The Department of Vermont Health Access (DVHA)'s mission is to improve the health and well-being of Vermonters by providing access to quality healthcare cost effectively. We have three priorities that support us in moving our mission forward: Adoption of value-based payments, management of information technology projects, and operational performance improvement. Our department commits to executing our responsibilities and priorities while adhering to three core values: Transparency, Integrity and Service.
DVHA's Health Care Appeals Unit is seeking a qualified individual to join their dynamic team.
The Department of Vermont Health Access (DVHA) is seeking a Fair Hearing Specialist (FHS). This position is located in the Health Care Appeals Unit. This position will be responsible for conducting a detailed review of cases brought by members who are in disagreement with a Medicaid or Vermont Health Connect healthcare eligibility determination. The FHS must track changes to policies and rules, have ability to correct errors in the system, and in some instances outreach customers to confirm disappointing decisions. The FHS works closely with the Assistant Attorney General's office, who represent the department in hearings. The ideal candidate will have the ability to multi-task, manage conflicting priorities, meet deadlines, and provide superior customer service under difficult circumstances.
This is a limited service position that may expire on 06/30/2022.Who May Apply
This position, Fair Hearing Specialist - Limited Service (Job Requisition #12796), is open to all State employees and external applicants.
It is a Limited Service position, which is non-tenured and authorized for a specific period of time. Limited Service positions are established for specially funded projects or programs.
If you would like more information about this position, please contact Danielle.Delong@vermont.gov.
Resumes will not be accepted via e-mail. You must apply online to be considered.
Please note that multiple positions in the same work location may be filled from this job posting.
AHS BACKGROUND CHECKS: Candidates must pass any level of background investigation applicable to the position. In accordance with AHS Policy 4.02, Hiring Standards, Vermont and/or national criminal record checks, as well as DMV and adult and child abuse registry checks, as appropriate to the position under recruitment, will be conducted on candidates, with the exception of those who are current classified state employees seeking transfer, promotion or demotion into an AHS classified position or are persons exercising re-employment (RIF) rights.Environmental Factors
Duties are performed in a standard office setting. Some travel may be necessary, for which private transportation must be available. Stressful interaction with upset or emotional clients may occur. Staff workload may frequently be heavy. Work outside of typical business hours may be expected and incumbents might be required to appear in court, representing the State of Vermont.Minimum Qualifications
Bachelor's degree AND one (1) or more years at or above a technical level role that includes research, customer service, review of healthcare services or similar field
Associate's degree AND three (3) or more years at or above a technical level role that includes research, customer service, review of healthcare services or similar field.
High School diploma or equivalent AND five (5) or more years at or above a technical level role that includes research, customer service, review of healthcare services or similar field.Total Compensation As a State employee you are offered a great career opportunity, but it's more than a paycheck. The State's total compensation package features an outstanding set of employee benefits that are worth about 30% of your total compensation, including:
- 80% State paid medical premium
- Dental Plan at no cost for employees and their families
- Flexible Spending healthcare and childcare reimbursement accounts
- Two ways to save for your retirement: A State defined benefit pension plan and a deferred compensation 457(b) plan
- Work/Life balance: 11 paid holidays each year and a generous leave plan; many jobs also allow for a flexible schedule
- Low cost group life insurance
- Tuition Reimbursement
- Incentive-based Wellness Program
- Qualified Employer for Public Service Student Loan Forgiveness Program
The Vermont Agency of Human Services strives to build a diverse and inclusive community. It is our fundamental belief that in order to create and sustain a healthier Vermont, we as an organization must honor the cultures, beliefs and values of those we serve in order to foster an environment of mutual respect, acceptance and equal opportunity. We are committed to building and maintaining a multicultural and diverse workforce which reflects the increasing diversity of Vermont. To view the State of Vermont's Equal Employment Opportunity/Affirmative Action Policy, please click here.Equal Opportunity Employer The State of Vermont is an Equal Opportunity Employer. Applications from women, individuals with disabilities, veterans, and people from diverse cultural backgrounds are encouraged.
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