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AttorneyLancesoft INC • Nashville, TN, US
Attorney

Attorney

Lancesoft INC • Nashville, TN, US
30+ days ago
Job type
  • Full-time
Job description

Job Description

Job Description

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 :

  • Bachelor’s Degree from an accredited college or university
  • Juris Doctor from an accredited college or university
  • Active License to practice law in Tennessee
  • Ability to foster and maintain cohesive working relationships
  • Ability to adapt to changing priorities and deadlines
  • Ability to exercise sound judgment
  • Excellent organizational skills necessary, including the ability to prioritize, multi-task and manage workload to meet specific timeframes and deadlines
  • Excellent writing and communication skills required
  • Ability to interpret and execute public policy
  • Ability to interface with multiple computer systems and applications
  • Desirable Qualifications :

  • Knowledge of and experience with eligibility appeals procedures a plus
  • Previous legal review experience a plus
  • Company Description

    One of the largest healthcare companies in the world and a leading distributor of pharmaceuticals, medical supplies, and healthcare services

    Company Description

    One of the largest healthcare companies in the world and a leading distributor of pharmaceuticals, medical supplies, and healthcare services

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