Clinical Support Specialist

6 days ago


Tampa, Florida, 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/Case Management Departments.

Key Responsibilities
  • Provide information regarding network providers or general program information when requested.
  • Act as liaison between Medical Management and/or Operations and internal departments.
  • Maintain and update tracking databases.
  • Prepare 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.
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.
Work Environment

This is a remote position, and the selected candidate must reside within 50 miles or one hour commute from our Elevance Health location. We offer a range of market-competitive total rewards, including merit increases, paid holidays, Paid Time Off, and incentive bonus programs.

About Elevance Health

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.



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