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Managed Care Specialist

Excelraise, LLC
  • Nashville, TN
  • $23 Per Hour
  • Contractor
  • Instant Apply
1 day ago

Job Description

***The position is a hybrid position in downtown Nashville, TN. The contractor will work onsite and remotely based on the team’s schedule***

***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***

  • Our client, is seeking 10 detail-oriented and analytical Managed Care Specialists to support eligibility determinations, case management, documentation, and related administrative and legal support functions.
  • The successful candidates will review individual and family eligibility for care programs, conduct client interviews, gather and analyze case information, maintain accurate records, and assist with research and documentation. This role requires strong communication, critical-thinking, time-management, and organizational skills.
  • Important: Candidates must be local to Middle Tennessee and able to commute to the client's Nashville office as required. This is a hybrid position, with onsite and remote work scheduled according to team and business needs.

Job 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. 

Numbers & Facts

LocationNashville, TN
Job TypeContractor
IndustryComputer/IT Services
Salary$23 Per Hour
HeadquartersEnglewood, CO, US
Websitehttp://www.excelraise.com

Qualifications

  • 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.

About Company

Excelraise is a leader in consulting and technology. We help enterprises transform and thrive in a changing world through strategic consulting and operational leadership. At Excelraise, we outperform the competition and stay ahead of the innovation curve. 

Skills

  • Proven technical skills (e.g., Microsoft Word, Excel, Outlook, PowerPoint, SharePoint, etc.)

Skills

  • Administrative Skillsunmatched
  • Analysis Skillsunmatched
  • Case Managementunmatched
  • Communication Skillsunmatched
  • Detail Orientedunmatched
  • Documentationunmatched
  • Interviewing Skillsunmatched
  • Legal Support Skillsunmatched
  • Managed Careunmatched
  • Organizational Skillsunmatched
  • Record Keepingunmatched
  • Time Managementunmatched
  • Work From Homeunmatched

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