Position: Enrolment Specialist

Pay rate: $ 28 per hr

Client: State of Tennessee

Duration: 3 months

Location: Nashville, Tennessee 37243

Job Id: 62315

Description:

Job Title: OPS ENROLL SPECIALIST/Administrative Services Assistant

**This is a onsite position - only candidates in middle Tennessee and able to commute to Nashville, TN regularly will be considered.**

The standard work week is 37.5 hrs./wk.

Enrolment functions: Reviews enrolment details and effective dates to ensure accuracy prior

to enrolling member. Works with team members to determine appropriate program enrolment.

Enters, deletes, and revises enrolment 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 Tenn Care 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 enrolment and eligibility actions to be taken on completed records.

The LTSS Operations team is requesting a contractor to assist with Enrolment Specialist level work related to enrolling and disenrolling Tenn Care members. Due to the implementation of a new eligibility system, PERLSS, the enrolment 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 enrolment team to ensure enrolments and disenrollment's are handled timely and accurately.

The contractor role will allow the enrolment team members to manage PERLSS

related work, including monitoring and reporting defects, process improvements, and required work related to additional PERLSS implementation phases.

Additionally, with the Public Health Emergency ending, redeterminations for Medicaid programs will be restarting at the end of March. This will result in an increase in work as this process has been on hold for three (3) years and the enrolment team will be monitoring and following up on lists shared with MCOs, Nursing Facilities, DIDD, and other state partners to assist members with going through the renewal process. The contractor will provide needed assistance for the full redetermination process, ensuring no members lose eligibility that are attempting to go through this process.

#INDLI

Job Type: Contract

Pay: $28.00 per hour

Benefits:

• Dental insurance
• Health insurance
• Vision insurance

Schedule:

• 8 hour shift
• Monday to Friday

Experience:

• Enrolment: 1 year (Preferred)

Ability to Commute:

• Nashville, TN (Required)

Ability to Relocate:

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

Work Location: In person