ATTORNEY ADVISER

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. ALL QUALIFICATION REQUIREMENTS MUST BE MET BY THE CLOSING DATE OF THIS ANNOUNCEMENT. Your resume (limited to no more than 2 pages) must include detailed information as it relates to the responsibilities and specialized experience for this position. Evidence of copying and pasting directly from the vacancy announcement without clearly documenting supplemental information to describe your experience will result in an ineligible rating. This will prevent you from receiving further consideration. In order to qualify for the GS-14, you must meet the following: You must demonstrate in your resume at least one year (52 weeks) of qualifying specialized experience equivalent to the GS-13 grade level in the Federal government, obtained in either the private or public sector, to include: 1) Analyzing legal issues to draft decisions or documents; AND (2) Interpreting legislation or materials to advise management on how to proceed; AND (3) Utilizing policies and legislation to review or edit documents for compliance. AND Proof that bar status is active, in good standing and eligible to practice in the highest court of a State, U.S. commonwealth, U.S. territory, or the District of Columbia AND License: A current, valid license with eligibility to practice law in a state, the District of Columbia, or any United States territory or commonwealth is a continuing condition of employment for Federal attorneys. 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, spiritual, community, student, social). Volunteer work helps build critical competencies, knowledge, and skills, and can provide valuable training and experience that translates directly to paid employment. You will receive credit for all qualifying experience, including volunteer experience. 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. Education 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