Medical Management Specialist jobs

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MEDICAL MANAGEMENT SPECIALIST I

Gathers clinical information regarding case and determines appropriate area to refer or assign case (utilization management, case management, QI, Med Review). . Provides information regarding network providers or general program...

CompanyElevance Health
AddressTampa, FL
CategoryHealthcare
Date Posted 2 weeks ago See detail

Medical Management Specialist I

Elevance Health

Tampa, FL

Gathers clinical information regarding case and determines appropriate area to refer or assign case (utilization management, case management, QI, Med Review). . Provides information regarding network providers or general program...

Care Management Specialist (Bilingual in English/Chinese) New

Pix11

New York, NY

Responsibilities : Identify the targeted risk population per PCP referral, risk stratification, and patient listsHandle case management assignments, review case progress in accordance to center guidelinesCoordinate patient care th...

Care Management Specialist (Bilingual in English/Chinese) New

Pix11

New York, NY

Responsibilities : Coordinate mental health treatment for pediatric and/or adult patients and their familiesAssist mental health clinicians in providing treatment and crisis interventionProvide on-going support and/or case managem...

Regulatory Risk Managment Specialist New

Northern Trust

Boston, MA

Unspecified

Regulatory Framework & Governance. Regulatory Change Oversight. Regulatory Risk Management. Regulatory Strategy & Sustainability. Actively support the embeddedness of the regulatory change framework and relevant regulatory account...

Supervisor, Medical Managment - New York, United States - VNS Health New

Vns Health

New York, NY

Supervises the day-to-day operations of VNS Health Plans Medical Management clinical and non clinical staff. Makes recommendations to the development, utilization, and evaluation of internal processes to ensure customer satisfact...

Medical Management Specialist I

Elevance Health

Richmond, VA

Gathers clinical information regarding case and determines appropriate area to refer or assign case (utilization management, case management, QI, Med Review). . Provides information regarding network providers or general program...

Medical Management Specialist

Elevance Health

RICHMOND, VA

Gathers clinical information regarding case and determines appropriate area to refer or assign case (utilization management, case management, QI, Med Review). . Provides information regarding network providers or general program...

Medical Management Specialist

Hcsc

Marion, IL

$72.8K - $92.1K a year

Registered Nurse (RN), Licensed Professional Counselor (LPC), Licensed Clinical Professional Counselor (LCPC), Licensed Master Social Worker (LMSW), Licensed Social Worker (LSW), Licensed Clinical Social Worker (LCSW) OR Licensed...

Medical Information Specialist: Senior Manager -HIV Prevention (PrEP) and COVID-19

Biospace

California, United States

Responds to unsolicited medical requests regarding Gilead products from HCPs, members of the public, and internal Gilead colleagues. Responses are provided promptly using approved standard documents, up-to-date literature support,...

Technology Specialists Manager - Infrastructure New

Microsoft

Atlanta, GA

Managers deliver success through empowerment and accountability by modeling, coaching, and caring. Model - Live our culture; Embody our values; Practice our leadership principles. Coach - Define team objectives and outcomes; Enabl...

Medical Business Office Specialist Part-Time New

Comprehensive Digestive Surgical Center

Las Vegas, NV

Comprehensive medical coverage that covers many common services at no cost or for a low copay. Plans include prescription drug and behavioral health coverage as well as free telemedicine services and free AirMed medical transporta...

Data Management Specialist Controls New

G-Tech

Dearborn, MI

Knowlege of or ability to quickly learn Diagnostics Trouble Codes and failure modes of Chassis Controllers. Must be very proficient with ExcelSkills Preferred:Experience with Alteryx for data integration.Experience Required:Knowle...

IT Asset Management Specialist New

Dk Consulting, Llc

Glen Burnie, MD

Accurate tracking of deployed and inventoried IT assets. Regular and ad hoc reporting on inventory status, change management, deployment trends, orders, and receiving for Fixed Assets Financial department stakeholders. Documentati...

Florida Blue Account Management Specialist I New

Guidewell

Lake City, FL

3+ years experience in Service, Marketing or Sales position, preferably in the health care or employee benefits arena. Current State of Florida Health Insurance license, or ability to obtain with 90 days of employment. Travelin...

Supervisor, Medical Managment New

Vns Health

New York, United States

Troubleshoots difficult customer service issues, facilitates problem resolution and directs staff in addressing and resolving day-to-day operational issues. Assists management team in the development of long- and short- range obj...

