Summary
The Centers for Medicare and Medicaid Services (CMS) seeks candidates to fill the Chairperson position for 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 is a Public Notice Flyer. Please read this is its entirety prior to submitting your application for consideration.
This job is open to
Clarification from the agency
Applications will be accepted from all U.S. Citizens.
Duties
- Serves as Chairperson of the five Member Provider Reimbursement Review Board, which adjudicates adversarial disputes over institutional reimbursement matters in the Medicare program.
- Coordinates and directs the administrative activities of the PRRB and the conduct of proceedings before the PRRB
- Plans and coordinates the distribution of PRRB Member workloads, including setting and adjusting short-term priorities, preparing schedules for workload flow, and monitoring progress to meet goals in issuing decisions.
- Presides over in hearings and decision conferences; reviews, writes, and edits decisions; develops the administrative record; and handles case management and disposition activities.
- Ensures the integrity and impartiality of the PRRB’s administrative process.
Requirements
Conditions of Employment
- U.S. Citizenship required.
- Background and/or Security Investigation required.
- Requires appointment by the Secretary of Health and Human Services.
- 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.
- Only experience obtained by the closing date of this announcement will be considered.
Qualifications
Ideal candidates will possess knowledge of reimbursement principles incorporated in Title XVIII of the Social Security Act and the PRRB regulations.
Desired qualifications include: 1) a law degree, C.P.A. designation, and/or experience with judicial and administrative processes; and 2) leadership/management experience.
Education
This job does not have an education qualification requirement.
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. Opens in a new windowLearn more about federal benefits.
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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.
Candidates must be knowledgeable in the field of Medicare Part A reimbursement and Medicare payment of providers. Desired qualifications will include experience in Federal administrative law, health law, and/or Medicare cost reports in addition to leadership experience as noted above.
References may be requested. An example of a candidate's written work product may be requested.
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
INSTRUCTIONS FOR SUBMITTING RESUMES AND SUPPORTING DOCUMENTATION
Qualified candidates should send required documents to: OHApplications@cms.hhs.gov
Please Include Application for PRRB Chairperson Vacancy in the subject line of your email.
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.).
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