Medical Management Specialist

Job Summary

Serving as the initial point of telephonic contact, the full-time Medical Management & Outreach Support Specialist will provide non-clinical support to the Exchange Medical Management team, engaging with program members remotely throughout their service journey from admission to post-discharge care.

Key responsibilities

• Assist with the case referral process and member engagement for complex cases
• Facilitate communication among patients, families, colleagues, and community organizations as needed
• Maintain and update tracking databases while preparing reports and documenting actions clearly

Required qualifications

• High school diploma or equivalent
• Minimum one year of office and/or customer support experience
• Previous experience in managed care or Medicaid/Medicare preferred
• Familiarity with medical terminology
• Proficiency in Microsoft Office