Attorney Adviser

• 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.

Requirements:
Conditions of Employment:

• You must be a U.S. Citizen or National to apply for this position.
• You will be subject to a background and suitability investigation.

Qualifications:
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:

• Analyzing Legal Issues to Draft Decisions or Documents; And
• Interpreting Legislation or Materials to Advise Management on How to Proceed; And
• 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, Ameri Corps) 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.

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/view Questionnaire/13000947

Additional Information:

• Bargaining Unit Position: Yes-American Federation of Government Employees, Local 1923
• Tour of Duty: Flexible
• Recruitment Incentive: Not Authorized
• Relocation Incentive: Not Authorize
• Financial Disclosure: Required-Oge-450

Workplace Flexibility at Cms: This Position Has a Regular and Recurring Reporting Requirement to The Cms Office Listed in This Announcement. Cms Offers Flexible Working Arrangements and Allows Employees the Opportunity to Participate in Alternative Work Schedules at The Manager's Discretion.

The Interagency Career Transition Assistance Plan (ictap) and Career Transition Assistance Plan (ctap) Provide Eligible Displaced Federal Employees with Selection Priority Over Other Candidates for Competitive Service Vacancies. to Be Qualified You Must Submit the Required Documentation and Be Rated Well-Qualified for This Vacancy. Click Here for A Detailed Description of The Required Supporting Documents (http://www.cms.gov/About-CMS/Career-Information/CareersatCMS/Downloads/RequiredDocuments-.pdf). a Well-Qualified Applicant Is One Whose Knowledge, Skills and Abilities Clearly Exceed the Minimum Qualification Requirements of The Position. Additional Information About Ictap and Ctap Eligibility Is on Opm's Career Transition Resources Website at Www.Opm.Gov/rif/employee_Guides/career_Transition.Asp.

Additional Information:
Candidates Should Be Committed to Improving the Efficiency of The Federal Government, Passionate About the Ideals of Our American Republic, and Committed to Upholding the Rule of Law and The United States Constitution.

Benefits:

A Career with The U.S. Government Provides Employees with A Comprehensive Benefits Package. as A Federal Employee, You and Your Family Will Have Access to A Range of Benefits that Are Designed to Make Your Federal Career Very Rewarding. Learn More About Federal Benefits. (https://help.usajobs.gov/working-in-government/benefits?_gl=1*1o2inin*_ga*NjQ0MjQ5MzQ5LjE3MjU1OTI5OTA.*_ga_CLZB1LJ1VZ*czE3ODQ4NzA1NzkkbzgkZzEkdDE3ODQ4NzA1ODIkajU3JGwwJGgw)

Review Our Benefits (https://help.usajobs.gov/working-in-government/benefits?_gl=1*1o2inin*_ga*NjQ0MjQ5MzQ5LjE3MjU1OTI5OTA.*_ga_CLZB1LJ1VZ*czE3ODQ4NzA1NzkkbzgkZzEkdDE3ODQ4NzA1ODIkajU3JGwwJGgw)

Eligibility for Benefits Depends on The Type of Position You Hold and Whether Your Position Is Full-Time, Part-Time or Intermittent. Contact the Hiring Agency for More Information on The Specific Benefits Offered.

How You Will Be Evaluated
You Will Be Evaluated for This Job Based on How Well You Meet the Qualifications Above.

Please Note that Hhs Attorney Positions Are in The Excepted Service. as Such, These Positions Are Not Covered by The Usual Civil Service Hiring Procedures. You Will Be Evaluated for This Job Based on How Well You Meet the Qualifications Stated Herein. We Will Perform an Initial Review of Applications to Determine Basic Eligibility and Minimum Qualifications for The Position and Numeric Scores Will Not Be Assigned. There Are No Numerical Rating Systems Through Which to Apply Veterans' Preference; However, Cms Favorably Considers Veterans' Preference Eligibility in Hiring. Applicants Eligible for Veterans' Preference Are Encouraged to Include that Information in Their Cover Letter or Resume. if Selected, Additional Documentation May Be Required.

Required Documents:

The Following Documents Are Required:

Resume Showing Relevant Experience; Cover Letter Optional. Note: As Of September 27, 2025, Federal Agencies Will only Accept Resumes that Are Two Pages or Less in Length. Your Resume Must Indicate Your Citizenship and Whether You Are Registered with The Selective Service if You Are a Male Born After 12/31/59. Your Resume Must Also List Your Work Experience and Education (if Applicable), Including the Start and End Dates (mm/yyyy) of Each Employment, Along with The Number of Hours Worked per Week. for Work in The Federal Service, You Must Include the Series and Grade Level for The Position(s). Your Resume Will Be Used to Validate Your Responses to The Assessment Tool(s). for Resume and Application Tips, Visit:

Https://www.Cms.Gov/files/document/2026-Required-Documents.Pdf

Cms Required Documents (e.G., Sf-50, Dd-214, Sf-15, Etc.). Required Documents May Be Necessary to Be Considered for This Vacancy Announcement. Failure to Provide the Required Documentation Will Result in An Ineligible Rating or Non-Consideration.

College Transcripts. Since This Position Requires Specific Education, You Must Submit a Transcript Attesting to Your Possession of The Required Education. You May Submit an Unofficial Transcript or A List of College Courses Completed, Indicating Course Titles, Credit Hours, and Grades Received. an Official Transcript Is Required if You Are Selected for The Position. if Selected, You Must Provide an Original Document Be

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