Manager I – Medical Management

Elevance Health

Manager managing a medical management team at Elevance Health. Overseeing clinician performance, optimizing member benefits, and ensuring adherence to healthcare policies in a hybrid work setting.

Posted 7/14/2026full-timeIndianapolis • Montana, New Jersey, Ohio • 🇺🇸 United StatesMid-LevelSenior💰 $108,100 - $162,150 per yearWebsite

Core Competencies

Role fit

Core Competencies

Use this summary to align your resume positioning with the role.

Demonstrates expertise in managing clinical teams to enhance member outcomes while ensuring compliance with medical policies and effective resource utilization. Proficient in care coordination, service appeals management, and applying clinical knowledge in outpatient and home health services.

Highest-signal resume keywords

RN LicenseAcute Care Clinical ExperienceCare CoordinationService Appeals ManagementCommunication Skills

ATS Keywords

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Applicant Tracking System Keywords

Tip: use these terms in your resume and cover letter to boost ATS matches.

Hard Skills

Care CoordinationService Appeals ManagementOutpatient Services AuthorizationHome Health Services AuthorizationClinical Knowledge Application

Soft Skills

Problem-Solving SkillsFacilitation SkillsAnalytical SkillsInterpersonal Communication SkillsWritten Communication Skills

Certifications & Qualifications

RN License

Industry Keywords

Quality Member OutcomesMedical Policy AdherenceResource OptimizationAcute Care

About the role

Key responsibilities & impact

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
Authorizing outpatient services and home health services
Apply clinical knowledge for care-coordination and manage service appeals

Requirements

What you’ll need

Requires a HS diploma or equivalent
Minimum of 5 years acute care clinical experience
Current, active, valid unrestricted RN license to practice within the scope of practice in applicable state(s)
Strong oral, written and interpersonal communication skills
Problem-solving skills
Facilitation skills
Analytical skills

Benefits

Comp & perks

Health insurance
401(k) contribution
Paid Time Off
Incentive and recognition programs
Equity stock purchase