COMPLIANCE ANALYST OF LONG-TERM SERVICES AND SUPPORTS - 64244

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.

This position requires a 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:

Long-Term Services and Supports (LTSS) is one of the largest units within TennCare with a team of highly capable staff who are committed to leading the ongoing development and operation of an innovative, sustainable, person-driven long-term services and supports (LTSS) system in which older adults and people with disabilities and/or chronic conditions have choice, control and access to a full array of high quality services and supports that assure optimal outcomes, including independence, health and quality of life.

Key Responsibilities:

• Perform contract and fiscal compliance audits for contractors, review submitted information, perform report analysis, assist with special projects, and author audit reports. Ultimately, this information assists with maintaining and improving quality within the LTSS system.
• Design, implement, collect, and review contract deliverables necessary to assess the contractor's compliance with the waivers and the contract. - Identify trends, research causality, and report to LTSS leadership.
• Maintains audit working papers including preparation of schedules, summaries, and reconciliations as instructed or appropriate.
• Maintains professional manner and working relationships with team members, associates, contractors, and other government personnel.
• Participates with other team members, providing updates on the status of audit assignments, sharing information, and identifying requisite revisions to the program and/or annual team goals.

Minimum Qualifications:

• Bachelor's degree in relevant field
• Intermediate skill level in the use of Word and Excel
• Strong verbal and written communication skills.
• Demonstrated ability to see projects through to completion with minimal oversight, problem solve in unanticipated situations, manage multiple tasks simultaneously, and adhere to priorities set by supervisor as well as being able to re-prioritize tasks as needed Desirable qualifications:
• Work experience in or with Medicaid, Managed Care, or other related health insurance organizations or programs
• Experience conducting audits

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.