Qureos Mentor

State of Tennessee

<div>Executive Service
<h2 class="jobSectionHeader">WORKERS' COMPENSATION COMPLIANCE SPECIALIST 1</h2><h3 class="jobSectionHeader">
Bureau of Workers' Compensation</h3><h3 class="jobSectionHeader">
Nashville, TN</h3><h3 class="jobSectionHeader">
Salary: $4,057 - $6,099/month.</h3><h3 class="jobSectionHeader">
Closing Date: 12/09/2025</h3> 
Who we are and what we do:
The Tennessee Bureau of Workers' Compensation is the regulatory agency over the workers' compensation system in Tennessee. Employers who are subject to the Workers' Compensation Law, insurers, and medical providers are regulated by the Bureau. We work with employers, injured workers, and claims professionals to educate the public about workers' compensation benefits and resolve workers' compensation benefit disputes.
How you make a difference in this role:
In this role, you may investigate compliance issues with the Workers' Compensation Law by participants in the state's workers compensation system. This investigation process could include reviewing and gathering pertinent records, participating in the legal process, working on settling or collecting penalty assessments for non-compliance, and other related tasks.
Job Overview:
Under general supervision, is responsible for investigating workers' compensation compliance cases of average difficulty; and performs related work as required. An employee in this class investigates referrals and other inquiries to determine compliance with Workers' Compensation Law. Interviews parties for clarification of workers' compensation compliance issues and gathers pertinent records and obtains other legal documents for purpose of investigation. This class differs from the Workers' Compensation Compliance Specialist 2 in that an incumbent of the latter may provide training to persons in the Workers' Compensation Specialist 1 class.
Key Responsibilities:
Conduct investigations and Gathering Information: Investigates referrals and complaint related to Workers' Compensation non-compliance by interviewing parties, gathering legal documents, and may conduct onsite inspections to collect relevant facts.
Evaluation Compliance and Legal Standards: Assesses records and other materials to determine compliance with Workers' Compensation Law and may develop investigative plans or summarize findings in formal reports for leadership.
Conflict Resolution and Enforcement: May negotiate and collect penalties for non-compliance, and refer or close cases based on investigative findings, all under the direction of program leadership.
Administrative Tasks and Documentation: Performs electronic research, prepares investigative documentation, maintains accurate case files, and ensures proper recordkeeping for potential legal or administrative action.
Communication with Internal and External Stakeholders: Maintains contact with parties, and others, if necessary, through multiple communication channels, provides required forms, answers inquiries, and may participate in legal proceedings.
Training, Mentoring, and Education: Educates parties and/or external stakeholders on compliance laws and procedures, and mentors co-workers on investigative techniques and Workers' Compensation compliance best practices.
Planning and Organizing Investigations: Creates and executes investigation plans, ensures adherence to statutory deadlines, and prioritizes cases based on urgency and legal requirements.
Reporting, Coordination, and Data Analysis: Prepares and submits internal reports, coordinates with other departments and agencies as necessary, and analyzes incoming referrals to determine whether further investigation or case closure is appropriate.
Minimum Qualifications:
Education and Experience: Graduation from an accredited college or university with a bachelor's degree; and experience equivalent to two years of full-time work in one or a combination of the following: administering insurance or workers' compensation claims; or conducting investigations. Additional qualifying experience as described above may substitute for the required education to a maximum of four years. Graduate course work credit received from an accredited college or university with emphasis in business administration and management, criminal justice, labor/industrial relations, health care administration, insurance and risk management, law, paralegal studies, political science, and/or public administration may substitute for the required experience on a month-for-month basis to a maximum of two years (e.g., 36 quarter hours in one or a combination of the above listed fields may substitute for one year of the required experience with the exception of law, in which 28 quarter hours may substitute for one year of the required experience).
OR
Graduation from an accredited college or university with a master's degree with emphasis in business administration and management, criminal justice, labor/industrial relations, health care administration, insurance and risk management, political science, and/or public administration.
Necessary Special Qualifications: Applicants for this class must:
<ul><li>Be eligible to become a notary public;
</li><li>May require a valid motor vehicle operator's license for employment.</li></ul>
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.</div>

