Managed Care Specialist
Managed Care Specialist
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Job Description
Description
- Our Client is looking to hire a Managed Care Specialist for a hybrid role.
- No duplicate submissions
- 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 Clients 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 Clients 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 bachelors 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.
Other Important Information
- The position is a hybrid position in downtown Nashville TN. The contractor will work onsite and remotely based on the teams schedule.
- The position is contract for 12 months with an opportunity to be extended.
Type
Category
Qualification
Description
Competency
Required
Education
Others
Bachelors or Associates Degree
Must have a bachelors or associate degree
Proficient (4-6 Years)
Yes
Skills
Others
Critical thinking and problem-solving skills
Critical thinking and problem-solving skills.
Proficient (4-6 Years)
Yes
Skills
Others
Communication Skills
Excellent verbal and written communications skills.
Proficient (4-6 Years)
Yes
Skills
Others
Microsoft Office
Proven technical skills (e.g. Microsoft Word Excel Outlook PowerPoint SharePoint etc.).
Proficient (4-6 Years)
Yes
Skills
Others
Paralegal
A background in Paralegal studies is a plus.
Novice (1-3 Years)
No
Employment Type
Full-time
