Overview

<b>Duties</b><br /><br /><b>Summary</b><br /><br />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.<br /><br />Learn more about this agency <br /><br /><b>Responsibilities</b><br /><br /><strong>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.</strong><br /><br /><strong>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.</strong> <br /><br />Incumbent serves as a Senior Attorney Advisor performing the following duties: <ul> <li>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.</li> <li>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.</li> <li>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.</li> <li>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.</li> <li>Reviews and comments on proposals for changes to new or existing management and administrative policies and procedures affecting the adjudication process.</li> <li>May be designated to perform the role of Attorney Adjudicator which entails reviewing administrative records and drafting appropriate orders for certain actions.</li> </ul> <br /><br /><b>Travel Required</b><br /><br />Not required<br /><br />Supervisory status <br /> No <br /><br />Promotion Potential <br /> 13 <br /><br /></li> <b>Requirements</b><br /><br /><b>Conditions of Employment</b><br /><br /><ul> </ul> <br /> <li><strong>Security and Background Requirements:</strong> If not previously completed, a background security investigation will be required for all appointees . Appointment will be subject to the applicant's successful completion of a background security investigation and favorable adjudication. Failure to successfully meet these requirements may be grounds for appropriate personnel action. In addition, if hired, a background security reinvestigation or supplemental investigation may be required at a later time. Applicants are also advised that all information concerning qualifications is subject to investigation. False representation may be grounds for non-consideration, non-selection and/or appropriate disciplinary action.</li> <li><strong>E-Verify:</strong> If you are selected for this position, the documentation that you present for purposes of completing the Department of Homeland Security (DHS) Form I-9 will be verified through the DHS "E-Verify" System. Federal law requires DHS to use the E-Verify System to verify employment eligibility of all new hires and as a condition of continued employment obligates the new hire to take affirmative steps to resolve any discrepancies identified by the system. The U.S. Department of Health and Human Services is an E-Verify participant.</li> <li><strong>Direct Deposit: </strong>All Federal employees are required to have Federal salary payments made by direct deposit to a financial institution of their choice.</li> <li>All qualification requirements must be met by the closing date of the announcement.</li> <li>Financial disclosure statement may be required: No</li> <li>Travel, transportation, and relocation expenses may be paid: No</li> <li>Bargaining Unit Position: Yes</li> <li>Drug Screening Required: No</li> <li>Recruitment incentives may be authorized: No</li> <li>Student loan repayment incentive may be authorized: No</li> <li>Annual leave for non-federal service may be authorized: No</li> <li>Two (2) year trial period may be required.</li> <li>U.S. Citizenship Required: Yes</li> <li>Registered or exempt from Selective Service ( www.sss.gov ). Yes, if applicable</li> <li>Suitable for federal employment: Yes</li> <li> <strong>This position is in the Excepted Service and will not be converted into a permanent position in the competitive service.</strong> </li> This announcement may be used to make additional selections across the U.S. Department of Health and Human Services. <br /><br /><b>Qualifications</b><br /><br /><strong>Minimum Qualification Criteria for Attorneys:<br /><br />EDUCATION: </strong>Successful completion of a full course of study in a school of law accredited by the American Bar Association through which you have attained the first professional law degree, i.e. LLB, or J.D.<br /><br /><strong>NOTE</strong>: A transcript is required to substantiate possession of the required and claimed education. Unofficial transcripts (including screen-prints from your school's web portal) are acceptable for initial application; however the unofficial transcript must show your name, the name of the educational institution, the degree awarded, and the conferred/awarded date. Self-prepared transcripts will not be accepted. Official transcripts are required prior to appointment.<br /><br /><strong>BAR MEMBERSHIP</strong>: All attorney positions require current active bar membership. Admission to the bar of any State, territory, Commonwealth of Puerto Rico, District of Columbia, or Federal Court is acceptable. Employees must maintain active bar membership while employed as an attorney with HHS/OMHA.<br /><br /><strong>NOTE: </strong>You MUST provide <strong>proof that you are authorized to practice law. </strong>Such proof can include a current active bar card, a screen print from a bar website that reflects you are an active member of the bar or a letter/certificate from the bar certifying that you are licensed and authorized to practice law. Proof (bar card, screen print, letter/certificate) must be dated within one year of the announcement. If using a screen print, make sure it is clear what date the screen print was taken.<br /><br /><strong>Grade Specific Qualifications:</strong><br /> In addition to the minimum qualifications above, for the GS-13 Senior Attorney Advisor position, candidates must have two (2) years of professional legal experience after admission to the bar with one year commensurate with the duties of the position and at least one year of experience is equivalent to the GS-12 grade level in the Federal service.