FAIR HEARING SERVICE SPECIALIST

City of New York; New York (NY); Presencial; USD 60 000 - 80 000; Tempo integral

Resumo da oferta

City of New York’s Fair Hearing Administration seeks an Associate Benefits Opportunity Specialist to coordinate resolutions of adverse actions affecting CA, SNAP, and Medicaid, and to prepare evidence packets for hearings. You will conduct in-person or telephone conferences, explain rights, and notify staff of required actions.

The role requires strong written communication, understanding of NYS social service policy, and the ability to manage case queues in a fast-paced public service

Qualificações

• Four-year high school diploma and three years of full-time social/human services experience or related setting.
• Bachelor’s degree with 18 months of related experience as described above.
• College credits may substitute work experience at 60 credits per 9 months; minimum 18 months experience.

Responsabilidades

• Conduct conferences with Cash Assistance recipients to resolve agency actions on CA, SNAP, and Medicaid.
• Review case data in systems (WMS, POS, SEAMS, etc.) to verify actions and NOI/decisions.
• Prepare electronic Fair Hearing evidence packets for OAH presentations.
• Explain Fair Hearing rights to clients and notify staff of required actions.
• Monitor and route cases via FHEMS; ensure timely completion of work.
• Serve as a liaison for client complaints and provide referrals when needed.
• Respond to inquiries from outside agencies and central office.

Conhecimentos

Communication

Writing

Analytical thinking

Time management

MS Office

Formação académica

High school diploma + 3 years experience

Bachelor’s degree + 18 months experience

College credits substitution option

Ferramentas

FHEMS

WMS

POS

NYCWAY

WARM

PAM

CARS

SEAMS

Descrição da oferta de emprego

IF YOU ARE HIRED PROVISIONALLY IN THIS TITLE, YOU MUST TAKE AND PASS THE CIVIL SERVICE EXAM, WHEN IT BECOMES AVAILABLE, TO BE ELIGIBLE FOR CONTINUED EMPLOYMENT.

The Department of Social Services (DSS) is comprised of the administrative units of the New York City Human Resources Administration (HRA) and the Department of Homeless Services (DHS). HRA is dedicated to fighting poverty and income inequality by providing New Yorkers in need with essential benefits such as Food Assistance and Emergency Rental Assistance. DHS is committed to preventing and addressing homelessness in New York City by employing a variety of innovative strategies to help families and individuals successfully exit shelter and return to self-sufficiency as quickly as possible.

Fair Hearing and Conference/Pre-NOI/FH New Initiatives & Quality Analysis, formerly known as Fair Hearing Representation, consists of three areas in the Office of Fair Hearing Administration:

Fair Hearing & Conference (FH&C) is responsible for mediating any dispute related to an infraction in engagement and non-willful infractions with the participant and supporting the agency to avoid fair hearing requests, Pre Notice of Intent (Pre-NOI) facilitates the case review of individuals who did not report to or comply with a Wellness Comprehensive Assessment, Rehabilitation, and Employment (WeCARE) appointment or assignment, including those who infract with a Vocational Rehabilitation Service (VRS) engagement activity and Fair Hearing New Initiatives & Quality Analysis (FHNIQA) offers fair hearing data support for all new initiatives related to Family Independence Administration (FIA), Medicaid, Advocate Inquiry, Office of Administrative Hearing (OAH), Office of Performance Management & Data Analytics (OPMDA) and Department of Homeless Services (DHS).

Under general supervision of the Fair Hearing Representative and with wide latitude for independent action and decision, Fair hearing Conference Specialist performs administrative duties relating to the resolution of adverse case action related to Agency decisions affecting receipt of Cash Assistance, SNAP and Medicaid benefits, and the preparation of documentation for presentation of evidence at Office of Administrative Hearings (OAH).

