Executive Service

Minimum Monthly Salary $3,958/month TennCare compensation is equitable and will be based on education and experience for a qualified candidate in accordance with Department of Human Resources (DOHR) policy.

This Position requires a background check. Therefore, you may be required to provide information about your criminal history in order to be considered for this position.

The Division of TennCare is dedicated to providing our employees with a hybrid work environment. All TennCare positions have a combination of work from home and work in office, which varies by position, department, and business need. You may review the specific expectations with our hiring team.

Who we are and what we do:

TennCare is Tennessee's managed care Medicaid program that provides health insurance coverage to certain groups of low-income individuals such as pregnant women, children, caretaker relatives of young children, older adults, and adults with physical disabilities. TennCare provides coverage for approximately 1.7 million Tennesseans and operates with an annual budget of approximately $14 billion. It is run by the Division of TennCare with oversight and some funding from the Centers for Medicare and Medicaid Services (CMS). TennCare's mission is to improve the lives of Tennesseans by providing high-quality cost-effective care. To fulfill that purpose, we equip each employee for active participation and empower teams to communicate and worked collaboratively to improve organizational processes in order to make a difference in the lives our members. Because of the positive impact TennCare has on the lives of the most vulnerable Tennesseans, TennCare employees report that their work provides them with a sense of meaning, purpose, and accomplishment. TennCare leadership understands that employees are our most valuable resource and ensures professional and leadership development are a priority for the agency.

Job Overview:

The Division of TennCare is seeking an Appeals Litigation Legal Assistant in the Appeals Operations Group within Member Services. The Appeals Litigation Legal Assistant will be responsible for performing administrative functions on behalf of the Appeals Operations Group such as working closely with a team of attorneys to ensure appeals are moving timely through the continuum, providing data statistics on hearing related matters, and documenting changes to workflow as they occur. This position will also be responsible for creating electronic records of appeal requests, arranging for translation services when appropriate, maintaining attorneys' calendars, hearing calendars and the litigation timetables for attorneys. Additionally, the Appeals Litigation Legal Assistant will be responsible for researching, reviewing, and implementing all court orders rendered from an appeal hearing.

Key Responsibilities:

Complete special projects as assigned -Maintain hearing and attorneys calendars as well as litigation timetables for attorneys.

Track Notices of Hearing using FedEx and USPS.

Prepare documents for the court to aid in dismissal of appeals.

Manage workflow to ensure deadlines are being met for multiple attorneys.

Demonstrate attention to detail in researching appeal cases and documenting notes for proper case processing.

Make phone calls as needed to verify information with appellant regarding appeal.

Attend and actively participate in all unit meetings and problem.

solving discussions for workflow improvements

Minimum Qualifications:

Education and Experience:

Graduation from an accredited college or university with a bachelor's degree in a related field (preferred degree in business administration, management, public health or health policy)

OR

Graduation from an accredited college or university with an associates degree in a related field (preferred degree in business administration, management, public health or health policy) and two (2) years of qualifying professional experience in a related field (preferably positions associated with the interpretation and application of policy or executing procedural provisions and/or eligibility within a health, healthcare, or health insurance setting). Substitution of experience for education:

Experience equivalent to four (4) or more years of qualifying professional experience in a related field (preferably positions associated with the interpretation and application of policy or executing procedural provisions and/or eligibility within a health, healthcare, or health insurance setting).

Skills and Abilities:

Ability to adapt to changing priorities and deadlines.

Ability to exercise sound judgement.

Ability to foster and maintain cohesive working relationships.

Strong organizational skills, including the ability to prioritize, multi-task and manage workload to meet specific timeframes and deadlines.

Advanced writing and communication skills.

Working knowledge of Excel.

Graduation from an accredited college or university with a bachelor's degree, preferably in business administration, management, public health or health policy.

Experience within TennCare -Experience in customer service.

Pursuant to the State of Tennessee Workplace Discrimination and Harassment policy, the State is firmly committed to the principle of fair and equal employment opportunities for its citizens and strives to protect the rights and opportunities of all people to seek, obtain, and hold employment without being subjected to illegal discrimination and harassment in the workplace. It is the States policy to provide an environment free of discrimination and harassment of an individual because of that persons race, color, national origin, age (40 and over), sex, pregnancy, religion, creed, disability, veterans status or any other category protected by state and/or federal civil rights laws.