<br /><br />Documenting experience: In accordance with Office of Personnel Management policy, federal employees are assumed to have gained experience by performing duties and responsibilities appropriate for their official series and grade level as described in their position description. Experience that would not normally be part of the employee's position is creditable, however, when documented by satisfactory evidence, such as a signed memorandum from the employee's supervisor or an SF-50 or SF-52 documenting an official detail or other official assignment. The documentation must indicate whether the duties were performed full time or, if part time, the "percentage of times" the other duties were performed. It is expected that this documentation is included in the employee's official personnel record. In order to receive credit for experience in your resume that is not within the official series and grade level of your official position, you must provide a copy of the appropriate documentation of such experience as indicated above.<br /><br />Experience refers to paid and unpaid experience, including volunteer work done through national Service programs (e.g., Peace Corps, AmeriCorps) and other organizations (e.g., professional; philanthropic; religious; community; student; social). Volunteer work helps build critical competencies, knowledge, and skills and can provide valuable training and experience that translates directly to gain employment. You will receive credit for all qualifying experience, including volunteer experience. If such experience is on a part-time basis, you must provide the average number of hours worked per week as well as the beginning and ending dates of the experience so it can be fully credited. <br /><br /><b>Education</b><br /><br />Foreign Education: If you are using education completed in foreign colleges or universities to meet the qualification requirements, you must show that the education credentials have been evaluated by a private organization that specializes in interpretation of foreign education programs and such education has been deemed equivalent to that gained in an accredited U.S. education program; or full credit has been given for the courses at a U.S. accredited college or university. For further information, visit: http: www.ed.gov. <br /><br /><b>Additional information</b><br /><br />Special Hiring Authorities for Veterans – http: www.fedshirevets.gov/job/shav/index.aspx <br /><br />Special Hiring Authorities for Military Spouses and Family Members – http: www.fedshirevets.gov/job/shav/index.aspx <br /><br />People With Disabilities (Schedule A) – https: help.usajobs.gov/index.php/Individuals_with_Disabilities <br /><br /><strong>Reasonable Accommodation: </strong>This agency provides reasonable accommodation to applicants with disabilities. If you need a reasonable accommodation for any part of the application and hiring process, please see Agency Contact Information for whom to contact for more info. The decision on granting reasonable accommodation will be made on a case-by-case basis. You must contact the HR contact on the vacancy announcement at least three business days before the closing date of this announcement to receive assistance.<br /> For more information on disability employment, please visit https: www.opm.gov/policy-data-oversight/disability-employment/ <br /><br />Males born after December 31, 1959 must be registered or exempt from Selective Service – http: www.sss.gov <br /><br /><strong>Career Transition Program</strong>: This program applies to Federal service employees whose positions have been deemed surplus or no longer needed, or employees who have been involuntarily separated from a Federal service position within the competitive service. To receive selection priority for this position, you must: 1) meet eligibility criteria for CTAP or ICTAP; 2) be rated well-qualified for the position; and 3) submit the appropriate documentation to support your CTAP or ICTAP eligibility. Well-Qualified includes those applicants whose knowledge, skills, and abilities clearly exceed the minimum qualification requirements for the position. For information on eligibility criteria and required documentation, go to: http: www.opm.gov/rif/employee_guides/career_transition.asp<br /><br />Beginning January 1, 2010, agencies must seek prior approval from OPM before they can appoint a current or recent <strong>political appointee </strong>to a competitive or non-political excepted service position at any level under the provisions of title 5, United States Code. If you are currently or have been within the last 5 years, a political Schedule A, Schedule C, or Non-career SES employee in the executive branch, you <strong>MUST </strong>disclose that to the Human Resources Office.<br /><br />If you are unable to apply online, please go to https: help.usastaffing.gov/Apply/index.php?title=Alternate_Application_Information for more information on our alternate application method. <br /><br /><b>How You Will Be Evaluated</b><br /><br />You will be evaluated for this job based on how well you meet the qualifications above.<br /><br />Your application package will be evaluated relative to the qualifications set forth above. Please follow all instructions carefully. Errors or omissions may affect your eligibility.