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Managed Care Specialist

Spectraforce

Nashville, Tennessee


3 months ago

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Managed Care Specialist
Spectraforce
Nashville, Tennessee

3 months ago

Job Description

Title: Managed Care Specialist 
Duration: 12 Months
Location: Downtown, Nashville, TN


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.
  • Attending workgroup meetings and participating 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.
 
Other Important Information
  • The position is a 100% onsite contract in downtown Nashville, TN.
  • The position is contract for 12 months with an opportunity to be extended.
  • 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 weeks of training.
  • All candidates MUST be local to middle TN and able to work in 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.
 

About Us: Established in 2004, SPECTRAFORCE® is one of the largest and fastest-growing diversity-owned staffing firms in the US. The growth of our company is a direct result of our global client service delivery model that is powered by our state-of-the-art A.I. proprietary talent acquisition platform, robust ISO 9001:2015/ISO 27001 certified processes, and strong and passionate client engaged teams. We have built our business by providing talent and project-based solutions, including Contingent, Permanent, and Statement of Work (SOW) services to over 140 clients in the US, Canada, Puerto Rico, Costa Rica, and India. Key industries that we service include Technology, Financial Services, Life Sciences, Healthcare, Telecom, Retail, Utilities and Transportation. SPECTRAFORCE is built on a concept of “human connection,” defined by our branding attitude of NEWJOBPHORIA®, which is the excitement of bringing joy and freedom to the work lifestyle so our people and clients can reach their highest potential. Learn more at: http://www.spectraforce.com
 
Benefits: SPECTRAFORCE offers ACA compliant health benefits as well as dental, vision, accident, critical illness, voluntary life, and hospital indemnity insurances to eligible employees. Additional benefits offered to eligible employees include commuter benefits, 401K plan with matching, and a referral bonus program. SPECTRAFORCE provides unpaid leave as well as paid sick leave when required by law.

Equal Opportunity Employer: SPECTRAFORCE is an equal opportunity employer and does not discriminate against any employee or applicant for employment because of race, religion, color, sex, national origin, age, sexual orientation, gender identity, genetic information, disability or veteran status, or any other category protected by applicable federal, state, or local laws. Please contact Human Resources at LOA@spectraforce.com if you require reasonable accommodation.
 
California Applicant Notice: SPECTRAFORCE is committed to complying with the California Privacy Rights Act (“CPRA”) effective January 1, 2023; and all data privacy laws in the jurisdictions in which it recruits and hires employees. A Notice to California Job Applicants Regarding the Collection of Personal Information can be located on our website. Applicants with disabilities may access this notice in an alternative format by contacting NAHR@spectraforce.com.
 
LA County, CA Applicant Notice: If you are selected for this position with SPECTRAFORCE, your offer is contingent upon the satisfactory completion of several requirements, including but not limited to, a criminal background check. We consider qualified applicants with arrest or conviction records for employment in accordance with all local ordinances and state laws, including the Los Angeles County Fair Chance Ordinance for Employers (FCO) and the California Fair Chance Act (FCA). The background check assessment will consider whether a criminal history could reasonably have a direct, adverse impact on the job-related safety, security, trust, regulatory compliance, or suitability for this role. Such findings may result in withdrawal of a conditional job offer. 


At SPECTRAFORCE, we are committed to maintaining a workplace that ensures fair compensation and wage transparency in adherence with all applicable state and local laws. This position’s starting pay is: $17.79/hr.

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