Administrative Services Assistant / Enrollment Specialist
Location: 310 Great Circle Rd. Nashville, Tennessee 37243-0000
(Remote/Hybrid )
Client: TennCare - Long-Term Services & Supports (LTSS)
Duration: 12+ Months
Positions: 2 Openings -we can submit 5 resumes
Start Date: 07/13/2026
Submission Deadline: 06/16/2026
Position Overview - Medicaid Enrollment Specialist
TennCare's Long-Term Services & Supports (LTSS) Operations team is seeking an Administrative Services Assistant to support member enrollment and disenrollment activities. This role will assist with eligibility-related processes, redeterminations, data entry, reporting, and coordination efforts associated with the implementation of a new eligibility system and increased enrollment workload.
Key Responsibilities
- Process TennCare member enrollments and disenrollments accurately and timely.
- Assist with Medicaid eligibility and redetermination activities.
- Enter and maintain member records within state systems.
- Review, validate, and process enrollment-related documentation.
- Generate reports and track enrollment activities.
- Coordinate with Managed Care Organizations (MCOs), Nursing Facilities, DIDD, and other state partners.
- Support ongoing system implementation efforts and operational improvements.
- Maintain compliance with established policies, procedures, and timelines.
Required Qualifications
- Bachelor's Degree OR Associate Degree with 2+ years of relevant professional experience.
- Strong verbal and written communication skills.
- Proficiency with Microsoft Office Suite (Word, Excel, Outlook, PowerPoint, SharePoint).
- Excellent organizational and time-management skills.
- Strong attention to detail and accuracy.
- Ability to manage multiple priorities and meet deadlines with minimal supervision.
- Critical thinking and problem-solving abilities.
Preferred Experience
- Medicaid, TennCare, Medicare, or healthcare enrollment experience.
- Eligibility determination or benefits administration experience.
- Healthcare operations, case management support, or member services experience.
- State government or public sector experience.
- Experience with enrollment, redetermination, or eligibility systems.
Ideal Candidate Background
Enrollment Specialist, Eligibility Specialist, Benefits Coordinator, Healthcare Administrative Assistant, Medicaid Specialist, Program Assistant, Member Services Representative, or Administrative Analyst with healthcare or government program experience.