Managed Care Specialist

Managed Care Specialist

Job Location: Nashville, TN, the position is a hybrid position in downtown Nashville, TN. The contractor will work onsite and remotely based on the team's schedule

Job Duration: 12 Months

Job Summary:

• The 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:

• Must have a bachelor's or associate degree.
• A 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.

Skill Matrix:

• Must have a bachelor's or associate degree (Required)
• Critical thinking and problem-solving skills. Proficient (4-6 Years) (Required)
• Excellent verbal and written communications skills. Proficient (4-6 Years) (Required)
• Proven technical skills (e.g., Microsoft Word, Excel, Outlook, PowerPoint, SharePoint, etc.). Proficient (4-6 Years) (Required)
• Paralegal, A background in Paralegal studies is a plus. Novice (1-3 Years) (Required)