Description We are seeking an Appeals Litigation LEGAL ASSISTANT Representative for the Appeals Operations Group within Member Services. The Appeals Litigation LEGAL ASSISTANT Representative will work to resolve appeals prior to hearing by identifying appeals that are prime for outreach, conducting outreach to explain the position of the state or obtain further information to assist in the processing of appeals. The Appeals Litigation LEGAL ASSISTANT Representative will document actions in TEDS (& other systems) when necessary. Additionally, the Appeals Litigation LEGAL ASSISTANT Representative 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 Appeals Litigation LEGAL ASSISTANT Representative will also work collaboratively with management to identify workflow issues and accomplishments. Key Responsibilities: u2022 Ability to maintain a high-volume caseload and adhere to the timeliness standard of appeals while conducting the due process review. u2022 Assist in the achievement of a high performing and positive work environment that will promote the TennCare Mission. u2022 Daily receives and reviews appeals for potential resolution within policy guidelines. If a resolution cannot be found, make outreach. u2022 Conduct outreach to explain the state's actions related to TennCare Medicaid programs and coordinate with other staff for the prompt resolution of appeals where necessary. u2022 Demonstrates attention to detail in researching appeal cases and documenting notes for proper case processing. Attends and actively participates in all unit meetings and problem-solving discussions for workflow improvements. Ability to navigate TEDS. Minimum Qualifications: Education and Experience: Graduation from an accredited college or university with a bachelor's degree in a related field (preferred degree in business administration, management, public health, health policy, paralegal, or legal assistant studies) and 2 years of relevant work experience. OR an equivalent combination of education and work experience may be considered. u2022 Ability to foster and maintain cohesive working relationships u2022 Ability to adapt to changing priorities and deadlines u2022 Ability to exercise sound judgment u2022 Strong organizational skills necessary, including the ability to prioritize, multi-task and manage workload to meet specific time frames and deadlines u2022 Advanced writing and communication skills Requirements We are seeking an Appeals Litigation LEGAL ASSISTANT Representative for the Appeals Operations Group within Member Services. The Appeals Litigation LEGAL ASSISTANT Representative will work to resolve appeals prior to hearing by identifying appeals that are prime for outreach, conducting outreach to explain the position of the state or obtain further information to assist in the processing of appeals. The Appeals Litigation LEGAL ASSISTANT Representative will document actions in TEDS (& other systems) when necessary. Additionally, the Appeals Litigation LEGAL ASSISTANT Representative 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 Appeals Litigation LEGAL ASSISTANT Representative will also work collaboratively with management to identify workflow issues and accomplishments. Key Responsibilities: u2022 Ability to maintain a high-volume caseload and adhere to the timeliness standard of appeals while conducting the due process review. u2022 Assist in the achievement of a high performing and positive work environment that will promote the TennCare Mission. u2022 Daily receives and reviews appeals for potential resolution within policy guidelines. If a resolution cannot be found, make outreach. u2022 Conduct outreach to explain the state's actions related to TennCare Medicaid programs and coordinate with other staff for the prompt resolution of appeals where necessary. u2022 Demonstrates attention to detail in researching appeal cases and documenting notes for proper case processing. Attends and actively participates in all unit meetings and problem-solving discussions for workflow improvements. Ability to navigate TEDS. Minimum Qualifications: Education and Experience: Graduation from an accredited college or university with a bachelor's degree in a related field (preferred degree in business administration, management, public health, health policy, paralegal, or legal assistant studies) and 2 years of relevant work experience. OR an equivalent combination of education and work experience may be considered. u2022 Ability to foster and maintain cohesive working relationships u2022 Ability to adapt to changing priorities and deadlines u2022 Ability to exercise sound judgment u2022 Strong organizational skills necessary, including the ability to prioritize, multi-task and manage workload to meet specific time frames and deadlines u2022 Advanced writing and communication skills Robert Half is the worldu2019s first and largest specialized talent solutions firm that connects highly qualified job seekers to opportunities at great companies. We offer contract, temporary and permanent placement solutions for finance and accounting, technology, marketing and creative, legal, and administrative and customer support roles. Robert Half works to put you in the best position to succeed. We provide access to top jobs, competitive compensation and benefits, and free online training. Stay on top of every opportunity - whenever you choose - even on the go. Download the Robert Half app ( and get 1-tap apply, notifications of AI-matched jobs, and much more. All applicants applying for U.S. job openings must be legally authorized to work in the United States. Benefits are available to contract/temporary professionals, including medical, vision, dental, and life and disability insurance. Hired contract/temporary professionals are also eligible to enroll in our company 401(k) plan. Visit roberthalf.gobenefits.net for more information. u00a9 2025 Robert Half. Robert Half is not a law firm and does not provide legal representation. 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Job Title
Legal Assistant