Minimum Qualifications Benefits Supplemental Questions
LOCATION OF (16) POSITIONS TO BE FILLED: DIVISION OF TENNCARE, DAVIDSON COUNTY
Education and Experience: Graduation from an accredited college or university with an associate's degree.
Substitution of Experience for Education: Qualifying professional experience related to policy or procedural provisions associated with TennCare, Medicaid, CHIP, or other insurance and managed care related services within a hospital, healthcare, insurance and/or managed care organization. This experience could be obtained from work implementing policy in a like setting within state or local level governmental agencies or non-profit organizations for the required education to a maximum of two 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 Technician with the State of Tennessee.
Necessary Special Qualifications:
A valid motor vehicle operator license may be required.
Examination Method: Education and Experience,100%, for Preferred Service positions.
Under immediate supervision, is responsible for professional TennCare program work of routine difficulty; and performs related work as required.
Distinguishing Features: This is the entry-working class in the Managed Care Specialist sub-series. An employee in the class performs a variety of TennCare program work including resolving TennCare eligibility appeals, assisting long-term care facilities with claims processing issues, and assisting "walk in" TennCare members or applicants with TennCare claims or eligibility problems. This class differs from that of Managed Care Specialist 2 in that an incumbent of the latter performs TennCare program work of average difficulty with wider scope and complexity.
Learning on the Fly
Administration and Management
Customer and Personal Service
Education and Training
State Of Tennessee