ENROLLMENT SPECIALIST - Nashville, TN/On-Site

Location: Nashville, TN (on‑site). This is a 12‑month contract position requiring candidates to reside in or commute to middle Tennessee. Standard work week is 37.5 hours.

Responsibilities

• Review enrollment details and effective dates for accuracy prior to enrolling members.
• Collaborate with team members to determine appropriate program enrollment.
• Enter, delete, and revise enrollment‑related actions in the interChange system.
• Assist in the redetermination process and submit renewal lists to external partners.
• Review and process all requested and approved disenrollments (voluntary or involuntary) for TennCare LTSS members, ensuring accurate effective dates and resolving discrepancies.
• Communicate Katie Beckett program disenrollments to program leadership.
• Transcribe approved PASRR determinations from the TMED system into the PERLSS system.
• Monitor and report defects, support process improvements, and handle tasks related to PERLSS implementation phases.
• Support the full redetermination process for Medicaid programs, coordinating with MCOs, nursing facilities, DIDD, and other state partners.
• Provide required reports to supervisors and assist with transition planning toward the end of the contract.

Qualifications

• Bachelor’s degree from an accredited college or university, or an associate’s degree plus two years of relevant professional experience.
• Excellent verbal and written communication skills.
• Proficient with Microsoft Office suite (Word, Excel, Outlook, PowerPoint) and SharePoint.
• Strong time‑management abilities; capable of multitasking, prioritizing work, and meeting deadlines with minimal supervision.
• Keen attention to detail and adherence to deadlines.
• Self‑motivated, able to thrive in a fast‑paced, results‑driven environment.
• Critical thinking and problem‑solving skills.

Timeline

• Month 1: Training, shadowing, and completion of onboarding.
• Month 2: Begin independent work with supervisory support; weekly check‑ins.
• Months 4‑10: Fully independent; provide enrollment support and required reports.
• Months 9‑10: Begin transition planning for eligibility‑system implementation tasks.
• Months 11‑12: Transition responsibilities to team members and finalize outstanding tasks.