Medical Management Specialist

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The Opportunity

We're looking for a Medical Management Specialist, working in the Insurance industry in Rockford, Illinois, United States.

  • Conducts medical management and health education programs for customers on government health care programs.
  • Gathers, analyzes and provides date for regulatory reports.
  • Represents the company to members.
Details

The pay range we're offering is 42 per hour. This position may present an opportunity to go permanent.

Our Client

Our client is a fast-growing industry-recognized staffing firm.  Recruiting critical IT, Financial, Engineering, Healthcare, and Data Analytics talent.  With 20+ years’ experience and growth. 

Connections in Automotive, Healthcare, Retail, Financial & Insurance, and Professional & Business Services.  Working to bring top talent together with premier organizations.

Big enough to have great opportunities.  Small enough to care about finding the right one for you. 

It’s about relationships based on mutual interest.  The results are low turnover, long-lasting partnerships and growth.  Want to work for a company invested in your success?

Experience Required for Your Success
  • Registered Nurse (RN), LCSW, LCPC, and would also consider LSW and LPC 
  • Current, valid, unrestricted license in the state of operations (or reciprocity)
  • 3 years wellness or managed care experience presenting clinical issues with members/physicians
  • Knowledge of health and wellness marketplace and employer trends
  • Verbal and written communication skills including discussing medical needs with members and interfacing with internal staff/management and external vendors and community resources
  • Analytical experience including medical data analysis
  • Current IL driver's license, transportation and applicable insurance
  • Ability and willingness to travel within assigned territory
  • PC proficiency to include MS Word, Excel, and PowerPoint, database experience and Web based applications
What Do You Think?

Does your experience reflect what it takes to be successful in this role? Do the work and challenges get you excited about what's possible? Apply here.

Not exactly? Join Our Talent Community, and we'll let you know of additional opportunities.

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