Program Support Specialist

Inficare

Job Title: Program Support Specialist

Location: Hamilton, NJ 08619 (Onsite)

Job Type: Contract

Duration: 12 Months
Job Overview

Our client is seeking a Program Support Specialist to support their Fair Hearing Unit in processing Medicaid Fair Hearing appeals in a timely and accurate manner. Working under the supervision of a Regulatory Officer, this role performs a variety of administrative, technical, and program support functions to ensure compliance with federal and State Fair Hearing requirements.
Key Responsibilities

Analyze incoming mail, faxes, correspondence, and appeal requests to determine contested issues
Input and maintain case information in agency databases and information systems
Review, process, and manage Fair Hearing cases from receipt through final disposition
Prepare, organize, and transmit Fair Hearing case files to the Office of Administrative Law (OAL)
Track contested cases, monitor status, and ensure timely processing, resolution, and closure
Coordinate informal resolution efforts with County Welfare Agencies, Managed Care Organizations, and other stakeholders
Generate monthly reports on outstanding, accepted, declined, resolved, and pending Fair Hearing requests
Research applicable federal and State laws, regulations, and policies supporting the Fair Hearing process
Scan, organize, and maintain electronic and hard-copy case files in compliance with recordkeeping requirements
Monitor and reconcile pending appeals and conduct follow-up with internal and external stakeholders

Required Skills

Proficiency in Microsoft Office Suite
Data entry and customer service experience
Strong analytical and problem-solving skills
Ability to review, interpret, and evaluate data and legal/regulatory information
Ability to prepare accurate and informative reports
Ability to maintain accurate records and files
Effective written and verbal communication skills in English

Preferred Skills

Experience with case management or legal databases (e.g., LRL Oracle)
Background in Medicaid, Fair Hearing, or state agency administrative functions
Familiarity with federal CMS regulations and compliance requirements

Location & Work Model

Onsite at Hamilton, NJ 08619. Work hours: 8:00 AM-4:00 PM or 9:00 AM-5:00 PM. Business casual dress code. Free parking available.
Engagement Details

Apply

Vacancy posted 5 days ago

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