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.
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.
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 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.
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.
Additional information
PRRB 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.
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.
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.
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.
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.
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.
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.).
The Federal hiring process is set up to be fair and transparent. Please read the following guidance.
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.
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.).
Fair and transparent
The Federal hiring process is set up to be fair and transparent. Please read the following guidance.
