Hybrid Manager II – Medical Management

at Elevance Health

• Job title: Manager II – Medical Management
• Job type: Full Time
• Experience level: Mid level, Senior
• Salary: $115,092 - $180,144 per year
• Degree requirement: High School Diploma
• Location requirements: Hybrid, Woodland Hills, United States

About the role

• Manager II Medical Management overseeing teams of clinicians at Elevance Health. Responsible for optimizing member outcomes and managing healthcare resources while ensuring adherence to policies and procedures.

Responsibilities

• manage a team of clinicians charged with promoting quality member outcomes
• optimize member benefits
• promote effective use of resources
• Ensure adherence to medical policy and member benefits in providing service
• Manages areas which may include authorizing inpatient admissions, outpatient services, focused surgical and diagnostic procedures
• Applies clinical knowledge to work with facilities and providers for care-coordination
• May also manage appeals for services denied
• Serves as mentor to lower leveled managers
• Develops and manages annual operating budget
• Hires, trains, coaches, counsels, and evaluates performance of direct reports

Requirements

• Requires a HS diploma or equivalent
• minimum of 5 years acute care clinical experience
• minimum of 2 years prior management experience
• Current, active, valid unrestricted RN license to practice as a health professional
• BS preferred
• MS Office Suite experience preferred
• Health plan experience preferred
• Management experience preferred
• Production environment experience preferred
• Clinical experience in an ER/trauma unit preferred

Benefits

• comprehensive benefits package
• incentive and recognition programs
• equity stock purchase
• 401k contribution
• merit increases
• paid holidays
• Paid Time Off
• short and long term disability benefits
• life insurance
• wellness programs
• financial education resources