Managed Care Specialist

6 days ago

Nashville, TN, United States Integrated Resources Full time
Job Title: Managed Care Specialist
Location: Nashville, TN (Hybrid)
Duration: 6+ Months (Extension Possible)

Description:
  • Our Client is looking to hire a Managed Care Specialist for a hybrid role.
  • 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.
  • ll 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.

Key Responsibilities:
  • Determine individual and family eligibility for our Client's care programs.
  • ssist 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.
  • ttend workgroup meetings and participate in discussions.
  • ssist leadership team, as necessary.

Requirements and Skills:
  • Must have a bachelor's or associate degree.
  • 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 team's schedule.

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