Minimum Qualifications Benefits Supplemental Questions
LOCATION OF (2) POSITIONS TO BE FILLED: DEPARTMENT OF TENNCARE, TNCARE DIVISION, DAVIDSON COUNTY
Education and Experience: Graduation from an accredited college or university with a bachelor's degree and experience equivalent to five years of professional level experience interpreting policy or procedural provisions for a TennCare, Medicaid, Managed Care, or other related health insurance organization, of which one year must include drafting contractual requirements, developing rules and regulations, or supervising professional staff who deal with health insurance.
Substitution of Experience for Education: Qualifying professional experience interpreting policy or procedural provisions for a related health insurance organization 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).
Four years of full-time work as a Managed Care Specialist, Managed Care Program Mgr, and/or Managed Care Division Director with the State of Tennessee, of which one year must be at the Managed Care Specialist 3 or higher level.
Necessary Special Qualifications:
Examination Method: Education and Experience,100%, for Preferred Service positions.
Under general supervision, is responsible for professional managerial and supervisory work of average difficulty; and performs related work as required.
Distinguishing Features: An employee in this class is responsible for managing a moderate sized section which is assigned complex duties. This class differs from that of Managed Care Specialist 3 in that an incumbent of the latter functions at a highly technical professional level or supervises a small to moderate sized section which is assigned duties of routine to average complexity. This class differs from that of Managed Care Program Mgr 2 in that an incumbent of the latter is responsible for assisting in directing the activities and services of a most complex division or manages a large and/or most complex section.
Learning on the Fly
Drive for Results
Building Effective Teams
Education and Training
Complex Problem Solving
Management of Personnel Resources
State Of Tennessee