Managed Care Specialist

V Group Inc.; Vaughan; Hybrid; CAD 55,000 - 75,000; Full time

Job summary

A dynamic role for a Managed Care Specialist at a leading healthcare organization, offering a 12-month contract with potential for extension. Candidates will determine eligibility for care programs, manage casework, and provide essential legal support. This position requires a Bachelor’s degree and the ability to work hybrid in downtown Nashville, TN.

Qualifications

• Bachelor’s or associate degree required.
• Paralegal background is a plus.
• Legal or customer service experience is a plus.

Responsibilities

• Determine eligibility for care programs.
• Conduct client interviews and manage casework timely.
• Provide legal research and document findings accurately.

Skills

Time Management

Communication

Problem Solving

Education

Bachelor’s or Associate Degree

Tools

Microsoft Office

SharePoint

Job description

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For more details, please connect with Ibad Ullah Khan at 971-431-1753 or email at [e-mail] .

Job Title : Managed Care Specialist

Duration : 12 Months

Start Date : ASAP

Position Type : Contract

Hours per Week : 37.5

Interview Type : In Person / Webcam

Short Description :

• Extensive training, up to 6 weeks, scheduled virtually or in-office (as per supervisor request), with mandatory daily attendance.
• No preplanned PTO during training weeks.
• Candidates must be local to Middle TN and able to commute to Nashville, TN. Work schedule is Monday to Friday, 7.5 hours per day, 37.5 hours per week.

Responsibilities :

Determine eligibility for care programs.

Coordinate and communicate schedules with clients.

Conduct client interviews, gather information, and compile case data for legal recommendations.

Manage casework timely, document properly, and resolve cases.

Provide legal research, analyze legal documents, and draft legal papers.

Accurately document findings.

Work efficiently across multiple databases.

Participate in workgroup meetings and discussions.

Assist leadership as needed.

Required Skills :

Bachelor’s or associate degree required.

Paralegal background is a plus.

Legal or customer service experience is a plus.

Proven skills in Microsoft Office and SharePoint.

Excellent time management, communication, and attention to detail.

Strong problem-solving skills.

Additional Information :

12-month contract with potential extension.

Hybrid work in downtown Nashville, TN, with onsite and remote work based on team schedule.

Additional Details

Level : Mid-Senior

Type : Contract

Function : Administrative

Industry : Healthcare

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