Hearings Examiner - HEALTH - Office of Inspector General - Kanawha Co.

State of West Virginia; Charleston (WV); On-site; USD 60,000 - 80,000; Full time

Job summary

The Office of Inspector General is looking for a Hearing Examiner to oversee fair hearings for appeals regarding service decisions. This critical role ensures due process in various human services programs. The ideal candidate will have experience in public sector law and strong analytical skills. Responsibilities include managing hearings and issuing well-reasoned decisions. A Bachelor's degree and a valid driver's license are required.

Qualifications

• Prior experience as a hearing officer or administrative law judge.
• Familiarity with WV health programs and administrative law.

Responsibilities

• Conduct formal administrative hearings and issue decisions.
• Apply federal and state laws to make unbiased determinations.
• Ensure hearings are fair and comply with procedural requirements.

Skills

Legal Writing

Analytical Skills

Research

Neutrality

Education

Bachelor's Degree

Job description

The Office of Inspector General is seeking a qualified and impartial Hearing Examinerto oversee and adjudicate fair hearings for individuals and providers appealing decisions related to the delay, denial, reduction, termination, or inadequacy of services and benefits. This role is critical in ensuring due process and legal integrity across a wide range of human services programs administered through the West Virginia Departments of Health, Health Facilities, and Human Services.

Primary Responsibilities:

• Schedule, conduct, and manage formal administrative hearings in accordance with West Virginia Code §29A-5-1 et seq.

• Issue timely, well-reasoned written decisions and interlocutory orders supported by legal and factual analysis.

• Preside over diverse categories of hearings including:

• Bureau for Family Assistance: public assistance eligibility appeals

• Investigation and Fraud Management: administrative disqualification hearings

• Bureau for Medical Services: Medicaid medical eligibility hearings

• Nursing Home Discharge: appeals related to involuntary discharges

• Bureau for Child Support Enforcement: client and obligor appeals

• Child Care and Women, Infants, and Children (WIC): client and provider disputes

• Office of Health Facility Licensing and Certification: licensing and regulatory compliance hearings

• Bureau for Social Services: hearings involving services such as adult or child protective interventions

• Apply relevant federal and state laws, rules, and policies to make independent, unbiased determinations.

• Ensure that all hearings are conducted fairly, efficiently, and in compliance with procedural requirements.

The Ideal Candidate Will Have:

• Prior experience as a hearing officer, administrative law judge, or litigator in public sector law.

• Familiarity with programs administered by the West Virginia Departments of Health, Health Facilities, and Human Services.

• Demonstrated knowledge of WV administrative law, especially WV Code §29A-5-1 et seq.

• Experience or formal training in administrative law and adjudication procedures.

• Strong legal writing, research, and analytical skills.

• High professional and ethical standards with a commitment to neutrality and procedural fairness.

Click The APPLY Link To Apply OnlineTraining:Bachelor's degree from an accredited college or university.

Substitution:Additional qualifying experience as described below may be substituted for the required training on a year-for-year basis.

Experience:Three years of full-time or equivalent part-time paid experience in public or private welfare or law enforcement, or other public work which involves adjudicating evidence against standards.

Special Requirement:A valid driver's license is required.