EXECUTIVE ADMINISTRATIVE ASSISTANT 1 - 81760

About the role

TennCare is Tennessee's Medicaid managed care program, serving over 1.4 million Tennesseans, including children, pregnant women, older adults, and individuals with disabilities. With an annual budget exceeding $19.2 billion, TennCare operates under the oversight of 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 work collaboratively to improve organizational processes in order to make a difference in the lives of our members.

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 the office, which varies by position, department, and business need. TennCare is committed to improving the quality of health care for its members while maximizing the value of every dollar spent. TennCare has been a leader in innovation through clinical care models and delivery system payment reform. TennCare also sits at the intersection of federal and state health policy. TennCare's Medical Office is integral to this mission with direct responsibility for clinical quality and operations, federal and state policy, and strategic clinical innovation for the agency.

When a TennCare Managed Care Contractor (MCC) makes an adverse benefit determination affecting one of their assigned TennCare enrollees, the enrollee has the right to appeal the determination to TennCare. If TennCare upholds the MCC's determination, agreeing that the benefit-under-appeal is not medically necessary under TennCare rules, then the enrollee's appeal is set for administrative hearing. The Office of Fair Hearings (OFH) & Post-Hearing Appeals and Directives (Post) consists of attorneys and legal support staff who facilitate the administration of administrative hearings. OFH pleading legal assistants support attorneys who represent TennCare at administrative hearings for medical, dental, and behavioral member appeals. This Executive Administrative Assistant (EAA) provides executive administrative support to key members of the OFH team. This position will also partner closely with other CMO Executive Administrative Assistants to maintain and establish a collaborative and productive work environment.

Responsibilities

• Provide Daily Executive Administrative Support to OFH Leadership
  • Coordinate and schedule complex, multi-stakeholder calendars and meeting logistics for OFH leadership, ensuring agendas, materials, and meeting details are prepared and distributed timely.
  • Support meeting follow-up and accountability by documenting decisions and action items and escalating unresolved issues as needed.
  • Serve as an administrative liaison between OFH leadership and key internal and external stakeholders, including CMO leadership, TennCare division leaders, medical directors and legal counsel from Managed Care Contractors, provider and health system representatives, legislators and legislative staff, and other state and community partners.
  • Coordinate travel and itineraries, conference registration, Edison travel authorizations, and related business travel needs.
  • Partner with other CMO Executive Administrative Assistants to support effective and consistent administrative operations across the Chief Medical Office.
  • Provide executive administrative support to Director of OFH and other OFH leadership as needed.
• Coordinate Complex OFH Case-Related Work and Sensitive Responses
  • Support leadership in drafting well-coordinated written responses to sensitive legal policy questions, stakeholder inquiries, and complex case issues, ensuring alignment with legal and operational considerations.
  • Support coordination of complex appeals and other high-priority OFH matters, including gathering information, assigning action items, tracking progress, and ensuring timely follow-up.
  • Review input from multiple teams and stakeholders for completeness, consistency, accuracy, and alignment with applicable laws, policies,