Adjudication and Privacy Officer

Virginia Information Technologies Agency

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About The Position

The Adjudication Officer for Independent Dispute Resolutions (IDR) in Long Term
Care serves as a neutral and unbiased administrative hearing officer for
facilities contesting state or federal regulatory citations and survey
deficiencies.

The officer upholds due process through comprehensive review and analysis of the
administrative record, including clinical documentation, investigative
summaries, surveyor findings, facility statements, and written or verbal
testimony from residents, families, or legal representatives when provided.
Hearings are conducted in a fair, structured, and less formal environment than
court, supporting transparency while maintaining the integrity of regulatory
oversight and resident safety standards.

Following each hearing, the officer issues timely written findings and
determinations, including a clear recommendation for an Agency decision (to
uphold, modify, or dismiss a citation) and a concise, well-supported rationale
aligned with regulatory and evidentiary requirements.

When adjudication activity is not in session, the officer provides direct
support to the Long Term Care policy team, including:

· Regulatory research and analysis on federal and state best practices,

· Regulatory development support, including drafting and revision of policy
guidance or regulatory language,

· Development of proposed legislation to enhance the Agency’s ability to fairly
and responsibly license and certify long term care facilities in the
Commonwealth,

· Review of and preparation of comments on introduced legislation which impacts
the Agency’s licensure and certification of long term care facilities,

· Inspection and compliance trend research,

· Regulatory framework comparisons, and

· Policy planning and written product support to improve clarity, consistency,
and system performance.

This position focuses on regulatory compliance outcomes, not contractual or
payment disputes. The officer’s work influences facility compliance
expectations, enforcement outcomes, and ongoing adherence to Medicare and
Medicaid certification standards.

The role strengthens fair process, consistent policy application, and resident
safety, while supporting modernization of Long Term Care oversight through
policy development, regulatory strategy, and evidence-based system improvements.

Requirements

• Knowledge of Long-Term Care laws, regulations, and licensing requirements, with experience evaluating compliance, weighing material facts, and applying regulatory standards in a fair and consistent manner.
• Knowledge of Medicare and Medicaid program requirements applicable to Long-Term Care providers, including conditions of participation and certification standards.
• Knowledge of Long-Term Care standards of practice, health care management, and Life Safety Code requirements, with the ability to apply these standards to compliance reviews and deficiency determinations.
• Knowledge of the Virginia Administrative Process Act (VAPA) and relevant provisions of Title 32.1 of the Code of Virginia related to licensure, enforcement, and appeals.
• Ability to review and analyze complex administrative and regulatory records, including transcripts, exhibits, and supporting documentation, and synthesize findings into clear, defensible conclusions.
• Ability to evaluate regulatory compliance and make recommendations regarding cited deficiencies, including scope and severity determinations.
• Ability to assess and reconcile differing interpretations of facts and law, as presented by providers, legal counsel, survey staff, and agency personnel.
• Ability to analyze legal arguments and written submissions and determine appropriate application of Long-Term Care laws and regulations.
• Ability to conduct and participate in administrative proceedings (e.g., informal fact-finding conferences, IDRs, IIDRs) with professionalism and sound judgment.
• Strong interpersonal, written, and verbal communication skills, with the ability to work effectively with diverse stakeholders in a highly regulated environment.

Nice To Haves

• Degree in Law strongly preferred, degree in Health Care Administration, Public Administration, Health Planning, Business Administration or a related field also preferrable

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level
• Education Level: No Education Listed
• Number of Employees: 1-10 employees