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Rose International

Managed Care Specialist (Eligibility & Legal Case Support)

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Job Description

The client is looking to hire a Managed Care Specialist for a hybrid role.
Required Education:
Associate's degree
Preferred Education:
Bachelor's degreeRequirements and Skills
  • Must have a Bachelor's or Associate's degree
  • 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 communication skills
  • Keen attention to detail and adherence to deadlines
  • Strong time management, note-taking, email organization, and distribution skills
  • Critical thinking and problem-solving skillsPreferred Experience
  • A background in Paralegal studies is a plus
  • Work experience in a Legal environment is a plus
  • Customer service or call center experience is a plusKey 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
Job Overview:
  • 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 a contract for 12 months with an opportunity to be extended
  • 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
  • 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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Benefits

  • Dental Insurance