Job posting on USAJOBS: OMHA is seeking an ACALJ for the Phoenix OMHA Field Office.
The vacancy announcement from USAJOBS:
Permanent -
Work schedule
Full-time -
Service
Excepted
Promotion potential
None
Job family (Series)
0935 Administrative Law Judge
Supervisory status
Yes
Security clearance
Other
Drug test
No
Position sensitivity and risk
Moderate Risk (MR)
Trust determination process
Suitability/Fitness
Announcement number
HHS-OMHA-ALJ-23-11789448
Control number
698795600
HelpThis job is open to
Federal employees - Competitive service
Current or former competitive service federal employees.
Federal employees - Excepted service
Current excepted service federal employees.
Clarification from the agency
Current or former Federal Administrative Law Judges (ALJ) serving in the competitive or excepted service. The candidate selected for this position will be in the excepted service unless the candidate is currently an OMHA ALJ in the competitive service. In that situation, per OPM guidance, the candidate will remain in the competitive service.
HelpDuties
In conformity with the Administrative Procedures Act, 5 U.S.C. 551, et. seq. as well as the Medicare provisions of the Social Security Act and their attendant regulations, OMHA ALJs make pre-hearing rulings, preside over formal hearings, decide post-hearing matters, and issue written decisions under authority delegated by the Secretary of HHS. Issues on appeal arise from Medicare coverage and payment determinations made by Medicare contractors, Medicare Advantage Organizations (MAOs), or Part D Plan Sponsors (PDPSs), and determinations related to Medicare eligibility and entitlement, and income-related premium surcharges made by the Social Security Administration (SSA) under sections 1869, 1155, 1876(c)(5)(B), 1852(g)(5), and 1860D-4(h) of the Social Security Act. The appeals are frequently complex, require the interpretation and application of federal statutes, regulations, and program policy, may be contested, and are subject to demanding time constraints.
The Associate Chief ALJ plans, directs and coordinates the hearings activities for all cases coming under the jurisdiction of the field office.
Manages the maintenance of a control system to monitor status of all cases and provides statistical reports on the status of those cases. Charged with ensuring field office staff foster the continuous improvement of business processes and workflows and enhances the use of enabling technologies to operate successfully in "a fully electronic, paperless field office."
Assures that hearing proceedings conducted by the field office are in accord with procedural requirements of the Administrative Procedure Act and applicable Federal laws and HHS regulations.
Monitors the status of pending cases and recommends reasonable standards of quality, output, and productivity to assure the timely and expeditious processing of those cases to meet the Part A and B 90-day decisional timeframes.
Presides at hearings in some of the most difficult and controversial proceedings; develops the record in such proceedings from oral testimony and documentary evidence; independently studies and analyzes the evidence; and prepares decisions containing findings of fact, supporting rationale, conclusions of law, and resolution of the appeal.
Provides technical procedural guidance to ALJs and to other field office employees.
HelpRequirementsConditions of Employment
1. Security and Background Requirements: 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.
2. E-Verify: 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.
3. Direct Deposit: All Federal employees are required to have Federal salary payments made by direct deposit to a financial institution of their choosing.
4. All Mandatory Qualification requirements must be met by the closing date of the announcement.
5. The selectee will be required to submit an Executive Personnel Public Financial Disclosure Report, SF-278, in accordance with the Ethics in Government Act of 1978, prior to the effective date of appointment and annually thereafter.
6. Travel, transportation, and relocation expenses may be paid: Yes
7. Bargaining Unit Position: No
8. Drug Screening Required: No
9. Recruitment incentives may be authorized: No
10. Student loan repayment incentive authorized: No
11. Annual leave for non-federal service authorized: No
12. U.S. Citizenship required
13. SELECTIVE SERVICE: MALE APPLICANTS BORN AFTER 12/31/1959 must certify prior to job offer that they have registered with the Selective Service System or are exempt from having to do so under Selective Service law.
14. The candidate selected for this position will be in the excepted service unless the candidate is currently an OMHA ALJ in the competitive service. In that situation, per OPM guidance, the candidate will remain in the competitive service.
Qualifications
MANDATORY QUALIFICATION: Candidates must have held a Federal ALJ position, at the AL-3 level or above for at least one year.
Licensure Requirement: Former ALJs at the time of application, must possess a professional license to practice law and be authorized to practice law under the laws of a State, the District of Columbia, the Commonwealth of Puerto Rico or any territorial court established under the United States Constitution. Please read the required documents section closely for information on what you need to submit as proof that you are licensed and authorized to practice law.
Desirable Qualifications (DQs): As stated in the required documents section below, candidates must submit a written narrative that addresses each of the desirable qualifications listed below. The written narrative must be formatted so that each desirable qualification is individually addressed. Responses for each desirable qualification should be no more than one page in length.Experience in providing professional guidance, executive leadership, and oversight of adjudicatory hearings.Experience in overseeing and directing programs, issuing policies and procedures.Broad legal knowledge and ability to develop quickly a specialized knowledge of the Medicare program, law, adjudication procedures, and related matters.Experience in analyzing and deciding extremely difficult and complex technical, legal and organizational issues.
Education
This job does not have an education qualification requirement.
Additional information
Reasonable Accommodation: 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.
For more information on disability employment, please visit
www.opm.gov/policy-data-oversight/disability-employment/Beginning January 1, 2010, agencies must seek prior approval from OPM before they can appoint a current or recent political appointee 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 MUST disclose that to the Human Resources Office.
Veterans' Preference: There is no formal rating system for applying veterans' preference to ALJ appointments in the excepted service; however the Department of Health and Human Services considers veterans' preference eligibility as a positive factor in ALJ 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).
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How You Will Be Evaluated
You will be evaluated for this job based on how well you meet the qualifications above.
OMHA will evaluate applicants' qualifications based on the Mandatory and Desirable qualifications.
Do not overstate or understate your level of experience and capability. You should be aware that your submissions are subject to evaluation and verification. Later steps in the selection process may be used to verify your stated level of experience and capability. If a determination is made that you have rated yourself higher than is supported by your resume or background investigation you will be assigned a rating commensurate to your described experience. Deliberate attempts to falsify information may be grounds for not selecting you. If you are found to be among the top candidates, you will be referred to the selecting official for employment consideration and interview.
To preview the assessment questionnaire, click the following link:https://apply.usastaffing.gov/ViewQuestionnaire/11789448
NOTE: If you submit a resume but no questionnaire, you cannot be considered for the position. If you submit a questionnaire but no resume, you cannot be considered for the position. Your application will be appropriately documented, and you will be removed from further competition against this announcement.
BenefitsRequired DocumentsHow to ApplyFair and Transparent
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