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Eligibility Programs Specialist
2 months ago
Position Overview
Organization: State of Tennessee
Role Summary: This position entails significant professional responsibilities within the TennCare program, focusing on the assessment and management of eligibility criteria. The role involves both technical and supervisory duties, ensuring compliance with established policies and procedures.
Key Responsibilities:
- Resource Management: Identify discrepancies in policies and recommend corrective measures to enhance operational efficiency.
- Interpersonal Relations: Foster collaborative relationships with internal and external stakeholders to facilitate effective communication and coordination.
- Information Processing: Oversee the collection and organization of data for program participation, ensuring accuracy and compliance with regulations.
- Staff Development: Mentor and guide team members, providing training and support to enhance their professional skills.
- Compliance Evaluation: Assess provider enrollment applications to ensure adherence to state and federal guidelines.
Qualifications:
Applicants should possess a bachelor's degree from an accredited institution or an associate's degree accompanied by relevant professional experience in administrative or customer service roles within healthcare or insurance sectors. Additional experience may substitute for educational requirements.
Essential Skills:
- Strong analytical and problem-solving abilities.
- Excellent written and verbal communication skills.
- Proficiency in utilizing various software and databases for data management.
- Ability to work collaboratively in a team-oriented environment.
This role is pivotal in ensuring that the TennCare program operates effectively, providing essential services to the community while maintaining high standards of compliance and quality.
