Adjudication Specialist

2 weeks ago


Richmond Heights, Virginia, United States Virginia Department of Human Resource Management Full time

Adjudication Specialist

Job no:

Work type: Full-Time (Salaried)

Location: Henrico, Virginia

Categories: Administrative Services

Title: Adjudication Specialist

State Role Title: Hearing and Legal Services Officer II

Hiring Range:
Up to $93,500


Pay Band: 5

Agency: Dept of Health Professions

Location:
PERIMETER CENTER HEADQUARTERS

Agency Website:

Recruitment Type: General Public - G

Job Duties


The Virginia Department of Health Professions (DHP) mission is to ensure safe and competent patient care by licensing health professionals, enforcing standards of practice, and providing information to health care practitioners and the public.


In order to safeguard the lives, health, and safety of the citizens of the Commonwealth, the Adjudication Specialist provides professional legal support in administering the Agency's adjudication function by analyzing investigative reports, preparing cases for prosecution, presenting cases at informal and formal hearings, and making adjudication recommendations to Board Administrators.

DHP offers a wealth of benefits and perks to its employees including free parking for days in the office and telework opportunities

As a full-time employee with the Virginia Department of Health Professions, you may also be eligible for student loan forgiveness through the Federal Public Service Loan Forgiveness Program (PSLF).

Visit for more information regarding eligibility requirements.

Minimum Qualifications

  • Ability to analyze and evaluate complex data and effectively convey findings orally and in writing.
  • Knowledge of legal principles, practices, and processes.
  • Ability to effectively manage time and assignments.
  • Demonstrated ability to communicate effectively orally and in writing.
  • Excellent interpersonal skills
  • Extensive experience in preparing witnesses for testimony.
  • Extensive experience in presenting matters in judicial or administrative proceedings
  • Extensive experience in drafting pleadings or memoranda based on analysis of legal and technical issues and factual reports.

Additional Considerations

  • Comprehensive knowledge of legal/regulatory environment
  • Knowledge of the Administrative Process Act
  • Knowledge of laws and regulations governing health regulatory boards
  • Prosecutorial experience

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.

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.

DHP accepts only on-line applications. Faxed, mailed, or e-mailed applications will not be considered. Applications are accepted until 11:55 p.m. on the job closing date. Applications and/or resumes should include relevant work history and duties/responsibilities which indicates your qualifications for this position. Please be as detailed as possible in your application. Assumptions will not be made regarding your experience.


As an employee of this agency, you are required to review and sign the Department's Confidentiality Statement, which will be retained in your personnel file.

As an employee of this agency, you are required to review and sign the Agency's Code of Ethics, which will be retained in your personnel file.

As an employee of this agency, you are required to successfully complete computer systems security training prescribed by this agency and in accordance with the Virginia Information Technologies Agency (VITA).

Successful completion of initial training and any subsequent updates is a condition of employment.

Contact Information

Name:
Human Resources

Phone:

Email:


In support of the Commonwealth's commitment to inclusion, we are encouraging individuals with disabilities to apply through the Commonwealth Alternative Hiring Process.

To be considered for this opportunity, applicants will need to provide their AHP Letter (formerly COD) provided by the Department for Aging & Rehabilitative Services (DARS), or the Department for the Blind & Vision Impaired (DBVI).

Service-Connected Veterans are encouraged to answer Veteran status questions and submit their disability documentation, if applicable, to DARS/DBVI to get their AHP Letter.

Requesting an AHP Letter can be found at AHP Letter or by calling DARS at


Note
: Applicants who received a Certificate of Disability from DARS or DBVI dated between April 1, 2022- February 29, 2024, can still use that COD as applicable documentation for the Alternative Hiring Process.

Advertised: 03 Jun 2024 Eastern Daylight Time

Applications close: 21 Jun 2024 Eastern Daylight Time

  • Richmond Heights, Virginia, United States Virginia Jobs Full time

    Title: Adjudication SpecialistState Role Title: Hearing and Legal Services Officer IIHiring Range: Negotiable from $75,000Pay Band: 5Agency: Dept of Health ProfessionsLocation:PERIMETER CENTER HEADQUARTERSJob Highlights:Join our team as an Adjudication Specialist at the Virginia Department of Health Professions (DHP) and play a vital role in ensuring safe...

  • Security Specialist

    2 weeks ago


    Richmond, Virginia, United States Tulk LLC Full time

    TULK is seeking applicants who can provide security expertise, guidance, consultation, facilitation, and leadership in all security related functions pertaining to: personnel security; industrial and physical security; computer investigation and awareness; security operations; and other security business. Qualified candidates should hold a Top Secret SCI...

