NSA IDR Arbitrator: Healthcare Payment Disputes

American Health Lawyers As

United States

Remote

USD 90,000 - 130,000

Full time

6 days ago
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Job summary

National Medical Reviews, Inc. (NMR) is seeking highly qualified Arbitrators to serve on its NSA IDR panel.

Arbitrators conduct impartial reviews of payment disputes between providers, facilities, and health plans under the federal IDR process, applying NSA regulations and CMS guidance. The role requires strong analytical and decision-making skills, independence and strict confidentiality, with written determinations that clearly state the rationale and comply with federal timelines.

Qualifications

  • JD from an accredited law school and active U.S. license.
  • Experience in healthcare reimbursement, compliance, or dispute resolution.
  • Strong ability to analyze complex regulatory requirements.
  • Excellent written communication and timely decision making.

Responsibilities

  • Conduct independent NSA IDR determinations per NSA and regulations.
  • Review offers, supporting docs, and regulatory factors.
  • Evaluate evidence impartially to set appropriate reimbursements.
  • Prepare clear, well-supported written determinations.
  • Manage disputes to meet federal timelines.
  • Maintain confidentiality of sensitive information.
  • Apply policies and conflict-of-interest requirements.
  • Communicate case status with stakeholders.

Skills

Legal analysis
Regulatory interpretation
Written communication
Independent judgment
Time management
Confidentiality
Case management software

Education

Juris Doctor (JD)
Active U.S. law license

Tools

Case management software

Job description

National Medical Reviews, Inc. (NMR) is seeking highly qualified Arbitrators to serve on its NSA IDR panel.

Arbitrators conduct impartial reviews of payment disputes between providers, facilities, and health plans under the federal IDR process, applying NSA regulations and CMS guidance. The role requires strong analytical and decision-making skills, independence and strict confidentiality, with written determinations that clearly state the rationale and comply with federal timelines.

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