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TennCare Examiner

Tennessee Department of Commerce and Insurance
TennCare Oversight Division
Location: Nashville, Tennessee

Duties and Responsibilities:

A TennCare Examiner in the TennCare Oversight Division of the Department of Commerce and Insurance
is responsible for analyzing financial statements, audit reports, budgets, and other filings required of the TennCare managed care companies (MCCs), conducting financial and compliance examinations of MCCs, analyzing MCC claims data to determine compliance with prompt payment and accuracy requirements, and assisting in the review and analysis of MCC operational documents.

The TennCare Examiner’s performance of these job duties is instrumental in ensuring the MCCs are financially solvent and are operating in accordance with statutory and contractual requirements.

This position may be eligible for Alternative Workspace Solutions, which may include working from home several days per week.

Qualifications:
Demonstrated analytical ability and a Bachelor’s Degree in accounting from an accredited college are required. Certified Public Accountant or Certified Financial Examiner, preferred.

EEOC Statement:
Pursuant to the State of TN's policy of non-discrimination, the State of Tennessee does not discriminate on the basis of race, sex, religion, color, national or ethnic origin, age, disability, or veteran’s status in its policies, or in the admission of, access to, treatment, or employment in its programs, services, or activities.