**Please make sure your application is complete, including your education, employment history, and any other applicable sections. Initial screening is based on the minimum requirements as defined in the job posting, such as education, experience, licenses, and certifications. Your experience should also address the knowledge, skills and abilities needed for the role. Incomplete applications will not be considered.**
*This position is located Remote United States*
*This position requires working weekends, and rotating holidays as needed *
*Please note the start date is on or after July 6, 2026*
Position Purpose:
Provides legal representation for the company in administrative law judge (ALJ) hearings in the claims appeal process and provides quality and legal review of pre-adjudicated cases.
Essential Responsibilities:
Minimum Qualifications
Education
Membership
Experience
Benefits
C2C offers an excellent benefits package, including:
EOE Vet/Disability
Improving Lives by Improving the Quality of Health Care
TMF Health Quality Institute focuses on promoting quality health care through contracts with federal, state and local governments, as well as private organizations. For more than 50 years, TMF has helped health care providers and practitioners in a variety of settings improve care for their patients.
TMF was chartered in 1971 as a private, nonprofit organization of licensed physicians (MDs and DOs) to lead quality improvement and medical review efforts in Texas. Originally known as the Texas Medical Foundation, the company changed its name to TMF Health Quality Institute in 2005 to reflect the expansion of its work throughout the nation.
In 2011, TMF acquired C2C Innovative Solutions, Inc., a Medicare Qualified Independent Contractor with offices in Florida and employees throughout the nation. This acquisition expanded TMF’s scope of services and increased our presence in the government contracting market. C2C specializes in providing health care sector support and administrative services in the handling of Medicare second-level appeals.
In 2013, TMF established the TMF Foundation in support of TMF’s vision to improve lives by improving the quality of health care. The TMF Foundation provides resources and educational support to organizations focused on the health of Texas residents. Recently, the foundation joined an effort to affect the trend of childhood obesity.
We partner with health care providers in multiple settings:
•Hospitals
•Physician Offices
•Nursing Homes
•Home Health Agencies
•Medication Safety and Reduction of Adverse Drug Events
TMF partners with health care providers to ensure that every patient receives the right care… every time.
