Managed Care Program Mgr

Job Information

• Opening Date/Time: 02/03/2026 12:00AM Central Time
• Closing Date/Time: 02/16/2026 11:59PM Central Time
• Salary (Monthly): $4,562.00 - $6,825.00
• Salary (Annually): $54,744.00 - $81,900.00
• Job Type: Full-Time
• City, State
  
  Location:
  
  Nashville, TN
• Department:
  Tenn Care

LOCATION OF (1) POSITION(S) TO BE FILLED: DIVISION OF TENNCARE, TENNCARE DIVISION, DAVIDSON COUNTY

Minimum Monthly Salary $4,562/month Tenn Care 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 Tenn Care is dedicated to providing our employees with a hybrid work environment. All Tenn Care 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 criminal background check. Therefore, you may be required to provide information about your criminal history in order to be considered for this position

Qualifications

Education and Experience: Graduation from an accredited college or university with a bachelor's degree and experience equivalent to five years of professional level experience interpreting policy or procedural provisions for a Tenn Care, Medicaid, Managed Care, or other related health insurance organization, of which one year must include drafting contractual requirements, developing rules and regulations, or supervising professional staff who deal with health insurance.

Substitution of Experience for Education: Qualifying professional experience interpreting policy or procedural provisions for a related health insurance organization may substitute for the required education to a maximum of four years (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

Four years of full-time work as a Managed Care Specialist, Managed Care Program Mgr, and/or Managed Care Division Director with the State of Tennessee, of which one year must be at the Managed Care Specialist 3 or higher level.

Overview

Under general supervision, is responsible for managing a moderate sized section providing oversight of Tenn Care's managed care entities to ensure contract compliance, program integrity, and operational efficiency. This class differs from that of Managed Care Specialist 3 in that an incumbent of the latter functions at a highly technical professional level or supervises a small to moderate sized section which is assigned duties of routine to average complexity.

This class differs from that of Managed Care Program Mgr 2 in that an incumbent of the latter is responsible for assisting in directing the activities and services of a complex division or manages a large complex section.

Responsibilities