PROVIDER REIMBURSEMENT REVIEW BOARD CHAIRPERSON (PUBLIC NOTICE FLYER)

Company: Department Of Health And Human Services
Location: Baltimore
Posted on: October 23, 2024

Job Description:

DutiesServes 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 PRRBPlans 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 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 EmploymentU.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. QualificationsIdeal 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. Additional informationPRRB Members, including the Chairperson, are appointed to a three-year term by the Secretary of the Department of Health and Human Services, with the possibility of reappointment for an additional three years. 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. Additionally, PRRB Members may choose to work remotely on a regular basis but must remain available to report to the office in Baltimore, Maryland on both a scheduled and ad hoc basis.To ensure compliance with an applicable preliminary nationwide injunction, which may be supplemented, modified, or vacated, depending on the course of ongoing litigation, the Federal Government will take no action to implement or enforce Executive Order 14043 Requiring Coronavirus Disease 2019 Vaccination for Federal Employees. Therefore, to the extent a federal job announcement includes the requirement to be fully vaccinated against COVID-19 pursuant to Executive Order 14043, that requirement does not currently apply. Positions with vaccination requirements under authority(ies) separate and distinct from Executive Order 14043 will be clearly identified. HHS may continue to require documentation of proof of vaccination to ensure compliance with those policies. Health and safety protocols remain in effect, in accordance with CDC guidance and the Safer Federal Workforce Task force. Consistent with current guidance, workplace safety protocols will no longer vary based on vaccination status or otherwise depend on the availability of vaccination information. Therefore, to the extent a job announcement states that HHS may request information regarding the vaccination status of selected applicants for the purposes of implementing workplace safety protocols, this statement does not currently apply. Help 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 benefitsEligibility 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 EvaluatedYou 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.

Keywords: Department Of Health And Human Services, Columbia , PROVIDER REIMBURSEMENT REVIEW BOARD CHAIRPERSON (PUBLIC NOTICE FLYER), Other , Baltimore, Maryland