Medical Mgmt Specialist I

4 weeks ago


Tampa, United States Elevance Health Full time

Medical Management Specialist I Location: Miami or Tampa Florida. This position is Remote. The selected candidate must reside within 50 miles or one hour commute from our Miami and Tampa pulse point Elevance Health Location. The Medical Management Specialist I Responsible for providing non-clinical support to the Medical Management and/or Operations/Case Management Departments. How you will make an impact: Provides information regarding network providers or general program information when requested. 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. Contact members and providers as needed. 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. The following professional competencies apply: Associates in this role are expected to have strong oral, written and interpersonal communication skills, problem-solving skills, facilitation skills, and analytical skills. Bilingual Spanish preferred. knowledge of Excel preferred. Strong customer service experience preferred.



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