Enrollment Specialist /Admin

Responsibilities

The LTSS Operations team is seeking a contractor to perform Enrollment Specialist‑level work related to enrolling and disenrolling TennCare members. This role supports the team during the PERLSS implementation and the upcoming Medicaid redetermination period.

• Review enrollment details and effective dates to ensure accuracy prior to enrolling members.
• Work with team members to determine appropriate program enrollment.
• Enter, delete, and revise enrollment‑related actions in Interchange.
• Assist in the redetermination process and submit lists of all members to be renewed to appropriate external partners.
• Review and process all requested and approved disenrollments (voluntary or involuntary) for TennCare LTSS members, ensuring accurate effective dates and researching discrepancies to prevent eligibility issues.
• Communicate disenrollments for the Katie Beckett program to program leadership.
• Transcribe approved PASRR determinations from the TMED system into the PERLSS system to enable additional enrollment and eligibility actions.
• Monitor and report defects, support process improvements, and handle work related to additional PERLSS implementation phases.
• Assist with the full redetermination process as it resumes, monitoring and following up on lists shared with MCOs, nursing facilities, DIDD, and other state partners to prevent loss of eligibility.
• Provide timely and accurate enrollment and disenrollment support to maintain daily functions of the enrollment team.

Minimum Qualifications

• Graduation from an accredited college or university with a bachelor’s degree, or an associate’s degree plus two years of qualifying professional experience.
• Excellent verbal and written communication skills.
• Proven technical skills (e.g., Microsoft Word, Excel, Outlook, PowerPoint, SharePoint, etc.).
• Excellent time‑management skills with ability to multitask, prioritize work, and meet specific timeframes and deadlines with minimal supervision.
• Keen attention to detail and adherence to deadlines.
• Strong organizational abilities; self‑motivated and able to thrive in a fast‑paced, results‑driven environment.
• Critical thinking and problem‑solving skills.