WORKERS' COMPENSATION COMPLIANCE SPECIALIST 1 - 73244

<div>Executive Service
<h2 class="jobSectionHeader">ASSISTANT DIRECTOR OF CONTRACTS AND PROCUREMENT</h2><h3 class="jobSectionHeader">
Division of TennCare</h3><h3 class="jobSectionHeader">
Fiscal</h3><h3 class="jobSectionHeader">
Nashville, TN</h3><h3 class="jobSectionHeader">
Salary: Minimum Monthly Salary $9,858/month TennCare compensation is equitable and will be based on education and experience for a qualified candidate in accordance with Department of Human Resources (DOHR) policy.</h3><h3 class="jobSectionHeader">
Closing Date: 12/22/2025</h3>
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 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 Assistant Director of Contracts &amp; Procurement is located within TennCare's Fiscal Division and reports directly to the Director of Contracts &amp; Procurement. TennCare's Fiscal Division is responsible for the strategic and day-to-day management of the agency's budget and fiscal processes, ensuring that cost-effective care is delivered in a way that is sustainable for the state budget. Within TennCare's Fiscal Division, the Contracts &amp; Procurement Unit supports the agency by engaging with all programmatic areas at TennCare to obtain needed services through contracting. The Assistant Director of Contracts &amp; Procurement will work closely with the Director of Contracts &amp; Procurement, TennCare's Office of General Council (OGC), the state's Central Procurement Office (CPO), and other key staff to manage and shepherd key procurements integral to TennCare's operations and priorities.
Key Responsibilities:<ul><li>
Serve as the solicitation coordinator on key competitive procurements, which includes overseeing and shepherding the full contract lifecycle from planning and solicitation through execution, monitoring, and renewal while ensuring compliance of State of Tennessee procurement laws and policies.
</li><li>Maintain an in-depth knowledge of Contracts and Procurement rules, laws, and processes which result in contractually binding agreements for TennCare services.
</li><li>Support and advise other TennCare programmatic areas on competitive procurement process creation (RFP/RFQetc.), procurement training, and project management.
</li><li>Work collaboratively across the Contracts &amp; Procurement Unit, while supervising a small team within the unit, to ensure daily contacts-related tasks meet the standards for timeliness and adherence, as outlined in the most recent Procurement Procedures Manual, and other regulations promulgated by the Central Procurement Office and the Division of TennCare.
</li><li>Timely and accurately document, track, and plan for continuity of contracted services.
</li><li>The successful candidate will combine strong technical knowledge of state procurement practices with exceptional communication, organization, and problem-solving skills.
</li><li>They will excel in a collaborative and mission-driven environment, demonstrating professionalism, sound judgment, and a commitment to providing excellent customer service.
</li><li>The ideal candidate will be able to communicate effectively and build strong working relationships with a wide range of individuals including executive leadership, program staff, advocates, and external stakeholders while advancing TennCare's mission and values.</li></ul>
Minimum Qualifications:
Education and Experience: Graduation from an accredited college or university with a bachelor's degree in business administration, public administration, or other related acceptable field and experience equivalent to five or more years of full-time professional fiscal services, procurement, or contract management work including, at least, one year of experience in the supervision of staff.
Substitution of Experience for Education: Qualifying full-time professional experience may be substituted for the required education, on a year-for-year basis, to a maximum or four years (e.g., experience equivalent to one year of full-time work in professional services may substitute for one year of the required education).
Substitution of Graduate Education for Experience: Additional graduate course work credit received from an accredited college or university in business administration, public administration, or related acceptable field may substitute for the required experience on a month-for-month basis to a maximum of one year.
Desirable Qualifications:
<ul><li>Two or more years current or past Contract(s) and Competitive Procurement knowledge and experience is preferred.
</li><li>Two or more years of supervisory experience is preferred.</li></ul>
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.</div>

ASSISTANT DIRECTOR OF CONTRACTS AND PROCUREMENT - 73234

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WORKERS' COMPENSATION COMPLIANCE SPECIALIST 1 - 73244

ASSISTANT DIRECTOR OF CONTRACTS AND PROCUREMENT - 73234