Job Description

The Agency\'s mission is to be boldly innovative in improving the health and quality of life for South Carolinians.

This position is located in Appeals and Hearings, Richland County.

Are you the One? We are looking for a Hearings Officer who will, under the Program Manager II\'s supervision, serve as a hearing officer in the Division of Appeals and Hearings. Presides over Medicaid fair hearings and appeals and serves as a team player by providing program guidance and consultations to other hearing officers.

• Maintains active caseload as a hearing officer. Provides beneficiaries with due process by allowing same to appeal any adverse decision or delay by the agency. Researches and analyzes cases for jurisdiction, identifies issues in controversy, prepares for hearing. Where possible, encourages speedy disposition of cases by settlement negotiation, issue narrowing or other creative means where appropriate while maintaining due process and fairness to both parties. Corresponds with parties and conducts hearings. Drafts and publishes final administrative orders and other orders as needed. Prepares cases for appeal to the ALC if necessary. Functions as a team player by supporting fellow hearing officers as appropriate.
• Prepares for hearing when appeal cannot be resolved through prehearing means. Rules on all prehearing and hearing motions and other requests. Ensures due process is afforded to parties by allowing them to present evidence and witnesses and to cross-examine opposing witnesses at the hearing. Moves cases toward hearing and through the process to final order within the relevant appeal timeline.
• Tracks developments in state and federal laws and policy affecting Medicaid and disability law. Provides assistance and expertise to all areas of the agency in need of information regarding A&H. Identifies issues that could impact A&H and advises team regarding same.
• Performs other duties as assigned by program manager.

The South Carolina Department of Health and Human Services offers an exceptional benefits package for FTE and TGE positions that includes:

• Health, Dental, Vision, Long Term Disability, and Life Insurance for Employee, Spouse, and Children.
• 15 days annual (vacation) leave per year.
• 15 days sick leave per year.
• 13 paid holidays.
• State Retirement Plan and Deferred Compensation Programs.

A bachelor\'s degree and experience in social services, or administrative hearings.

Additional Requirements:

• Occasional overnight travel.
• Requires holder to drive routinely.
• Overtime and/or weekend work with Deputy approval.
• Sitting or standing for long periods of time.
• Lifting requirements: 20 lbs.
• Must have excellent communication skills, both verbal and written.
• Must be able to communicate and interact with both unsophisticated and sophisticated parties.
• Organizational skills and the ability to make and keep schedules.

• Thorough knowledge of Medicaid and/or Social Security Disability laws, regulations, and policies. Excellent reasoning and writing skills.
• Proficient communication skills, both verbal and written.
• Excellent reasoning and writing ability. Should possess excellent research and writing skills.
• Ability to work independently as well as part of a team.

Please complete the State application to include all current and previous work history and education. A resume will not be accepted nor reviewed to determine if an applicant has met the qualifications for the position. Supplemental questions are considered part of your official application for qualification purposes. All applicants must apply online. All correspondence from the Office of Human Resources will be through electronic mail.

The South Carolina Department of Health and Human Services is committed to providing equal employment opportunities to all applicants and does not discriminate on the basis of race, color, religion, sex (including pregnancy, childbirth or related medical conditions, including, but not limited, to lactation), national origin, age (40 or older), disability or genetic information.

State of South Carolina