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Associate Chief Administrative Law Judge

Department of Health and Human Services
Office of the Secretary of Health and Human Services
Office of Medicare Hearings and Appeals
This job announcement has closed

Summary

"OMHA is a responsive forum for fair, credible, and timely decision-making through an accomplished, innovative, and resilient workforce. Each employee makes a difference by contributing to shaping American healthcare."

OMHA nationally administers the third level of appeals for the Medicare program. The Associate Chief ALJs within OMHA issue the decision of the Secretary (except for decisions reviewed by the Medicare Appeals Council) on appeals involving Medicare Parts A, B, C, and D, entitlements and premium rate increases. OMHA provides the basic mechanisms through which individuals and organizations dissatisfied with Medicare determinations affecting their rights in the Medicare program may obtain a hearing under the Social Security Act on these determinations. The OMHA offices incorporate state of the art video-teleconferencing and audio-teleconferencing technologies, automated data reporting and case management systems, and a variety of other office automation and IT technologies to aide Associate Chief ALJs and their staff in the adjudication of Medicare appeals.

In conformity with the Administrative Procedures Act, 5 U.S.C. 551, et. seq. as well as the Medicare provisions of the Social Security Act and their attendant regulations, OMHA ALJs make pre-hearing rulings, preside over formal hearings, decide post-hearing matters, and issue written decisions under authority delegated by the Secretary of HHS. Issues on appeal arise from Medicare coverage and payment determinations made by Medicare contractors, Medicare Advantage Organizations (MAOs), or Part D Plan Sponsors (PDPSs), and determinations related to Medicare eligibility and entitlement, and income-related premium surcharges made by the Social Security Administration (SSA) under sections 1869, 1155, 1876(c)(5)(B), 1852(g)(5), and 1860D-4(h) of the Social Security Act. The appeals are frequently complex, require the interpretation and application of federal statutes, regulations, and program policy, may be contested, and are subject to demanding time constraints.

Overview

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Hiring complete
Open & closing dates
05/23/2018 to 06/06/2018
Salary
$174,500 to - $174,500 per year
Pay scale & grade
AL 2
Locations
Phoenix, AZ
1 vacancy
New Orleans, LA
1 vacancy
Boston, MA
1 vacancy
Albuquerque, NM
1 vacancy
Travel Required
Occasional travel - You may be expected to travel for this position.
Relocation expenses reimbursed
Yes—You may qualify for reimbursement of relocation expenses in accordance with agency policy.
Appointment type
Permanent
Work schedule
Full-Time
Service
Supervisory status
Yes
Announcement number
HHS-OMHA-ALJ-18-10217645
Control number
500365900

This job is open to

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Clarification from the agency

Current Administrative Law Judge (ALJ) in the Federal service

Duties

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The Associate Chief ALJ plans, directs and coordinates the hearings activities for all cases coming under the jurisdiction of his or her field office.

Manages the maintenance of a control system to monitor status of all cases and provides statistical reports on the status of those cases. Charged with ensuring field office staff foster the continuous improvement of business processes and workflows and enhances the use of enabling technologies to operate successfully in "a fully electronic, paperless field office."

Assures that hearing proceedings conducted by the field office are in accord with procedural requirements of the Administrative Procedure Act and applicable Federal laws and HHS regulations.

Monitors the status of pending cases and recommends reasonable standards of quality, output, and productivity to assure the timely and expeditious processing of those cases to meet the Part A and B 90 day decisional timeframes.

Presides at hearings in some of the most difficult and controversial proceedings; develops the record in such proceedings from oral testimony and documentary evidence; independently studies and analyzes the evidence; and prepares decisions containing findings of fact, supporting rationale, conclusions of law, and resolution of the appeal.

Provides technical procedural guidance to ALJs and to other field office employees.

Requirements

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Conditions of employment

  • U.S. Citizenship required
  • Appointment will be subject to the applicant's successful completion of a background security investigation and favorable adjudication. All information concerning qualifications is subject to investigation.
  • All Federal employees are required to have Federal salary payments made by direct deposit to a financial institution of their choice.
  • All qualification requirements must be met by the closing date.
  • Financial disclosure statment is required.

Qualifications

MANDATORY QUALIFICATION: Candidates must currently hold an Administrative Law Judge (ALJ) position, at the AL-3 level or above for at least one year or be eligible for reinstatement to an ALJ position based on prior experience as an ALJ.

Desirable Qualifications (DQs): The summary should be formatted so that each desirable qualification is individually addressed.

