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.

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

• 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.

Contacts

• Address Offices of Hearings and Inquiries 7500 Security Blvd Woodlawn, MD 21244 US
• Name: Abolade Thomas
• Email: [email protected]