Medical Appeals Hearing Officer

Overview

Title: Medical Appeals Hearing Officer

Location: Richmond, VA 23219

Pay Rate: $50.00/Hour on W2 without benefits

Duration: 6+ months

Shift Timing (Day/ Evening/ Night): Day

• 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.

• 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.

• MS Office:
  Outlook, Excel, Teams, Word, SharePoint, Adobe Pro

• 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

• Demonstrated ability to use independent judgment in broad range decision-making authority,
• Ability to build strong working relationships with peers and collaborate in executing business operations,
• Experience applying knowledge of programs, operations, and administrative policies and procedures in a setting such as a law office, court system, or government agency,
• Experience in researching, interpreting, and applying state and federal regulations, and the ability to communicate effectively verbally and in writing.