Fair Hearing Specialist

Fair Hearing Specialist

Provide superior customer service to members who are in disagreement with Medicaid or Vermont Health Connect health eligibility determinations. The Health Care Appeals unit at the Department of Vermont Health Access (DVHA) is looking for a Fair Hearing Specialist (FHS) to fill this rewarding role. Work in a supportive work environment with a Monday-Friday schedule, eleven paid state holidays, in addition to a robust benefits package.

The Fair Hearing Specialist position has the following responsibilities:

• Conduct detailed review of cases brought by members who are in disagreement with a Medicaid or Vermont Health Connect healthcare eligibility determination.
• Track changes to policies and rules.
• Correct errors in the system and in some instances outreach customers to confirm disappointing decisions.
• Work closely with the Assistant Attorney General's office, who represent the department in hearings. ...