Enrollment Contractor

Location: Nashville, TN (Hybrid) – Contractor must be local. Duration: 12 + month contract.

About the role

The LTSS Operations team is seeking a contractor to perform Enrollment Specialist‑level work for TennCare members. The role supports the implementation of the new eligibility system, PERLSS, by handling enrollment and disenrollment tasks, monitoring and reporting defects, driving process improvements, and assisting with additional implementation phases. With the end of the Public Health Emergency, the contractor will also manage the restart of Medicaid redeterminations, working with MCOs, nursing facilities, DIDD, and other state partners to ensure members retain eligibility.

Responsibilities

• Perform enrollment and disenrollment functions for TennCare members.
• Transcribe approved PASRR determinations into the TMED system.
• Assist with the full redetermination process to prevent loss of eligibility.
• Monitor and report defects related to PERLSS implementation.
• Identify and implement process improvements for enrollment workflows.
• Generate required reports for supervisors as needed.
• Collaborate with MCOs, nursing facilities, DIDD, and other state partners during redetermination.
• Maintain compliance with rules and required timeframes throughout all tasks.

Action Plan Timeline

• Month 1: Training, shadowing, and completion of new‑hire onboarding.
• Month 2: Begin independent work with supervisor support; handle enrollment/disenrollment, PASRR transcription, and redetermination assistance; weekly check‑ins.
• Months 4‑10: Fully independent; continue enrollment tasks and provide required reports; begin transition planning in months 9‑10.
• Months 11‑12: Transition responsibilities back to the enrollment team; finalize outstanding tasks; create a transition plan to minimize gaps and ensure compliance.

Minimum Qualifications

• Bachelor’s degree from an accredited college or university, or an associate degree with two years of qualifying professional experience.
• Excellent verbal and written communication skills.
• Proven technical skills (e.g., Microsoft Word, Excel, Outlook, PowerPoint, SharePoint).
• Strong time‑management abilities; capable of multitasking and prioritizing to meet deadlines with minimal supervision.
• Keen attention to detail and adherence to deadlines.
• Highly organized and self‑motivated; thrives in a fast‑paced, results‑driven environment.
• Critical thinking and problem‑solving skills.