Arlington, VA, United States
Posted August 06, 2019
Senior Attorney Advisor
Office of the Secretary of Health and Human Services
The Office of Medicare Hearings and Appeals (OMHA) administers the third level of appeals nationwide for the Medicare program, ensuring that beneficiaries, providers, and suppliers have access to an independent forum and an opportunity for a hearing. OMHA's mission is to be a responsible 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 health care.
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PLEASE NOTE: THIS VACANCY IS LIMITED TO THE FIRST 150 APPLICATIONS RECEIVED AND WILL CLOSE AT 11:59PM (EST) ON THE CLOSING DATE OR AT 11:59PM (EST) ON THE DATE THE 150TH APPLICATION IS RECEIVED, WHICHEVER COMES FIRST.
NOTE: Current OMHA employees may be able to remain in their current location to perform the duties of this position. Salary will be adjusted based on duty location.
Incumbent serves as a Senior Attorney Advisor performing the following duties:
Provides expert technical legal advice and guidance in the formulation and development of practices and procedures that relate to the field in the areas of program, management, and operations, and regarding the disposition of issues in pending appeals.
Handles novel issues that are likely to set important precedents within the field of laws and regulations governing Medicare Part A, B, C, and/or D benefit claim appeals.
Works on highly complex problems, proposed legislation, or proposed changes in Medicare policies or regulations that may have an effect on OMHA operations and/or the adjudication process OMHA administers.
Performs studies and conducts research to design and create new initiatives in thearea of case processing to increase service to OMHA customers and/or meet legal requirements.
Reviews and comments on proposals for changes to new or existing management and administrative policies and procedures affecting the adjudication process.
May be designated to perform the role of Attorney Adjudicator which entails reviewing administrative records and drafting appropriate orders for certain actions.