Facilities Space Management Specialist

The University Of Texas At Arlington

Arlington, TX

Support Design and Construction:Process approved space requests.Evaluate move plan data and identify information that impacts CASIM and space inventory.Spot check as built construction/dimensions on campus (both before design and...

Medical Specialist

U.s. Army

Union City, NJ

Enjoy helping and caring for others. Ability to communicate effectively and work under stressful conditions. Interest in chemistry, biology, psychology, general science and algebra. High attention to detail. Administer emergency...

Data Management Specialist

Amadan Recruitment

New York, NY

They are responsible to ensure adherence to all Enterprise Data Governance Framework practices, polices and standards within their domains. They are responsible for ensuring the required level of data consistency, quality, and pro...

Drug Safety Data Management Specialist / Pharmacology Associate

Artech Information System Llc

Gladstone, NJ

Artech provides technical expertise to fill gaps in clients' immediate skill-sets availability, deliver emerging technology skill-sets, refresh existing skill base, allow for flexibility in project planning and execution phases, a...

Material Change Management Specialist I

Biospace

Los Angeles, CA

Manage simple projects for raw Material Changes for all products/plants considering lowest possible impact on market supply and manufacturing operations while still maintaining highest possible efficiency in change implementation....

Integrated Marketing Manager OR Digital Marketing Specialist New

Healthyline

New York, NY

From $70,000 a year

Work with the VP of Brand and the Chief Marketing Officer to support quarterly marketing growth plans. Drive an integrated approach to enterprise pipeline growth, identifying opportunities for upsells and expansion. Campaign and p...

Senior Purchasing Specialist (Commodity Manager) New

Sts Line Maintenance

Oshkosh, WI

Lead purchasing and order management activities to optimize operational efficiency. Verify the accuracy of supplier and purchase order data in ERP systems, addressing supply chain disruptions as needed. Conduct material cost analy...

Medical Planning Specialist - LPN New

Northeast Treatment Center

Philadelphia, PA

Visiting the homes of children with medical complexities or who are medically vulnerable for the purposes of observation, education, safety planning, progress monitoring and intervention. Visitation will be based on case-managemen...

Medical Billing & Collections Specialist (WFH) New

Rotech Healthcare Inc.

Orlando, FL

Contacts payer, patient or store as appropriate. Documents all collections activity in IMBS patient collections notes and on the collections daily work sheet and sends completed sheet to Collections Supervisor. Documents work perf...

Medical Billing & Collections Specialist (Projects) New

Rotech Healthcare Inc.

Lakeland, FL

Assist Billing Center Managers and internal audit in pulling files and obtaining documents for audits as needed. Completion of all assigned special projects (e.g., sort code set-up, implementation and reporting, company conversion...

Business Support Specialist - Managed Services - Digital Velocityat CDW Careers New

Cdw

Remote

Enable all aspects of Services by acting as a liaison between Services departments, Sales departments, CDW clients and our Trusted Partner Network in support of service delivery. Provide full life-cycle Engagement Management for s...

Director of Nursing/ Nursing Manager for an Ambulatory Medical Center New

Manhattan Specialty Care

New York, United States

$130,000 - $150,000 a year

Managing all center staff including scheduling, hiring and training. Assisting with development of policies and recommendations for process improvement. Monitor infectious control and risk management. Maintenance of JCAHO and Depa...

Specialist, Medical Coding & Billing - St. Paul, MN New

Baxter

Saint Paul, MN

Market-competitive pay and benefits

Staff and maintain required brick-and-mortar location during the posted business hours, including answering of phone calls to the site. Coordinate and update state licensure information and other appropriate documentation to ensur...

Medical QA Specialist I New

Qtc Management, Inc.

San Antonio, TX

$20 per hour

Review exam reports sent over from medical providers. Ensure all tests have been ordered and completed. Coordinate with medical providers as needed for clarification of reports. Work with our in house appointment schedules to requ...

Specialist, Medical Coding & Billing - St. Paul, MN - Hybrid New

Baxter

Saint Paul, MN

Market-competitive pay and benefits

Complete review of medical records to ensure the ICD-10 diagnosis used for billing is properly documented. Complete quality review of patient records to ensure they are comprehensive, in compliance with each payers rules and regu...