Medicare Training Coordinator (CURRICULUM DESIGNER)
State of Washington
RecentPosted Jan 5
Older Listing
Posted: December 19, 2025 (26 days ago)
This job has been posted for 2-4 weeks. Consider applying soon if interested.
Medicare Part A Institutional Reimbursement Expert for Provider Reimbursement Review Board
Centers for Medicare & Medicaid Services
Department of Health and Human Services
Job Description
Summary
This role involves serving on a five-member panel that resolves disputes about how hospitals and other providers get paid under Medicare's hospital insurance program.
You'll participate in hearings, review cases, write decisions, and ensure fair processes while working closely with colleagues.
It's a great fit for experienced accountants or lawyers with deep knowledge of Medicare payments and a knack for impartial decision-making.
Key Requirements
- Strong knowledge of Medicare Part A reimbursement and provider payments
- Experience in Medicare Part A payment matters
- Background in administrative or judicial review processes
- Expertise in health law and/or Medicare cost reports
- Ability to participate in hearings, write and edit decisions, and manage cases
- Skills in maintaining impartiality and collegial relationships in a team setting
- Availability to provide writing samples and references upon request
Full Job Description
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.
Candidates must be knowledgeable in the field of Medicare Part A reimbursement and Medicare payment of providers.
Ideal candidates will have experience in Medicare Part A payment matters, administrative or judicial review, health law and/or Medicare cost reports. References will be requested.
An example of a candidate's written work product may be requested.
Major Duties:
- 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.
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