Enrollment Specialist - Hybrid Nashville, TN

Novalink Solutions LLC • Nashville, TN

1d • Hybrid

About The Position

The LTSS Operations team is seeking a contractor to assist with Enrollment Specialist duties, focusing on enrolling and disenrolling TennCare members. This role is crucial due to the implementation of a new eligibility system, PERLSS, which has increased the workload for the existing team. The contractor will help manage daily enrollment functions, ensuring timely and accurate processing of enrollments and disenrollments. This support will allow current team members to focus on PERLSS-related tasks, including defect monitoring, reporting, and process improvements. Additionally, with the end of the Public Health Emergency, the contractor will assist with the restart of Medicaid redeterminations, a process that has been on hold for three years. This involves monitoring and following up on lists shared with various partners to help members through the renewal process and ensure no eligible members lose coverage.

Requirements

• 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
• 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 multi-task and prioritize work in order 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

Responsibilities

• Enrollment and disenrollment functions
• Transcribing approved PASRR determinations into the TMED system
• Assisting with redetermination processes
• 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
• Providing required reports, as needed, to supervisor
• Transitioning responsibilities to team members and finalizing outstanding work tasks

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level
• Education Level: Associate degree