14 Corporate Woods Boulevard
Minimum Qualifications Permanent Transfer: Current NYS Department of Health employee with permanent or contingent-permanent, competitive status as a Principal Hearing Officer, M-3 OR a NYS employee with one year or more of permanent or contingent-permanent, competitive service in a title at or above a G-27 or M-2 and deemed eligible for transfer to a Principal Hearing Officer, M-3 under Section 52.6 of the NYS Civil Service Law. Promotional Provisional: Current NYS Department of Health employee with one year or more of permanent or contingent-permanent competitive service as a Supervising Hearing Officer. *If appointed provisionally, the incumbent will need to take the next Civil Service examination for this title and pass with a score that will be immediately reachable on the resulting eligible list to maintain employment.
Preferred Qualifications: Eight (8) years of post-Bar legal experience in trial of issues in courts of record or adversarial proceedings, quasi-judicial in nature, before a government agency with at least five (5) of those years in program management and/or supervision of attorneys. Experience working as counsel for public health insurance programs and/or with a legal services organization specializing in health law.
Duties Description Oversee a major portion of the Marketplace appeals program by supervising staff, acquiring resources and ensuring that regulatory timeframes and production standards are met. Assist in establishing and maintaining policies and procedures to ensure the most efficient processing of requests for hearings, including requests for expedited hearings. Ensure the timely scheduling of hearings and disposition of cases. Review hearing decisions to ensure that law, policies and procedures are being correctly applied. Review and take final action regarding recommendations on requests for reconsideration of hearing decisions to ensure that decisions are correctly decided; and amend or reopen hearing records as appropriate. Review pertinent court rulings and determine their effect on hearing policies and procedures. Assist in modifying policies and procedures to comply with court decisions, statutory amendments and regulatory changes. Assist in identifying training needs for hearing officers and support staff and supporting a training program to prepare hearing officers to conduct hearings regarding the individual insurance programs available through the Marketplace; approve updates to the training program as necessary. Review and comment on proposed legislation affecting the hearing program. Assist in responding to claims of non-compliance with hearing decisions and ensure proper resolution of complaints. Assist with the external program integrity audit of the Marketplace appeals program and audits by State and federal agencies regarding the appeals program and/or the individual insurance programs available through the Marketplace. Maintain data on an ongoing basis regarding the appeals program, including appeal requests, hearings, and the status of individual appeals. Assist in fielding inquiries and addressing complaints from appellants, representatives, or other governmental agencies concerning the hearing process. Assist in the review of hearing decisions that are appealed to the courts, assist in preparing the defense of Article 78 litigation involving hearing decisions. Provide expert legal advice and opinions to management and staff on hearing matters and customer service staff regarding the appeal process. Draft reports on hearing activities. Prepare or assist in compiling the budget for the hearings operation. Represent the agency in meetings with legal advocacy and other interest groups; and provide information concerning the operation and practices of the appeals program. Serve as a point of contact for the appeals program on inter-agency projects involving IT systems or other agency initiatives.
Additional Comments If three or fewer New York State Department of Health promotional candidates respond to this notice, the agency may, at its discretion, nominate a qualified employee for non-competitive promotion under the provisions of Section 52.7 of the Civil Service Law. Employees must have one year or more of permanent or contingent-permanent, competitive service as a Supervising Hearing Officer. If certified by Civil Service, mandatory reemployment list candidates must be considered first for appointment to this title.
"Benefits of Working for NYS
Generous benefits package, worth 65% of salary, including:
Holiday & Paid Time Off
• Thirteen (13) paid holidays annually
• Up to Thirteen (13) days of paid vacation leave annually
• Up to Five (5) days of paid personal leave annually
• Up to Thirteen (13) days of paid sick leave annually for PEF/CSEA
• Up to Eight (8) days of paid sick leave annually for M/C
• Up to three (3) days of professional leave annually to participate in professional development
Health Care Benefits
• Eligible employees and dependents can pick from a variety of affordable health insurance programs
• Family dental and vision benefits at no additional cost
• New York State Employees’ Retirement System (ERS) Membership
• NYS Deferred Compensation
• Access to NY 529 and NY ABLE College Savings Programs, as well as U.S. Savings Bonds
• Public Service Loan Forgiveness (PSLF)
• And many more.. "
For more information on the NYS Department of Health’s Mission, Vision, Values and Strategic Plan, please visit: https://health.ny.gov/commissioner/index.htm
Some positions may require additional credentials or a background check to verify your identity.
Notes on Applying Please submit your resume and cover letter, preferably in PDF format, by email to firstname.lastname@example.org, with Reference JGL/PHO/63555 included in the subject line or by mail to Human Resources Management Group, JGL/PHO/63555, Rm 2217, Corning Tower Building, Empire State Plaza, Albany, NY 12237-0012, or by fax to (518) 473-3395. Failure to include the required information may result in your resume not being considered for this position.