About The Position

The Department of Medical Assistance Services (DMAS) is hiring a Legal and Compliance Coordinator in its Appeals Division. The role provides legal, regulatory, and compliance review; prepares written appeal decisions; processes Circuit Court appeals through completion; and reports metrics and produces ad hoc reports as requested. The coordinator is expected to provide respectful, dignified customer service, ensure appellants receive full due process, contribute to a collaborative and positive work environment, and produce quality work. Business needs may require in-office attendance, including for in-person training and meetings. Telework arrangements are subject to agency policy and business needs and may be changed or ended.

Requirements

  • Experience independently managing a caseload to meet established time frames.
  • Considerable work-related experience applying rules to facts to reach logical, legally supportable conclusions.
  • Knowledge of administrative law and/or appeals procedures.
  • Considerable knowledge of legal research methodologies, including computerized legal research.
  • Considerable experience with technology, including MS Office.
  • Considerable experience interpreting, analyzing, and applying federal and state laws, regulations, policies, and case law.
  • Considerable experience managing competing priorities and meeting deadlines.
  • Experience working with internal and external stakeholders.
  • Considerable experience in legal analysis and legal writing.

Nice To Haves

  • Admission to the Virginia State Bar in good standing.
  • Experience extracting data from systems to produce reports.

Responsibilities

  • Provide legal, regulatory, and compliance review.
  • Prepare written appeal decisions.
  • Process Circuit Court appeals through their conclusion.
  • Report metrics and produce ad hoc reports as requested.
  • Provide respectful, dignified customer service to people interacting with the Division.
  • Ensure every appellant receives full due process.
  • Support a collaborative and positive work environment and produce quality work.
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