The standard work week is 37.5 hrs./wk.

Enrollment functions: Reviews enrollment details and effective dates to ensure accuracy prior
to enrolling member. Works with team members to determine appropriate program enrollment.

Enters, deletes, and revises enrollment related actions in interChange. Assists in the
redetermination process and submits lists of all members to be renewed to appropriate
external partners.

Disenrollment functions: Reviews and processes all requested and approved disenrollments,
whether voluntary or involuntary, for TennCare LTSS members in an accurate and timely
manner. Ensure effective dates are accurate and research discrepancies related to effective
dates, preventing eligibility issues for members, providers, and MCOs. Communicate
disenrollment's for the Katie Beckett program to program leadership.

Transcribe approved PASRR determinations from the TMED system into the PERLSS system to allow for additional enrollment and eligibility actions to be taken on completed records.

The LTSS Operations team is requesting a contractor to assist with Enrollment Specialist level work related to enrolling and disenrolling TennCare members. Due to the implementation of a new eligibility system, PERLSS, the enrollment team is in need of additional assistance to manage the workload. PERLSS implementation requirements have increased the workload of existing team members and additional support is needed to maintain daily functions of the enrollment team to ensure enrollments and disenrollment's are handled timely and accurately.

The contractor role will allow the enrollment team members to manage PERLSS
related work, including monitoring and reporting defects, process improvements, and required work related to additional PERLSS implementation phases.

Job Types: Full-time, Contract

Pay: $27.00 - $28.00 per hour

Schedule:

• Monday to Friday

Ability to Relocate:

• Nashville, TN: Relocate before starting work (Required)

Work Location: In person