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.
· Manage conflicting priorities.
· Meet deadlines and provide superior customer service under difficult circumstances.
· Multi-task as needed.
Mission:
The Department of Vermont Health Access (DVHA)'s mission is to improve Vermonters' health and well-being by providing access to high-quality, cost-effective health care. We have identified three priorities that support our mission: Advancing value-based payments, modernizing information technology infrastructure, and operational performance improvement. Our department commits to executing our responsibilities and priorities while adhering to three core values: Transparency, Integrity and Service.
Diversity, Equity, and Inclusion:
As part of our values of transparency, integrity, and service, we are committed to supporting diversity, equity, inclusion, and accessibility as part of our person-centered culture. We actively celebrate our colleagues' and future colleagues' different abilities, racial identity, sexual orientation, ethnicity, age, and gender. Everyone is welcome and supported here.
Our State:
Vermont is a "small but mighty" state. We are ranked as one of the top 10 states to raise a family in 2022. We are nationwide leaders for progressive social and educational policies. We are in Northern New England, 1.5 hours from Montreal and 3.5 hours from Boston. We have beautiful Lake Champlain, the Green Mountains, and year-round outdoor activities.
As of July 12, 2026, the step 1 rate for pay grade 23 will be $28.05 per hour and the step 15 rate will be $43.80 per hour.
