Medical Management Specialist I
1 day ago
The 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 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, preparing reports and documenting all actions.
- 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.
- 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.
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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
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
2 weeks ago
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 I
4 weeks ago
Topeka, Kansas, United States Elevance Health Full timeJob SummaryWe 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 ResponsibilitiesGather clinical information regarding cases and determine...
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Medical Management Specialist
5 days ago
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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Medical Management Specialist
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Medical Management Specialist II
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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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