Managed Care Specialist
Morph Enterprise
We are seeking a bilingual Managed Care Specialist for a hybrid position in Nashville, TN.
Position OverviewThis role supports managed care and legal casework functions, including eligibility determination, client communication, case documentation, research, and administrative support.
The position offers a hybrid work environment , with a combination of remote and onsite work based on business and team needs. Training is extensive and may last up to six weeks. Attendance is required throughout the training period.
No preplanned PTO will be approved during training.
Candidates must be local to Middle Tennessee and able to commute to the Nashville, TN office as needed.
Schedule: Monday Friday, up to 37.5 hours per week
Location: Nashville, TN Hybrid
Contract: 12 months, with potential for extension
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Determine individual and family eligibility for applicable care programs.
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Assist with coordinating schedules and communicating with internal and external clients.
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Conduct client interviews, gather facts and information, and compile case data.
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Provide recommendations and supporting information to attorneys and leadership.
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Manage assigned casework in a timely and organized manner.
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Maintain accurate documentation and work toward appropriate case resolution.
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Conduct legal research and analysis of legal documents and related materials.
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Assist with drafting legal documents and accurately document research findings.
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Navigate multiple databases and systems to locate and extract information efficiently.
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Attend workgroup meetings and actively participate in discussions.
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Provide additional administrative and operational support to leadership as needed.
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Bilingual proficiency required.
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Associate or bachelor's degree required.
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Paralegal studies or related education is a plus.
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Previous experience in a legal environment is preferred.
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Customer service or call center experience is a plus.
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Proficiency with Microsoft Office applications, including Word, Excel, Outlook, and PowerPoint.
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Experience with SharePoint or similar systems is preferred.
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Excellent verbal and written communication skills.
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Strong organizational and time-management abilities.
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Ability to prioritize multiple assignments and meet deadlines with minimal supervision.
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Strong attention to detail and accuracy.
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Excellent note-taking, email organization, and document management skills.
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Strong critical-thinking and problem-solving abilities.
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Ability to work effectively in multiple databases and systems.
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Hybrid position based in Nashville, TN .
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Candidates must reside locally in Middle Tennessee and be able to work onsite as required.
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Monday Friday schedule, up to 37.5 hours per week.
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Initial training may be up to six weeks and requires full attendance.
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12-month contract with potential for extension.
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