Job Summary

A leading healthcare company needs applicants for an opening for a Telecommute Medical Management Specialist I or II.

Candidates will be responsible for the following:

• Gathering clinical information and determining appropriate area to refer or assign case
• Conducting initial review of files to determine appropriate action required
• Acting as liaison between medical management operations and other internal departments

Position Requirements Include:

• High school diploma or equivalent
• 1-3 years of administrative and customer service experience
• Knowledge of managed care or Medicaid/Medicare concepts
• Or any equivalent combination of education and experience
• Strong oral, written and interpersonal communication skills
• Strong problem-solving skills, facilitation skills, and analytical skills