Job Information
Opening Date/Time
8/18/26 12:00AM Central Time
Closing Date/Time
08/31/2026 11:59PM Central Time
Salary (Monthly)
$2,896.00 - $4,331.00
Salary (Annually)
$34,752.00 - $51,972.00
City, State Location
Nashville, Tennessee
LOCATION OF (2) POSITION(S) TO BE FILLED: DEPARTMENT OF HEALTH, DAVIDSON COUNTY
Hybrid
This position requires a criminal background check. Therefore, you may be required to provide information about your criminal history in order to be considered for this position.
Qualifications
Education and Experience: Graduation from an accredited college or university with an associate's degree.
Substitution of Education for Experience: Qualifying professional experience related to administrative, customer service and/or data entry positions associated with the application of policy or executing procedural provisions and/or eligibility within a health or healthcare, casework, or an insurance setting may substitute for the required education to a maximum of two years (e.g., experience equivalent to one year of full-time work in one or a combination of the above listed fields may substitute for one year of the required education).
Substitution of Experience for Education: One year of full-time work with the State of Tennessee as a Managed Care Technician or a job where the experience related to administrative, customer service and/or data entry positions associated with the application of policy or executing procedural provisions and/or eligibility within a health or healthcare, casework, or an insurance setting
Necessary Special Qualifications: A valid motor vehicle operator license may be required.
Overview
An individual in the Managed Care Specialist 1 position should be capable of conducting telephonic outreach through outbound calls from the Tennessee Department of Health Call Center to Tennessee families who have had a baby within the last four weeks.
The individual should be capable of following a script and conducting a survey to encourage a family to identify their family needs.
Responsibilities
An incumbent in this classification learns to perform the following:
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Evaluates the status of provider enrollment to make determination of approval and further participation in Medicaid program.
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Identifies, by appeal timelines, those indicated as standard or emergency appeals to ensure they are processed timely and resolve issues that arise.
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Obtains information from enrollees, medical facilities, providers, and/or managed care organizations in order to identify specific program issues and complete enrollment processes.
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Analyzes data received from contractors to ensure accuracy and functional performance. Learns to evaluate information to identify issues and determine program compliance.
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Documents, stores, and monitors enrollee and/or provider information in electronic database and/or physical form to ensure accurate information.
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Interprets information related to division operations, including Medicaid program specifics, for internal/external business partners to ensure understanding and facilitate relationships.
- Networks with internal/external business partners and maintains open dialogue.
Competencies (KSA's)
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Nimble Learning
- Decision Quality
- Manages Conflict
- Action Oriented
- Interpersonal Savvy
Knowledge:
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Customer and Personal Service
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Clerical
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Administration and Management
- Education and Training
Skills:
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Active Learning and Listening
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Critical Thinking
- Reading Comprehension
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Time Management
- Monitoring
Abilities:
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Deductive Reasoning
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Speech Recognition
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Written Comprehension
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Speech Clarity
- Oral Expression
Tools & Equipment
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Personal Computer
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Telephone
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Fax Machine
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Printer
