Managed Care Technician - 10132026-81723

State of Tennessee Job Information Opening Date/Time 10/13/2026 12:00AM Central Time Closing Date/Time 10/19/2026 11:59PM Central Time Salary (Monthly) $2,607.00 - $3,908.00 Salary (Annually) $31,284.00 - $46,896.00 Job Type Full-Time City, State Location Nashville, TN Department Health LOCATION OF (1) POSITION(S) TO BE FILLED: DEPARTMENT OF HEALTH, DAVIDSON COUNTY 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. This position is designed as Hybrid (In office and Remote).

Education and Experience

Education

equivalent to graduation from a standard high school and experience equivalent to two years of clerical and/or customer service experience, of which one year must be in a Tenn. Care, Medicaid, Managed Care, or any other related health insurance organization. Substitution of Experience for Education: Qualifying experience in clerical and/or customer service work may substitute for the required education (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). OR One year of full-time work as a Managed Care Operator with the State of Tennessee.

An employee in this class assists professional Managed Care specialists in performing a variety of Tenn. Care program assignments. Work involves assisting in such duties as conducting Tenn. Care related research, processing claims, developing Tenn. Care reports and program material, performing Tenn. Care program planning and evaluation, and functioning as a lead worker to the Managed Care Operators.

This class differs from that of classes in the Managed Care Specialist sub-series in that incumbents of the latter perform professional level Tenn. Care program duties at a greater level of complexity and with more independence, and may supervise and/or provide technical guidance to incumbents in this class.

Communicating with people outside the organization, representing the organization to customers, the public, government, and other external sources. This information can be exchanged in person, in writing, or by telephone or e-mail. Interprets a variety of program rules, regulations, policies, procedures, and documentation for internal and external business partners to facilitate understanding, enhance communications, and ensure compliance .

Provides guidance and direction to team members and monitoring performance to ensure timely completion of tasks. Analyzes internal and external information and evaluates results to choose the best solution and solve problems. Develops process improvement suggestions to streamline workflow and improve process cycle times and accuracy.

Identifies the educational needs of others, developing formal educational or training programs or classes, and teaching or instructing others. Performs day-to-day administrative tasks such as maintaining information files and processing paperwork. Coordinates workload with internal and external partners as required to facilitate timely and accurate task completion.

Evaluates data input for completeness, accuracy, and compliance with policies and standards, and makes changes as needed. Evaluates internally and externally generated reports for completeness and accuracy, and makes corrections as needed. Evaluates performance documents of agency employees submitted to supervisory personnel for compliance with performance evaluation guidelines.

Identifies the developmental needs of others and coaches, mentors, or otherwise helps others to improve their knowledge and skills. Audits data input and performance of coworkers to ensure accuracy and departmental goals are met. Monitors information provided on documents received to ensure accuracy. Writes instructions for the assembly of an electronic or mechanic device to ensure functionality of the unit.

Handles complaints, settles disputes, and resolves grievances and conflicts, or otherwise negotiates with others. Provides customer service to internal and external customers to maintain positive relationships and ensure positive results. Evaluates how well a subordinate or peer performs according to policies and program guidelines, as required, and consults with supervisors to assist in the performance evaluation process.

Responds to complaints or needs from supervisors, coworkers, and/or subordinates regarding the function of equipment, materials, and surroundings in order to maintain a functional working environment, and contacts the proper entity for correction as needed. Documents auditing performed for employee performance purposes to ensure accurate information is used in decision making.

Enters data into the appropriate computer program to enroll members and/or providers into services or reports services provided to members. Documents the performance of team members to ensure accurate and unbiased performance evaluations. Develops specific goals and plans to prioritize, organize, and accomplish work in an efficient manner.

Provides guidance and expert advice to management or other groups on technical, systems, or process-related topics. Encourages and builds mutual trust, respect, and cooperation among team members. Analyzes internal and external data for planning work flow, and generates a report for supervisors to enable efficient completion of tasks.

Analyzes internal and external paperwork for accuracy, and makes changes as needed. Analyzes data input to ensure accuracy, compliance with policies and standards, and for training and corrective actions. Sells program benefits and the services of the team to internal and external business contacts. Attends agency specific training as required to ensure compliance with departmental, state, and federal laws and guidelines.

Uses office productivity software including but not limited to word processing programs, spreadsheet programs, presentation software, web-based email programs, and search engines to accomplish tasks. Receives applications through multiple media in order to enroll providers in the Medicaid Program. Receives data from Tenn.

Care on a weekly basis in order to generate the outreach call lists for completion and to ensure that eligible participants are aware of the services available to them. Receives information from superiors regarding policies, procedures, changes, and updates in order to provide the most current services to members and/or providers.

Receives information from other departments, agencies, and constituents in order to enroll members into services. Consults with peers and subordinates regarding workflow in order to streamline the completion of tasks. Providing personal assistance, medical attention, emotional support, or other personal care to others such as coworkers, customers, or patients.

Developing constructive and cooperative working relationships with others, and maintaining them over time. Identifies changes to policies to update standard operating procedures and ensure that the team's work is in compliance with the most current standards. Provides information to supervisors, coworkers, and team members by telephone, in written form, e-mail, or in person.

Calculates and categorizes all applications received and calculates the number of providers and members enrolled on a daily basis, in order to provide a total weekly report to the manager. Tabulates specific upcoming and completed tasks to provide a report to supervisor and/or manager for quality assurance and planning.

Repairs minor issues identified with general office equipment or reports the issue to the appropriate staff to ensure the functionality.

Competencies: Intellectual Horsepower Learning on the Fly Problem Solving Informing Priority Setting Time Management Standing Alone Perseverance Comfort around Higher Management Written Communications Approachability Boss Relationships Composure Integrity and Trust Listening Knowledge: Clerical Customer and Personal Service Education and Training Law and Government Skills: Active Listening Critical Thinking Learning Strategies Reading Comprehension Speaking Writing Instructing Persuasion Complex Problem Solving Judgment/Decision Making Time Management Abilities: Deductive Reasoning Information Ordering Memorization Oral Comprehension Time Sharing Written Comprehension Dynamic Flexibility Hearing Sensitivity Speech Clarity Speech Recognition

Personal Computer Telephone Fax Machine Printer Copier/Scanner Other related office equipment as required

State of Tennessee positions that may involve driving responsibilities require candidates to meet the following minimum driver qualifications: A valid driver's license For the past five years, the candidate's driver record must not have record of the following violations: driving under the influence (DUI), reckless driving, license suspension for moving violations, more than 4 moving violations.

Please include your Driver's License Information under the Licenses and Certifications section of your application. **Agencies may allow an exception based on other factors.