Medical Management Specialist

We at Elevance Health are looking for a Medical Management Specialist who can provide an invaluable contribution to our team. Our ideal candidate will be a highly reliable and organized individual with extensive knowledge of medical management and a passion for excellence.The Medical Management Specialist will be responsible for overseeing the development and implementation of medical management strategies. This role requires an individual with strong communication and organizational skills, as well as the ability to collaborate effectively with various stakeholders.To be successful in this role, you should have a minimum of 5 years experience in healthcare management or a related field. You should be proficient in the use of computers, with strong critical thinking and problem solving skills. You should also have a good understanding of applicable regulations and a deep commitment to superior customer service.If you have the requisite qualifications and expertise, and you are looking for an exciting and rewarding career opportunity, we invite you to apply.

Responsibilities of a Medical Management Specialist:

1. Develop and implement medical management strategies in accordance with applicable regulations.
2. Monitor performance of medical management strategies and make necessary adjustments.
3. Collaborate with various stakeholders to ensure successful execution of strategies.
4. Respond to customer inquiries, concerns, and complaints in a timely manner.
5. Maintain up-to-date knowledge of applicable regulations and industry standards.
6. Analyze data and utilize problem solving skills to develop solutions to complex issues.
7. Utilize computer skills to analyze and generate reports.
8. Develop and maintain relationships with external vendors and other stakeholders.
9. Participate in meetings, conferences, and training sessions to stay informed of industry trends and developments.
10. Provide guidance and support to team members.

According to JobzMall, the average salary range for a Medical Management Specialist in Los Angeles, CA, USA is $58,000 to $90,000 per year.

Elevance Health, Inc. is an American health insurance provider. The company's services include medical, pharmaceutical, dental, behavioral health, long-term care, and disability plans through affiliated companies such as Anthem Blue Cross and Blue Shield, Empire BlueCross BlueShield in New York State, Anthem Blue Cross in California,Wellpoint, and Carelon.It is the largest for-profit managed health care company in the Blue Cross Blue Shield Association. As of 2022, the company had 46.8 million members within their affiliated companies' health plans. Prior to June 2022, Elevance Health was named Anthem, Inc.