Medical Management Specialist I
3 weeks ago
Anticipated End Date:2024-11-01Position Title:Medical Management Specialist I - KansasJob Description:The Medical Management Specialist I is responsible for providing non-clinical support to the Medical Management and/or Operations areas.Location: The ideal candidate will live within 50 miles of our Topeka, Kansas OR Olathe/Overland Park, Kansas Elevance Health location.How you will make an impact:Gathers clinical information regarding case and determines appropriate area to refer or assign case (utilization management, case management, QI, Med Review).Provides information regarding network providers or general program information when requested.May assist with complex cases.May act as liaison between Medical Management and/or Operations and internal departments.Maintains and updates tracking databases. Prepares reports and documents all actions.Responsibilities exclude conducting any utilization management review activities which require interpretation of clinical information.Minimum Requirements:Requires a H.S. diploma or equivalent and a minimum of 1 year experience or any combination of education and experience which would provide an equivalent background.Preferred Skills, Capabilities, and Experiences:Understanding of managed care or Medicaid/Medicare strongly preferred.Job Level:Non-Management Non-ExemptWorkshift:1st Shift (United States of America)Job Family:MED > Medical Ops & Support (Non-Licensed)Please be advised that Elevance Health only accepts resumes for compensation from agencies that have a signed agreement with Elevance Health. Any unsolicited resumes, including those submitted to hiring managers, are deemed to be the property of Elevance Health.Who We AreElevance Health is a health company dedicated to improving lives and communities - and making healthcare simpler. We are a Fortune 25 company with a longstanding history in the healthcare industry, looking for leaders at all levels of the organization who are passionate about making an impact on our members and the communities we serve.How We WorkAt Elevance Health, we are creating a culture that is designed to advance our strategy but will also lead to personal and professional growth for our associates. Our values and behaviors are the root of our culture. They are how we achieve our strategy, power our business outcomes and drive our shared success - for our consumers, our associates, our communities and our business.We offer a range of market-competitive total rewards that include merit increases, paid holidays, Paid Time Off, and incentive bonus programs (unless covered by a collective bargaining agreement), medical, dental, vision, short and long term disability benefits, 401(k) +match, stock purchase plan, life insurance, wellness programs and financial education resources, to name a few.Elevance Health operates in a Hybrid Workforce Strategy. Unless specified as primarily virtual by the hiring manager, associates are required to work at an Elevance Health location at least once per week, and potentially several times per week. Specific requirements and expectations for time onsite will be discussed as part of the hiring process. Candidates must reside within 50 miles or 1-hour commute each way of a relevant Elevance Health location.The health of our associates and communities is a top priority for Elevance Health. We require all new candidates in certain patient/member-facing roles to become vaccinated against COVID-19. If you are not vaccinated, your offer will be rescinded unless you provide an acceptable explanation. Elevance Health will also follow all relevant federal, state and local laws.Elevance Health is an Equal Employment Opportunity employer, and all qualified applicants will receive consideration for employment without regard to age, citizenship status, color, creed, disability, ethnicity, genetic information, gender (including gender identity and gender expression), marital status, national origin, race, religion, sex, sexual orientation, veteran status or any other status or condition protected by applicable federal, state, or local laws. Applicants who require accommodation to participate in the job application process may contact elevancehealthjobssupport@elevancehealth.com for assistance.
-
Medical Management Specialist I
4 days ago
Topeka, Kansas, United States Elevance Health Full timeJob SummaryThe Medical Management Specialist I is a key member of the Medical Management team, responsible for providing non-clinical support to the Medical Management and/or Operations areas. This role requires a strong understanding of managed care and Medicaid/Medicare, as well as excellent communication and organizational skills.Key...
-
Medical Management Specialist I
2 days ago
Topeka, Kansas, United States Elevance Health Full timeJob SummaryThe Medical Management Specialist I is a key member of our team, providing non-clinical support to the Medical Management and/or Operations areas. This role requires a strong understanding of managed care and Medicaid/Medicare, as well as excellent communication and organizational skills.Key ResponsibilitiesGather clinical information regarding...
-
Medical Management Specialist I
5 days ago
Topeka, Kansas, United States Elevance Health Full timeJob Summary:The Medical Management Specialist I is a key role within our organization, responsible for providing non-clinical support to the Medical Management and/or Operations areas. This position requires a strong understanding of managed care and Medicaid/Medicare, as well as excellent communication and organizational skills.Key Responsibilities:Gather...
-
Medical Management Specialist I
2 weeks ago
Topeka, Kansas, United States Elevance Health Full timeJob SummaryWe are seeking a highly skilled Medical Management Specialist I to join our team at Elevance Health. As a key member of our Medical Management and Operations areas, you will provide non-clinical support to our teams, ensuring the delivery of high-quality healthcare services to our members.Key ResponsibilitiesGather and analyze clinical information...
-
Medical Management Specialist I
4 weeks ago
Topeka, Kansas, United States Elevance Health Full timeJob SummaryWe are seeking a highly skilled Medical Management Specialist I to provide non-clinical support to our Medical Management and/or Operations areas. This role requires strong analytical and problem-solving skills, as well as excellent communication and interpersonal skills.Key ResponsibilitiesGather clinical information regarding cases and determine...
-
Medical Management Specialist
5 days ago
Topeka, Kansas, United States Elevance Health Full timeJob SummaryThe Medical Management Specialist I is a key member of our team, responsible for providing non-clinical support to the Medical Management and/or Operations areas. This role requires a strong understanding of healthcare operations and a ability to work effectively in a fast-paced environment.Key ResponsibilitiesGather clinical information regarding...
