Required Education:
• 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
Required Skills:
• Excellent verbal and written communication skills
• Proven technical skills (e.g., Microsoft Word, Excel, Outlook, PowerPoint, SharePoint, etc.)
• Excellent time management skills and ability to multitask and prioritize work to meet specific timeframes and deadlines with minimal supervision
• Keen attention to detail and adherence to deadlines
• Organization
• Self-motivated and able to thrive in a fast-paced and results-driven environment
• Critical thinking and problem-solving skills.
Job Overview:
• 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 the daily functions of the enrollment team to ensure enrollments and disenrollments are handled in a timely and accurate manner.
• 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.
• The contractor will provide needed assistance for the full redetermination process, ensuring no members lose eligibility who are attempting to go through this process.
Key Responsibilities:
• The contractor will be needed for 12 months.
• Month 1: Training on new role, including shadowing and completion of the new hire onboarding process.
• Month 2: The contractor will begin working independently, with hands-on support and monitoring by the 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 will occur with the supervisor to monitor productivity and answer questions.
• Months 4-10: The contractor will be fully independent in role and providing support with enrollment tasks. This will also include providing the required reports, as needed, to the supervisor. In months 9 and 10, the 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 11-12: 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 with the rules and required timeframes.
- **Only those lawfully authorized to work in the designated country associated with the position will be considered.**
- **Please note that all Position start dates and duration are estimates and may be reduced or lengthened based upon a client’s business needs and requirements.**
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