Medical Management Specialist I
4 weeks ago
We are seeking a highly skilled Medical Management Specialist I to provide non-clinical support to our Medical Management and/or Operations areas. This role requires strong analytical and problem-solving skills, as well as excellent communication and interpersonal skills.
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 and prepare reports.
- High school diploma and a minimum of 1 year of experience or any combination of education and experience that would provide an equivalent background.
- Understanding of managed care or Medicaid/Medicare is 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 offer 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. Candidates must reside within 50 miles or 1-hour commute each way of a relevant Elevance Health location.
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Medical Management Specialist I
4 days ago
Topeka, Kansas, United States Elevance Health Full timeJob SummaryThe Medical Management Specialist I is a key member of the Medical Management team, responsible for providing non-clinical support to the Medical Management and/or Operations areas. This role requires a strong understanding of managed care and Medicaid/Medicare, as well as excellent communication and organizational skills.Key...
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Medical Management Specialist I
1 day ago
Topeka, Kansas, United States Elevance Health Full timeJob SummaryThe Medical Management Specialist I is a key member of our team, providing non-clinical support to the Medical Management and/or Operations areas. This role requires a strong understanding of managed care and Medicaid/Medicare, as well as excellent communication and organizational skills.Key ResponsibilitiesGather clinical information regarding...
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Medical Management Specialist I
5 days ago
Topeka, Kansas, United States Elevance Health Full timeJob Summary:The Medical Management Specialist I is a key role within our organization, responsible for providing non-clinical support to the Medical Management and/or Operations areas. This position requires a strong understanding of managed care and Medicaid/Medicare, as well as excellent communication and organizational skills.Key Responsibilities:Gather...
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Medical Management Specialist I
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Topeka, Kansas, United States Elevance Health Full timeJob SummaryWe are seeking a highly skilled Medical Management Specialist I to join our team at Elevance Health. As a key member of our Medical Management and Operations areas, you will provide non-clinical support to our teams, ensuring the delivery of high-quality healthcare services to our members.Key ResponsibilitiesGather and analyze clinical information...
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Medical Management Specialist
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Topeka, Kansas, United States Elevance Health Full timeJob SummaryThe Medical Management Specialist I is a key member of our team, responsible for providing non-clinical support to the Medical Management and/or Operations areas. This role requires a strong understanding of healthcare operations and a ability to work effectively in a fast-paced environment.Key ResponsibilitiesGather clinical information regarding...
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4 weeks ago
Topeka, Kansas, United States Elevance Health Full timeJob SummaryWe are seeking a highly skilled Medical Management Specialist II to join our team at Elevance Health. This role will provide non-clinical support to medical management operations, handling complex file reviews and inquiries from members and providers.Key ResponsibilitiesGather clinical information and determine the appropriate area to refer or...
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