Manager II – Medical Management
Elevance Health
full-time
Posted on:
Location Type: Hybrid
Location: Woodland Hills • California • 🇺🇸 United States
Visit company websiteSalary
💰 $115,092 - $180,144 per year
Job Level
Mid-LevelSenior
About the role
- Manage a team of clinicians charged with promoting quality member outcomes
- Optimize member benefits and promote effective use of resources
- Ensure adherence to medical policy and member benefits
- Manage authorizing inpatient admissions and outpatient services
- Apply clinical knowledge to work with facilities and providers for care-coordination
- Manage appeals for services denied
- Serve as mentor to lower leveled managers and as subject matter expert
- Develop and manage annual operating budget
- Hire, train, coach, counsel, and evaluate performance of direct reports
Requirements
- Requires a HS diploma or equivalent and a minimum of 5 years acute care clinical experience which includes a minimum of 2 years prior management experience
- Current, active, valid unrestricted RN license to practice as a health professional within the scope of licensure in applicable state(s) or territory of the United States required, except in government business where it is preferred
- BS preferred
- MS Office Suite experience preferred
- Health plan experience preferred
- Management experience preferred
- Production environment experience preferred
- Clinical experience in an ER/trauma unit preferred
- Effective verbal and written communication skills, with the ability to convey complex information clearly and persuasively to diverse audiences strongly preferred.
Benefits
- comprehensive benefits package
- incentive and recognition programs
- equity stock purchase
- 401k contribution
Applicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard skills
acute care clinical experiencemanagement experienceclinical experience in ER/trauma unitbudget managementcare-coordinationappeals managementresource optimizationmedical policy adherence
Soft skills
mentoringcoachingperformance evaluationeffective communicationpersuasive communication
Certifications
RN license