Case Reviewer

Rockville, Maryland, United States
Aug 08, 2017
Aug 31, 2017
Full Time
Job Description Job Number: R0011328

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 programs and interact with senior case reviewers in making request resolution decisions. Interact with CMS and other CMS contractors in making resolution decisions.

Basic Qualifications:

-2+ years of experience in a professional work environment

-Knowledge of Medicare policy

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

-Ability to obtain a security clearance

-BA or BS degree or 4+ years of experience in a professional work environment

Additional Qualifications:

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

-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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