Summary

The Centers for Medicare and Medicaid Services (CMS) seeks candidates, including accountants and attorneys, to fill a vacant position on the Provider Reimbursement Review Board (PRRB). The PRRB is an independent five-member panel that adjudicates disputes over institutional reimbursement matters in the Medicare program.

This job is open to

The public

U.S. Citizens, Nationals or those who owe allegiance to the U.S.

Duties

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.

Requirements

Conditions of employment

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.

Qualifications

Candidates must be knowledgeable in the field of Medicare Part A reimbursement and Medicare payment of providers.

Ideal candidates will have experience in Medicare Part A payment matters, administrative or judicial review, health law and/or Medicare cost reports. References will be requested.

An example of a candidate's written work product may be requested.

Education

This job does not have an education qualification requirement.

Additional information

PRRB Members are appointed to a three-year term by the Secretary of the Department of Health and Human Services, with the possibility of reappointment for two additional terms of three years in length. Service on the PRRB offers substantial responsibility and work that is intellectually engaging and professionally rewarding. The matters that come before the PRRB often involve complex or novel legal questions and decisions issued by the PRRB are commonly litigated in Federal court and on occasion reach the U.S. Supreme Court.

Veteran's Preference does not apply to the PRRB.

This position does not confer non-competitive conversion to the competitive service. Acceptance of an excepted service appointment from applicants in the competitive service will require a written statement of understanding when voluntarily leaving the competitive service.

PRRB Members must reside in the Baltimore, Maryland commuting area, which includes the surrounding localities in which people live and can reasonably be expected to travel back and forth daily.

Workplace Flexibility at CMS: This position has a regular and recurring reporting requirement to the CMS office listed in this announcement. CMS offers flexible working arrangements and allows employees the opportunity to participate in alternative work schedules at the manager's discretion.

Candidates should be committed to improving the efficiency of the Federal government, passionate about the ideals of our American republic, and committed to upholding the rule of law and the United States Constitution.

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. Opens in a new windowLearn more about federal benefits.

Review our benefits

Eligibility for benefits depends on the type of position you hold and whether your position is full-time, part-time or intermittent. Contact the hiring agency for more information on the specific benefits offered.

How you will be evaluated

You will be evaluated for this job based on how well you meet the qualifications above.

Required Documents

A complete application consists of the following:

Cover letter. Address demonstrated interests and qualifications as it relates to the position.
Resume showing relevant experience. Your resume should list your educational and work experience, including the dates (mm/dd/yyyy) and provide the hours per week, if less than 40.

Failure to provide documents, if selected, may result in lost consideration.
Please DO NOT put your SSN on pages within your application package. Privacy Act - Privacy Act Notice (PL 93-579): The information requested here is used to determine qualifications for employment and is authorized under Title 5 U.S.C. 3302 and 3361.

How to Apply

Qualified candidates should send required documents to:

OHApplications@cms.hhs.gov

Please Include Application for PRRB Vacancy in the subject line of your email.

Agency contact information

Abolade Thomas

Phone: (341)895-0743
Email: abolade.thomas@cms.hhs.gov

Address: Offices of Hearings and Inquiries
7500 Security Blvd
Woodlawn, MD 21244
US

Next steps

Once your application is received we will determine your eligibility. You will only be contacted if you are found eligible and if you are selected for an interview. Applicants selected for interviews may be requested to provide a writing sample.

By submitting your application, you are certifying the accuracy of the information contained in your application. If you make a false statement in any part of your application, you may not be hired; you may be terminated after you begin work; or, you may be fined or jailed.

After making a tentative job offer, we will conduct a suitability/security background investigation.

You will be required to submit official documentation prior to appointment. The agency will then verify the information provided on your application (i.e., resume, degree transcript, writing sample,etc.).

Medicare Part A Institutional Reimbursement Expert for Provider Reimbursement Review Board Job in Woodlawn, MD