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Advertised Position Details

Posting Date: 05/12/2017
Closing Date:
06/23/2017
Agency Title:
Physician Payment Review Board
Position Title:
Physician Member - Part Time (to be scheduled when needed)
Location:
Province wide
File Number:
PAS-1773
Description:

The Physician Payment Review Board (PPRB) seeks candidates who are interested in being appointed as a Physician Member. The PPRB is an independent adjudicative agency constituted to conduct reviews of payment disputes between physicians and the General Manager (GM) of the Ontario Health Insurance Plan (OHIP) upon the request of a physician or the GM. The Board receives its adjudicative authority from the Health Insurance Act (HIA), Section 5.1. The process for conducting reviews is set out in the HIA and Schedule 1 of the HIA.

We are interested in physicians from various disciplines including, comprehensive family practise, focused family practice, anesthesia, cardiac or thoracic surgery, geriatrics, diagnostic radiology, obstetrics, haematology, neurosurgery and physical medicine and rehabilitation. 

A Physician Member:

• Conducts hearings and renders decisions regarding physician fee-for-service claims payment matters that cannot be resolved by the ministry and a physician;
• Actively listens to comprehend interests and positions;
• Contributes to making rulings necessary for the proper and expeditious conduct, control and completion of the hearing;
• Participates fully in deliberations by finding the facts from the evidence, then applying the law to those facts.

Qualifications:
In conjunction with legal counsel, physician members are required to have the following abilities, skills and knowledge in order to carry out their responsibilities effectively:
• Ability to interpret and apply legislation with specific knowledge of the Health Insurance Act;
• Understanding of the professional, institutional and community context within which the Board operates;
• Demonstrated analytical, conceptual, problem-solving, decision-making skills;
• Ability to listen and communicate clearly and effectively.

Some Restrictions Apply – Applicants Must:
• Be registered as a physician by the College of Physicians and Surgeons of Ontario;
• Be actively engaged in rendering insured services to insured persons and submitting accounts for insured services to the Plan at the time of appointment;
• Provide a current Certificate of Professional Conduct from the College of Physicians and Surgeons of Ontario;
• Not have been the subject of a finding of professional misconduct, incompetence or incapacity whether in Ontario or in another jurisdiction;
• Not have been required to reimburse the Plan as a result of a decision of the Medical Review Committee or the Health Services Appeal and Review Board in the previous 10 years;
• Not be employed in the public service of Ontario or in a Crown agency as defined in the Crown Agency Act;
• Notify the Minister if he or she has been found guilty of fraud under the Criminal Code (Canada) or of an offence under the laws of Canada or a province or territory that is relevant to his or her suitability to sit as a member, unless the finding of guilt is for an offence for which he or she has received a pardon.
Terms:
Appointment is by Order in Council for a two year term, subject to renewal for a maximum of ten years.
Time Commitment:
Part-time, to be scheduled as necessary.
Remuneration:
A member is eligible to receive a per diem rate of $716.00, and reimbursement for eligible expenses.
More Information:
Ethics Statement:

Government appointees reflect the diversity of the people of Ontario and deliver services and decisions in a non-partisan, professional, ethical and competent manner with a commitment to the principles and values of public service.

If appointed you will be subject to the Public Service of Ontario Act, 2006 and Conflict of Interest Rules. Information is available on the Conflict of Interest Commissioner's website: http://www.coicommissioner.gov.on.ca. You may also be subject to other statutes, regulations, rules or directives that currently exist or may be established which are applicable to agencies, board or commissions.

Ontario Human Rights Code:
Physician Payment Review Board is an equal opportunity organization. We will accommodate your needs under the Ontario Human Rights Code.
 

To apply online please visit the Public Appointments Secretariat website at http://www.ontario.ca/publicappointments. Please note that you must use the online Public Appointments Secretariat application form available on the Public Appointments Secretariat website to apply. A downloadable application form is also available. Resumes, cover letters or any other additional documents will not be accepted. For more information, please visit our how to apply webpage.

All applications must quote the file number PAS-1773 and be received by the closing date.  If not applying online, applications must be signed and received by fax, mail or hand delivery no later than June 23, 2017 and addressed to:

Public Appointments Secretariat
Room 2440, Whitney Block
99 Wellesley St. West
Toronto, Ontario M7A 1W4
 
Tel:  416-327-2640
Fax: 416-327-2633
Toll Free: 1-855-825-3422

We thank all interested applicants but only those applicants selected for an interview will be contacted.