Managed Care Specialist

Introduction

The Managed Care Specialist position involves eligibility determination, case management, documentation, research, customer/client communication, database management, and administrative support. Training is extensive and may last up to 6 weeks. Training may be virtual or in-office based on supervisor requirements. Contractors must attend all scheduled training sessions. No preplanned PTO will be approved during training weeks.

Responsibilities

• Determine individual and family eligibility for applicable care programs.
• Assist with coordinating schedules and communicating with internal and external clients.
• Conduct client interviews and collect relevant facts and information.
• Compile case data and provide recommendations to attorneys or appropriate stakeholders.
• Manage assigned casework in a timely and organized manner.
• Maintain accurate case documentation and ensure appropriate case resolution.
• Conduct legal research and analyze legal papers and supporting documentation.
• Assist with drafting legal documents and accurately document research findings.
• Work efficiently across multiple databases and systems to research and extract information.
• Attend workgroup meetings and actively participate in discussions.
• Provide administrative and operational support to leadership as needed.
• Maintain confidentiality and accuracy when handling sensitive case information.
• Prioritize multiple assignments and meet established deadlines with minimal supervision.

Requirements

Required Qualifications

• Bachelor’s or Associate degree required.
• Strong critical-thinking and problem-solving abilities.
• Excellent verbal and written communication skills.
• Proficiency with Microsoft Office applications, including:
• Microsoft Word
• Excel
• Outlook
• PowerPoint
• SharePoint
• Strong organizational and time-management skills.
• Ability to prioritize multiple tasks and meet deadlines.
• Strong attention to detail.
• Excellent note-taking, email organization, and information-distribution skills.
• Ability to work independently with minimal supervision.

Preferred Qualifications

• Background or education in Paralegal Studies.
• Previous experience working in a legal environment.
• Customer service or call center experience.
• Experience with case management, eligibility determination, legal research, or documentation.
• Experience working with multiple databases and information systems.