Medical Management Specialist

5 days ago


New Hyde Park, New York, United States Elevance Health Full time
Job Summary

We 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 Responsibilities
  • Gather clinical information regarding cases and determine the appropriate area to refer or assign the case.
  • Provide information regarding network providers or general program information when requested.
  • Assist with complex cases and act as a liaison between Medical Management and Operations and internal departments.
  • Maintain and update tracking databases and prepare reports and documents all actions.
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.
  • Proficiency in English, Chinese, Russian, Spanish, Bengali, or Korean preferred.
  • Service delivery coordination experience in a managed care setting preferred.
  • Experience working with the Medicaid population is preferred.
What We Offer

We offer a comprehensive benefits package, incentive and recognition programs, equity stock purchase, and 401(k) contribution. The salary range for this position is $23.45 to $35.17, and the location is New York. We are 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.



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