Medical Management Specialist

4 weeks ago


Providence, Rhode Island, United States Absolute Staffing & Consulting Solutions Full time
Job Title: Medical Management Specialist

At Absolute Staffing & Consulting Solutions, we are seeking a highly skilled Medical Management Specialist to join our team.

Job Summary:

We are looking for a detail-oriented and organized individual to provide 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 case management and utilization review.
  • 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.

Requirements:

A high school diploma and a minimum of 1 year of experience or any combination of education and experience that would provide an equivalent background.

Preferred Skills:

  • Strong working knowledge of Microsoft Office products, especially Excel and Teams.
  • Understanding of managed care or Medicaid/Medicare.
  • Strong oral, written, and interpersonal communication skills, problem-solving skills, facilitation skills, and analytical skills.

Why Join Our Team:

As a Medical Management Specialist at Absolute Staffing & Consulting Solutions, you will have the opportunity to work with a dynamic team and contribute to the success of our clients.



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