Case Reviewer

Rockville, Maryland, United States
Aug 08, 2017
Sep 13, 2017
Full Time
Job Description Job Number: R0011329

Booz Allen Hamilton has been at the forefront of strategy and technology for more than 100 years Today, the firm provides management and technology consulting and engineering services to leading Fortune 500 corporations, governments, and not-for-profits across the globe. Booz Allen partners with public and private sector clients to solve their most difficult challenges through a combination of consulting, analytics, mission operations, technology, systems delivery, cybersecurity, engineering and innovation expertise.

Case Reviewer

Key Role:

Review and evaluate ACI reweighting requests, or hardship exemptions, and targeted review requests not resolved by support center representatives. Apply thorough knowledge of MIPS and other Medicare programs to make request resolution decisions. Interact with CMS and other CMS contractors to make process improvement recommendations and resolution decisions. Direct the work of junior case reviewers.

Basic Qualifications:

-Experience with MIPS and its legacy programs, including PQRS, the Value-Based Payment Modifier, and EHR Meaningful Use

-Ability to interpret complex requirements and make decisions based on research and analysis

-Ability to provide direction to junior members of a team

-Ability to obtain a security clearance

-BA or BS degree or 5+ years of experience in a professional work environment

Additional Qualifications:

-Experience in developing and implementing new procedures based on the needs of multiple stakeholders

-Possession of excellent oral and written communication skills


Applicants selected will be subject to a security investigation and may need to meet eligibility requirements for access to classified information.

Integrating a full range of consulting capabilities, Booz Allen is the one firm that helps clients solve their toughest problems by their side to help them achieve their missions.  Booz Allen is committed to delivering results that endure.

We are proud of our diverse environment, EOE, M/F/Disability/Vet.

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