Eligibility Hearing Officer

Virginia Department of Medical Assistance Services

$85K — $92K *
Legal & Accounting
Less than 5 years of experience
Job Overview by Ladders

Qualifications

  • 5+ years of experience managing a caseload under deadlines.
  • Extensive knowledge of administrative law and appeals procedures.
  • Strong legal research skills, including proficiency in computerized methods.
  • In-depth understanding of federal and state laws and regulations.
  • Demonstrated experience in legal writing and analysis.
  • Active membership in the Virginia State Bar.

Responsibilities

  • Review appeal requests and case evidence for hearings.
  • Render written decisions on eligibility appeals.
  • Conduct detailed legal research and analysis to support decisions.
  • Manage a caseload efficiently to comply with deadlines.
  • Ensure high-quality customer service and due process for appellants.
  • Support a collaborative team environment in the Appeals Division.

Benefits

  • Work in a central office location with in-person hearing capabilities.
  • Opportunity to contribute to meaningful public service in health assistance.
  • Access to a positive work environment promoting respect and dignity.
Full Job Description
Eligibility Hearing Officer

Job no:
Work type: Full-Time (Salaried)
Location: Richmond (City), Virginia
Categories: Health and Human Services

Title: Eligibility Hearing Officer

State Role Title: Hearing Legal Servcs Offcr II

Hiring Range: $85,972 - $92,782

Pay Band: 5

Agency: Dept of Med Assistance Svcs

Location: Dept of Medical Asst Services

Agency Website: www.dmas.virginia.gov

Recruitment Type: General Public - G

Job Duties

The Department of Medical Assistance Services (DMAS) is excited to offer a competitive opportunity to serve as the Eligibility Hearing Officer in the Appeals Division.

Job responsibilities will include, but are not limited to:

Review appeal requests, case documents, and other appropriate evidence to prepare for and conduct client eligibility appeal hearings.

Render written appeal decisions at the highest administrative level in accordance with fair hearing principles and within established timeframes.

Apply knowledge of laws, rules, and regulations in the decision process to independently render decisions based on findings of fact and conclusions of law; apply knowledge of administrative procedures for conducting hearings, due process standards, and legal research methods; conduct legal research; engage in thorough, accurate, and objective analysis and evaluation of facts, evidence, and law in order to make legally sound and defensible recommendations and judgments; and independently manage a caseload to ensure timely compliance with deadlines.

Provide excellent customer service, treating everyone who interacts with the Division with respect and dignity; ensure every appellant receives full due process; support a collaborative and positive work environment; and produce a quality work product.

The business needs for this position have in office requirements to include but are not limited to in-person hearings.

Located in beautiful Central Virginia, the Richmond area puts you just 2 hours from the Blue Ridge Mountains, Virginia Beach and Washington DC. To learn more about the Richmond, VA area visit: https://www.virginia.org/

Minimum Qualifications

Competitive candidates will meet these minimum qualifications:

Experience independently managing a caseload to meet established time frames.

Considerable work-related experience applying rules to facts to reach logical, legally supportable conclusions.

Knowledge of administrative law and / or appeals procedures.

Considerable knowledge of legal research methodologies, including computerized legal research.

Considerable experience with technology, including MS Office.

Considerable experience interpreting, applying, and analyzing federal and state complex laws, regulations, policies, or case law.

Experience in meeting deadlines.

Experience with internal/external stakeholders.

Considerable experience in legal analysis and legal writing.

Additional Considerations

Competitive candidates should meet these additional considerations:

Admission to the Virginia State Bar in good standing.

Experience drafting appeal decisions.

Special Instructions

You will be provided a confirmation of receipt when your application and/or résumé is submitted successfully. Please refer to "Your Application" in your account to check the status of your application for this position.

The Virginia Department of Medical Assistance Services (DMAS) does not offer employment-based Sponsorship. Selected candidates will have their work authorization completed using the E-Verify Program.

The Department of Medical Assistance Services (DMAS) is an Executive Branch agency that will adhere to all policies and procedures, to include the Commonwealth's Department of Human Resource Management Policy 1.61 Teleworking. This position could be expected to work in the office as driven by business needs.

Telework arrangements are a privilege and may be rescinded at any time based on performance and/or business need. The agency reserves the right to modify or terminate a telework arrangement, provided that reasonable notice is given to the employee.

This position requires a fingerprint based Criminal History Background Check, Education Checks if applicable, Work History Verification with references.

If you wish to apply for a job with the Department of Medical Assistance Services, an application and/or resume for employment must be submitted electronically through this website. Mailed, faxed, emailed, or hand-delivered applications/resumes will not be accepted. Consideration for an interview is based solely on the relevant information presented in the state application and/or resume submitted before the closing date.

Applications and/or resumes should include relevant work history which indicates your qualifications for this position.

Contact Information

Name: DMAS Talent Acquisition

Phone: 804 - 225 - 4407

Email: [email protected]

Advertised: 28 Aug 2026 Eastern Daylight Time
Applications close: 14 Sep 2026 Eastern Daylight Time

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