FAIR HEARINGS SECTION MANAGER

About the role

The Fair Hearing Administration is recruiting for two (2) Supervisor III (SS) to function as Fair Hearings Section Managers for their Medicaid Fair Hearing Unit. These positions supervise and coordinate the activities of Fair Hearing Representatives, ensuring that Medicaid eligibility decisions are handled according to New York State Social Services Laws, Rules, and Regulations.

Responsibilities

• Supervise and coordinate the activities of Fair Hearing Representatives in the preparation of the Fair Hearing process;
• Develop Fair Hearing schedules and assign tasks to Fair Hearing Representatives;
• Ensure that Medicaid and Home Care Services Program actions or decisions on issues of eligibility, home care, and managed care are conducted in accordance with New York State Social Services Laws, Rules, and Regulations;
• Administer training sessions on the operations of the Fair Hearing Unit and keep staff updated on Fair Hearing policies and procedures;
• Maintain internal administrative controls to monitor the fair hearing process and ensure adherence to mandates, guidelines, and Agency policies;
• Enter actions on cases into the Fair Hearing Tracking System and prepare reports on the outcomes of cases;
• Recommend improvements to enhance the efficiency and effectiveness of the section;
• Maintain liaison with Hearing site administrators, New York State Department of Social Services, clients, client's representatives, advocacy organizations, and advocates;
• Respond to compliance inquiries from clients, representatives, state, and related agencies/organizations;
• Provide technical assistance in program planning and development of the Fair Hearing Division by analyzing problems regarding the fair hearing process, recertification, and non-recertification issues;
• Conduct special studies regarding aid to continue actions and class action lawsuits; review and analyze cases requiring in-depth case handling and confer with Fair Hearing Representatives on any problems that arise in processing cases;
• Assist the Director in planning, developing, and implementing new procedures and forms to improve the administrative and operational effectiveness of the fair hearing process.

Requirements

• A baccalaureate degree from an accredited college and three years of full-time satisfactory experience in social casework, at least two years of which must have been in a supervisory capacity;
• Experience with Medicaid and Home Care Services, policy and procedures is preferred;
• Strong analytical skills and the ability to work independently;
• The staff member must be willing to conduct necessary research to compile case files;
• Strong computer skills within various HRA subsystems, needed to prepare case file documentation.

Qualifications

• Eligible for the 55-a Program if you are a person with a disability;
• Public Service Loan Forgiveness available for qualified candidates.

Benefits

The position offers competitive compensation and benefits, including:

• Flexible working hours: 9am - 5pm;
• Comprehensive health insurance;
• Retirement plans;
• Professional development opportunities.

Pay

Salary range: $64,000 - $80,000 annually, depending on experience and qualifications.

Schedule

Full-time position, Monday through Friday, 9am - 5pm.