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

Posting Details

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

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.

Why does the job exist?

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).

How does it get done?

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.

Who are the customers?

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

Ideal Candidate

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

Minimum Qualification

High School diploma or Equivalency and two (2) years of experience in office administration, budgeting, purchasing, finance, accounting, auditing, cash management, contract management, and/or the procedures of business and management principles involved in strategic planning. Any combination of education from an accredited college or university in a related field and/or direct experience in this occupation totaling two (2) years may substitute for the required 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) and extensive personal computer and phone usage. Some sitting, standing, bending and reaching may be required.

Supplemental Information

Do you know what Total Compensation is? Click here

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.

Bargaining Unit Position

This position is covered by a collective bargaining agreement and all terms/conditions of that agreement apply and must be adhered to.