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Commissioner’s Designee Attorney



Job Summary


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 1.5 million Tennesseans and operates with an annual budget of approximately $12.9 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 work 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. 


The Division of TennCare is seeking an Attorney in the Commissioner’s Designee Unit. The Commissioner’s Designee Unit issues Final Orders and other dispositive orders that accurately articulate the agency’s position on matters including, but not limited to, Medicaid eligibility, Long-Term Services and Supports benefits, provider suspensions or terminations, involuntary transfers of residents from Medicaid-certified nursing homes, and declaratory order proceedings in a concise, uniform, clear manner, and consistent with the requirements of Uniform Administrative Procedures Act. Under the Commissioner’s Designee at Large, a Commissioner’s Designee Attorney will timely review, process, and respond to appeal proceedings and assist the agency in various other legal matters and special projects when called on.

Job Responsibilities

  • Review, on appeal, Initial Orders, Petitions for Reconsideration, and Petitions for Stay in accordance with the Tennessee Uniform Administrative Procedures Act (“UAPA”).
  • Research and analyze applicable regulations, statutes, and other law and policies to determine conclusions of law.
  • Timely prepare Final Orders, or decisions in accordance with the UAPA and other internal applicable deadlines.
  • All orders must be consistent with applicable law and clearly communicate the issue, facts, law, analysis, and disposition, and must be free of grammatical errors and legal/logical inconsistencies.
  • Communicate with the Commissioner’s Designee at Large when there are questions of fact or law that are unique and need to be further addressed by agency heads.
  • Maintain familiarity with administrative procedure and governing laws, including but not limited to, declaratory order proceedings.
  • Review orders written by colleagues and provide edits to ensure the issuance of high-quality orders.
  • When called upon by the Commissioner’s Designee at Large, conduct hearings pursuant to the UAPA as an agency member.
  • Support internal communication efforts between executive staff and other agency units.


  • Juris Doctor from an accredited college or university
  • Active License to practice law in Tennessee
  • Work experience as an attorney for minimum of 2 years
  • Proficient at legal research and legal writing
  • Knowledge of administrative procedure and governing authority, such as the UAPA
  • Litigation experience
  • Ability to foster and maintain cohesive working relationships
  • Ability to adapt to changing priorities and deadlines
  • Ability to exercise sound judgment
  • Strong organizational skills necessary, including the ability to prioritize, multi-task and manage workload to meet
  • specific timeframes and deadlines
  • Excellent writing and communication skills
  • Ability to interpret and execute public policy

Additional Information


To see all the great benefits available to State of Tennessee employees, go to the Benefits page:

How to Apply

To apply for this job or see other opportunities at TennCare, visit the state of Tennessee’s Careers page today:


  • Date Posted: July 16, 2021
  • Type: Full-Time
  • Job Function: Administrative
  • Service Area: Government