JobsUSAMedical Mgmt Specialist I
Company : Elevance Health
Location : Washington, DC
Posted Date : 15 September 2025
Job Details
Medical Mgmt Specialist I
Medical Management Specialist I
Location: Washington, DC. This role requires associates to be in-office 4 days per week, fostering collaboration and connectivity, while providing flexibility to support productivity and work-life balance. This approach combines structured office engagement with the autonomy of remote work, promoting a dynamic and adaptable workplace. Alternate locations may be considered.
Please note that per our policy on hybrid/virtual work, candidates not within a reasonable commuting distance from the posting location(s) will not be considered for employment, unless an accommodation is granted as required by law.
Schedule: Monday-Friday 8:00AM-5:00PM or 8:30AM-5:30PM EST
The Medical Management Specialist I will be responsible for providing non-clinical support to the Medical Management and/or Operations areas.
How you will make an impact:
- Gathers clinical information regarding case and determines appropriate area to refer or assign case (utilization management, case management, QI, Med Review).
- 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.
- Responsibilities exclude conducting any utilization management review activities which require interpretation of clinical information.
Minimum Requirements:
- 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.
Preferred Skills, Capabilities & Experiences:
- Understanding of managed care or Medicaid/Medicare strongly preferred.
In addition to your salary, Elevance Health offers benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). The salary offered for this specific position is based on a number of legitimate, non-discriminatory factors set by the Company. The Company is fully committed to ensuring equal pay opportunities for equal work regardless of gender, race, or any other category protected by federal, state, and local pay equity laws.
Elevance Health operates in a Hybrid Workforce Strategy. Unless specified as primarily virtual by the hiring manager, associates are required to work at an Elevance Health location at least once per week, and potentially several times per week. Specific requirements and expectations for time onsite will be discussed as part of the hiring process.
Elevance Health is an Equal Employment Opportunity employer, and all qualified applicants will receive consideration for employment without regard to age, citizenship status, color, creed, disability, ethnicity, genetic information, gender (including gender identity and gender expression), marital status, national origin, race, religion, sex, sexual orientation, veteran status or any other status or condition protected by applicable federal, state, or local laws. Applicants who require accommodation to participate in the job application process may contact elevancehealthjobssupport@elevancehealth.com for assistance.
Recently Posted Jobs
Physical Therapist Assistant - Full-Time Opportunity
Renewal Rehab
Mt Vernon, IL
Unit Manager RN
American Senior Communities
Fort Wayne, IN
Outpatient Registered Nurse - RN - Nephrology
Fresenius Medical Care
Victoria, TX
Manager in Training Exempt - 2668
Jiffy Lube
Henderson, NV
Licensed Practical Nurse LPN PT SHERBURNE CO JAIL
Wellpath
Elk River, MN
MISO Integrator
CACI
Homestead, FL
Supervisor - Sterile Processing Technician - $62K-93K per year
UW Health
Madison, WI
Registered Nurse Bilingual Spanish
ComForCare
Monroe, LA
Sr. Content Developer
WellSky
Overland Park, KS
Respiratory Therapy Specialist
Software Placement Group
Framingham, MA
Non-Invasive Cardiologist - Heart Failure Specialist
LocumJobsOnline
Worcester, MA
Sales Manager - Fire
Cintas
Deerfield Beach, FL
Quality Control Manager
GovCIO
Washington, DC
Solution Architect - Cloud Platform - IT Merchandising
Costco Wholesale
Dallas, TX
Travel Nurse RN - Telemetry - $2,107 per week
Favorite Healthcare Staffing
Liberty, MO
Manager - RN Case Management/Navigators - Care Coordination Division
University of Iowa Hospitals & Clinics
Iowa City, IA
Senior Financial Analyst
Ryder
Dallas, TX
Clinical Nurse II: Progressive Critical Care - 36hrs/wk, DAYS
Albany Medical Center
Saratoga Springs, NY
Occupational Therapist Home Health Full Time
CenterWell
Reno, NV
LPN Direct Access -Hybrid (Guilderland Center)
Allied Digestive Health
Guilderland Center, NY
Other Jobs You May Like
Environmental Health & Safety Specialist II | NA Logistics Center (NALC)
Company : Nike
Location : Memphis, TN
Top searches
- Jobs hiring immediately
- Part time jobs near me
- Full time jobs near me
- Jobs that are hiring near me
- Jobs near me hiring now
- Medical Mgmt Specialist I jobs near me
- Medical Mgmt Specialist I jobs
- Medical Mgmt Specialist I jobs hiring near me
- Medical Mgmt Specialist I openings near me
- Medical Mgmt Specialist I vacancies near me
Employment opportunities at Elevance Health
- Elevance Health jobs near me Washington, DC
- Elevance Health jobs hiring near me Washington, DC
- Elevance Health jobs near Washington, DC
- Elevance Health jobs hiring near me
- Elevance Health openings near me
- Elevance Health jobs near me in Washington, DC
- Elevance Health jobs hiring in Washington, DC
- Employment opportunities near me
- Job openings near me
- Jobs hiring immediately
Trending Searches in Washington, DC
- Full time jobs near me Washington, DC
- Local job openings
- Places hiring near me
- Job vacancies near me
- Medical Mgmt Specialist I jobs near me Washington, DC
- Medical Mgmt Specialist I jobs hiring near me Washington, DC
- Medical Mgmt Specialist I jobs hiring near Washington, DC
- Medical Mgmt Specialist I jobs near Washington, DC
- Medical Mgmt Specialist I jobs near me in Washington, DC
- Medical Mgmt Specialist I jobs in Washington, DC