Hearings Representative

State of Maine•Augusta, GA

8d•Hybrid

About The Position

This position is primarily responsible for representing the Office of MaineCare Services (OMS) in administrative appeal hearings regarding actions taken by OMS as part of the administration of the MaineCare program. The position sits within the OMS Compliance Division and reports to the Associate Director of Compliance. As the Hearings Representative for OMS, you will represent OMS in administrative appeal hearings to make the best possible case that the Department was correct in taking certain program actions. You will participate in pre-hearing conferences, prepare and submit exhibits to be used during hearings, and prepare witnesses for testifying at hearings. You will interpret MaineCare rules and may perform limited legal research. Hearings are conducted in accordance with the Maine Administrative Procedures Act and the Department of Health and Human Services’ Division of Administrative Hearings regulations. In addition to the duties related to administrative appeal hearings, this position will assist with other Compliance-related duties, including, but not limited to: Assisting with the processing of Freedom of Access Act requests; Assisting in monitoring and keeping abreast of current and proposed federal and state laws, regulations, policies, and rules that impact or potentially impact OMS programs and operations; and Tracking, monitoring, and leading special projects, as assigned. We are seeking an individual who can communicate effectively and persuasively verbally and in writing, analyze facts and testimony, and reach and present logical conclusions.

Requirements

A Bachelor’s Degree in Public/Community Health, Health Administration, Health Sciences or Health Education; Public Administration, Government, Social Work, or a closely related field and three (3) years professional experience in the planning, development, coordination and/or evaluation of health programs or services -OR- an equivalent seven (7) year combination of education, training, and experience.
Communicate effectively and persuasively verbally and in writing.
Analyze facts and testimony.
Reach and present logical conclusions.

Nice To Haves

An advanced degree in a related field, such as a law degree (or actively in the process of obtaining a law degree)
Experience with administrative hearings and/or litigation
Experience in regulatory compliance work
Experience with and knowledge of the Medicaid program and/or other health and human services programs serving low-income populations.
Lived experience with Medicaid and/or other health-related social needs common to individuals and families receiving Medicaid coverage.

Responsibilities

Represent OMS in administrative appeal hearings to make the best possible case that the Department was correct in taking certain program actions.
Participate in pre-hearing conferences.
Prepare and submit exhibits to be used during hearings.
Prepare witnesses for testifying at hearings.
Interpret MaineCare rules and may perform limited legal research.
Assisting with the processing of Freedom of Access Act requests.
Assisting in monitoring and keeping abreast of current and proposed federal and state laws, regulations, policies, and rules that impact or potentially impact OMS programs and operations.
Tracking, monitoring, and leading special projects, as assigned.

Benefits

13 paid holidays
3+ weeks of vacation leave annually
12 days of sick leave per year
Health Insurance Coverage – The State of Maine pays 85%-95% of employee-only premiums ($12,213.60 - $13,650.48 annual value) , depending on salary.
Health Insurance Premium Credit – Participation decreases employee-only premiums by 5%.
Dental Insurance – The State of Maine pays 100% of employee-only dental premiums ($365.28 annual value).
Retirement Plan – The State contributes the equivalent of 14.06% of the employee's pay towards the Maine Public Employees Retirement System (MainePERS), on behalf of the employee.
Gym Membership Reimbursement – Improve overall health with regular exercise and receive up to $40 per month to offset this expense.
Health and Dependent Care Flexible Spending Accounts – Set aside money pre-tax to help pay for out-of-pocket health care expenses and/or daycare expenses.
Public Service Student Loan Forgiveness – The State of Maine is a qualified employer for this federal program.
Living Resources Program – Navigate challenging work and life situations with our employee assistance program.
Parental leave is one of the most important benefits for any working parent. All employees who are welcoming a child—including non-birthing and adoptive parents—receive six weeks of fully paid parental leave.
Voluntary Deferred Compensation – Save additional pre-tax funds for retirement in a MaineSaves 457(b) account through payroll deductions.