State of Tennessee
Government , Legal
Position Description / Responsibilities
How you make a difference in this role:
The Division of TennCare, is currently seeking a qualified, experienced attorney to be a part of the Chief Medical Office Medical Fair Hearings (MFH). MFH represents the Division in the resolution of appeals of denied medical services. Specifically, MFH Associate Counsel prepares appeals of medical necessity denials for hearing and represents the Division at the administrative hearing level.
- The Associate Counsel will represent the Division in appeals of denied medical services submitted by TennCare enrollees, legal services attorneys, and private counsel.
- The Associate Counsel will be responsible for directing the Legal Assistants in the identification of case information needed including documents generated by the Division, Managed Care Contractors, enrollees, health providers, witnesses, and hearing exhibits.
- The Associate Counsel will review and update the appeals tracking database as well as provide direction to the Legal Assistants.
- The Associate Counsel will also provide direction related to hearing preparation including hearing exhibits collection and preparation; informing witnesses of hearing procedures; and, reviewing all drafts of case pleadings including affidavits, motions, subpoenas and other documents.
Applicants must hold a current, valid license to practice law in Tennessee or be eligible for licensure under Tennessee Supreme Court Rule 7, Article X.
Preferred Qualifications: Experience in regulatory and administrative law Ability to learn complex and new subject areas in healthcare and Medicaid law Must maintain excellent professional and inter-personal relationships Ability to take on multiple tasks and a wide variety of issues
For more information and to apply go to: www.tn.gov/careers