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Eligibility Programs Specialist
2 months ago
The State of Tennessee is seeking a qualified candidate for the position of Eligibility Programs Specialist within the TennCare department. This role involves significant responsibilities in managing and overseeing eligibility processes related to healthcare programs.
Key Responsibilities
1. **Resource Management**: Ensure compliance with policies and procedures to guarantee that resources are utilized effectively, allowing staff to perform their duties efficiently.
2. **Interpersonal Relations**: Foster relationships with both internal and external stakeholders to facilitate communication and collaboration.
3. **Information Processing**: Lead efforts in compiling and verifying data related to program participation, including applications and appeals.
4. **Communication**: Provide updates to management and collaborate with various departments to ensure smooth operations.
5. **Staff Management**: Anticipate staffing needs and participate in the hiring process to maintain adequate staffing levels.
Qualifications
Applicants should possess a bachelor’s degree from an accredited institution or an associate’s degree with relevant professional experience in administrative roles, customer service, or data entry within healthcare or insurance settings. Experience may substitute for educational requirements, up to a maximum of four years.
Special Requirements
A valid motor vehicle operator's license may be necessary for this position.
Competencies
Successful candidates will demonstrate strong problem-solving abilities, effective communication skills, and the capacity to manage multiple tasks efficiently. Knowledge of healthcare policies and regulations is essential for this role.
Work Environment
This position offers a hybrid work environment, combining remote work with in-office responsibilities, tailored to the needs of the department.
