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Sup of State Fair Hear App & G
JOB SUMMARYUnder the direction of VP of Medical Affairs and Sr. Manager of Appeals and Grievances this position includes the planning, coordination, organization and direction of the Star Plus LTSS appeal and State Fair Hearing and EMR/IRO activities of Community Health Choice while abiding by all regulatory requirements as outlined by HHSC in regard to LTSS services. Supervisor of State Fair Hearing Appeals and Grievance is responsible for overseeing and managing the State Fair Hearing Process, which entails reviewing the EMR SFH request in relation to Community Health Choice, government program or services. Overseeing the LTSS EMR SFH process from start to finish. Attend any mandated HHSC Supervisor
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