WAIVER PROGRAMS ELIGIBILITY SPECIALIST - 09292026- 81235
for each heading. Use - for lists. Use
for prose. Do not repeat job title. Do not include Job ID etc. Remove boilerplate. Include only sections with real content.
We need to parse the posting.
Key info:
- Opening Date/Time, Closing Date/Time: maybe metadata, but we can drop or put in short p? The instruction: "Do NOT put Job ID / requisition numbers as headings — fold minor metadata into a short
or drop it." Opening/closing dates are metadata; we could drop them or put in a short p. Probably drop.
- Salary (Monthly) $3,631.00, Salary (Annually) $43,572.00 => Pay section.
- Job Type Full-Time => maybe Schedule? Actually schedule could be full-time. But we only include Schedule if posting actually states it. It states Job Type Full-Time. That could be considered schedule. We'll include Schedule section with "Full-Time". Or maybe we treat as Schedule.
- City, State Location Nashville, TN => location maybe not needed.
- Department TennCare.
- Overview: description of role.
- Responsibilities: list of duties.
- Competencies (KSA's): list of competencies, knowledge, skills, abilities, tools.
- Qualifications: Education and Experience etc.
- Benefits: Not explicitly mentioned? There's mention of hybrid work environment, but not explicit benefits. The instruction: never create Benefits section unless posting actually states them. It mentions hybrid work environment, but not explicit benefits like health insurance, retirement. Might be considered benefit? Probably not enough. We'll omit Benefits.
- Pay: we have salary.
- Schedule: Job Type Full-Time.
- Requirements: maybe combine Qualifications? The instruction: Use headings for Requirements, Qualifications, Skills, Benefits, Pay, Schedule. We need to decide what goes where.
We have Qualifications section (Education and Experience, Substitution, Necessary Special Qualifications). That's Qualifications.
We have Responsibilities.
We have Competencies (KSA's) which includes Competencies, Knowledge, Skills, Abilities, Tools & Equipment. Could map to Skills heading (maybe include both skills and abilities). We'll put Skills heading and list the skills, abilities, tools.
We have Overview (About the role). So About the role heading.
We have Pay heading.
We have Schedule heading (Full-Time).
We have maybe Requirements heading? Could be used for any mandatory requirements like criminal background check, valid motor vehicle operator's license may be required. That could be Requirements. We'll include Requirements heading with those items.
Thus sections: About the role, Responsibilities, Requirements, Qualifications, Skills, Pay, Schedule.
We must not include Benefits.
Now format.
We need to preserve all substantive information, not invent or summarize away detail. So we need to include details from overview, responsibilities, qualifications, etc.
Let's extract.
Overview paragraph: "The Division of TennCare is dedicated to providing our 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. You may review the specific expectations with our hiring team. Under general supervision, is responsible for highly technical professional TennCare program work of considerable difficulty and/or supervisory work of average difficulty; and performs related work as required. This is the highly technical professional or supervisory class in the Managed Care Specialist sub-series. An employee in this class performs highly technical TennCare program work or supervises a small to moderate sized unit of Managed Care Specialists and/or sub professional staff performing TennCare duties. This class differs from Managed Care Specialist 2 in that an incumbent of the latter performs TennCare program work of average difficulty and is not responsible for highly technical or supervisory work."
We need to keep that as prose under About the role.
Responsibilities: list of duties (multiple sentences). We'll convert each sentence to
- .
List:
- 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.
- Leads peers/subordinates in documentation and storing enrollee and/or provider information in electronic databases and/or physical form to track appeals, monitoring information, and ensuring accurate 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.
Note: Some sentences have missing punctuation; we keep as is.
Requirements: includes criminal background check, valid motor vehicle operator's license may be required. Also maybe "This position requires a criminal background check. Therefore, you may be required to provide information about your criminal history in order to be considered for this position." and "Necessary Special Qualifications: A valid motor vehicle operator's license may be required."
We'll list those.
Qualifications: Education and Experience etc. We'll need to preserve all details.
Let's extract Qualifications text:
"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. Substitution of Experience for Education: 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 may substitute for the required education to a maximum of four years (e.g., experience equivalent to one year of full-time work in one or a combination of the above listed fields may substitute for one year of the required education). Substitution of Experience for Education: Two years of full-time work as a Managed Care Specialist with the State of Tennessee. Necessary Special Qualifications: A valid motor vehicle operator's license may be required."
Note: There's duplication of "Substitution of Experience for Education:" lines; we keep both.
We'll format as
- each bullet? Could be one paragraph but better to list each distinct point.
We'll break:
- 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.
