Administrative Law Judge (HCA/OFH #80326)

$32.84 - $52.54 Hourly

$68,302 - $109,283 Annually

This position is a Pay Band 80

Posting Details

This job posting may be used to fill multiple vacancies.

This posting will be used for ongoing recruitment and may close at any time. Applicant lists may be screened more than once.

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.

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.

Why does the job exist?

The Administrative Law Judge (ALJ) will:

• Provide The Health Care Authority (HCA) Office of Fair Hearings (OFH) claimants with due process and impartiality throughout the hearing process;
• Schedule and conduct hearings in a timely manner that are in accordance with all applicable policies and regulations;
• Provide detailed summary in The Automated System Program & Eligibility Network (ASPEN) of the case matters that were presented before, during and after the case proceedings and to include a detailed summary of the recommendations and decisions as applicable;
• Comply with all department policies and procedures to include all OFH Administrative Law Judge Manual, Hearings Templates and OFH Information Memorandums.

How does it get done?

The Administrative Law Judge is responsible for:

• The protection of the due process rights of Claimants, their representatives and all Concerned parties involved in hearings;
• Conducting administrative hearings across all categories of appeal within the jurisdiction of the OFH in a timely and efficient manner consistent with all applicable state and federal laws/regulations;
• Managing their docket, rule on motions and objections, determine the admissibility of evidence and testimony and prepare Recommendations or Decisions for all appeals.

Who are the customers?

• Claimants;
• Appellants;
• Respondents;
• HCA personnel;
• External governmental agencies;
• Managed Care Organization's (MCO);
• Medical providers;
• Attorneys and all other actors within the administrative hearing process.

Ideal Candidate

The ideal candidate has:

• Extensive knowledge of the rules and regulations governing the hearing process and the programs within the jurisdiction of the Office of Fair Hearings;
• Experience conducting administrative hearings;
• Excellent written and verbal communication skills;
• Strong organizational and analytical skills.

Minimum Qualification

Bachelor's degree in Public Administration, Political Science, Business Administration, Social Services, or Labor Relations and six (6) years of experience in conducting administrative hearings, employment placement, claims adjudication, and/or investigations. Any combination of education from an accredited college or university in a related field and/or direct experience in this occupation totaling ten (10) years may substitute for the required education and experience.

Employment Requirements

Must possess and maintain a valid Driver's License.

Must obtain a Defensive Driving Certificate.

Employment is subject to a pre-employment criminal history background investigation and is conditional pending results.

Working Conditions

Work is performed in an office setting with exposure to Visual/Video Display Terminal (VDT), extensive personal computer and phone usage. Minimal statewide travel may be required.

Supplemental Information

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Agency Contact Information: Alex Rodriguez, (505) 538-5184. Email

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

Bargaining Unit Position

This position is not covered by a collective bargaining agreement.