Managed Care Specialist

COOLSOFT; Nashville (TN); Hybrid; USD 60,000 - 72,000; Full time

Job summary

COOLSOFT is seeking a Managed Care Specialist for a hybrid role based in downtown Nashville, TN. The position requires in-person attendance and daily training, with a schedule M-F, 7.5 hours/day. Local candidates able to commute are preferred.

Responsibilities include eligibility determinations, client coordination, interview documentation, and attorney-recommendation support. Ideal candidates have a bachelor’s or associate degree, a paralegal background, and strong MS Office skills.

Qualifications

• Bachelor's or associate degree required.
• Paralegal studies background a plus.
• Legal environment experience a plus.
• Customer service or call center experience a plus.
• Proficient with Microsoft Word, Excel, Outlook, PowerPoint, SharePoint.

Responsibilities

• Determine individual and family eligibility for care programs.
• Coordinate and communicate schedules to internal/external clients.
• Conduct client interviews, collect facts and information, and compile case data to provide recommendations to an attorney.
• Timely management of casework, including proper documentation and case resolution.
• Provide legal research, analysis of legal papers, and draft legal documents; document findings.
• Work efficiently in multiple databases to extract information.
• Attend workgroup meetings and participate in discussions.
• Assist leadership team, as necessary.

Skills

Time management

Verbal communication

Written communication

Attention to detail

Note-taking

Education

Bachelor's or Associate degree

Tools

Microsoft Word

Excel

Outlook

PowerPoint

SharePoint

Job description

Note:

• The position is a hybrid position in downtown Nashville, TN. The contractor will work onsite and remotely based on the team's schedule.

Description:

Bilingual Candidates Only

Our Client is looking to hire a Managed Care Specialist for a hybrid role.

Our Client provides their workforce with a hybrid work environment. Most positions have a combination of work from home and work in the office, which varies by position, department, and business need. Training is extensive, up to 6 weeks prescheduled, virtual / in-office (by supervisor request), and contractors must attend training every day to build proficiency.

No Preplanned PTO will be approved during training weeks.

All candidates MUST be local to middle TN and able to commute to our Client's office in Nashville, TN as needed. The work hours and schedule are M-F with standard 7.5 hours per day/max, 37.5 hours per week.

Key Responsibilities

• Determine individual and family eligibility for our Client's care programs.
• Assist in coordinating and communicating schedules to internal/external Clients.
• Conduct client interviews, collect facts and information, and compile case data to provide recommendations to an attorney.
• Timely management of casework, including proper documentation and case resolution.
• Provide legal research, analysis of legal papers, and draft legal documents. Document findings accurately.
• Work efficiently / effectively in multiple databases to extract information.
• Attend workgroup meetings and participate in discussions.
• Assist leadership team, as necessary.

Requirements and Skills:

• Must have a bachelor's or associate degree.
• A background in Paralegal studies is a plus.
• Work experience in a Legal environment a plus.
• Customer service or call center experience a plus.
• Proven technical skills (e.g., Microsoft Word, Excel, Outlook, PowerPoint, SharePoint, etc.).
• Excellent time management skills with the ability to prioritize work to meet specific deadlines with minimal supervision.
• Excellent verbal and written communications skills.
• Keen attention to detail and adherence to deadlines.
• Strong time management, note-taking, email organization, and distribution skills.
• Critical thinking and problem-solving skills.