USAJOBS · 1 month ago
Medicare Part A Institutional Reimbursement Expert for Provider Reimbursement Review Board
Woodlawn, Maryland, USA
Full-time
Hybrid
Senior Level
$189K/yr - $189K/yrThe Centers for Medicare and Medicaid Services (CMS) seeks candidates to fill a vacant position on the Provider Reimbursement Review Board (PRRB). The role involves adjudicating disputes over institutional reimbursement matters in the Medicare program and requires participation in hearings, decision conferences, and case management activities.
ConsultingGovernmentHuman ResourcesInformation TechnologyInternetStaffing Agency
No H1B
U.S. Citizen Only
Responsibilities
Serves as a Member of the five Member Provider Reimbursement Review Board, which adjudicates adversarial disputes over institutional reimbursement matters in the Medicare program
Participates in hearings and decision conferences; reviews, writes, and edits decisions; develops the administrative record; and timely handles case management and disposition activities
Supports the Board Chairperson’s distribution of work, including monitoring progress to meet goals in timely issuing decisions and providing, as appropriate, feedback and updates on status
Ensures the integrity and impartiality of the PRRB’s administrative process
Maintains collegial relationships with fellow Board Members, Board Advisors and other Office of Hearings management and staff
Qualification
Required
U.S. Citizenship required
Background and/or Security Investigation required
The Ethics in Government Act, PL 95-521 requires the applicant selected for this position to submit a financial disclosure statement, OGE-450, prior to assuming this position, annually, and upon termination of employment
All male applicants born after December 31, 1959, must have registered for the selective service. You will be required to sign a statement certifying his registration, or the applicant must demonstrate exempt status under the Selective Service Law
Requires appointment by the Secretary of Health and Human Services
Only experience obtained by the closing date of this announcement will be considered
Candidates must be knowledgeable in the field of Medicare Part A reimbursement and Medicare payment of providers
Preferred
Ideal candidates will have experience in Medicare Part A payment matters, administrative or judicial review, health law and/or Medicare cost reports
An example of a candidate's written work product may be requested
Benefits
A career with the U.S. government provides employees with a comprehensive benefits package.
As a federal employee, you and your family will have access to a range of benefits that are designed to make your federal career very rewarding.
Company
USAJOBS
USAJOBS enables federal job seekers to access job opportunities across hundreds of federal agencies and organizations.
Founded in 1996
10001+ employees
Funding
Current Stage
Late StageRecent News
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