Job Role:
Our Client is looking to hire a Managed Care Specialist for a hybrid role.
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.
Role Description: Our client, a long-standing, employee-owned, building materials manufacturer, distributor, and retailer, is seeking an experienced Controller to manage their organizations finances. This will include anything from AP, AR, payroll, month-end close, financial...
...that challenges the conventional, pushing creative boundaries to exceed client expectations. Position Summary: We are hiring an Art Director who is fluent in creative strategy, design, culture, and is invested in challenging the status quo. This person has...
(Only QUALIFIED Healthcare Professionals accepted) Medical Technologist - Are you a new grad looking for a lab job? My name is Caroline and Im a healthcare recruiter Im here to help! A nationally-ranked, 400-bed, academic medical center is looking for a full-time, permanent...
...or Part Time Book a variety of travel experiences, including cruises, Disney trips... ...Provided Online Fully Remote (Work From Home) Comfortable working with minimal supervision... ...Helping People Amazing Travel Agent Perks: Discounted Travel Perks! Earn...
..., Permanent Position: BAS Engineer - Siemens PharmEng Technology is a leading provider of engineering and consulting services to the pharmaceutical industry. We are seeking a highly skilled and experienced BAS Engineer to join our team in Columbus, OH. The...