Attorney

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