Managed Care Specialist – Nashville, TN
Published on CazVidat cleoconsulting
Join cleoconsulting as a contract Managed Care Specialist in Nashville, TN. Support care coordination, insurance documentation, and compliance.
Salary
Not provided
Location
Nashville, Tennessee, United States
Employment type
Contract
Workplace
Not provided
Managed Care Specialist – Nashville, TN
Nashville, Tennessee, United States
Job description
cleoconsulting is hiring a contract Managed Care Specialist in Nashville, Tennessee. In this on-site healthcare role, you will help coordinate patient care within health insurance frameworks, support compliance with managed care regulations, and improve the patient experience.
Key Responsibilities
- Conduct legal research related to managed care regulations and compliance.
- Create and maintain accurate documentation for patient cases and insurance policies.
- Respond to inquiries and resolve issues involving patient care and benefits.
- Coordinate with healthcare providers, patients, and insurance companies to support care management.
- Assess patient needs and insurance coverage, using critical thinking to recommend appropriate solutions.
- Prioritize tasks, meet deadlines, and manage work in a fast-paced environment.
- Use healthcare software and documentation tools to complete work efficiently.
Required and Preferred Qualifications
- Associate degree in healthcare administration, business, or a related field.
- At least two years of relevant experience, including legal research, documentation, and customer service in healthcare.
- Strong written and verbal communication skills.
- Excellent problem-solving and critical-thinking abilities.
- Familiarity with healthcare regulations and managed care practices preferred.
- Proficiency with healthcare software and documentation tools.
Position Details
- Employer: cleoconsulting
- Location: Nashville, TN
- Job type: Contract
- Work arrangement: On-site; not remote eligible
Frequently asked questions
Is this position remote or on-site?
This is a contract position based in Nashville, TN, with no remote work option.
What kind of experience do I need for this role?
You need a minimum of 2 years of experience in legal research, documentation, and customer service within healthcare.
What education is required for this Managed Care Specialist position?
An Associate's Degree in Healthcare Administration, Business, or a related field is required.
What are the main responsibilities of this job?
You will conduct legal research to ensure compliance, maintain documentation, communicate with healthcare providers and insurance companies, and manage patient care coordination.
Do I need to know any specific software for this job?
Yes, you should be proficient with healthcare-related software and documentation tools to support care management activities.