Executive Service
MEMBER COMMUNICATIONS SPECIALIST
Tennessee Division of TennCare, Member Services-Compliance & Policy Group (CPG)
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Nashville, TNMinimum Monthly Salary $3,958.00
TennCare compensation is equitable and will be based on education and experience for a qualified candidate in accordance with Department of Human Resources (DOHR) policy.
The Division of TennCare is dedicated to providing our employees with a hybrid work environment. All TennCare positions have a combination of work from home and work in the office, which varies by position, department, and business need. You may review the specific expectations with our hiring team.
This position requires a background check. Therefore, you may be required to provide information about your criminal history in order to be considered for this position.
Closing Date: 07/05/2023
Who we are and what we do:
TennCare is Tennessee's managed care Medicaid program that provides health insurance coverage to certain groups of low-income individuals such as pregnant women, children, caretaker relatives of young children, older adults, and adults with physical disabilities. TennCare provides coverage for approximately 1.7 million Tennesseans and operates with an annual budget of approximately $14 billion. It is run by the Division of TennCare with oversight and some funding from the Centers for Medicare and Medicaid Services (CMS).
TennCare's mission is to improve the lives of Tennesseans by providing high-quality cost-effective care. To fulfill that purpose, we equip each employee for active participation and empower teams to communicate and worked collaboratively to improve organizational processes in order to make a difference in the lives our members. Because of the positive impact TennCare has on the lives of the most vulnerable Tennesseans, TennCare employees report that their work provides them with a sense of meaning, purpose, and accomplishment. TennCare leadership understands that employees are our most valuable resource and ensures professional and leadership development are a priority for the agency.
Key Responsibilities:
- Ensure member-focused materials consistently meets the quality and business expectations
- Perform quality review of member materials in various test and production environments, and validate notice data and systems-related changes
- Identify systems defects related to member-focused written communications
- Test system changes and defect fixes related to member-focused material
- Liaison with interagency divisions and technical support groups to ensure member materials meet the business need
- Monitor team email box and respond appropriately to requests, including submission of translations requests
- Adhere to team policies and best practices with positivity and vulnerability
Job Overview:
The Division of TennCare is seeking a Member Communications Specialist for the Compliance and Policy Group within Member Services. The Member Communications Specialist will be responsible for quality of member-focused written communications to ensure members and applicants receive easy to read, clear communications. The Member Communications Specialist will ensure communications meet system design expectations through quality control and systems testing. This position requires critical thinking and problem-solving skills, the ability to understand and clearly communicate complex policy and procedures, establish and maintain positive working relationships with a wide variety of internal and external stakeholders, manage multiple projects, and adhere to deadlines.
Education and Experience:
- Graduation from an accredited college or university with a Bachelors Degree in a related field (preferred degree in business administration, management, public health or health policy)
OR
- Graduation from an accredited college or university with an associate's degree in a related field (preferred degree in business administration, management, public health or health policy) and two (2) years of qualifying professional experience in positions associated with the interpretation and application of policy or executing procedural provisions and/or eligibility within a health, healthcare, or health insurance setting.
Substitution of experience for education:
- Experience equivalent to four (4) or more years of qualifying professional experience in positions associated with the interpretation and application of policy or executing procedural provisions and/or eligibility within a health, healthcare, or health insurance setting.
- Strong organizational skills, including the ability to prioritize, assess competing demands, and manage workload to meet specific timeframes and deadlines
- Ability to work independently while also working as part of a team in a fast-paced environment
- High attention to detail in written documents
- Advanced writing and communication skills
- Ability to exercise sound judgment
- Strong work ethic, with an ability to receive and implement constructive feedback
- Willingness to support and foster the team's culture
Pursuant to the State of Tennessee’s Workplace Discrimination and Harassment policy, the State is firmly committed to the principle of fair and equal employment opportunities for its citizens and strives to protect the rights and opportunities of all people to seek, obtain, and hold employment without being subjected to illegal discrimination and harassment in the workplace. It is the State’s policy to provide an environment free of discrimination and harassment of an individual because of that person’s race, color, national origin, age (40 and over), sex, pregnancy, religion, creed, disability, veteran’s status, or any other category protected by state and/or federal civil rights laws.
