Medical Management Specialist I




Location: Richmond, Virginia. This position is Remote. The selected candidate must reside within 50 miles or one hour commute from our Miami and Tampa pulse point Elevance Health Location.


The Medical Management Specialist I Responsible for providing non-clinical support to the Medical Management and/or Operations/Case Management Departments.



How you will make an impact:

• Provides information regarding network providers or general program information when requested.


• May act as liaison between Medical Management and/or Operations and internal departments.


• Maintains and updates tracking databases.


• Prepares reports and documents all actions.


• Responsibilities exclude conducting any utilization management review activities which require interpretation of clinical information.


• Contact members and providers as needed.

• Requires a H.S. diploma or equivalent and a minimum of 1 year experience or any combination of education and experience which would provide an equivalent background.