Demo

Managed Care Specialist

VGroup Inc
Nashville, TN Full Time
POSTED ON 1/3/2025
AVAILABLE BEFORE 3/3/2025
For more details, please connect with Ibad Ullah Khan at 971-431-1753 or email at ibadk@vgroupinc.com
Client: State of Tennessee
Job Title: Managed Care Specialist
Duration: 12 Months
Start Date: ASAP
Position Type: Contract
Number of Hours: 37.5 Hours a Week
Location: 310 Great Circle Rd. Nashville, TN 37243 (Hybrid)
Interview Type: In Person/ Webcam
Ceipal ID: STN_HD826_IK
Position ID: 63826


Department - TennCare

Short Description:
  • 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.
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.
Required 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 contract for 12 months with an opportunity to be extended.
_________________________________________________________________________________________________________________________________
V Group Inc. is an IT Services company that supplies IT staffing, project management, and delivery services in software, network, help desk, and all IT areas. Our primary focus is the public sector including state and federal contracts. We have multiple awards/ contracts with the following states: CA, FL, GA, MD, MI, NC, NY, OH, OR, PA, SC, VA, and WA, CT, TN. If you are considering applying for a position with V Group or partnering with us on a position, please feel free to contact me with any questions you may have regarding our services and the advantages we can offer you as a consultant.

Please share my contact information with others working in Information Technology.

Website: www.vgroupinc.com
LinkedIn: www.linkedin.com/company/v-group/
Facebook: www.facebook.com/VGroupIT
Twitter: www.twitter.com/vgroupinc

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