Legal Services Officer I |

Job Title-Hearing and Legal Services Officer I

Location-DMAS-HQ, 600 East Broad Street Richmond, VA, 23219

Duration-6 Months

Pay Rate --$50.00/hr on W2 Without Benefits

Equipment to be used by the temporary staffing professional(s) :

• Appeals Information Management System (AIMS)
• Microsoft Office Suite
• Secure email systems for handling Protected Health Information (PHI)

Knowledge, skills, education, and/or experience

• Juris Doctor (JD) degree
• Admission to the Virginia State Bar or eligibility within six months

Knowledge

• Administrative law and appeals procedures
• Federal and state Medicaid regulations and policies
• Legal research and case analysis
• Fair hearing standards and due process principles
• Internal agency protocols and performance metrics

Experience

• Considerable experience in legal analysis, writing, and decision-making
• Prior work in a fast-paced, deadline-oriented legal or administrative environment
• Experience managing internal and external stakeholder communications
• Familiarity with appeals procedures and case management systems
• Experience supporting emergency response operations and handling sensitive information

Mandatory skills/certification(s) Requirement:

• Admission to the Virginia State Bar in good standing, or eligibility for admission within six months of hire
• Demonstrated ability to manage a caseload independently in a deadline-driven environment
• Strong legal writing and analysis skills
• Proficiency in legal research methodologies, including computerized tools
• Experience interpreting and applying complex federal and state laws, regulations, and case law
• Ability to communicate clearly and professionally, both orally and in writing
• Familiarity with Microsoft Office Suite (Word, Excel, Outlook, Teams, PowerPoint)
• Commitment to maintaining confidentiality and compliance with HIPAA policies
• Willingness to support emergency operations and COOP activation when required
• Experience drafting appeal decisions
• Ability to build positive working relationships and deliver excellent customer service
• Strong planning, analytical, and decision-making capabilities
• Attention to safety protocols and proactive risk management
• Consistent attendance and punctuality to support reliable performance
• Prepare for and conduct hearings for assigned Medicaid appeal cases
• Draft and issue legally sound fair hearing decisions within required deadlines
• Apply laws, regulations, and policies to reach well-reasoned conclusions
• Use the Appeals Information Management System (AIMS) to manage case inventory, track progress, and submit decisions
• Maintain accurate and up-to-date case records and documentation
• Collaborate with team members to manage appeal volume and ensure continuity operations
• Communicate effectively with internal staff and external stakeholders
• Assist with training and special assignments as requested by leadership
• Escalate peer-related issues to management for timely resolution
• Share performance metrics and case data with the Eligibility Cases Manager upon request
• Review and adjudicate Medicaid eligibility appeals by analyzing case documents and conducting fair hearings
• Apply legal expertise to ensure decisions are accurate, timely, and compliant with federal and state regulations
• Maintain professionalism and fairness in all interactions, contributing to a respectful and collaborative team environment

Job Type: Contract

Pay: Up to $50.00 per hour

Expected hours: 40 per week

Application Question(s):

• Do you have Juris Doctor (JD) degree ??

Education:

• Doctorate (Preferred)

Experience:

• Legal: 5 years (Required)

Ability to Commute:

• Richmond, VA 23219 (Required)

Work Location: In person