What are the responsibilities and job description for the Agency Management Analyst position at Datawize Technologies LLC?
Job Title : Agency Management Analyst
Job Location : 5 Quakerbridge Plaza, Hamilton, NJ 08619.
Job Type: Contract
Work Hours: 9-5, 35 hours a week
Lunch Duration: 1 hour Unpaid
Report Location: 5 Quakerbridge Plaza, Hamilton, NJ 08619
Job Description :-
The request is for two temporary staff to augment the SMU’s ability to manage the incoming and backlogged fair hearing requests that have increased exponentially due to the Public Health Emergency (PHE) unwinding.
Background: In March of 2020, we experienced a nationwide Public Health Emergency (PHE) that spanned three years. The Centers for Medicaid and Medicare (CMS) advised States to not terminate any active member who was receiving New Jersey Family Care (NJFC) benefits. The PHE ended in April 2023, and CMS advised states to begin terminating individuals who were no longer eligible for the NJFC program. As a result, the State Monitoring Unit saw an increase in the number of fair hearing requests received. This led to the unit of three individuals to being inundated and overwhelmed. The SMU has received close to two thousand fair hearing requests since August, resulting in delays of benefits being reinstated and coordination of their HMO with eligibility effective date.
Detailed Job Description (including skills/education/experience/duties):
Tasks to be completed
- Review and sort the fair hearings received (termination or denial) versus status review submissions and other non-fair hearing related mail
- Complete Master Tracking log entry for each fair hearing requested
- Prepare Acknowledgement letters and prep for mailing
- Batch fair hearing requests for Conduent to reinstate coverage for terminated cases, conduct informal review of original negative eligibility decision (termination or denial)
- Review results of Conduent's informal review to indicate State agreement or disagreement with Conduent's decision
- Where original negative case action is upheld by State Unit, initiate contact with household to explain outcome, determine if household wants to proceed with hearing before an ALJ with benefits to be continued, or if the household wishes to withdraw their FH request
- Prepare and mail out formal Withdrawal request form to households that consent to withdraw
- Follow up on missing Withdrawal request forms until closeout of referral is achieved (involves telephone outreach to members)
- Prepare cases for hearings before an ALJ in those instances where families wish to continue fair hearing process
- Attend fair hearings on behalf of the agency
Skill set required
- Two years of experience in clerical work, including reviewing, verifying, and looking up information in a case management system
- Skilled in Microsoft Office Suite
- Medicaid eligibility experience is preferred
- Committed to serving people the best way possible through government healthcare programs.
- Excellent communication and interpersonal skills with demonstrated ability to build bridges of understanding with all levels of stakeholders.
- Positive energy and eagerness to embrace diverse colleagues and communities.
- Motivated to work independently and in teams towards shared goals.
- Curiosity and positive energy to learn and grow in the organization
Regards
Kajal
Senior IT Recruiter
Datawize Technology LLC.
Email id :- hiring@datawizetech.com
Contact number :- 1 609-310-1971
Job Type: Contract
Pay: $22.00 - $23.00 per hour
Schedule:
- Monday to Friday
Work Location: Hybrid remote in Township of Hamilton, NJ 08619
Salary : $22 - $23