  • Security Specialist

    2 weeks ago


    Richmond, Virginia, United States Tulk LLC Full time

    We are looking for Security Specialists at TULK!TULK is in need of individuals who can contribute security expertise, guidance, consultation, facilitation, and leadership across various security functions including personnel, industrial, and physical security, computer investigations, security operations, and other security-related aspects of the...


  • Richmond, Virginia, United States Virginia Jobs Full time

    Title: Program Support SpecialistState Role Title: Prog Admin Specialist I Hiring Range: The anticipated starting salary range is $55,000 to $60,000.Pay Band: 4Agency: Dept of Criminal Justice SvcsLocation:Dept of Criminal Justice Serv.Agency Website:Recruitment Type: General Public -G VIRGINIA DEPARTMENT OF CRIMINAL JUSTICE SERVICES ADVERTISEMENTROLE...


  • Richmond, United States Federal Reserve Bank of Richmond Full time

    Company Federal Reserve Bank of Richmond When you join the Federal Reserve—the nation's central bank—you’ll play a key role, collaborating with a dynamic and diverse team of mission-driven professionals to strengthen and protect our economy and our communities. Bring your passion and expertise, and we’ll provide the opportunities that will...


  • Richmond, United States Fort Bend County Full time

    Overview Fort Bend County is ranked as one of the fastest growing counties in the nation.  We have capitalized on not only the creed of our location, but on the "quality of life" for our families to call home.  Our employees are the key to our success and the heartbeat of our foundation.  The diversity and inclusivity of our community is our strength and...


  • Richmond, United States Fort Bend County Full time

    Overview: Fort Bend County is ranked as one of the fastest growing counties in the nation. We have capitalized on not only the creed of our location, but on the "quality of life" for our families to call home. Our employees are the key to our success and the heartbeat of our foundation. The diversity and inclusivity of our community is our strength and at...


  • Maryland Heights, Missouri, United States Magellan Health Full time

    Provides support to Claims Operations by investigating and resolving systemic issues relative to claims processing system files and interfaces for membership, authorizations, providers, pricing, reporting and financial. Assist in testing and documenting of account specific benefits to ensure accurate claims adjudication. The position assists in ensuring...


  • Maryland Heights, Missouri, United States Magellan Health Full time

    Provides support to Claims Operations by investigating and resolving systemic issues relative to claims processing system files and interfaces for membership, authorizations, providers, pricing, reporting and financial. Assist in testing and documenting of account specific benefits to ensure accurate claims adjudication. The position assists in ensuring...


  • Maryland Heights, United States Magellan Health Full time

    This position is responsible for accurate and timely research of all claim dispute types, timely processing of adjustments and acts as liaison between members, providers and internal claims departments. If a recalculation is warranted and modification to the payment amount is determined to be required, acting within established parameters, this role makes...


  • Richmond, United States Virginia Commonwealth University Health System Full time

    This is a hybrid role; 3 days in office, 2 days remote The Claims Examiner investigates, and processes Workers' Compensation claims for VCUHS employees. This job assists in the coordination of an effective commercial insurance and self-insured Workers' Compensation Claim Program that is compliant with state laws and that meets the needs of VCUHS. This job...


  • Warrensville Heights, United States UH Meds LLC Full time

    JOB DESCRIPTION Description Position Summary The team requires a highly motivated, energetic, team player who is responsible for completing necessary functions to ensure optimal intake and reimbursement for high cost and infusion medications for patients receiving care within the UH Meds enterprise of pharmacy operations. The Pharmacy Support Liaison...


  • Richmond, United States VCU Health Full time

    **This is a hybrid role; 3 days in office, 2 days remote** The Claims Examiner investigates, and processes Workers' Compensation claims for VCUHS employees. This job assists in the coordination of an effective commercial insurance and self-insured Workers' Compensation Claim Program that is compliant with state laws and that meets the needs of VCUHS. This...


  • Richmond, United States VCU Health Full time

    **This is a hybrid role; 3 days in office, 2 days remote**The Claims Examiner investigates, and processes Workers’ Compensation claims for VCUHS employees. This job assists in the coordination of an effective commercial insurance and self-insured Workers’ Compensation Claim Program that is compliant with state laws and that meets the needs of VCUHS. ...

  • legal assistant i

    4 weeks ago


    Sterling Heights, Michigan, United States State of Colorado Full time

    Education:Paralegal certificate obtained through either an American Bar Association (ABA) approved paralegal studies program or an accredited institution. (Copies must be attached to your application to receive credit.) Substitution:Two years of work experience in a paralegal capacity which included conducting legal research, preparing drafts of legal...