Fair Hearing Counsel

You could be the one who changes everything for our 26 million members. Centene is transforming the health of our communities, one person at a time. As a diversified, national organization, you'll have access to competitive benefits including a fresh perspective on workplace flexibility.

Applicants for this position have the flexibility to work remotely.

Negotiates with external constituents, attorneys and attends telephonic hearings or face to face appearances with NY Law Judges.

Establish and maintain a responsive, professional working relationship by interfacing with and responding to external constituents (advocacy groups, NY Department of Health and administrative law judges / assistants).

Facilitate procedural due process for Fidelis participants.

Strategize, plan, schedule, adjudicate, resource, and data track standard fair hearings.

Plan, schedule, adjudicate, resource, and data track expedited determinations.

Interface with all Fidelis operational teams to obtain relevant, accurate data and information to support fulsome understanding and presentation of a FH case.

Education/Experience: Bachelor's Degree in Healthcare or related field and 2+ years' experience with health benefit plan fair hearing operations or similar field, particularly Medicaid, required. Some experience as a lead also required.

Master's degree from accredited college or university and/or 3 to 5 years' experience with health benefit plan Fair Housing operations or similar field, particularly Medicaid and Long Term Care, preferred.

License/Certification: Juris Doctorate from accredited law school preferred.

The salary range for NY is: $82,600 - $148,700

This information reflects the anticipated base salary range for this position based on current national data. Minimums and maximums may vary based on location. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law.

Our Comprehensive Benefits Package: Flexible work solutions including remote options, hybrid work schedules and dress flexibility, Competitive pay, Paid time off including holidays, Health insurance coverage for you and your dependents, 401(k) and stock purchase plans, Tuition reimbursement and best-in-class training and development.

Centene is an equal opportunity employer that is committed to diversity, and values the ways in which we are different. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or other characteristic protected by applicable law.