Why This Role Stands Out
Elevate your career in managed care with this hybrid opportunity at Cleo Consulting Inc., offering valuable experience with the State of TN/TN TennCare. You'll thrive in this role if you possess strong communication skills and a passion for making a difference in public service, and you'll benefit from extensive training and a flexible work environment. Apply today to join a reputable organization and grow your expertise!
Quick Overview
Job Description
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
- 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.
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.
- The position is contract for 12 months with an opportunity to be extended.
Schedule
- Days - Monday Yes Tuesday Yes Wednesday Yes Thursday Yes Friday Yes Saturday No Sunday No
- Hours/Day - 7.5
- Time Zone - CST
- Shifts - Shift 1
- Start Time - 8:00 AM
- End Time - 4:30 PM
- Description - State of Tennessee Official Standard Office Hours
- Active – Yes
|
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 |
“Cleo Consulting is an equal opportunity employer (Minorities/Women/Veterans/Disabled)”
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