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ATTORNEY ADVISER
Centers for Medicare & Medicaid Services · Posted 53 days ago
About the Role
This position is located in the Department of Health & Human Services (HHS), Centers for Medicare & Medicaid Services (CMS), Office of Strategic Operations and Regulatory Affairs (OSORA), Office of Attorney Advisor (OAA). As a ATTORNEY ADVISER, GS-0905-14, you will review administrative adjudicatory decisions for the purpose of identifying and analyzing complex legal issues in order to provide advice and recommend actions concerning these issues and to develop proposed agency actions.
What You'll Do
- →Review and analyze decisions and records of the Provider Reimbursement Review Board (PRRB).
- →Develop recommendations for the Administrator’s/Deputy Administrator’s approval as to proposed agency actions.
- →Coordinate and develop agency’s position concerning adverse court decisions which subsequently may result from administrative adjudicatory decisions.
- →Evaluate and respond to legal and technical arguments advanced by sophisticated legal and actuarial counsel representing Medicare Advantage organizations in proceedings involving very large sums of money.
- →Analyze and resolve highly complex issues at the intersection of Medicare Advantage law, actuarial methodology, and medical coding standards, where cases are frequently of first impression as the RADV program continues to evolve.
Requirements
- ✓Education Requirement: In addition to meeting the qualification requirements, HHS Attorney positions have a minimum requirement of a Juris Doctorate (J.D.) or Bachelor of Laws (LL.B.) from an accredited school.
- ✓TRANSCRIPTS are required to verify satisfactory completion of the educational requirement listed above.
- ✓Failure to submit a copy of your transcripts at the time of application WILL result in an ineligible rating.
- ✓Please see "Required Documents" section below for what documentation is required at the time of application.
- ✓Click the following link to view the occupational questionnaire: https://apply.usastaffing.gov/ViewQuestionnaire/13000947
Personality Fit
Job ID: 42ff00ab-dfdc-498d-b346-1238f8a63581
Posted via USAJobs