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TennCare

Policy Specialist

TennCare

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Job Summary

TENNCARE OVERVIEW

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 1.4 million Tennesseans and operates with an annual budget of approximately $12 billion.  It is run by the Division of TennCare with oversight and some funding from the Centers for Medicare and Medicaid Services (CMS).

WHY WORK AT TENNCARE

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. 

JOB AND DEPARTMENTAL OVERVIEW

An employee in this position will support the Director of Policy, Contracts and Compliance through actively engaging in policy and program discussions, and researching and drafting policies and related documents focusing on long-term services and supports (LTSS) programs in Tennessee, including the responsibilities listed below.

Job Responsibilities

  • Actively engage in program and policy discussions
  • Research and draft policy documents relating to LTSS in Tennessee, including policies, protocols, and programmatic guidance and interpretation
  • Maintain an accessible system for documenting such guidance for internal and external stakeholders, as appropriate
  • Develop and maintain subject matter expertise on LTSS programs and services in Tennessee, including expertise on current LTSS initiatives, administrative rules, and policies
  • Draft new LTSS contracts and contract amendments including incorporating feedback from internal and external stakeholders
  • Interrupt contract language
  • Track amendments to LTSS contracts and policy documents
  • Assist with monitoring Managed Care Organization contract compliance including issuing Corrective Action Plans and Liquidated Damages
  • Assist with the readiness review process for TennCare LTSS contracts
  • Attend meetings, webinars, and presentations to stay current on LTSS policy and sharing information learned with the PCC team
  • Assist with procurement activities (writing RFIs, RFPs, reviewing responses, evaluating/scoring responses, facilitating the procurement process)
  • Communicate with contractors, LTSS business owners, and other departments within TennCare
  • Create and deliver trainings for LTSS business owners
  • Conduct research and summarize findings
  • Proofread and edit documents
  • Complete project management activities such as scheduling meetings, facilitating meetings, tracking deadlines, developing agendas, taking notes, saving contract-related documents and correspondence, and holding business owners accountable
  • Update job knowledge by participating in educational opportunities (CLEs, LinkedIn Learning courses, etc.)
  • Other special projects as assigned

Qualifications

• 3-5 years of professional experience

• Experience working in or with Medicaid or disability-related programs

• Experience with drafting contracts and/or contract compliance

• Juris Doctor degree from an accredited law school

• Active license to practice law in Tennessee

• 2 years of professional experience

• Experience drafting policy documents

• Proven research skills

• Excellent listening, negotiation and presentation skills

• Excellent verbal and written communications skills

• Proven technical skills (e.g. Microsoft Word, Excel, Outlook, PowerPoint, SharePoint, etc.)

• Excellent time management skills and ability to multi-task and prioritize work in order to meet specific timeframes and deadlines with minimal supervision

• Keen attention to detail and adherence to deadlines

• Strong organizational and planning skills

• Ability to work independently and with others

• Self-motivated and able to thrive in a fast-paced and results-driven environment

• Critical thinking and problem-solving skills

• Quick learner

• Ability to adapt to changing priorities and deadlines

Additional Information

Benefits

To see all the great benefits available to State of Tennessee employees, go to the TN.gov Benefits page:  https://www.tn.gov/hr/employees1/benefits.html

How to Apply

To apply for this job or see other opportunities at TennCare, visit the state of Tennessee’s Careers page today: https://www.tn.gov/careers/apply-here.html 

Details

  • Date Posted: June 7, 2021
  • Type: Full-Time
  • Job Function: Administrative
  • Service Area: Community Development