Miranda Jones

Senior Medicare litigator

LocationChicagoIllinois, United States
Current roleAssistant Regional CounselHealth and Human Services Department (HHS), Office of the General Counsel · since Mar 1999
Government service28yrsHealth and Human Services Department (HHS)

About

Highly experienced healthcare attorney with over 25 years of expertise in Medicare and Medicaid reimbursement litigation and regulatory compliance. Proven ability to lead complex cases, including administrative and federal litigation, involving hospital reimbursement, provider enrollment, survey and certification enforcement, and coverage and overpayment appeals. Seeking a senior-level counsel position where I can leverage my deep knowledge of federal healthcare regulations and litigation strategy to protect organizational interests and ensure compliance

Roles

Mar 1999–Present
Current role

Assistant Regional Counsel

Health and Human Services Department (HHS), Office of the General Counsel

Illinois

Coordinate and review all CMS legal work in Michigan, Ohio, and Wisconsin, overseeing the work of 25 attorneys. Critique and edit motions and briefs, including pre-hearing, post-hearing, summary judgment and dismissal, to ensure that pleadings are persuasive, concise, well-researched and legally-sound. Consult and advise on litigation strategy, hearing preparation and settlement negotiations.

Specialties: Hospital reimbursement, jurisdictional challenges, nursing home enforcement, provider enrollment, survey and certification, and payment suspensions.