Medical Management Specialist I
6 days ago
We 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 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/or Operations and internal departments.
- Maintain and update tracking databases, prepare reports, and document all actions.
- High school diploma or equivalent required.
- Minimum of 1 year of experience in a related field or any combination of education and experience that would provide an equivalent background.
- Understanding of managed care or Medicaid/Medicare strongly preferred.
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, Paid Time Off, and incentive bonus programs. We also provide medical, dental, vision, short and long term disability benefits, 401(k) + match, stock purchase plan, life insurance, wellness programs, and financial education resources.
Elevance Health operates in a Hybrid Workforce Strategy, requiring associates to work at an Elevance Health location at least once per week, and potentially several times per week. 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.
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