Medicaid Fair Hearing Manager

City of New York; New York (NY); On-site; USD 77,000 - 89,000; Full time

Job summary

SmartRecruiters, Inc. is seeking a Supervisor III to lead the Medicaid Fair Hearing Unit within the New York City Department of Social Services.

The role focuses on supervising Fair Hearing Representatives, coordinating hearing schedules, and ensuring compliance with NYS laws and regulations. The position requires a bachelor’s degree and at least three years of social casework experience, including two in a supervisory capacity, with hours from 9am to 5pm.

Qualifications

• A bachelor’s degree and three years of full-time satisfactory experience in social casework, at least two years in a supervisory capacity.

Responsibilities

• Supervise and coordinate the activities of the Fair Hearing Representatives in the preparation of the Fair Hearing process; develop Fair Hearing schedules and schedule Fair Hearing assignments for subordinate; ensure MAP and HCSP actions or decisions on issues of Medicaid eligibility, home care and managed care are determined in accordance with NYS Social Services Laws, Rules and Regulations.
• Administer training sessions on the operations of the Fair Hearings Unit and ensure that staff are up to date on Fair Hearing policies and procedures as they pertain to NYSDSS.
• Develop and maintain internal administrative controls of cases to monitor the fair hearing process and ensure adherence to mandates, guidelines and Agency policies; ensure actions on the case are entered into the Fair Hearing Tracking System.
• Prepare reports on operations and activities of the unit indicating the outcome of cases having completed the fair hearing process for submission to the Director; recommend changes to improve efficiency and effectiveness.
• Maintain liaison with Hearing site administrators, NYS Department of Social Services, clients and advocates; respond to inquiries from clients and agencies.
• Provide technical assistance in program planning and development of the Fair Hearing Division by analyzing problems and recommending solutions.
• Conduct special studies regarding aid to continue actions and class action lawsuits; review cases requiring in-depth handling and confer with staff on problems.
• Assist the Director in planning, developing and implementing new procedures and forms to improve administrative effectiveness.

Education

Bachelor's degree

Job description

SmartRecruiters, Inc. is seeking a Supervisor III to lead the Medicaid Fair Hearing Unit within the New York City Department of Social Services.

The role focuses on supervising Fair Hearing Representatives, coordinating hearing schedules, and ensuring compliance with NYS laws and regulations. The position requires a bachelor’s degree and at least three years of social casework experience, including two in a supervisory capacity, with hours from 9am to 5pm.