Medicare Part Institutional Reimbursement Expert Provider Reimbursement Review Board

The Centers for Medicare and Medicaid Services (CMS) seeks candidates, including accountants and attorneys, to fill a vacant position on 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.

• Serves as a Member of the five Member Provider Reimbursement Review Board, which adjudicates adversarial disputes over institutional reimbursement matters in the Medicare program.
• Participates in hearings and decision conferences; reviews, writes, and edits decisions; develops the administrative record; and timely handles case management and disposition activities.
• Supports the Board Chairperson’s distribution of work, including monitoring progress to meet goals in timely issuing decisions and providing, as appropriate, feedback and updates on status.
• Ensures the integrity and impartiality of the PRRB’s administrative process.
• Maintains collegial relationships with fellow Board Members, Board Advisors and other Office of Hearings management and staff.

• U.S. Citizenship required.
• Background and/or Security Investigation required.
• The Ethics in Government Act, PL 95-521 requires the applicant selected for this position to submit a financial disclosure statement, OGE-450, prior to assuming this position, annually, and upon termination of employment.
• 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.
• Requires appointment by the Secretary of Health and Human Services.
• Only experience obtained by the closing date of this announcement will be considered.