What are the responsibilities and job description for the Managed Care Specialist position at Rose International?
Client is looking to hire a Managed Care Specialist for a hybrid role in Nashville, TN.
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.
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.
Qualifications
Bachelor's or Associate's Degree Must have a bachelor’s or associate degree Proficient (4-6 Years) Yes
Critical thinking and problem-solving skills Critical thinking and problem-solving skills. Proficient (4-6 Years) Yes
Communication Skills Excellent verbal and written communications skills. Proficient (4-6 Years) Yes
Microsoft Office Proven technical skills (e.g., Microsoft Word, Excel, Outlook, PowerPoint, SharePoint, etc.). Proficient (4-6 Years) Yes
Paralegal A background in Paralegal studies is a plus. Novice (1-3 Years) No
Only those lawfully authorized to work in the designated country associated with the position will be considered.
Please note that all Position start dates and duration are estimates and may be reduced or lengthened based upon a client’s business needs and requirements.
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