Staff Physician - Eligibility Appeals Board (Paratransit)

Metropolitan Transportation Authority; New York (NY); On-site; USD 183,000 - 196,000; Full time

Job summary

Metropolitan Transportation Authority seeks a Staff Physician to support the Eligibility Appeals Board in ADA-compliant reviews of AAR eligibility decisions. The physician will provide medical expertise during appeals hearings and the review of application materials, contributing to decisions with the Director and Board members.

The role requires NY medical licensure, residency training, and board certification in internal medicine or primary care, with strong communication and analytical skills

Qualifications

• Graduation from an accredited medical school.
• Completion of at least one year of residency and/or clinical equivalent.
• Current, valid license to practice medicine in the State of New York.

Responsibilities

• Assist Eligibility Appeals Sr. Director with conducting eligibility appeals via in-person hearings, telephone, or video conferencing.
• Review applications and medical documentation to ensure ADA compliance in paratransit eligibility decisions.
• Attend meetings/calls related to eligibility appeals and support appeal decisions when an Article 78 proceeding is filed.

Skills

Board certification

Clinical decision-making

Detail-oriented

Communication skills

Education

Medical school graduation

Residency completion

New York medical license

Job description

Staff Physician - Eligibility Appeals Board

Authority: TA

Department: Paratransit

Division/Unit: Eligibility & Compliance

Location: 33-00 Northern Blvd, Long Island City, NY 11101

Hours: 8.5 Hours between 8am-5:30pm

Reporting Manager (if Applicable): AVP, Eligibility & Compliance

Deadline (if Applicable): Until Filled

Compensation: $182,873 – $195,919

Staff Physician Entrance Rate:$182,873

Position Summary

The Paratransit Eligibility Appeals Board reviews appeals andrendersdecisions in compliance with the Americans with Disabilities Act (ADA). The Board is composed of two members: the Eligibility Appeals Director (who chairs the Board) and a medical doctor (who provides medicalexpertisesupporting both the appeal hearings and the review of Access-A-Ride (AAR) application materials).

Under the ADA, individuals who are denied eligibility or granted conditional eligibility for AAR service—and who disagree with New York City Transit’s eligibility determination—are entitled to an appeal. If the individual disagrees with the Board’s appeal decision, they may seek judicial review through Article 78 proceeding under the New York Civil Practice Law and Rules. The medical doctor may be required to assist in supporting the appeal decision during these cases. Schedules will be provided in advance of hearing dates. The medical doctor may also be required to attend additional meetings or conference calls related to eligibility appeal hearings.

Responsibilities

• The Staff Physician will assist the Eligibility Appeals Sr. Director (and provides medical expertise) with conducting eligibility appeals via in-person hearings, telephone, video conferencing, review of submitted written application and medical documentation and/or other specified format/s scheduled by the Eligibility Appeals Sr. Director.
• Maintain a comprehensive understanding of departmental policies, procedures and objectives and, when reviewing applications and medical documentation, ensures that eligibility appeal decisions comply with the ADA regulations, particularly those governing paratransit eligibility.
• Attends subsequent meetings and/or conference calls relevant to the eligibility appeal hearings including assisting Board member/s with responding to AAR appellants’ questions, concerns, and complaints concerning eligibility appeals and supporting appeal decisions when an Article 78 proceeding is filed.

Education & Experience

• Graduation from an accredited medical school.
• Completion of at least one year of residency and/or clinical equivalent.
• Current, valid license to practice medicine in the State of New York.

Desired Skills

• Board certification in internal medicine or a primary care specialty.
• Previous experience in medical records review/appeals procedures.
• 2 to 3 years of medical practice or a satisfactory equivalent
• Strong clinical decision‑making skills.
• Detail‑oriented and organized; Computer literacy
• Excellent communication and interpersonal skills – written and verbal (via telephone and face-to-face).
• Demonstrates consistent professionalism in all internal and external interactions.
• Ability to adhere to organizational, local, state, and federal guidelines.

Selection Method

Based on evaluation of education, skills, experience, interview, and written assessment.
All selected candidates will be subject to a full background investigation that includes employment and education. Discrepancies may lead to dismissal.

Other Information

Appointment may be at a comparable level to current level of selected candidate. (If necessary)
As an employee of MTA NYC Transit, you maybe requiredto complete an annual financial disclosure statement with the state of New York, if your position earns more than $101,379 (this is subject to change) per year or if the position isdesignatedas a policy maker.

EQUAL EMPLOYMENT OPPORTUNITY

MTA and its subsidiary and affiliated agencies are Equal Opportunity Employers, including with respect to veteran status and individuals with disabilities.
The MTA encourages qualified applicants from diverse backgrounds, experiences, and abilities, including military service members, to apply.