The Board of Hearings is the hearing unit within the Executive Office of Health and Human Services, Office of Medicaid responsible for the adjudication of MassHealth applicant, member and/or appeal representative appeals for approximately 1.8 million MassHealth applicant/members and for adjudication of provider Claims for Adjudicatory Hearings.
The Board of Hearings Unit is seeking qualified legal professionals for the position of Hearing Officer. The incumbent will preside, as an impartial Hearing Officer of the Board of Hearings, over Fair Hearings held pursuant to 130 CMR 610.000 et seq., G.L. c. 30A, c. 118E and the rules and regulations thereunder and Claims for Adjudicatory Hearing held pursuant to 130 CMR 450.241 and 450.243, and the Standard Adjudicatory Rules of Practice and Procedure, found at 801 CMR 1.00 et seq. Perform legal research, analysis and writing for Board of Hearings decisions, guidelines for practice and reference tools. Assist as assigned in the education and training of Board of Hearings staff.
The purpose of this position is to preside, as the impartial fact finder, over an administrative hearing, a legal proceeding, where dissatisfied applicants, members, nursing facility residents and providers can obtain an administrative determination of the appropriateness of certain action(s) or inaction(s) by the MassHealth Agency/Agency Contractors/Agents.
Duties and Responsibilities (these duties are a general summary and not all inclusive):
Required Qualifications:
· Knowledge of the theory, principles and practices of the law including administrative and constitution law.
· Knowledge of the procedures following in administrative proceedings.
· Knowledge of the methods of technical and general report writing for the Board of Hearings reports.
· Ability to read and interpret legal documents such as memoranda, decisions, briefs, opinions and contracts.
· Ability to understand and apply the laws, rules and regulations governing operations and assigned unit activities through the fair hearing proceeding.
· Ability to exercise sound judgement and render impartial decisions.
· Ability to make decisions and act quickly and appropriately in stressful situations and to maintain a calm demeanor.
· Ability to analyze and determine the applicability of legal data to find facts, draw conclusions and render appropriate decisions.
· Ability to explain the procedures, guidelines and policies governing the Board of Hearings operations and activities.
· Ability to write concisely, express thoughts clearly and develop ideas in a logical sequence.
Preferred Qualifications:
About MassHealth:
MassHealth is the Commonwealth's Medicaid and Children's Health Insurance Program, providing comprehensive healthcare coverage and services to approximately two million Massachusetts residents. Through partnerships with providers, health plans, community organizations, and government agencies, MassHealth works to improve health outcomes, reduce disparities, strengthen care coordination, and ensure access to high-quality, person-centered care. As one of the largest Medicaid programs in the country, MassHealth plays a critical role in advancing healthcare innovation, promoting health equity, and supporting the well-being of individuals, families, and communities across the Commonwealth.
Learn more: MassHealth
Pre-Offer Process:
A criminal and tax history background check will be completed on the recommended candidate as required by the regulations set forth by the Executive Office of Health and Human Services prior to the candidate being hired. For more information, please visit http://www.mass.gov/hhs/cori
Education, licensure, and certifications will be verified in accordance with the Human Resources Division’s Hiring Guidelines.
Education and license/certification information provided by the selected candidate(s) is subject to the Massachusetts Public Records Law and may be published on the Commonwealth’s website.
If you require assistance with the application/interview process and would like to request an ADA accommodation, please click on the link and complete the Reasonable Accommodation Online Request Form.
For questions, please contact the Office of Human Resources at 1-800-510-4122 and select option #4.
First consideration will be given to those applicants that apply within the first 14 days.
MINIMUM ENTRANCE REQUIREMENTS: Applicants must have a Juris Doctor (JD) degree, admission to the Massachusetts Bar and (A) at least three years of full-time, or equivalent part-time, professional experience in the practice of law.
Incumbents may be required to have a current and valid Motor Vehicle Drivers License at a Class level specific to assignment.
Salary placement is determined by a combination of factors, including the candidate’s years of directly related experience and education, and alignment with our internal compensation structure as set forth by the Human Resources Division’s Hiring Guidelines. For all bargaining unit positions (non-management), compensation is subject to the salary provisions outlined in the applicable collective bargaining agreement and will apply to placement within the appropriate salary range.
Comprehensive Benefits
When you embark on a career with the Commonwealth, you are offered an outstanding suite of employee benefits that add to the overall value of your compensation package. We take pride in providing a work experience that supports you, your loved ones, and your future.
Want the specifics? Explore our Employee Benefits and Rewards!
An Equal Opportunity / Affirmative Action Employer. Females, minorities, veterans, and persons with disabilities are strongly encouraged to apply.
The Commonwealth is an Equal Opportunity Employer and does not discriminate on the basis of race, religion, color, sex, gender identity or expression, sexual orientation, age, disability, national origin, veteran status, or any other basis covered by appropriate law. Research suggests that qualified women, Black, Indigenous, and Persons of Color (BIPOC) may self-select out of opportunities if they don't meet 100% of the job requirements. We encourage individuals who believe they have the skills necessary to thrive to apply for this role.
