Maryland Licensed Medical Management Coordinator

Job Summary

Working remotely, the full-time Maryland Licensed Medical Management Coordinator will support the Maryland Medicaid line of business by managing non-clinical tasks related to preauthorization functions, inpatient care, utilization review, and care coordination, enabling clinical staff to focus on patient care.

Key responsibilities

• Provide ongoing customer support for operational inquiries, including benefit verification and authorization management
• Review authorization requests and triage for clinical review, prioritizing members for needed services
• Assist with departmental coordination, including answering calls, researching information, and data tracking

Required qualifications

• High School Diploma or GED
• 3 years of experience in a healthcare or health insurance setting
• Experience in a managed care setting or customer-facing role is preferred
• Familiarity with Maryland Medicaid enrollees is a plus
• Knowledge of basic medical terminology and care management concepts