Description & Requirements

About New York Medicaid Choice

New York Medicaid Choice (NYMC) has served the State of New York and New York residents since 1998 by providing education, outreach and enrollment services to help residents with Medicaid select and enroll in a health plan of their choice. We're proud that over the past twenty years NYMC has grown and expanded across the state. To date, we have helped millions of New Yorkers access the health services that best fit their needs. We're proud to meet our mission of Helping Government Serve the People through this program.

About the Position

If you're looking for more than a job and want to make an impact in the healthcare industry, then this is the position for you. We're hiring a Remote Fair Hearings Coordinator for the Complaints and Fair Hearings Unit.

We are looking for an individual with a great eye for details, exceptional communications skills and an interest in the Quality Assurance field. Is that you?

Essential Duties and Responsibilities:

• Conduct outreach to obtain pertinent consumer information and identify parties to receive notification of impending assessment appointment.
• Conduct timely outreach and meet productivity targets related to scheduling assessment appointments with all appropriate individuals identified and document all outreach activities for tracking and reporting purposes.
• Assist in coordinating last minute scheduling changes to ensure assessment appointments are completed and quickly communicate updates to appropriate parties.
• Provide administrative support to the Operations Support Management staff.
• Represent NYMC in Fair Hearings before Administrative Law Judges for disputed decision
• Compile Fair Hearing evidence packages (case files) and handle appropriately (distribute, log, file, etc.)
• Communicate information on Fair Hearing cases directly with state and local agencies, Administrate Law Judges, Plan’s legal representatives, consumer’s legal representative and/or advocates
• Develop Fair Hearing conclusion reports using case notes, hearing information, etc. and present to project management and the client
• Participate in the development of new project implementations and assist with project roll outs for State directives
• Manage the complaint process

Minimum Requirements:

• High School diploma or equivalent with 2 years of experience.
• May have additional training or education in area of specialization.
• Work on assignments that are routine in nature, with responsibilities easily learned on the job.
• Acquire job skills and learns applicable policies and procedures to complete routine tasks.
• Able to read, understand & perform assignments within prescribed guidelines.
• Communicate routine information in a clear and accurate way with internal & external contacts.
• High School diploma or equivalent with 0-2 years of experience in a customer service environment.

What You'll Need

• Must be knowledgeable about New York Enrollment Broker - (NYMC) program policies and procedures, program objectives and enrollment processes
• Two (2) or more years working in New York Medicaid Choice programs
• Capable of presenting at formal case hearings
• Ability to research and investigate root causes
• Gather and report programmatic data
• Strong analytical skills with the ability to successfully handle multiple tasks
• Proficiency in Microsoft Word, Excel, and other computer software applications
• Excellent organizational, interpersonal, written and verbal communication skills
• Highly detail-oriented
• Ability to perform comfortably in a fast-paced, deadline-oriented work environment
• Ability to work as a team member, as well as independently. Willingness to travel throughout NY State.

Home Office Requirements:

• Candidates must have their own cell phone
• Maximus provides company-issued computer equipment
• Reliable high-speed internet service with 100 Mbps download speed (you can test this by going to www.speedtest.net)

EEO Statement

Active military service members, their spouses, and veteran candidates often embody the core competencies Maximus deems essential, and bring a resiliency and dependability that greatly enhances our workforce. We recognize your unique skills and experiences, and want to provide you with a career path that allows you to continue making a difference for our country. We’re proud of our connections to organizations dedicated to serving veterans and their families. If you are transitioning from military to civilian life, have prior service, are a retired veteran or a member of the National Guard or Reserves, or a spouse of an active military service member, we have challenging and rewarding career opportunities available for you. A committed and diverse workforce is our most important resource. Maximus is an Affirmative Action/Equal Opportunity Employer. Maximus provides equal employment opportunities to all qualified applicants without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, protected veteran status or disabled status.

Pay Transparency

Maximus compensation is based on various factors including but not limited to job location, a candidate's education, training, experience, expected quality and quantity of work, required travel (if any), external market and internal value analysis including seniority and merit systems, as well as internal pay alignment. Annual salary is just one component of Maximus's total compensation package. Other rewards may include short- and long-term incentives as well as program-specific awards. Additionally, Maximus provides a variety of benefits to employees, including health insurance coverage, life and disability insurance, a retirement savings plan, paid holidays and paid time off. Compensation ranges may differ based on contract value but will be commensurate with job duties and relevant work experience. An applicant's salary history will not be used in determining compensation. Maximus will comply with regulatory minimum wage rates and exempt salary thresholds in all instances.

Hourly Base Pay Minimum for this Position

$17.00

Hourly Base Pay Maximum for this Position

$20.00

As a leading strategic partner to governments across the globe, Maximus helps improve the delivery of public services amid complex technology, health, economic, environmental, and social challenges. With a deep understanding of program service delivery, acute insights that achieve operational excellence, and an extensive awareness of the needs of the people being served, our employees advance the critical missions of our partners. Maximus delivers innovative business process management, impactful consulting services, and technology solutions that provide improved outcomes for the public and higher levels of productivity and efficiency of government-sponsored programs.