-
Medical Transportation Specialist
2 weeks ago
Topeka, Kansas, United States Cohesive Healthcare Management Full timeJob SummaryCohesive Healthcare Management is seeking a compassionate and responsible Non-Emergency Medical Transport Specialist to transport patients to and from medical treatment appointments in a safe, secure, and professional manner.Key ResponsibilitiesTransport patients using company vehicles, adhering to all applicable motor vehicle laws, rules, and...
-
Medical Management Specialist
3 weeks ago
Topeka, Kansas, United States Elevance Health Full timeJob SummaryWe are seeking a highly skilled Medical Management Specialist to join our team at Elevance Health. As a Medical Management Specialist, you will play a critical role in providing non-clinical support to our Medical Management and Operations areas.Key ResponsibilitiesGather and analyze clinical information to determine the best course of action for...
-
Medical Management Specialist II
4 weeks ago
Topeka, Kansas, United States Elevance Health Full timeJob Title: Medical Management Specialist IIWe are seeking a highly skilled Medical Management Specialist II to join our team at Elevance Health. As a Medical Management Specialist II, you will play a critical role in providing non-clinical support to medical management operations, handling complex file reviews and inquiries from members and providers.Key...
-
Medical Management Specialist
4 weeks ago
Topeka, Kansas, United States Elevance Health Full timeJob SummaryWe are seeking a highly skilled Medical Management Specialist to join our team at Elevance Health. As a key member of our Medical Management department, you will play a critical role in providing non-clinical support to our Medical Management and Operations areas.Key ResponsibilitiesGather and analyze clinical information to determine the most...
-
Medical Management Specialist II
3 months ago
Topeka, United States Elevance Health Full timeAnticipated End Date:2024-08-26Position Title:Medical Management Specialist IIJob Description:Medical Management Specialist IILocation: Kansas. This position will work in a hybrid model (remote and office). The ideal candidate will live within 50 miles of our Topeka, Kansas Elevance Health PulsePoint location.The Medical Management Specialist II is...
-
Medical Management Coordinator
4 weeks ago
Topeka, Kansas, United States Elevance Health Full timeJob SummaryWe are seeking a highly skilled Medical Management Specialist I to provide non-clinical support to our Medical Management and/or Operations areas. As a key member of our team, you will play a critical role in ensuring the smooth operation of our healthcare services.Key ResponsibilitiesGather and analyze clinical information to determine the most...
-
Medical Management Specialist
3 weeks ago
Topeka, Kansas, United States Elevance Health Full timeJob SummaryWe are seeking a highly skilled Medical Management Specialist to provide non-clinical support to our Medical Management and/or Operations areas. The ideal candidate will have a strong understanding of managed care and Medicaid/Medicare, as well as excellent communication and analytical skills.Key ResponsibilitiesGather clinical information...
-
Medical Imaging Specialist
2 days ago
Topeka, Kansas, United States Convergence Medical Staffing Full timeJob SummaryConvergence Medical Staffing is a leading provider of medical staffing solutions. We are seeking a skilled Medical Imaging Specialist to join our team. As a Medical Imaging Specialist, you will be responsible for operating medical imaging equipment to produce high-quality images for diagnostic purposes.Key ResponsibilitiesOperate medical imaging...
-
Medical Management Specialist II
3 months ago
Topeka, United States Elevance Health Full timeAnticipated End Date: 2024-08-26 Position Title: Medical Management Specialist II Job Description: Medical Management Specialist II Location: Kansas. This position will work in a hybrid model (remote and office). The ideal candidate will live within 50 miles of our Topeka, Kansas Elevance Health PulsePoint location. The Medical Management Specialist II is...
-
Case Manager I/II Specialist
2 weeks ago
Topeka, Kansas, United States Oklahoma Human Services Full timeJob SummaryWe are seeking a skilled Case Manager I/II to provide services to individuals with intellectual and/or developmental disabilities living in their own homes or community living alternatives.Key Responsibilities:Obtain in-depth social histories and develop community and/or agency resources to meet the consumer's needs.Provide monthly monitoring of...
-
Medical Management Specialist II
4 weeks ago
Topeka, Kansas, United States Elevance Health Full timeJob SummaryWe are seeking a highly skilled Medical Management Specialist II to join our team at Elevance Health. This role will provide non-clinical support to medical management operations, handling complex file reviews and inquiries from members and providers.Key ResponsibilitiesGather clinical information regarding cases and determine the appropriate area...
-
Contract Manager
1 month ago
Topeka, United States Management Recruiters of Zionsville Full timeContract ManagerOur transportation client, one of the fastest growing in the nation, is actively seeking a Contract Manager to be located in the northeast part of Kansas. The Contract Manager will be responsible for daily leadership and management of the operation of the facility(ies) revenue contract fulfillment with appropriate attention to customer...
-
Contract Manager
1 month ago
Topeka, United States Management Recruiters of Zionsville Full timeContract ManagerOur transportation client, one of the fastest growing in the nation, is actively seeking a Contract Manager to be located in the northeast part of Kansas. The Contract Manager will be responsible for daily leadership and management of the operation of the facility(ies) revenue contract fulfillment with appropriate attention to customer...
-
Network Specialist I
2 months ago
Topeka, United States Topeka Public Schools Unified School District 501 Full timeSummary: This position is an entry level Network Specialist I position. The person selected will be working both independently and as part of a collaborative team. The team is responsible for the installation, configuration, maintenance, and support of the Topeka Public Schools network. The successful candidate will demonstrate a high degree of...