- 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 may substitute for the required education to a maximum of four years (e.g., experience equivalent to one year of full-time work in one or a combination of the above listed fields may substitute for one year of the required education).
- Two years of full-time work as a Managed Care Specialist with the State of Tennessee.
- A valid motor vehicle operator's license may be required.
We'll keep as list.
Skills: from Competencies (KSA's) section.
We have:
Competencies (KSA's)
Competencies 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 Monitoring Time Management
Abilities Written Comprehension Inductive Reasoning Speech Clarity Oral Expression Problem Sensitivity
Tools & Equipment Personal Computer Telephone Fax Machine Printer
We need to preserve all. We'll format as list under Skills heading. Could separate into subcategories? But instruction: use
- for any list of duties/requirements/benefits. For skills, we can also list.
We'll list each item as
- . Might be long but okay.
We'll include:
- Manages Complexity
- Organizational Savvy
- Directs Work
- Communicates Effectively
- Instills Trust
- Knowledge: Communication and Media
- Knowledge: Administration and Management
- Knowledge: Customer and Personal Service
- Knowledge: Law and Government
- Knowledge: Education and Training
- Skills: Active Learning and Listening
- Skills: Complex Problem Solving
- Skills: Judgment and Decision Making
- Skills: Monitoring
- Skills: Time Management
- Abilities: Written Comprehension
- Abilities: Inductive Reasoning
- Abilities: Speech Clarity
- Abilities: Oral Expression
- Abilities: Problem Sensitivity
- Tools & Equipment: Personal Computer
- Tools & Equipment: Telephone
- Tools & Equipment: Fax Machine
- Tools & Equipment: Printer
We could combine knowledge items as separate li.
Pay: Salary (Monthly) $3,631.00 Salary (Annually) $43,572.00. We'll put as
maybe.
Schedule: Job Type Full-Time. We'll put as
Full-Time.
Now ensure we don't include boilerplate like Opening/Closing dates, location, department, etc. We'll drop them.
Now produce HTML fragment.
Structure:
About the role
...overview...
Responsibilities
- ...
...
Requirements
- This position requires a criminal background check. Therefore, you may be required to provide information about your criminal history in order to be considered for this position.
- A valid motor vehicle operator's license may be required.
Qualifications
- 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.
- 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 may substitute for the required education to a maximum of four years (e.g., experience equivalent to one year of full-time work in one or a combination of the above listed fields may substitute for one year of the required education).
- Two years of full-time work as a Managed Care Specialist with the State of Tennessee.
- A valid motor vehicle operator's license may be required.
Skills
- Manages Complexity
- Organizational Savvy
- Directs Work
- Communicates Effectively
- Instills Trust
- Knowledge: Communication and Media
- Knowledge: Administration and Management
- Knowledge: Customer and Personal Service
- Knowledge: Law and Government
- Knowledge: Education and Training
- Skills: Active Learning and Listening
- Skills: Complex Problem Solving
- Skills: Judgment and Decision Making
for prose. Do not repeat job title. Do not include Job ID etc. Remove boilerplate. Include only sections with real content. We need to parse the posting. Key info: - Opening Date/Time, Closing Date/Time: maybe metadata, but we can drop or put in short p? The instruction: "Do NOT put Job ID / requisition numbers as headings — fold minor metadata into a short
or drop it." Opening/closing dates are metadata; we could drop them or put in a short p. Probably drop. - Salary (Monthly) $3,631.00, Salary (Annually) $43,572.00 => Pay section. - Job Type Full-Time => maybe Schedule? Actually schedule could be full-time. But we only include Schedule if posting actually states it. It states Job Type Full-Time. That could be considered schedule. We'll include Schedule section with "Full-Time". Or maybe we treat as Schedule. - City, State Location Nashville, TN => location maybe not needed. - Department TennCare. - Overview: description of role. - Responsibilities: list of duties. - Competencies (KSA's): list of competencies, knowledge, skills, abilities, tools. - Qualifications: Education and Experience etc. - Benefits: Not explicitly mentioned? There's mention of hybrid work environment, but not explicit benefits. The instruction: never create Benefits section unless posting actually states them. It mentions hybrid work environment, but not explicit benefits like health insurance, retirement. Might be considered benefit? Probably not enough. We'll omit Benefits. - Pay: we have salary. - Schedule: Job Type Full-Time. - Requirements: maybe combine Qualifications? The instruction: Use headings for Requirements, Qualifications, Skills, Benefits, Pay, Schedule. We need to decide what goes where. We have Qualifications section (Education and Experience, Substitution, Necessary Special Qualifications). That's Qualifications. We have Responsibilities. We have Competencies (KSA's) which includes Competencies, Knowledge, Skills, Abilities, Tools & Equipment. Could map to Skills heading (maybe