Attorney - Hybrid Nasville, TN

Job Description

Job Description

During an active assignment with the Division of TennCare, the selected attorney contractors may be prohibited from the practice of law outside of their TennCare assignment. This is due to potential conflicts of interest, etc. Please inform all candidates submitted.

This position is Hybrid - the number of office days / remote days will be determined by the TennCare unit.

Description of Duties -

• Research and review appeals in TennCare’s Tennessee Eligibility Determination System (TEDS) database and make a valid factual dispute determination. 25% of total work effort
• Acquire and maintain a thorough understanding of Medicaid statutes, regulations, and policies. 25% of total work effort
• Review and monitor cases and appeals to ensure they are processed in compliance with Medicaid statutes, regulations, and policies. 25% of total work effort
• Identify issues affecting eligibility determinations and appeals and propose remedial measures. 25% of total work effort

Minimum Qualifications :

Desirable Qualifications :

Requirements

Type

Category

Qualification

Description

Competency

Required

Skills

Others

Legal

Proficient (4-6 Years)

Yes