Medical Management Specialist I

Elevance Health

Medical Management Specialist I providing non-clinical support to Medical Management and Operations. Role based at Elevance Health with flexibility for virtual work and essential in-person training sessions.

Posted 7/3/2026full-timeIndianapolis • Nevada, North Carolina, Virginia • 🇺🇸 United StatesJunior💰 $21 - $30 per hourWebsite

About the role

Key responsibilities & impact

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 information when requested
May assist with complex cases
May act as liaison between Medical Management and/or Operations and internal departments
Maintains and updates tracking databases
Prepares reports and documents all actions

Requirements

What you’ll need

Requires a H.S. diploma or equivalent
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
Associates in this role are expected to have strong oral, written and interpersonal communication skills
Problem-solving skills
Facilitation skills
Analytical skills

Benefits

Comp & perks

comprehensive benefits package
incentive and recognition programs
equity stock purchase
401k contribution
paid holidays
Paid Time Off
medical
dental
vision
short and long term disability benefits
stock purchase plan
life insurance
wellness programs
financial education resources

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills & Tools

Case ManagementUtilization ManagementQuality ImprovementMedical ReviewReport Preparation

Soft Skills

Oral CommunicationWritten CommunicationInterpersonal SkillsFacilitation SkillsAnalytical Skills