include both skills and abilities). We'll put Skills heading and list the skills, abilities, tools. We have Overview (About the role). So About the role heading. We have Pay heading. We have Schedule heading (Full-Time). We have maybe Requirements heading? Could be used for any mandatory requirements like criminal background check, valid motor vehicle operator's license may be required. That could be Requirements. We'll include Requirements heading with those items. Thus sections: About the role, Responsibilities, Requirements, Qualifications, Skills, Pay, Schedule. We must not include Benefits. Now format. We need to preserve all substantive information, not invent or summarize away detail. So we need to include details from overview, responsibilities, qualifications, etc. Let's extract. Overview paragraph: "The Division of TennCare is dedicated to providing our 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. You may review the specific expectations with our hiring team. Under general supervision, is responsible for highly technical professional TennCare program work of considerable difficulty and/or supervisory work of average difficulty; and performs related work as required. This is the highly technical professional or supervisory class in the Managed Care Specialist sub-series. An employee in this class performs highly technical TennCare program work or supervises a small to moderate sized unit of Managed Care Specialists and/or sub professional staff performing TennCare duties. This class differs from Managed Care Specialist 2 in that an incumbent of the latter performs TennCare program work of average difficulty and is not responsible for highly technical or supervisory work." We need to keep that as prose under About the role. Responsibilities: list of duties (multiple sentences). We'll convert each sentence to
- each bullet? Could be one paragraph but better to list each distinct point.
We'll break:
- 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.
- 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 may substitute for the required education to a maximum of four years (e.g., experience equivalent to one year of full-time work in one or a combination of the above listed fields may substitute for one year of the required education).
- Two years of full-time work as a Managed Care Specialist with the State of Tennessee.
- A valid motor vehicle operator's license may be required.
We'll keep as list.
Skills: from Competencies (KSA's) section.
We have:
Competencies (KSA's)
Competencies 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 Monitoring Time Management
Abilities Written Comprehension Inductive Reasoning Speech Clarity Oral Expression Problem Sensitivity
Tools & Equipment Personal Computer Telephone Fax Machine Printer
We need to preserve all. We'll format as list under Skills heading. Could separate into subcategories? But instruction: use
- for any list of duties/requirements/benefits. For skills, we can also list. We'll list each item as
- . Might be long but okay.
We'll include:
- Manages Complexity
- Organizational Savvy
- Directs Work
- Communicates Effectively
- Instills Trust
- Knowledge: Communication and Media
- Knowledge: Administration and Management
- Knowledge: Customer and Personal Service
- Knowledge: Law and Government
- Knowledge: Education and Training
- Skills: Active Learning and Listening
- Skills: Complex Problem Solving
- Skills: Judgment and Decision Making
- Skills: Monitoring
- Skills: Time Management
- Abilities: Written Comprehension
- Abilities: Inductive Reasoning
- Abilities: Speech Clarity
- Abilities: Oral Expression
- Abilities: Problem Sensitivity
- Tools & Equipment: Personal Computer
- Tools & Equipment: Telephone
- Tools & Equipment: Fax Machine
- Tools & Equipment: Printer
We could combine knowledge items as separate li.
Pay: Salary (Monthly) $3,631.00 Salary (Annually) $43,572.00. We'll put as
maybe. Schedule: Job Type Full-Time. We'll put as
Full-Time. Now ensure we don't include boilerplate like Opening/Closing dates, location, department, etc. We'll drop them. Now produce HTML fragment. Structure:
About the role
...overview...
Responsibilities
- ... ...
Requirements
- This position requires a criminal background check. Therefore, you may be required to provide information about your criminal history in order to be considered for this position.
- A valid motor vehicle operator's license may be required.
Qualifications
- 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.
- 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 may substitute for the required education to a maximum of four years (e.g., experience equivalent to one year of full-time work in one or a combination of the above listed fields may substitute for one year of the required education).
- Two years of full-time work as a Managed Care Specialist with the State of Tennessee.
- A valid motor vehicle operator's license may be required.
Skills
- Manages Complexity
- Organizational Savvy
- Directs Work
- Communicates Effectively
- Instills Trust
- Knowledge: Communication and Media
- Knowledge: Administration and Management
- Knowledge: Customer and Personal Service
- Knowledge: Law and Government
- Knowledge: Education and Training
- Skills: Active Learning and Listening
- Skills: Complex Problem Solving
- Skills: Judgment and Decision Making