<br /><br />Veterans' Preference: There is no formal rating system for applying veterans' preference to attorney appointments in the excepted service; however the Department of Health and Human Services considers veterans' preference eligibility as a positive factor in attorney hiring. Applicants eligible for veterans' preference must include that information in their resume and attach supporting documentation (e.g. the DD-214 Certificate of Release or Discharge from Active Duty (Member 4 copy) and other supporting documentation) to their submissions. Although the "point" system is not used, per se, applicants eligible to claim 10 point preference must submit Standard Form SF-15, Application for 10 point Veteran Preference, and submit the supporting documentation required for the specific type of preference claimed (visit the OPM website, www.opm.gov/forms/pdf_fill/SF15.pdf for a copy of SF-15 which lists the types of 10-point preferences and the required supporting documents). Applicants should note that SF-15 requires supporting documentation associated with service-connected disabilities or receipt of non-service-connected disability pensions to be dated 1991 or later except in the case of service members submitting official statement or retirement orders from a branch of the Armed Forces showing that his or her retirement was due to a permanent service-connected disability or that he/she was transferred to the permanent disability retired list (the statement or retirement orders must indicate that the disability is 1-% or more). <br /><br /><b>Background checks and security clearance</b><br /><br />Security clearance <br /> Other <br /><br />Drug test required <br /> No <br /><br /></li> <b>Required Documents</b><br /><br /><strong>Please ensure you read the requirements of this vacancy announcement entirely. Failure to submit all required documents will result in an ineligible rating. </strong> <br /><br />The following information must be received by 11:59 pm (EST) on the closing date of the announcement. <ul> <li>Your Resume must clearly articulate how your skills and experiences align to the criteria defined in the qualifications section of this announcement and it must support your responses to the announcement questionnaire. For each position you must describe your duties, accomplishments, related skills, and responsibilities. Your resume must also include the day, month, and year that you began and ended for each position held. Full-time employment will be assumed unless otherwise stated on your resume. Part-time employment will be prorated in crediting experience. Not providing this information may result in the lowering of your score or an ineligible rating. For resume writing guidance, please visit the USAJobs Resource Center or view their video tutorial .</li> <li>Proof that you are authorized to practice law. Such proof can include a current active bar card, a screen print from a bar website that reflects you are an active member of the bar or a letter/certificate from the bar certifying that you are licensed and authorized to practice law. Proof (bar card, screen print, letter/certificate) must be dated within one year of the announcement. If using a screen print, make sure it is clear what date the screen print was taken.</li> <li>Transcript. A transcript is required to substantiate possession of the required and claimed education. Unofficial transcripts (including screen-prints from your school's web portal) are acceptable for initial application; however the unofficial transcript must show your name, the name of the educational institution, the degree awarded, and the conferred/awarded date. Self-prepared transcripts will not be accepted. Official transcripts are required prior to appointment.</li> <li>A one-page statement explaining why you are interested in the position and summarizing your skills and experience in health and/or administrative law and policy.</li> </ul> <strong>Applicants must also submit the following supporting document type(s) if applicable to them.</strong> <ul> <li>Notification of Personnel Action (SF-50) – current or former federal employees must submit a copy of their most recent SF-50 to support their eligibility claim. SF-50 must show Grade, Step, Salary, Tenure and Position Occupied.</li> <li>Schedule A letter</li> <li><strong>Veterans' Preference documentation:</strong> <ul> <li>Must submit a copy of your DD Form 214, Certificate of Release or Discharge from the armed forces that has the dates of service and discharge status.</li> <li><strong>Active Duty Members:</strong> To claim status Under the VOW (Veterans Opportunity to Work) to hire Heroes Act of 2011, submit written documentation from the armed forces that certifies the service member is expected to be discharged or released from active duty service in the armed forces under honorable conditions not later than 120 days after the date the certification is submitted with your application package.</li> </ul> </li> <li>ICTAP/CTAP Documentation</li> </ul> You are not required to submit official documents at this time; copies are sufficient. <br /><br /><b>If you are relying on your education to meet qualification requirements:</b><br /><br />Education must be accredited by an accrediting institution recognized by the U.S. Department of Education in order for it to be credited towards qualifications. Therefore, provide only the attendance and/or degrees from schools accredited by accrediting institutions recognized by the U.S. Department of Education . <br /><br />Failure to provide all of the required information as stated in this vacancy announcement may result in an ineligible rating or may affect the overall rating.


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