Business Operations Analyst / Appeals Coordinator (HCA/OFH #37150)

$22.62 - $33.93 Hourly

$47,050 - $70,575 Annually

This position is a Pay Band C5

Interviews anticipated to be conducted within two (2) weeks of closing date.

The Health Care Authority (HCA) participates in E-Verify and will verify employment eligibility upon hire.

The New Mexico Health Care Authority (HCA) is a state agency that provides comprehensive, accessible, and high-quality health care services to New Mexico residents. The agency is responsible for managing key services such as Medicaid, SNAP, TANF, and LIHEAP, ensuring uninterrupted support and care for New Mexicans.

Our Vision

• Every New Mexican has access to affordable health care coverage through a coordinated and seamless health care system.

Interviews are anticipated to be conducted within two weeks of closing date.

Our Mission

• We ensure that New Mexicans attain their highest level of health by providing whole-person, cost-effective, accessible, and high-quality health care and safety-net services.

Our Goals

• Leverage purchasing power and partnerships to create innovative policies and models of comprehensive health care coverage that improve the health and well-being of New Mexicans and the workforce.
• Achieve health equity by addressing poverty, discrimination, and lack of resources, building a New Mexico where everyone thrives.
• Implement innovative technology and data-driven decision-making to provide unparalleled, convenient access to services and information.
• Build the best team in state government by supporting employees' continuous growth and wellness.

The Business Operations Analyst / Appeals Coordinator will:

• Ensure Fair Hearings are processed and registered in compliance with state and federal regulations;
• Provide customer service to claimants/ appellants, internal and external parties and other stakeholders preserving the due process rights of all applicants, beneficiaries and the Health Care Authority (HCA).

The Business Operations Analyst / Appeals Coordinator is responsible for:

• Providing administrative support for the Office of Fair Hearings (OFH);
• Communicating directly with Hearing Officers, Claimants/ Appellants, HCA Division personnel, Authorized Representatives and other stakeholders;
• Accurately and timely registering Fair Hearing requests;
• Processing Recommendations and Final Decisions;
• Assisting with data collection;
• Clearly documenting all case activities.

• Applicants and beneficiaries of Health Care Authority (HCA) programs and the HCA.

The Ideal Candidate will have:

• Analytical thinking skills;
• The ability to work independently and as part of a team;
• Strong problem-solving skills;
• An understanding of public benefit programs;
• Clear and effective written and oral communication skills.

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Agency Contact Information: Michelle Lucero, (505) 487-3642. Email

For information on Statutory Requirements for this position, click the Classification Description link on the job advertisement.