Title: Adjudication and Privacy Officer

State Role Title: Hearing Legal Servcs Offcr III

Hiring Range: $97,850 - $123,600

Pay Band: 6

Agency: Virginia Department of Health

Location: Perimeter Center

Agency Website: https://www.vdh.virginia.gov/

Recruitment Type: General Public - G

Job Duties

The Adjudication Officer for Independent Dispute Resolutions (IDR) in Long Term Care serves as a neutral and unbiased administrative hearing officer for facilities contesting state or federal regulatory citations and survey deficiencies.


The officer upholds due process through comprehensive review and analysis of the administrative record, including clinical documentation, investigative summaries, surveyor findings, facility statements, and written or verbal testimony from residents, families, or legal representatives when provided. Hearings are conducted in a fair, structured, and less formal environment than court, supporting transparency while maintaining the integrity of regulatory oversight and resident safety standards.


Following each hearing, the officer issues timely written findings and determinations, including a clear recommendation for an Agency decision (to uphold, modify, or dismiss a citation) and a concise, well-supported rationale aligned with regulatory and evidentiary requirements.

When adjudication activity is not in session, the officer provides direct support to the Long Term Care policy team, including:

· Regulatory research and analysis on federal and state best practices,

· Regulatory development support, including drafting and revision of policy guidance or regulatory language,

· Development of proposed legislation to enhance the Agency’s ability to fairly and responsibly license and certify long term care facilities in the Commonwealth,

· Review of and preparation of comments on introduced legislation which impacts the Agency’s licensure and certification of long term care facilities,

· Inspection and compliance trend research,

· Regulatory framework comparisons, and

· Policy planning and written product support to improve clarity, consistency, and system performance.

This position focuses on regulatory compliance outcomes, not contractual or payment disputes. The officer’s work influences facility compliance expectations, enforcement outcomes, and ongoing adherence to Medicare and Medicaid certification standards.


The role strengthens fair process, consistent policy application, and resident safety, while supporting modernization of Long Term Care oversight through policy development, regulatory strategy, and evidence-based system improvements.

Minimum Qualifications

Knowledge of Long-Term Care laws, regulations, and licensing requirements, with experience evaluating compliance, weighing material facts, and applying regulatory standards in a fair and consistent manner.

Knowledge of Medicare and Medicaid program requirements applicable to Long-Term Care providers, including conditions of participation and certification standards.

Knowledge of Long-Term Care standards of practice, health care management, and Life Safety Code requirements, with the ability to apply these standards to compliance reviews and deficiency determinations.

Knowledge of the Virginia Administrative Process Act (VAPA) and relevant provisions of Title 32.1 of the Code of Virginia related to licensure, enforcement, and appeals.

Ability to review and analyze complex administrative and regulatory records, including transcripts, exhibits, and supporting documentation, and synthesize findings into clear, defensible conclusions.

Ability to evaluate regulatory compliance and make recommendations regarding cited deficiencies, including scope and severity determinations.

Ability to assess and reconcile differing interpretations of facts and law, as presented by providers, legal counsel, survey staff, and agency personnel.

Ability to analyze legal arguments and written submissions and determine appropriate application of Long-Term Care laws and regulations.

Ability to conduct and participate in administrative proceedings (e.g., informal fact-finding conferences, IDRs, IIDRs) with professionalism and sound judgment.

Strong interpersonal, written, and verbal communication skills, with the ability to work effectively with diverse stakeholders in a highly regulated environment.

Additional Considerations

Degree in Law strongly preferred, degree in Health Care Administration, Public Administration, Health Planning, Business Administration or a related field also preferrable

Special Instructions

You will be provided a confirmation of receipt when your application and/or résumé is submitted successfully. Please refer to “Your Application” in your account to check the status of your application for this position.

VDH accepts only on-line applications. Faxed, mailed, or e-mailed applications will not be considered. Applications are accepted until 11:55 p.m. on the job closing date. Applications and/or resumes should include relevant work history which indicates your qualifications for this position. Supplemental questions are encouraged to be answered in a comprehensive manner and reference any pertinent knowledge, skills, and abilities as well as any previous experience that relates to the position.

Employment is contingent upon satisfactory results of a state and federal criminal history background check and the Department of Social Service’s Child Abuse and Neglect Central Registry check, U.S. HHSIG Exclusion List check, employment reference check and E-Verify. Other financial, credit, driving, background checks or completion of Statement of Economic Interests may be required for certain positions.

It is the policy of the Commonwealth and VDH that all aspects of human resource management be conducted without regard to race (or traits historically associated with race including hair texture, hair type, and protective hairstyles such as braids, locks, and twists); sex; color; national origin; religion; sexual orientation; gender identity or expression; age; veteran status; political affiliation; disability; genetic information; and pregnancy, childbirth, or related medical conditions. VDH employees have a shared Code of Ethics, which can be found in the bottom banner of our website: www.vdh.virginia.gov.

If you have been affected by DHRM Policy 1.30 layoff and possess a valid Interagency Placement Screening Form (Yellow Card) or a Preferential Hiring Form (Blue Card), you must submit the card before the closing date for this position. The Card may be submitted with the state application as an attachment.

As a V3 (Virginia Values Veterans) employer VDH Welcomes Veterans to apply!

Contact Information

Name: Tori Altidor

Phone: N/A

Email: Tori.Altidor@vdh.virginia.gov

In support of the Commonwealth’s commitment to inclusion, we are encouraging individuals with disabilities to apply through the Commonwealth Alternative Hiring Process. To be considered for this opportunity, applicants will need to provide their AHP Letter (formerly COD) provided by the Department for Aging & Rehabilitative Services (DARS), or the Department for the Blind & Vision Impaired (DBVI). Service-Connected Veterans are encouraged to answer Veteran status questions and submit their disability documentation, if applicable, to DARS/DBVI to get their AHP Letter. Requesting an AHP Letter can be found at AHP Letter or by calling DARS at 800-552-5019.

Note: Applicants who received a Certificate of Disability from DARS or DBVI dated between April 1, 2022- February 29, 2024, can still use that COD as applicable documentation for the Alternative Hiring Process.