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Job Description
Announcement Number: 610210200
Regional Office
7150 Pollock Drive
• Las Vegas, Nevada 89119
702-486-3545
• Fax 702-486-3569
• adsd.nv.gov
Joe Lombardo
Governor
Richard Whitley, MS
Director
DEPARTMENT OF
HEALTH AND HUMAN SERVICES
AGING AND DISABILITY SERVICES DIVISION
Helping people. It's who we are and what we do.
Dena Schmidt
Administrator
Aging and Disability Services Division
Ombudsman (U4922)
Annual salary up to $110,353
The Aging and Disability Services Division (ADSD) is accepting resumes for qualified applicants for the unclassified
position of Ombudsman for the Office of Consumer Health Assistance Program (OCHA). ADSD provides an atmosphere
of innovative thinking, teamwork, and promotes a positive work environment. The mission of ADSD is to empower
individuals and their support systems by providing resources for disabilities and aging - connecting Nevadans to services
and improving their quality of life.
DESCRIPTION: The Ombudsman serves as a dedicated advocate and educator for consumers, focusing on addressing and
resolving their healthcare-related concerns. This role is crucial in ensuring that consumers understand their rights, receive
appropriate assistance, and navigate healthcare systems effectively.
Ombudsman assists consumers in understanding their rights and responsibilities under health care plans, including, without
limitation, the Public Employees' Benefits Program, and policies of industrial insurance. This position assists consumers
with filing appeals for medical and dental services. The incumbent will assist consumers with filing quality of care
complaints against health care facilities and providers. This position provides information regarding access to health care
resources to the uninsured and underinsured. The incumbent will help guide injured workers through the Nevada Workers'
Compensation process. The Ombudsman helps identify financial assistance programs to assist with medical costs. This
position assigns external review organizations concerning adverse determinations from a health insurance carrier. The
incumbent will perform arbitrations to resolve disputes between out-of-network providers of health care/ facilities and health
plans involving claims of less than $5000 for medically necessary emergency services.
The Ombudsman will build and maintain collaborative relationships with insurers, medical providers, social services, and
government agencies, maintain a current knowledge of trends, policies, resources, and laws pertaining to insurance benefits,
including insurance laws and regulations.
The incumbent will take such actions as are necessary to ensure public awareness of the existence and purpose of the services
provided by OCHA to include preparing and conducting outreach presentations.
Statewide travel may be required. Flexibility in working non-standard hours for outreach events is required.
Regional Office
7150 Pollock Drive
• Las Vegas, Nevada 89119
702-486-3545
• Fax 702-486-3569
• adsd.nv.gov
EDUCATION AND EXPERIENCE: Bachelor's degree from an accredited college or university in business administration, health
care administration, public health, social work, public relations, education, or a related field and three years of professional experience
that includes establishing and maintaining collaborative relationships with a variety of individuals and groups, applying knowledge of
health insurance laws and requirements and health care assistance programs (e.g., health insurance claims processing and benefits
coordination; workers compensation claims processing; hospital billing practices and charity policies; application processes and patient
advocacy for general health care assistance programs such as Medicare and Medicaid), creating and providing presentations to target
groups, researching and writing educational or marketing materials; OR an equivalent combination of education and experience.
PREFERRED EXPERIENCE: Ability to work proficiently within MS Products, such as Word, Excel, Outlook, TEAMS
Position Location: Las Vegas, Reno or Carson City, Nevada
SALARY AND Benefits: Compensation is up to $110,353 annual salary. Salary Range reflects retirement (PERS)
contributions by both the employee and employer. An employer paid contribution plan is available with a reduced gross
salary. Excellent benefits package of medical, dental and vision care, as well as life and disability insurance; paid
holidays; generous leave benefits; contribution to the secure defined-benefit retirement plan (NV PERS) and no state,
county, city, or social security tax. Other employee benefits such as deferred compensation plans are available. State
employees do not contribute to Social Security. Long-term employees enjoy additional benefits. For additional
information, please visit the Nevada Division of Human Resource Management at http://hr.nv.gov/, the Nevada Public
Employees Benefits at http://pebp.state.nv.us/, and the Public Employees Retirement System of Nevada at
http://nvpers.org/.
For further information or to apply, please submit your resume or Curriculum Vitae with a letter of interest, three (3)
professional references along with responses to the following questions to:
1. Do you have direct involvement in licensing, certification or accreditation of a health care facility, insurer or provider of
health care?
2. Do you have direct ownership interest or investment interest in a health care facility, insurer or provider of health care?
3. Are you employed by, or participating in the management of a health care facility, insurer or provider of health care?
4. Do you receive or have the right to receive, directly or indirectly, remuneration pursuant to any arrangement for
compensation with a health care facility, insurer or provider of health care?
Cristina Petrilla
Human Resources Analyst 2
7150 Pollock Drive
Las Vegas, NV 89119
T: (702) 486-6516
cristina@adsd.nv.gov
In the Subject line, please reference: Ombudsman (U4922)
Resumes will be accepted until recruitment needs are satisfied. ADSD is an equal Employment Opportunity/Affirmative
Action in recruitment of its employees and does not discriminate based on race, color, national origin, religion or belief,
age, sex, sexual orientation, pregnancy, genetic information (GINA), or gender identity and expression.
Aging and Disability Services Division is dedicated to assisting all of Nevada's older adults as well as children
and adults with disabilities or special health care needs, to live independent, meaningful, and dignified lives to
the greatest extent possible!
Closing Date/Time: Until recruitment needs are satisfied -
ABOUT THE COMPANY
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State of Nevada
Show moreThe presence of Nevada's earliest inhabitants, beginning about 12,400 years ago, is marked by many petroglyphs and archaeological sites. Baskets, decoys, and ingenious traps are evidence of the resourcefulness of these early people in a harsh and arid environment.
European explorers traveled through Nevada in the early 19th century, but it was not until 1851 that the first settlements were established. An Act of Congress created the Territory of Nevada on March 2, 1861. James W. Nye of New York was appointed Nevada's first Territorial Governor by President Abraham Lincoln later that year. On October 31, 1864, President Lincoln proclaimed Nevada's admission to the Union as the 36th state. The State's first elected Governor, Henry Blasdel, took office on December 5, 1864.
Today, Nevada is the nation's seventh largest state in land area. Several hundred mountain ranges cross its landscape, many with elevations over 10,000 feet. In contrast, the State's lowest point (along the Colorado River) is only 470 feet above sea level. From majestic mountains to desert valleys, nature has endowed Nevada with diverse and unique ecosystems.
The Nevada Legislature has honored the State's natural resources and cultural heritage with a variety of State designations described below.
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