Job Description

Requisition ID: 63826

Requisition Name: Managed Care Specialist

Department: TN TennCare

Location: 310 Great Circle Rd, Nashville, Tennessee, 37243 (Hybrid)

Duration: 12+ months (Mon-Fri, 7.5 hrs)

Job Description:

• Our Client provides their workforce with a hybrid work environment. Most positions have a combination of work from home and work in the office, which varies by position, department, and business need.

• Training is extensive, up to 6 weeks prescheduled, virtual / in-office (by supervisor request), and contractors must attend training every day to build proficiency.

• No Preplanned PTO will be approved during training weeks.

• All candidates MUST be local to middle TN and able to commute to our Client's office in Nashville, TN as needed.

• The work hours and schedule are M-F with standard 7.5 hours per day/max, 37.5 hours per week.

Key Responsibilities

• Determine individual and family eligibility for our Client's care programs.
• Assist in coordinating and communicating schedules to internal/external Clients.
• Conduct client interviews, collect facts and information, and compile case data to provide recommendations to an attorney.
• Timely management of casework, including proper documentation and case resolution.
• Provide legal research, analysis of legal papers, and draft legal documents. Document findings accurately.
• Work efficiently / effectively in multiple databases to extract information.
• Attend workgroup meetings and participate in discussions.
• Assist leadership team, as necessary.

Requirements and Skills

• Must have a bachelor's or associate degree.
• Customer service or call center experience a plus.
• Proven technical skills (e.g., Microsoft Word, Excel, Outlook, PowerPoint, SharePoint, etc.).
• Excellent time management skills with the ability to prioritize work to meet specific deadlines with minimal supervision.
• Excellent verbal and written communications skills.
• Keen attention to detail and adherence to deadlines.
• Strong time management, note-taking, email organization, and distribution skills.
• Critical thinking and problem-solving skills.

Other Important Information

• The position is a 100% onsite contract in downtown Nashville, TN.
• The position is contract for 12 months with an opportunity to be extended.

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