Enrollment Specialist
Enrollment Specialist
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Job Description
End Client: State of Tennessee
Job Title: Enrollment Specialist
Duration: 12 Months
Start Date: ASAP
Position Type: Contract
Number of Hours: 37.5 Hours a Week
Location: Nashville Tennessee 37243 (Hybrid)
Interview Type: Webcam/In person/Telephonic
Ceipal ID: STNHD275IK
Position ID: 63275
Tennessee Department of TennCare
Description:
- The LTSS Operations team is requesting a contractor to assist with Enrollment Specialist level work related to enrolling and disenrolling TennCare members. Due to the implementation of a new eligibility system PERLSS the enrollment team is in need of additional assistance to manage the workload. PERLSS implementation requirements have increased the workload of existing team members and additional support is needed to maintain daily functions of the enrollment team to ensure enrollments and disenrollment are handled timely and accurately
- The contractor role will allow the enrollment team members to manage PERLSS related work including monitoring and reporting defects process improvements and required work related to additional PERLSS implementation phases. Additionally with the Public Health Emergency ending redeterminations for Medicaid programs will be restarting at the end of March. This will result in an increase in work as this process has been on hold for three (3) years and the enrollment team will be monitoring and following up on lists shared with MCOs Nursing Facilities DIDD and other state partners to assist members with going through the renewal process. The contractor will provide needed assistance for the full redetermination process ensuring no members lose eligibility that are attempting to go through this process.
Action Plan Timeline:
Month 1: Training on new role including shadowing and completion of new hire onboarding process.
Month 2: The contractor will begin working independently with hands on support and monitoring of supervisor on enrollment related tasks. These include enrollment and disenrollment functions transcribing approved PASRR determinations into the TMED system and assisting with redetermination processes. Weekly check ins to occur with supervisor to monitor productivity and answer questions.
Months 410: The contractor will be fully independent in role and providing support with enrollment tasks. This will also include providing required reports as needed to supervisor. In months 9 and 10 supervisor and contractor will begin discussing transition plan for tasks to include a review of eligibility system implementation related tasks that are close to completion or have already been completed.
Months 1112: The contractor will work with the enrollment team on transitioning responsibilities to team members and finalizing outstanding work tasks. The contractor and supervisor will create a transition plan to minimize transition related gaps ensuring compliance to Rules and required timeframes.
Required Skills:
- Graduation from an accredited college or university with a bachelors degree or graduation from an accredited college or university with an associates degree and two years of qualifying professional experience.
- Excellent verbal and written communications skills.
- Proven technical skills (e.g. Microsoft Word Excel Outlook PowerPoint SharePoint etc.
- Excellent time management skills and ability to multitask and prioritize work in order to meet specific timeframes and deadlines with minimal supervision.
- Keen attention to detail and adherence to deadlines.
- Selfmotivated and able to thrive in a fastpaced and resultsdriven environment.
- Critical thinking and problemsolving skills.
V Group Inc. is an IT Services company that supplies IT staffing project management and delivery services in software network help desk and all IT areas. Our primary focus is the public sector including state and federal contracts. We have multiple awards/ contracts with the following states: AR CA DE FL GA IL KY MD ME MI NC NJ NY OH OR PA SC TX VA and WA. If you are considering applying for a position with V Group or in partnering with us on a position please feel free to contact me for any questions you may have regarding our services and the advantages we can offer you as a consultant.
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Employment Type
Full Time
