Job Summary
When you become a member of Team DHCF (Department of Health Care Finance), the state Medicaid agency for the District of Columbia, you join our "Mission Possible!"  We work every day, in concert with various District government agencies, to streamline access to comprehensive, affordable and quality healthcare services for District residents.  Whatever your position within our agency, you will positively impact beneficiaries, their families and their future!  We invite you to bring your skills, your experience and your passion to a job that makes a difference!

DHCF is responsible for administering the District’s Medicaid program, the Health Care Alliance Program and any other publicly-funded health care insurance programs. The agency has responsibility to  coordinate with the U.S. Department of Health and Human services, Centers for Medicare and Medicaid Services on all waivers, State Plan amendments, grants and other opportunities to maximize federal assistance and fulfill the purposes of the Department; coordinate with other District government agencies to ensure effective and efficient use of Medicaid dollars; and cooperate with other District agencies to ensure coordinated health care access and delivery for publically funded health care services.   

The Medicaid benefits package is broad. As a program designed to provide health care coverage to individuals with diverse needs will necessarily have to cover a wide range of services. A key component of DHCF is to ensure that services provided are medically necessary, supported by clinical guidelines and appropriate.   The candidate will be responsible for representing DHCF in administrative hearings and legal proceedings concerning DHCF, Medicaid and other health care benefit programs; researching and providing legal analysis of rules, memoranda, legislation, and other legal documents related to the Medicaid, Alliance and  other health care programs. The candidate will also be responsible for providing legal and clinical guidance on District laws, rules and policies implementing the provision of Medicaid covered services; assisting in the review and development of new programs; and assisting in the review and development of State Plan amendments, Waivers and attendant rules.

Collective Bargaining Unit: This position is in the collective bargaining unit represented by AFGE Local 1403 and you may be required to pay an agency service fee through direct payroll deduction. 
Duration of Appointment: Career Service
Tour of Duty: Monday – Friday 8:15 am – 4:45 pm

Qualifications
The successful candidate for this position should have a clinical background and significant experience in review of Medicaid policies, rules and other legal documents related to the Medicaid and Alliance program and knowledge or experience with health care law.  In addition, the candidate should have the following qualifications:

• Substantial skill in the analysis and resolution of difficult legal issues in an orderly, systematic, and effective manner;
• Skill in interpreting and applying applicable laws, regulations and practices, including agency policies and relevant judicial decisions;
• Skill in identifying and isolating controlling legal issues from complex factual situations;
• Skill in applying sound judgment in the review and analysis of matters, and deriving logical conclusions; and
• Skill in communicating precisely and effectively, both orally and in writing.

The ideal candidate is detail oriented, flexible, and possesses strong analytical skills and the ability to work independently.         

Licensure, Certifications and other requirements
Must have a law degree and be an active member in good standing of the bar of any jurisdiction. It not a member of the District of Columbia Bar, the candidate must be eligible for waiver into the District of Columbia Bar and sworn in within 360 days of his/her appointment.    
 
Education
Must have a law degree and be a member of the District of Columbia Bar or eligible for waiver into the bar. Must remain a member of the DC Bar in good standing throughout tenure as Attorney.

Work Experience 
To be creditable, at least one (1) year of specialized experience must have been equivalent to at least the next lower grade level in the normal line of progression for the occupation in the organization.

Work Environment
The work is performed in an office environment.