What are the responsibilities and job description for the Managed Care Specialist position at nLeague?
Job ID: 65175
Department: TN TennCare
Position: Managed Care Specialist
Location: 310 Great Circle Rd. Nashville, Tennessee 37243
Duration: 6 Months
Hybrid
Department: TN TennCare
Position: Managed Care Specialist
Location: 310 Great Circle Rd. Nashville, Tennessee 37243
Duration: 6 Months
Hybrid
- 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.
- 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.
- Must have a bachelor’s or associate degree.
- A background in Paralegal studies is a plus.
- Work experience in a Legal environment a plus.
- 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.
- The position is a hybrid position in downtown Nashville, TN. The contractor will work onsite and remotely based on the team’s schedule.
- The position is contract for 12 months with an opportunity to be extended.
Salary : $18 - $20