client medical appeal hearings.

Render written appeal decisions at the highest administrative level in accordance with fair hearing principles and within established timeframes.

Apply knowledge of laws, rules, and regulations in the decision process to independently render decisions based on findings of fact and conclusions of law; apply knowledge of administrative procedures for conducting hearings, due process standards, and legal research methods; conduct legal research; engage in thorough, accurate, and objective analysis and evaluation of facts, evidence, and law in order to make legally sound and defensible recommendations and judgments; and independently manage a caseload to ensure timely compliance with deadlines.

Provide excellent customer service, treating everyone who interacts with the Division with respect and dignity; ensure every appellant receives full due process; support a collaborative and positive work environment; and produce a quality work product.

The position you are applying for is an Hourly/Wage position. Hourly (wage) employees may not work more than an average of 29 hours a week and cannot exceed 1500 hours during their employment year. This position does not include health insurance, retirement or leave.   

Located in beautiful Central Virginia, the Richmond area puts you just 2 hours from the Blue Ridge Mountains, Virginia Beach and Washington DC. To learn more about the Richmond, VA area visit: https://www.virginia.org/

The Department of Medical Assistance Services (DMAS) is working to improve the health and well-being of Virginians through access to high quality health care coverage.

DMAS wants talented individuals who can align their experience with the mission of the agency and its core values – service, collaboration, trust, problem solving and adaptability.

At the Department of Medical Assistance Services (DMAS) we encourage and promote that you Come as you are | Become who you want to be | That is our promise.

Minimum Qualifications

Competitive candidates will meet these minimum qualifications:

Experience independently managing a caseload to meet established time frames.

Considerable work-related experience applying rules to facts to reach logical, legally supportable conclusions.

Knowledge of administrative law and / or appeals procedures.

Considerable knowledge of legal research methodologies, including computerized legal research.

Considerable experience with technology, including MS Office.

Considerable experience interpreting, applying, and analyzing federal and state complex laws, regulations, policies, or case law.

Experience in meeting deadlines.

Experience with internal/external stakeholders.

Considerable experience in legal analysis and legal writing

Additional Considerations

Competitive candidates will meet these Additional Considerations:

Admission to the Virginia State Bar in good standing.

Experience drafting appeal decisions.

Special Instructions

You will be provided a confirmation of receipt when your application and/or résumé is submitted successfully. Please refer to “Your Application” in your account to check the status of your application for this position.

The Virginia Department of Medical Assistance Services (DMAS) does not offer employment-based Sponsorship. Selected candidates will have their work authorization completed using the E‐Verify Program.

The Department of Medical Assistance Services (DMAS) is an Executive Branch agency that will adhere to all policies and pro