W-2 Arbitrators (60711)

W-2 Arbitrator

Program area: Arbitration

Company Background:

Capitol Bridge, LLC supports government programs through scalable operations, program management, workforce solutions, and technology-enabled services.

Benefits Include:

* Competitive salary

* Medical, Dental, and Vision benefits available the first of the month after 30 days of employment

* Paid Holidays

* 401(k) with up to a 4% company match after six months of service

* Accrued Paid Time Off, up to three weeks per year

* Fun and professional work environment

* Strong leadership support to encourage career growth and fulfillment

Position summary

Evaluate assigned disputes, draft well-supported, defensible written determination letters in accordance with federal regulations and Capitol Bridge standards, and issue these legally binding determination letters to the parties.

Key responsibilities

* Review the parties' submissions and assess whether each party's submitted information and evidence support the applicable factors to determine the prevailing party in the dispute.

* Draft accurate, complete, and defensible determination letters in accordance with Capitol Bridge standards and policies.

* Meet dispute deadlines and close disputes in both the Capitol Bridge Case Tracking System and in the CMS portal as authorized.

* Respond to Peer Review or QA findings, correct assigned work within required timelines, and implement feedback.

* Participate in Training, Calibration, and Peer Review duties when qualified and assigned.

Qualifications

* Demonstrated ability to analyze complex records and write reasoned decisions.

* Ability to manage a deadline-driven caseload and use case management systems.

* Very strong attention to detail.

* Comfortable reading and analyzing medical records.

* Juris Doctorate required, graduate of an ABA approved law school.

Measures of success

* Disputes are closed timely and completed without errors.

* Determination letters are legally defensible with well-reasoned and well-supported rationale.

* Accurate assessment of the parties' submissions to reach a determination that is supported by the submitted information and/or evidence.

Working relationships

Works across the assigned lane and with Quality, Training, Compliance, Reporting, and Program Leadership as needed. Follows approved decision rights, confidentiality requirements, and escalation paths.

Reasonable Accommodation Notice

Capitol Bridge is dedicated to complying with both federal and state laws regarding disabilities, ensuring reasonable accommodations for applicants and employees with disabilities. Should you require accommodations to engage in the application or interview process, perform essential job functions, or access other benefits and privileges of employment, please reach out to our recruiting team for assistance

Equal Employment Opportunity (EEO) Statement

Capitol Bridge is committed to fostering a diverse and inclusive workplace as an Equal Opportunity Employer. Our employment decisions are made strictly based on business needs, job requirements, and individual qualifications. We do not discriminate on the basis of race, color, religion, national, social or ethnic origin, sex (including pregnancy), age, physical, mental or sensory disability, HIV status, sexual orientation, gender identity and/or expression, marital status, civil union or domestic partnership status, past or current military service, family medical history or genetic information, family or parental status, or any other protected category under applicable laws and regulations.

Screening Requirements for Employment Opportunity

As part of our selection process for this position, you will receive requests for a background check and possibly a drug screen. It is crucial that you respond promptly to these requests, as we aim to fill our vacancies swiftly. Please be aware that non-responses may lead to disqualification from this employment opportunity.

Please note that employment in this role is contingent upon the successful completion of a background check.

Text Communication Consent

We communicate with applicants by text in addition to email and phone. If you apply for this position, we may text you about this position, your application for the position, or other things relevant to this job position. If we text you and you no longer want us to text you, you can opt out at that time.