Fair Hearing Specialist

State of Vermont • Waterbury, VT

9d • $28 - $44 • Onsite

About The Position

Provide superior customer service to members who are in disagreement with Medicaid or Vermont Health Connect health eligibility determinations. The Health Care Appeals unit at the Department of Vermont Health Access (DVHA) is looking for a Fair Hearing Specialist (FHS) to fill this rewarding role. Work in a supportive work environment with a Monday-Friday schedule, eleven paid state holidays, in addition to a robust benefits package.

Requirements

• 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.

Responsibilities

• Conduct detailed review of cases brought by members who are in disagreement with a Medicaid or Vermont Health Connect healthcare eligibility determination.
• Track changes to policies and rules.
• Correct errors in the system and in some instances outreach customers to confirm disappointing decisions.
• Work closely with the Assistant Attorney General's office, who represent the department in hearings.
• Manage conflicting priorities.
• Meet deadlines and provide superior customer service under difficult circumstances.
• Multi-task as needed.

Benefits

• 80% State paid medical premium and a dental plan at no cost for employees and their families
• Work/Life balance: 11 paid holidays each year and a generous leave plan
• State Paid Family and Medical Leave Insurance (FMLI)
• Two ways to save for your retirement: A State defined benefit pension plan and a deferred compensation 457(b) plan
• Tuition Reimbursement
• Flexible spending healthcare and childcare reimbursement accounts
• Low cost group life insurance
• Incentive-based Wellness Program
• Qualified Employer for Public Service Student Loan Forgiveness Program

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level