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 universityJuris Doctor from an accredited college or universityActive License to practice law in TennesseeAbility to foster and maintain cohesive working relationshipsAbility to adapt to changing priorities and deadlinesAbility to exercise sound judgmentExcellent organizational skills necessary, including the ability to prioritize, multi-task and manage workload to meet specific timeframes and deadlinesExcellent writing and communication skills requiredAbility to interpret and execute public policyAbility to interface with multiple computer systems and applicationsDesirable Qualifications :
Knowledge of and experience with eligibility appeals procedures a plusPrevious legal review experience a plusCompany Description
We believe in service that helps you solve a problem, move forward with a project, manage a difficult situation, or simply check something off your list.
Company Description
We believe in service that helps you solve a problem, move forward with a project, manage a difficult situation, or simply check something off your list.