MEMBER COMMUNICATIONS QUALITY CONTROL SPECIALIST - 73904

Executive Service

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.

Background Check:

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.

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.

Job Overview:

The Division of TennCare is seeking a Member Communications Quality Control Specialist for the Compliance and Policy Group within Member Services. The Member Communications Quality Control Specialist will report directly to the Communications and Engagement Administrator and will be responsible for the quality of member-focused written communications to ensure members and applicants receive easy-to-read, clear communications. The Member Communications Quality Control Specialist will ensure communications meet system design expectations through quality control and systems testing. Additionally, this position requires strong attention to detail, critical thinking and problem-solving skills, the ability to manage multiple projects, establish and maintain positive working relationships with a wide variety of internal and external stakeholders, and adhere to deadlines.

Key Responsibilities:

• Review daily communications sent to members meets the quality expectation
• Identify, track, and provide feedback on issues in materials
• Review and maintain documents pertaining to training or system functionality of communications

Minimum Qualifications:

Education and Experience: Graduation from an accredited college or university with a bachelor's degree in a related field (preferred: business administration, management, public health, health policy, paralegal, or legal studies) and 2 years of relevant work experience; equivalent combination of education and experience may be considered.

OR

an equivalent combination of education and work experience may be considered.

Desirable Qualifications

• Ability to foster and maintain cohesive working relationships
• Ability to adapt to changing priorities and deadlines
• Ability to exercise sound judgment
• Strong organizational skills necessary, including the ability to prioritize, multi-task and manage workload to meet specific timeframes and deadlines
• Advanced writing and communication skills
• Advanced document formatting skills
• High attention to detail in written documents

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.