Medical Management Specialist
3 days ago
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 and analyze clinical information to determine the best course of action for each case.
- Provide information to network providers and internal departments as needed.
- Assist with complex cases and act as a liaison between Medical Management and Operations.
- Maintain and update tracking databases and prepare reports.
- High school diploma or equivalent required.
- Minimum of 1 year of experience in a related field.
- Understanding of managed care or Medicaid/Medicare.
- Strong communication and problem-solving skills.
- Bilingual (English/Spanish) speaking a plus.
Elevance Health is a health company dedicated to improving lives and communities. 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.
We offer a range of market-competitive total rewards, including merit increases, paid holidays, and incentive bonus programs. Elevance Health operates in a Hybrid Workforce Strategy, with associates required to work at an Elevance Health location at least once per week.
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.
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