Attorney

Job Description

Applicants / resources may also be expected to help with workload in either Litigation or Legal Review (whichever area they are not currently in) based on volume and work demands.

To support an influx of eligibility appeals, the Legal Review unit is requesting additional support in the attorney capacity to ensure federal timeline requirements can continue to be met with high quality.

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

Description of Duties

• Research and review appeals in 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