  1. Experience in providing professional guidance, executive leadership, and oversight of adjudicatory hearings.
  2. Experience in overseeing and directing programs, issuing policies and procedures.
  3. Broad legal knowledge and ability to develop quickly a specialized knowledge of the Medicare program, law, adjudication procedures, and related matters.
  4. Experience in analyzing and deciding extremely difficult and complex technical, legal and organizational issues.
All Mandatory Qualification requirements must be met by the closing date of this announcement.

Education

This job does not have an education qualification requirement.

Additional information

Travel, transportation, and relocation expenses may be paid: Yes

Bargaining Unit Position: No

Drug Screening Required: No

Recruitment incentives may be authorized: No

Student loan repayment incentive may be authorized: No

Annual leave for non-federal service may be authorized: No

Special Hiring Authorities for Veterans - http://www.fedshirevets.gov/job/shav/index.aspx

Special Hiring Authorities for Military Spouses and Family Members - http://www.fedshirevets.gov/job/shav/index.aspx

People With Disabilities (Schedule A) - https://help.usajobs.gov/index.php/Individuals_with_Disabilities

Reasonable Accommodation: This agency provides reasonable accommodation to applicants with disabilities. If you need a reasonable accommodation for any part of the application and hiring process, please see Agency Contact Information for whom to contact for more info. The decision on granting reasonable accommodation will be made on a case-by-case basis. You must contact the HR contact on the vacancy announcement at least three business days before the closing date of this announcement to receive assistance.
For more information on disability employment, please visit https://www.opm.gov/policy-data-oversight/disability-employment/

Males born after December 31, 1959 must be registered or exempt from Selective Service - http://www.sss.gov

Career Transition Program: This program applies to Federal service employees whose positions have been deemed surplus or no longer needed, or employees who have been involuntarily separated from a Federal service position within the competitive service. To receive selection priority for this position, you must: 1) meet eligibility criteria for CTAP or ICTAP; 2) be rated well-qualified for the position; and 3) submit the appropriate documentation to support your CTAP or ICTAP eligibility. Well-Qualified includes those applicants whose knowledge, skills, and abilities clearly exceed the minimum qualification requirements for the position. For information on eligibility criteria and required documentation, go to: http://www.opm.gov/rif/employee_guides/career_transition.asp

Beginning January 1, 2010, agencies must seek prior approval from OPM before they can appoint a current or recent political appointee to a competitive or non-political excepted service position at any level under the provisions of title 5, United States Code. If you are currently or have been within the last 5 years, a political Schedule A, Schedule C, or Non-career SES employee in the executive branch, you MUST disclose that to the Human Resources Office.

If you are unable to apply online, please go to https://help.usastaffing.gov/Apply/index.php?title=Alternate_Application_Information for more information on our alternate application method.

How you will be evaluated

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

OMHA will evaluate applicants' qualifications based on the Mandatory and Desirable qualifications.

Do not overstate or understate your level of experience and capability. You should be aware that your submissions are subject to evaluation and verification. Later steps in the selection process may be used to verify your stated level of experience and capability. If a determination is made that you have rated yourself higher than is supported by your resume or background investigation you will be assigned a rating commensurate to your described experience. Deliberate attempts to falsify information may be grounds for not selecting you. If you are found to be among the top candidates, you will be referred to the selecting official for employment consideration and interview.

The selectee will be required to submit an Executive Personnel Public Financial Disclosure Report, SF-278, in accordance with the Ethics in Government Act of 1978, prior to the effective date of appointment and annually thereafter.

To preview the assessment questionnaire, click the following link:https://apply.usastaffing.gov/ViewQuestionnaire/10217645

SELECTIVE SERVICE: MALE APPLICANTS BORN AFTER 12/31/1959 must certify prior to job offer that they have registered with the Selective Service System, or are exempt from having to do so under Selective Service law.

NOTE: If you submit a resume but no questionnaire, you cannot be considered for the position. If you submit a questionnaire but no resume, you cannot be considered for the position. Your application will be appropriately documented and you will be removed from further competition against this announcement.

REGARDING INTERVIEWS: Interviews may be required for this position. Accommodations may be made to conduct telephonic interviews to preclude travel hardships for applicants.

NOTE: Declining to be interviewed or failure to report for a scheduled interview will be considered as a declination for further consideration for employment against this vacancy.

In accordance with 5 CFR 2635.704, applications will not be accepted in a postage paid government envelope.

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