Executive Service
TennCare Examiner
Department of Commerce and Insurance
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TennCare Oversight Division
Nashville, TN
Annual Starting Salary Range: $66,096.00 to $105,396.00, based on qualifications and experience.
Closing date: 07/05/2023
Key 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.
Minimum Qualifications:
Demonstrated analytical ability and a Bachelor's Degree in accounting from an accredited college are required. Certified Public Accountant or Certified Financial Examiner designation from the Society of Financial Examiners, preferred.
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.
