Managed Care Specialist - Local to TN

The ideal candidate will have strong communication, analytical, and organizational skills, along with the ability to manage multiple cases, work with various databases, and ensure accurate documentation and timely case resolution. Job Description We are seeking a detail-oriented and organized Managed Care Specialist to support eligibility determination, case management, documentation, research, and administrative operations.

Job Title: Managed Care Specialist

Location: Nashville, TN (Hybrid)
Job Type: Contract
Work Schedule: Monday Friday, up to 37.5 hours per week

Job Description

We are seeking a detail-oriented and organized Managed Care Specialist to support eligibility determination, case management, documentation, research, and administrative operations. The ideal candidate will have strong communication, analytical, and organizational skills, along with the ability to manage multiple cases, work with various databases, and ensure accurate documentation and timely case resolution.

This position requires a professional who can work independently, prioritize competing assignments, and collaborate effectively with internal and external stakeholders.

Key Responsibilities

• Determine individual and family eligibility for applicable care programs.

• Coordinate schedules and communicate with internal and external stakeholders.

• Conduct client interviews, collect relevant facts and information, and compile case data for review and recommendations.

• Manage casework efficiently, ensuring accurate documentation and timely case resolution.

• Conduct research, analyze legal documents, and assist with drafting legal documentation.

• Document findings accurately and maintain organized case records.

• Navigate multiple databases to retrieve, review, and analyze information.

• Attend workgroup meetings and participate in discussions and team activities.

• Provide administrative and operational support to the leadership team as needed.

• Maintain confidentiality and accuracy when handling sensitive information.

• Prioritize assignments and meet deadlines with minimal supervision.

Required Qualifications

• Associate degree or bachelor's degree is required.

• Proficiency in Microsoft Word, Excel, Outlook, PowerPoint, and SharePoint.

• Excellent written and verbal communication skills.

• Strong organizational and time management skills.

• Excellent attention to detail and ability to meet deadlines.

• Strong note-taking, email management, documentation, and information distribution skills.

• Critical thinking and problem-solving abilities.

• Ability to work independently and manage multiple priorities effectively.

Preferred Qualifications

• Educational background in paralegal studies.

• Previous experience working in a legal environment.

• Customer service or call center experience.

• Experience with case management, eligibility determination, or administrative support.

• Familiarity with working across multiple databases and maintaining detailed records.

Work Location and Schedule Requirements

• This is a hybrid position based in downtown Nashville, Tennessee, requiring both remote and onsite work according to team and business needs.

• Candidates must currently reside in Middle Tennessee and be able to commute to the Nashville office as required.

• Standard schedule is Monday through Friday, with a maximum of 7.5 hours per day and 37.5 hours per week.

• Training may last up to six weeks and may be conducted virtually or onsite, as directed by the supervisor.

• Daily attendance is mandatory throughout the training period.

• No preplanned paid time off (PTO) will be approved during training weeks.

• Duplicate candidate submissions are not permitted.

Ideal Candidate

The ideal candidate is dependable, organized, detail-oriented, and comfortable working in a structured environment involving c.ase documentation, eligibility reviews, research, and stakeholder communication. The candidate should demonstrate professionalism, sound judgment, and the ability to handle multiple assignments while maintaining accuracy and meeting deadlines