REGULAR PROGRAMS ELIGIBILITY SPECIALIST - 07072026- 78869

Job Information

About the role

The Division of TennCare is dedicated to providing its employees with a hybrid work environment. All TennCare positions have a combination of work from home and work in the office, which varies by position, department, and business need.

Qualifications

• Education and Experience: Graduation from an accredited college or university with a bachelor's degree or graduation from an accredited college or university with an associate's degree and two years of qualifying professional experience related to administrative, customer service and/or data entry positions associated with the application of policy or executing procedural provisions and/or eligibility within a health or healthcare, casework, or an insurance setting.
• Necessary Special Qualifications: A valid motor vehicle operator's license may be required.

Responsibilities

• Leads peers/subordinates in compiling information for initial processes for program participation related to application, appeals, recertifications, etc.
• Leads in preparation of provider rates, the analysis of data from contractors, processes specific enrollment information, and verifies accuracy of information.
• Completes the performance management process for direct reports and provides feedback related to assigned tasks. Conducts/leads training as required. Coordinates workload of peers/subordinates with internal/external business partners as required to facilitate task completion.
• Follows policies and procedures and identifies inconsistencies and errors to suggest corrective action to management.
• Provides regular updates to upper management and other partners on the status of assigned work or assigned projects.
• Provides consultation and advice relating to federal and state health policies to internal/external partners, applicants, and other stakeholders.
• Networks with internal/external business partners and maintains open dialogue. Leads peer/subordinates to liaise with other entities to ensure processing of requests.

Competencies (KSA's)

• Manages Complexity
• Organizational Savvy
• Directs Work
• Communicates Effectively
• Instills Trust

Knowledge

• Communication and Media
• Administration and Management
• Customer and Personal Service
• Law and Government
• Education and Training

Skills

• Active Learning and Listening
• Complex Problem Solving
• Judgment and Decision Making
• Making Decisions and Solving Problems
• Maintaining Interpersonal Relationships
• Monitoring
• Time Management

Abilities

• Written Comprehension
• Inductive Reasoning
• Speech Clarity
• Oral Expression
• Problem Sensitivity

Tools & Equipment

• Personal Computer
• Telephone
• Fax Machine
• Printer