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Managed Care Specialist

1 month ago

Alexandria, Virginia, United States Telnet Inc Full time
Job Title: Managed Care Specialist

We are seeking a highly skilled Managed Care Specialist to join our team at Telnet Inc. in Nashville, TN.

Job Summary:

The Managed Care Specialist will be responsible for determining individual and family eligibility for our client's care programs, coordinating and communicating schedules, and conducting client interviews to provide recommendations to an attorney.

Key Responsibilities:
  • 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 and effectively in multiple databases to extract information.
  • Attend workgroup meetings and participate in discussions.
  • Assist leadership team as necessary.
Requirements and Skills:
  • Bachelor's or associate degree required.
  • Background in paralegal studies a plus.
  • Work experience in a legal environment a plus.
  • Customer service or call center experience a plus.
  • Proven technical skills, including Microsoft Office and SharePoint.
  • Excellent time management skills with the ability to prioritize work to meet specific deadlines with minimal supervision.
  • Excellent verbal and written communication 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.
Work Environment:

Our client provides a hybrid work environment, with a combination of work from home and work in the office. Most positions have a standard 7.5 hours per day, 37.5 hours per week schedule.

Training is extensive, up to 6 weeks, and is a requirement for all contractors. No preplanned PTO will be approved during weeks of training.

Candidates must be local to middle TN and able to commute to our client's office in Nashville, TN as needed.