Fair Hearing Administration is recruiting for one (1) Associate Benefits Opportunity Specialist to function as a Fair Hearing Service Specialist who will:

• Work with Cash Assurance recipients in the resolution of case actions relating to Agency decisions affecting the receipt of CA benefits, SNAP, and Medicaid benefits by conducting conferences with the recipients to review and determine the appropriateness of Agency’s action. Notifiy clients of the conference decision and ensures, if warranted, that appropriate corrective action on the case be taken by notifying Job Center staff of required action to be taken to resolve cases.
• Conduct in person and/or telephone conferences to determine whether cases can be resolved. Review databases (including WMS, POS, SEAMS, Etc.) connected with Client’s case to determine accuracy of actions taken or to determine if Notices of Intent (NOI)/ decisions are defective. Take appropriate action to correct any cases that can be resolved and works within the FHEMS system to route cases to the appropriate Fair Hearings/FIA Unit.
• Advise and explain Fair Hearing processes to clients and/or their representative of their rights to appeal any adverse conference decisions to the New York State Department of Social Service Fair Hearing Division.
• Prepare electronic Fair Hearing evidence packets through use of the FHEMS system, incorporating all relevant documents for presentation of evidence at the Office of Administrative Hearings (OAH). Communicates with Fair Hearing Representatives to ensure that all evidence packets are complete and that any resolutions taken are part of the packet.
• Review the fair hearing stipulations (Pre-Hearing Disposition (PHD) to determine appropriate follow-up action. Notifies the Job Center staff of the required action to be completed to comply with Fair hearing decisions.
• Monitor and review individual System queues to ensure all work is completed in a timely manner. Consult with immediate supervisor to determine workload issues and appropriateness of actions taken on cases. Continue to stay abreast of changes in Agency Policies and Procedures, maintaining understanding of changes in the FHEMs system.
• Serve as the service representative for client complaints and determines what action is necessary to resolve such complaints; review social service problem areas to determine any causative factors affecting service complaints. When necessary, provide referrals to other social service agencies within HRA.
• Receive and respond verbally or in writing, to telephone or written inquiries and complaints from outside agencies, public officials and central office operations regarding clients and fair hearing activities.
• Under the direction of the covering Office manager, provide emergency coverage at other location within the same Region.

Hours/Shift: 9am – 5 pm with flex

ASSOCIATE BENEFITS OPPORTUNITY - 56316

Minimum Qualifications

1. A four-year high school diploma or its educational equivalent, and three years of full-time satisfactory experience working directly in social/human services or a related setting, providing either
   • (a) client services
   • or
   • (b) employment planning/counseling services which involves job development, skills assessment, and employment placement or other economic opportunity programming.
2. Bachelor’s degree from an accredited college and 18 months of full-time, satisfactory experience as a Benefits Opportunity Specialist
3. Bachelor’s degree from an accredited college and 18 months of full-time, satisfactory experience as
   • described in one (1) above.
4. Candidates may substitute college credit from an accredited institution for work experience at a rate of 60 semester credits per 9 months of experience. However, a minimum of 18 months of full-time, satisfactory experience as a Benefits Opportunity Specialist or in social/human services as described in one (1) above.

Preferred Skills

• Excellent communication and writing skills.
• Knowledge of Agency operations and NYS social service policy/procedures.
• Strong analytical, problem-solving, and time management skills.
• Knowledge of FHEMS, WMS, POS, NYCWAY, WARM, PAM, CARS, and SEAMS.
• Microsoft office specialist (Word and Excel).

55a Program

This position is also open to qualified persons with a disability who are eligible for the 55-a Program. Please indicate at the top of your resume and cover letter that you would like to be considered for the position through the 55-a Program.

Public Service Loan Forgiveness

As a prospective employee of the City of New York, you may be eligible for federal loan forgiveness programs and state repayment assistance programs. For more information, please visit the U.S. Department of Education’s website at https://studentaid.gov/pslf/.

Residency Requirement

New York City Residency is not required for this position

Additional Information

The City of New York is an inclusive equal opportunity employer committed to recruiting and retaining a diverse workforce and providing a work environment that is free from discrimination and harassment based upon any legally protected status or protected characteristic, including but not limited to an individual's sex, race, color, ethnicity, national origin, age, religion, disability, sexual orientation, veteran status, gender identity, or pregnancy.