Medical Management Specialist

5 days ago


New York, 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/or Operations areas.

Key Responsibilities
  • Gather and analyze clinical information to determine the most appropriate course of action for cases.
  • Provide information and support to network providers and internal departments as needed.
  • Assist with complex cases and maintain accurate tracking databases.
  • Prepare reports and documents to ensure seamless communication and collaboration.
Requirements
  • High school diploma or equivalent required; minimum of 1 year of experience in a related field preferred.
  • Proficiency in English and/or additional languages (Chinese, Russian, Spanish, Bengali, or Korean) a plus.
  • Experience working in a managed care setting and with the Medicaid population a strong asset.
What We Offer

At Elevance Health, we offer a comprehensive benefits package, competitive salary, and opportunities for professional growth and development. If you are a motivated and detail-oriented individual with a passion for healthcare, we encourage you to apply for this exciting opportunity.



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