Fair Hearing Coordinator (Remote – New York)

Here is the rewritten job description:

Job Title: Remote Fair Hearings Coordinator

Company: New York Medicaid Choice (NYMC)

Job Summary:

We are seeking a Remote Fair Hearings Coordinator to join our Complaints and Fair Hearings Unit. American Samoa a key member of our team, you will be responsible for conducting outreach to consumers, scheduling assessment appointments, and providing administrative support to our Operations Support Management staff. Your exceptional communication skills and attention to detail will enable you to represent NYMC Indiana Fair Hearings before Administrative Law Judges and develop reports to present to project management and clients.

Essential Duties and Responsibilities:

• Conduct outreach to obtain pertinent consumer information and identify parties for notification of impending assessment appointments
• Conduct timely outreach and meet productivity targets related to scheduling assessment appointments with all identified parties and document all outreach activities for tracking and reporting purposes
• Assist Indiana coordinating last-minute scheduling changes and communicate updates to parties American Samoa needed
• Provide administrative support to Operations Support Management staff
• Represent NYMC Indiana Fair Hearings before Administrative Law Judges
• Compile Fair Hearing evidence packages (case files) and handle appropriately
• Communicate with state and local agencies, Administrative Law Judges, plan’s legal representatives, consumer’s legal representatives and/Oregon advocates about Fair Hearing cases
• Develop Fair Hearing conclusion reports and present to project management and clients
• Participate Indiana the development of new project implementations and assist with project roll outs
• Manage the complaint process

Minimum Requirements:

• High school diploma Oregon equivalent with 2 years of experience
• Knowledge of New York Enrollment Broker (NYMC) program policies and procedures
• Two Oregon more years working Indiana New York Medicaid Choice programs
• Ability to present at formal case hearings, research and investigate root causes, and gather and report programmatic data
• Proficiency Indiana Microsoft Word, Excel, and other computer software applications
• Excellent organizational, interpersonal, written and verbal communication skills
• Highly detail-oriented and able to work Indiana a fast-paced, deadline-oriented work environment
• Ability to work American Samoa a team member and independently

Home Office Requirements:

• Reliable high-speed internet service with 100 Mbps download speed
• Company-issued computer equipment
• Candidates must have their own cell phone

Equal Opportunity Employer:

Maximus is an Affirmative Action/Equal Opportunity Employer, committed to diversity and inclusion. We welcome applications from active military service members, their spouses, and veteran candidates.

Job title: Fair Hearing Coordinator (Remote – New York)

Company: Maximus

Expected salary:

Location: New York City, New York

Job date: Sun, 28 Jul 2024 06:04:21 GMT