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 a month 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...

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 Intake Specialist

Wps Health Solutions

Minneapolis, MN

dental insurance, paid time off, 401(k), remote work

Enjoy working with members, providers, and internal staff regarding the status of prior authorizations and pended claims or Customer Service (CS) tasks. Have experience working with providers and patients in a health insurance cus...

Medical Management Intake Specialist

Wps Health Solutions

Green Bay, WI

dental insurance, paid time off, 401(k), remote work

Enjoy working with members, providers, and internal staff regarding the status of prior authorizations and pended claims or Customer Service (CS) tasks. Have experience working with providers and patients in a health insurance cus...

Medical Management Intake Specialist

Wps Health Solutions

Fargo, ND

dental insurance, paid time off, 401(k), remote work

Enjoy working with members, providers, and internal staff regarding the status of prior authorizations and pended claims or Customer Service (CS) tasks. Have experience working with providers and patients in a health insurance cus...

Medical Management Intake Specialist

Wps Health Solutions

Sioux Falls, SD

dental insurance, paid time off, 401(k), remote work

Enjoy working with members, providers, and internal staff regarding the status of prior authorizations and pended claims or Customer Service (CS) tasks. Have experience working with providers and patients in a health insurance cus...

Medical Management Intake Specialist

Wps Health Solutions

Indianapolis, IN

dental insurance, paid time off, 401(k), remote work

Enjoy working with members, providers, and internal staff regarding the status of prior authorizations and pended claims or Customer Service (CS) tasks. Have experience working with providers and patients in a health insurance cus...

Medical Management Intake Specialist

Wps Health Solutions

Omaha, NE

dental insurance, paid time off, 401(k), remote work

Enjoy working with members, providers, and internal staff regarding the status of prior authorizations and pended claims or Customer Service (CS) tasks. Have experience working with providers and patients in a health insurance cus...

Nurse Medical Management II

Elevance Health

Atlanta, GA

Conducts precertification, continued stay review, care coordination, or discharge planning for appropriateness of treatment setting reviews to ensure compliance with applicable criteria, medical policy, and member eligibility, be...

Data Management Specialist

Ampersand Solutions Group

Alabama, United States

$52.2K - $66.2K a year

Minimum 0-5 years of relevant, related experience plus:Bachelors degree from an accredited institution in engineering, science, or other relevant field or:Associates Degree in a relevant field from an accredited institution plus 2...

Configuration Management Specialist

Ppt Solutions, Inc.

Huntsville, AL

$59.9K - $75.8K a year

Must have a Bachelors Degree OR a high school diploma and four (4) years of experience. Detail-oriented with good communication skills, both oral and written. Understanding of version control, preferably from using an automated c...

Vulnerability Management Specialist III

Linchpin Solutions, Inc.

Jacksonville, FL

Experience with Microsoft Office. Verbal and written communication skills. Ability to work both collaboratively and individually. Critical Thinking Skills. Ability to give presentations and briefings as needed. Execute the identif...

Credit Management Specialist (Treasury Analyst)

Halliburton

Houston, TX

Under general supervision, performs credit and trade finance functions in order to manage customer credit risk and support business growth in North America. Conduct annual reviews of assigned countries/regions/customers to assess...

Utilization Management Specialist

Kaizen Clinical Partners, Inc.

McAllen, TX

$44.9K - $56.8K a year

Analyze electronic medical records. Focus on evaluating the utilization of healthcare services, treatments, and procedures. Utilize retrospective reviews and other UM tools to identify opportunities for improvement and optimize pa...

Case Management Specialist RN-PD (Bilingual)

Kaiser Permanente

Riverside, CA

Evaluates and identifies members needs. Interfaces with Primary Care Physicians, Specialists and various disciplines on the development of Case Management plans/programs. Monitors and evaluates the effectiveness of the case manage...

Utilization Management Specialist

Group Health Cooperative Of Eau Claire

Altoona, WI

$41.5K - $52.5K a year

Applies clinical experience, health plan benefit structure, health management policies and procedures, and claims payment knowledge to authorization reviews. Leverages clinical knowledge, business rules, regulatory guidelines and...

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,...

Medical Specialist

U.s. Army

East Brunswick, 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...

Records and Information Management Specialist

Love's

Oklahoma City, OK

Serve as the subject matter expert in information and records management to facilitate company compliance with internal policies and provide guidance to employees on information governance standards and legal requirements. Exhibit...

Logistics Management Specialist

Fema

Washington, DC

public. What will I do in this position if hired? In this Logistics Management Specialist position, typical assignments include: Developing, interpreting, reviewing and implementing Logistics Management policies, standards, proced...

Grants Management Specialist (Mitigation)

Fema

Springfield, IL

public. What will I do in this position if hired? In this position within the FEMA Region 5 Mitigation Division, you will serve as a FEMA Integration Team (FIT) employee and will be embedded in the Illinois Emergency Management Ag...

Medical Billing Specialist/Office Manager

Proformance Sports Rehab & Nutrition

Annapolis, MD

$15 - $20 an hour

401(k). Employee discount. Flexible schedule. Paid time off. Monday to Friday. Office. Private practice. ICD-10: 1 year (Preferred). Annapolis, MD 21403: Relocate before starting work (Required)....

Senior Medical Billing Specialist Account Manager (OT/PT/SLP Biller)

Every Child Achieves

Remote

$18 - $28 an hour

Must have 5+ years in the Medical Billing industry. Must have strong billing experience for outpatient therapy (OT, PT, SLP). Must have strong expertise with Medicaid & Commercial Insurance billing and contract negotiation. Experi...

Medical Billing Specialist II (Experienced) Full Time

Henry Ford Health

Troy, MI

High school diploma or equivalent required. Two years of experience in an office environment or healthcare-related field, required. Prior experience in a healthcare revenue cycle position, preferred. Knowledge of Medical terminolo...

Order Management Specialist

Resurgent Technology Services

Kutztown, PA

$19 - $22 an hour

Customer service. Field incoming phone calls and emails from clients. Delight our Clients with a Friendly, Quick and Helpful Experience. Assist the sales team with quote preparation. Submit orders in online system. Order processin...

Cash Management Specialist - Remote

Defi Auto Llc

Raleigh, NC

$21 an hour

Paid Training Up to four weeks of PTO (Paid Time Off) allotted per year to encourage a healthy work/life balance Tuition Reimbursement Day One - Comprehensive Benefits Package We encourage your individual growth and look to promot...

Sr. Sample Management Specialist

Biospace

New York, NY

Responsible for the interpretation of clinical/non-clinical study protocols and associated study documentation as it pertains to biospecimen management. Independently executes study reference file creation by interpreting protocol...

Disease Area Partner / Medical Manager

Roche

Indianapolis, IN

Bring clinical insights to all squad conversations. Works within the cross functional core team, in close collaboration with the Scientific Partners and other MSA stakeholders to develop the medical components of the overall local...

Program Management Specialist - Teaching, Learning & Professional Development

Bowie State University

Bowie, MD

Proficient in Microsoft Office. Ability to manage multiple responsibilities and prioritize competing priorities with minimal supervision. Excellent verbal and written communication skills. Ability to work well independently and as...