TENNCARE PROGRAM COORDINATOR-EXECUTIVE - 16917; 16918; 16919

State of Tennessee

Nashville, TN

Government , Health Care , HR, Office & Administrative Support


Position Description / Responsibilities

Appeals Redetermination Specialist TennCare Program Coordinator

Division of TennCare - Member Services, Appeals Operations Group

Nashville, TN

Monthly Salary Salary Starting at: $3,534.00

Salary exceptions may be considered based on the background and experience of the individual applicant.

Closes: 04/27/2021

JOB AND DEPARTMENTAL OVERVIEW

The Division of TennCare is seeking an Appeals Redetermination Specialist for the Appeals Operations Group within Member Services. The Appeals Redetermination Specialist will be responsible for providing support and guidance on Medicaid rules, regulations and policies. The Appeals Redetermination Specialist will ensure that due process standards are met in Medicaid appeals by the accurate and timely processing of appeals and all appeals related documents. Finally, the TennCare Program Coordinator will also work collaboratively with the Managed Care Program Manager 2 to identify workflow issues and accomplishments.



Position Requirements


Application Instructions

Apply Here: www.tn.gov/careers


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