Medicaid Fair Hearing Administrator

HRA/DEPT OF SOCIAL SERVICES; World Trade Center (NY); Hybrid; USD 70,000 - 90,000; Full time

Job summary

The Department of Social Services (DSS) – New York City HRA is seeking a Principal Administrative Associate for the Fair Hearing Administration, MAP unit. The role requires overseeing compliance workflows, staff supervision, and coordination with legal teams to address Medicaid eligibility decisions and related procedures.

You will train staff, manage timekeeping, and ensure deadlines are met while maintaining high quality service for clients and advocates. Residency in NYC preferred.

Qualifications

• A bachelor's degree and two years of progressive clerical/administrative experience with supervisory responsibility.
• Or an associate degree or 60 credits and three years of related experience including supervisory duties.
• Or a high school diploma with four years of progressive clerical/administrative experience including supervisory work.
• Equivalence accepted with one year of supervisory experience and substitution limits.

Responsibilities

• Identify management indicators for MAP administrators and division directors.
• Authorize forms clarifying reasons for compliance decisions and cite regulations.
• Provide rationale and documentation for fair hearing decisions and appeals.
• Suggest modifications to procedures to improve compliance processes.
• Respond to advocates and legal representatives to resolve cases and reduce hearings.
• Train staff in compliance and advocate inquiry, and assist in training development.
• Supervise staff adherence to code of conduct, attendance, and performance.
• Manage attendance, timekeeping, and workload distribution for staff.
• Oversee day-to-day operations and ensure deadlines are met.
• Coordinate with executives, legal teams, and external agencies on cases.
• Collaborate with management to ensure policy deadlines are met.

Skills

Medicaid eligibility

Customer service

Multitasking

Well organized

Writing skills

Data entry

Supervisory leadership

Case coordination

Education

Bachelor's degree

Associate degree or 60 credits

High school diploma + 4 years experience

Education/experience equivalence with supervisory requirement

Job description

The Department of Social Services (DSS) – New York City HRA is seeking a Principal Administrative Associate for the Fair Hearing Administration, MAP unit. The role requires overseeing compliance workflows, staff supervision, and coordination with legal teams to address Medicaid eligibility decisions and related procedures.

You will train staff, manage timekeeping, and ensure deadlines are met while maintaining high quality service for clients and advocates. Residency in NYC preferred.