LEGAL ASSISTANT - 78050

Executive Service

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. You may review the specific expectations with our hiring team.

Background Check:

This position requires a criminal background check. Therefore, you may be required to provide information about your criminal history in order to be considered for this position.

Who we are and what we do:

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 1.7 million Tennesseans and operates with an annual budget of approximately $14 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 worked 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 Overview:

The Office of General Counsel (OGC) advises and supports all TennCare departments on legal, strategic, regulatory, and compliance matters that advance its mission. The Request for Release (RFR) team is seeking a Legal Assistant to support the accurate and timely processing of Request for Release cases within TennCare's Office of General Counsel. This role will serve as a key member of the RFR team, working closely with attorneys and internal stakeholders to ensure cases are processed efficiently, documentation is maintained accurately, and sensitive information is handled in accordance with established procedures. The Legal Assistant will play an essential role in maintaining workflow continuity, supporting case-related communications, and contributing to overall operational effectiveness.

Key Responsibilities:

• Enter and maintain RFR case data within required timeframes, ensuring accuracy and completeness of all information and documentation

• Verify critical data (e.g., Social Security numbers) and flag discrepancies for review

• Process case data and prepare, review, and distribute correspondence, including notice of claim letters

• Access and update claim records to ensure accuracy of claims periods and case details

• Verify recipient and mailing information to protect confidential data and prevent errors

• Create and maintain internal tracking tools, including RFR and death certificate referral spreadsheets

• Organize and maintain case files and supporting documentation for efficient retrieval

• Manage incoming and outgoing mail, scan documents, and respond to and log voicemail communications

• The position is hybrid. The Legal Assistant will be required to work in the office at least once per week, with typically one to two additional in-office days per month based on team schedules and operational needs.

• The Legal Assistant will be required to attend meetings as scheduled by supervisors.

Minimum Qualifications:

Education equivalent to graduation from an accredited college, university, or professional school with one of the following:

(1) an Associate's Degree in Paralegal or Legal Assistant studies;

(2) a Bachelor's Degree in Paralegal or Legal Assistant studies;

(3) a Paralegal Certificate;

or

(4) one year (28 semester hours) of graduate level law school.

OR

Education equivalent to graduation from a standard high school and two years of full-time experience in researching legal issues and documenting findings to assist in building case files, settling legal disputes, and/or providing legal counsel to clients.

Desirable Qualifications

• Ability to maintain strong professional and interpersonal relationships while managing multiple priorities and adapting to changing needs and assignments.

• Demonstrated ability to prioritize competing demands, handle matters efficiently and proactively, and follow projects through to completion within established deadlines.

• Detail oriented with strong organization, facilitation, and communication skills.

• Strong computer data entry skills, including knowledge of proper punctuation and proofreading skills.

• Effective written communication skills, including the ability to draft letters, emails, and reports on behalf of the office staff. -Experience working with large-scale eligibility, enrollment, or case management systems similar to TennCare systems.

• Experience in the healthcare field

Pursuant to the State of Tennessee's Workplace Discrimination and Harassment policy, the State is firmly committed to the principle of fair and equal employment opportunities for its citizens and strives to protect the rights and opportunities of all people to seek, obtain, and hold employment without being subjected to illegal discrimination and harassment in the workplace. It is the State's policy to provide an environment free of discrimination and harassment of an individual because of that person's race, color, national origin, age (40 and over), sex, pregnancy, religion, creed, disability, veteran's status or any other category protected by state and/or federal civil rights laws.