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Managed Care Specialist 3-091218-170577

Expired Job

State Of Tennessee Nashville , TN 37201

Posted 4 months ago

Minimum Qualifications Benefits Supplemental Questions

LOCATION OF (7) POSITIONS TO BE FILLED: DEPARTMENT OF TENNCARE, DIVISION OF TNCARE, DAVIDSON COUNTY

Education and Experience: Graduation from an accredited college or university with a bachelor's degree and experience equivalent to two years of professional level 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 also be obtained from work implementing policy in a like setting within state or local level government agencies or non-profit organizations.

Substitution of Experience for Education: Qualifying professional experience related to policy or procedural provisions within one of the above referenced settings 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.

Other Requirements:

Necessary Special Qualifications:
A valid motor vehicle operator's license may be required.

Examination Method: Education and Experience,100%,for Preferred Service positions.

Job Overview:

Summary:
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.

Distinguishing Features: 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.

Competencies (KSA's):

Competencies:

  • Dealing with Ambiguity

  • Problem Solving

  • Delegation

  • Time Management

  • Command Skills

  • Standing Alone

  • Perseverance

  • Organizational Agility

  • Written Communication

  • Approachability

  • Customer Focus

  • Integrity and Trust

Knowledge:

  • Communication and Media

  • Administration and Management

  • Customer and Personal Service

  • Law and Government

  • Education and Training

Skills:

  • Speaking

  • Writing

  • Monitoring

  • Active Listening

  • Critical Thinking

  • Instructing

  • Negotiation

  • Reading Comprehension

  • Time Management

  • Complex Problem Solving

  • Trouble Shooting

  • Judgment and Decision Making

  • Systems Evaluations

Abilities:

  • Category Flexibility

  • Inductive Reasoning

  • Oral Comprehension

  • Oral Expression

  • Problem Sensitivity

  • Written Comprehension

  • Written Expression

  • Time Sharing

  • Speech Clarity

  • Speech Recognition

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Managed Care Specialist 3121218172708

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Posted 5 days ago

VIEW JOBS 12/13/2018 12:00:00 AM 2019-03-13T00:00 Minimum Qualifications Benefits Supplemental Questions LOCATION OF (6) POSITIONS TO BE FILLED: DIVISION OF TENNCARE, DAVIDSON COUNTY Education and Experience: Graduation from an accredited college or university with a bachelor's degree and experience equivalent to two years of professional level 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 also be obtained from work implementing policy in a like setting within state or local level government agencies or non-profit organizations. Substitution of Experience for Education: Qualifying professional experience related to policy or procedural provisions within one of the above referenced settings 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. Other Requirements: Necessary Special Qualifications: A valid motor vehicle operator's license may be required. Examination Method: Education and Experience,100%,for Preferred Service positions. Job Overview: Summary: 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. Distinguishing Features: 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. Competencies (KSA's): Competencies: * Dealing with Ambiguity * Problem Solving * Delegation * Time Management * Command Skills * Standing Alone * Perseverance * Organizational Agility * Written Communication * Approachability * Customer Focus * Integrity and Trust Knowledge: * Communication and Media * Administration and Management * Customer and Personal Service * Law and Government * Education and Training Skills: * Speaking * Writing * Monitoring * Active Listening * Critical Thinking * Instructing * Negotiation * Reading Comprehension * Time Management * Complex Problem Solving * Trouble Shooting * Judgment and Decision Making * Systems Evaluations Abilities: * Category Flexibility * Inductive Reasoning * Oral Comprehension * Oral Expression * Problem Sensitivity * Written Comprehension * Written Expression * Time Sharing * Speech Clarity * Speech Recognition State Of Tennessee Nashville TN

Managed Care Specialist 3-091218-170577

Expired Job

State Of Tennessee