Managed Care Specialist

Requisition Name

Managed Care Specialist

Folder

Member Services

Customer

TN TennCare

Quantity Requested

10

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 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.
• 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

Other Important Information

Estimated Duration

11 / 17 / 2025 - 06 / 30 / 2026

Schedule

Days

Monday Yes Tuesday Yes Wednesday Yes Thursday Yes Friday Yes Saturday No Sunday No

Hours / Day

7.5

Time Zone

CST

Shifts

Start Time

End Time

Description

Active

Shift 1

8 : 00 AM

4 : 30 PM

State of Tennessee Official Standard Office Hours

Yes

Location

Position LocationHybrid

Address

310 Great Circle Rd. Nashville, Tennessee 37243

Qualifications

Type

Category

Qualification

Description

Competency

Required

Education

Others

Bachelor's or Associate's Degree

Must have a bachelor's 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