Medical Management Manager manages the organization's medical management programs, which may include case management, utilization review, quality management, or community health education programs with the goal of providing high quality, cost effective health care services. Collects and analyzes data on utilization, outcomes, safety, and costs to determine trends and identify problem areas. Being a Medical Management Manager presents findings, proposed solutions, and implementation plans to management. Implements long and short term solutions for improvements in patient care and cost savings. Additionally, Medical Management Manager requires a bachelor's degree. Typically reports to a head of a unit/department. The Medical Management Manager manages subordinate staff in the day-to-day performance of their jobs. True first level manager. Ensures that project/department milestones/goals are met and adhering to approved budgets. Has full authority for personnel actions. Extensive knowledge of department processes. To be a Medical Management Manager typically requires 5 years experience in the related area as an individual contributor. 1 to 3 years supervisory experience may be required. (Copyright 2024 Salary.com)
FCCI Insurance Group is a trusted provider of comprehensive property & casualty coverage in 20 states. We are a successful and growing organization built on the strength of our guiding principles. Our mission, corporate philosophy and core values are all indicators of the ethical manner in which our employees conduct business every day. FCCI has a reputation for excellence in products, services and employees – and it’s a great place to work!
Provide administrative assistance in the processing of a multitude of variable tasks on a day-to-day basis, while managing priorities and coordinating with others. Complete detailed and comprehensive monthly production reports and submit to management for review by designated time frame.
This opportunity will also manage claim systems information, including changes to claims, providers and payment information and will be expected to work and interact with other departments within the company.
The Medical Management Assistant will assist in any other special departmental activities or projects as requested. Provide customer service excellence and build provider and adjuster relationships by answering, researching and returning messages and requests in a helpful and timely manner. Utilize training / reference materials, tools and resources to assist customers during bill processing, projects, etc.
This opportunity is located in Sarasota or Lake Mary, FL
In exchange for your talents, FCCI offers competitive salaries and an excellent benefits package.
FCCI values the contributions of a diverse workforce.
We're committed to being fair and equitable to all employees and applicants for employment. FCCI prohibits discrimination on the basis of race, color, sex, age, marital status, religion, national origin, sexual orientation, handicap, disability and other legally protected classifications.
Please apply via our website at www.fcci-group.com.
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