Medical Management Specialist I

Elevance Health

Medical Management Specialist providing non-clinical support to Medical Management and Operations. Gathers clinical information and acts as a liaison within the healthcare industry.

Posted 7/9/2026full-timeRichmond • Florida, Virginia • 🇺🇸 United StatesJunior💰 $20 - $31 per hourWebsite

About the role

Key responsibilities & impact

Gathers clinical information regarding case and determines appropriate area to refer or assign case
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
Understanding of managed care or Medicaid/Medicare strongly preferred
Previous experience in the healthcare industry and customer service is preferred
One year of experience working with authorizations is preferred
Previous experience working with LTSS members or Medicaid is strongly preferred

Benefits

Comp & perks

Comprehensive benefits package
Incentive and recognition programs
Equity stock purchase
401k contribution
Paid Time Off

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