Medical Management Specialist

We’re looking for a talented and experienced Medical Management Specialist to join our team at Health Care Service Corporation. As a Medical Management Specialist, you’ll be responsible for developing, implementing, and managing comprehensive medical management programs and strategies that support our corporate goals and objectives.To be successful in this role, you must possess an in-depth understanding of medical management, quality improvement, and operational principles, as well as a strong background in healthcare claim analysis and coding. You should be analytical, detail-oriented, and have excellent problem-solving and communication skills. An ability to adapt quickly to change and work independently is also essential.If you’re looking for an opportunity to make a real difference in the lives of our members, this is the perfect role for you.

Responsibilities:

1. Develop, implement, and manage comprehensive medical management programs and strategies that support corporate goals and objectives.
2. Analyze and interpret healthcare claims and codes.
3. Identify areas for improvement in medical management processes and programs.
4. Monitor and evaluate medical management performance and outcomes.
5. Maintain up-to-date knowledge on medical management best practices and industry developments.
6. Develop and maintain relationships with external stakeholders.
7. Communicate effectively with internal and external stakeholders.
8. Provide guidance and support to other departments.
9. Prepare reports and presentations related to medical management.
10. Manage projects and resources in order to meet deadlines.

According to JobzMall, the average salary range for a Medical Management Specialist in Chicago, IL, USA is $60,000 - $90,000 per year. This salary range includes base salary, bonuses, and other incentives.

Health Care Service Corporation is a member-owned health insurance company in the United States. HCSC was formerly known as Hospital Service Corporation and changed its name to Health Care Service Corporation in 1975.