MANAGED CARE SPECIALIST 3 - 05052022-30894
State of Tennessee
Nashville, TN (Davidson County)
Family Services/Human Services/Behavioral Health
Position Description / Responsibilities
Summary: Under general supervision, is responsible for highly technical professional TennCare program work of considerable difficulty and/or supervisory work of average difficulty; and performs related work as required.
Distinguishing Features: This is the highly technical professional or supervisory class in the Managed Care Specialist sub-series. An employee in this class performs highly technical TennCare program work or supervises a small to moderate sized unit of Managed Care Specialists and/or sub professional staff performing TennCare duties. This class differs from Managed Care Specialist 2 in that an incumbent of the latter performs TennCare program work of average difficulty and is not responsible for highly technical or supervisory work.
Position Requirements
Education and Experience: Graduation from an accredited college or university with a bachelor's degree or graduation from an accredited college or university with an associate degree and two years of 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.
Substitution of Experience for Education: 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 four 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: Two years of full-time work as a Managed Care Specialist with the State of Tennessee.
Application Instructions
For more information and to apply go to www.tn.gov/careers and search for (30894)