Managed Care Specialist

Cynet SystemsNashville, TN

About The Position

This role involves determining individual and family eligibility for care programs, coordinating schedules, conducting client interviews, and compiling case data. The specialist will also perform legal research, analyze legal documents, and draft legal documents, ensuring accurate documentation and efficient database management. Participation in workgroup meetings and support for the leadership team are also key aspects of the position.

Requirements

  • Must have a bachelor's or associate degree.
  • 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.

Nice To Haves

  • A background in Paralegal studies is a plus.
  • Work experience in a Legal environment a plus.
  • Customer service or call center experience a plus.

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.
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