State Fair Hearing Analyst

Job DetailsThe State Fair Hearing (SFH) Analyst plays a critical role in supporting the Medicaid Fair Hearing process by partnering with internal teams, legal counsel, and state regulators. This position is responsible for preparing detailed case analyses, managing hearing requests, and representing the organization in Fair Hearings. This role requires strong analytical thinking, advanced writing skills, regulatory knowledge, and the ability to work independently in a fast-paced, compliance-driven environment.

Key Responsibilities

Manage Medicaid State Fair Hearing cases and regulatory complaints across multiple states Prepare all legal documentation, including evidence gathering, case analysis, and written summaries Develop highly detailed agency summaries and narrative reports with strong technical accuracy Intake, track, and document Fair Hearing requests, maintaining organized case files and evidence Conduct in-depth research and analysis to support case outcomes and benefit determinations Collaborate with Dental Directors, legal teams, Grievances & Appeals staff, and cross-functional departments Interface with state regulators, hearing officers, attorneys, and members/enrollees Represent the organization during Fair Hearings (telephonically or in person, as needed) Ensure consistency and compliance across grievance and appeals processes Evaluate current workflows and provide recommendations for process improvements Travel to attend Fair Hearings when required Required Qualifications 3+ years of experience in healthcare, preferably within grievances and appeals or regulatory environments Strong knowledge of state and federal regulations related to Medicaid and Fair Hearings Proven experience managing complex casework and regulatory timelines Strong written communication skills with the ability to produce detailed, technical documentation Excellent verbal communication and presentation skills Ability to manage multiple priorities in a fast-paced, deadline-driven environment Proficiency in Microsoft Word, Excel, and PowerPoint

Preferred Qualifications

Bachelor’s degree in Business, Health Administration, or related field preferred (or equivalent experience) Experience working directly with state regulatory agencies and Fair Hearing processes Knowledge of dental terminology and clinical documentation (e.g., treatment records, diagnostic forms, progress notes) Experience coordinating with legal teams and regulatory bodies Location Our employees are distributed in office locations in multiple markets across the United States. We are unable to hire or allow employees to work outside of the United States. What Liberty Offers Happy, healthy employees enhance our ability to assist our members and contribute more actively to their communities. That’s why Liberty offers competitive and attractive benefit packages for our employees. We strive to care for employees in ways that promote wellness and productivity. Our first-class benefits package supports employees and their dependents with: Competitive pay structure and savings options to help you reach your financial goals. Excellent 401(k) retirement benefits, including employer match, Roth IRA options, immediate vesting during the Safe Harbor period, and access to professional financial advice through Financial Engines. Affordable medical insurance, with low-cost premiums for employee-only coverage. Liberty subsidizes the cost for eligible dependents enrolled in the plan. 100% employer-paid dental coverage for employees and eligible dependents. Vision insurance with low-cost premiums for employee-only coverage and dependents. Company-paid basic life and AD&D insurance, equal to one times your base salary, with options to purchase additional supplemental coverage. Flexible Spending Accounts for healthcare and dependent care expenses. Voluntary benefit programs, including accident, critical illness, and hospital indemnity insurance. Long-term disability coverage. Expansive wellness programs, including company-wide wellness challenges, BurnAlong memberships, and gym discounts. Employee Assistance Program (EAP) to support mental health and well-being. Generous vacation and sick leave policies, with the ability to roll over unused time. 10 paid company holidays. Tuition reimbursement for eligible educational expenses. Remote or hybrid work options available for various positions.

Compensation

In the spirit of pay transparency, the base salary range for this position is $28.00 - $35.00 hourly, not including fringe benefits or potential bonuses. At Liberty, your final base salary will be determined by factors such as geographic location, skills, education, and experience. We are committed to pay equity and also consider the internal equity of our current team members when making final compensation decisions. Please note that the range listed represents the full base salary range for this role. Typically, offers are not made at the top of the range to allow for future salary growth. Liberty Dental Plan commits to maintaining a work environment that acknowledges all individuals within the workplace and will continue to engage in practices that are inclusive of all backgrounds, experiences, and perspectives. We strive to have every person within the organization have a sense of belonging while encouraging individuals to unleash their full potential. Liberty will leverage diverse perspectives in building high performance teams and organizational culture. Liberty Dental Plan will continue to strengthen and develop external partnerships by providing equitable health care access and improving population health in the communities we serve. We comply with all applicable laws and regulations on non-discrimination in employment, recruitment, promotions, and transfers, as well as work authorization and employment eligibility verification requirements. Sponsorship and Relocation Specifications Liberty Dental Plan is an Equal Opportunity Employer / VETS / Disabled No relocation assistance or sponsorship available at this time. Apply To This Job