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Mcmi Jobs (NOW HIRING)

Maryland Physicians Care

Manager, Care Manager

$106K - $117K/yr

MCMI recognizes the importance of flexibility and offers multiple work arrangements. Along with competitive pay, we offer excellent benefits (medical, dental, and vision plans, 100% employer Term ...

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Mcmi information

What is an MCMI?

MCMI typically refers to individuals certified in the Management of Clinical Medical Informatics or those associated with the Millon Clinical Multiaxial Inventory, depending on the context. In healthcare, MCMI professionals work with clinical data and information systems to improve patient care, ensure data accuracy, and support healthcare providers with technology solutions. Their responsibilities can include managing electronic health records, analyzing clinical workflows, and implementing informatics projects. These professionals often collaborate with clinicians, IT staff, and administrators to streamline processes and enhance healthcare delivery.

What are common challenges faced by professionals administering the MCMI assessment in clinical settings?

Administering the Millon Clinical Multiaxial Inventory (MCMI) often presents challenges such as ensuring clients understand the purpose of the assessment and addressing any concerns about confidentiality. Clinicians must be skilled in interpreting nuanced results and integrating them with other clinical information for accurate diagnosis. Time management is also important, as professionals need to allocate sufficient time for administration, scoring, and feedback. Collaborating closely with multidisciplinary teams, such as psychiatrists and social workers, is essential to ensure comprehensive patient care.

What are the key skills and qualifications needed to thrive as a Managed Care Medical Investigator (MCMI), and why are they important?

To thrive as a Managed Care Medical Investigator (MCMI), you need a strong background in healthcare administration, medical terminology, and investigative procedures, typically supported by a relevant degree or certification. Familiarity with managed care systems, claims processing software, and regulatory compliance tools is essential. Critical thinking, attention to detail, and effective communication are important soft skills that set top performers apart. These competencies are crucial for accurately identifying fraud, ensuring regulatory adherence, and maintaining the integrity of healthcare operations.

What is the difference between Mcmi vs Medical Coding Specialist?

AspectMcmiMedical Coding Specialist
Required CertificationsTypically requires certification like CPC or CCSOften requires CPC, CCS, or equivalent
Work EnvironmentHospitals, clinics, healthcare organizationsHospitals, outpatient clinics, insurance companies
Industry UsageUsed in medical billing and coding rolesPrimarily in medical coding and billing
Job FocusMedical billing, coding, and revenue cycle managementMedical coding and documentation review

Both Mcmi and Medical Coding Specialist roles involve medical coding and require similar certifications. Mcmi often emphasizes revenue cycle management, while Medical Coding Specialists focus more on accurate coding and documentation. They are commonly found in healthcare settings and are essential for proper billing and reimbursement processes.

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What job categories do people searching Mcmi jobs look for?

The top searched job categories for Mcmi jobs are:

Mcmi jobs near you
Infographic showing various Mcmi job openings in the United States as of August 2026, with employment types broken down into 17% As Needed, 50% Full Time, and 33% Contract. Highlights an 83% Physical, and 17% Remote job distribution.

Pharmacy Benefit Coordinator

Linthicum, MD • On-site, Remote

Maryland Physicians Care
5 - 10K employees
Learn more about Maryland Physicians Careexternal

$67K - $72K/yr

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Re-posted 11 days ago

Job description

Job Type
Full-time
Description
Summary:
The Pharmacy Benefit Coordinator is responsible for supporting clinical outreach services to our members, their pharmacies, and their healthcare providers to ensure member safety, minimize gaps in care, identify cost-effective medication strategies, and coordinate care to improve healthcare outcomes for our members. The position will support HEDIS adherence initiatives and work to support longitudinal improvement goals.
In addition, the Pharmacy Benefit Coordinator performs a variety of routine to moderately complex administrative and pharmacy-related tasks that support the Pharmacy Management team within the department. The Pharmacy Management team is responsible for managing the pharmacy benefits for Maryland Physicians Care in collaboration with the pharmacy benefit management (PBM) vendor and the organization's utilization review, quality improvement, provider relations, and population health initiatives.
About Maryland Care Management, Inc. (MCMI)
Maryland Care Management, Inc. (MCMI) manages Maryland Physician Care's (MPC) statewide provider network of hospitals and physicians. Maryland Physicians Care has been providing services to the HealthChoice Medicaid populations since 1996, and we are proud of our footprint in the community. With over 230,000 members, MPC consistently has been one of MD's largest Medicaid-managed care organizations.
Why join us?
MCMI recognizes the importance of flexibility and offers multiple work arrangements. Along with competitive pay, we offer excellent benefits (medical, dental, and vision plans, 100% employer Term Life Insurance, Short and Long-Term Disability, 401k Employer Match up to 4%) as well as 20 days of PTO, and tuition assistance/professional development plans.
Your future colleagues at MCMI are welcoming, friendly, and eager to help each other succeed. We are committed to Diversity, Equity, and Inclusion, providing organizational-wide social opportunities, and constantly improving our ongoing efforts to impact our members' lives positively.
What You'll Do:
  • Work collaboratively with quality management to support HEDIS adherence projects.
  • Support the accurate implementation and coding of pharmacy benefits, formulary, and program changes, including review of PBM testing scenarios.
  • Review pharmacy services recommended for denial. Of those recommendations, investigate and review data and information retrieved from plan providers.
  • Assist in the management of members by collecting pertinent information from plan providers and other pharmacy data systems.
  • Assist in various pharmacy, utilization review/management, quality improvement, provider relations, and population health initiatives.
  • Serve as a pharmacy liaison and resource person to plan pharmacies and members.
  • Assist the Pharmacist with monitoring and evaluation of pharmacy utilization.

Requirements
Knowledge and Skills:
  • Thorough understanding of prescription benefit management (PBM) programs and practices.
  • Ability to identify, communicate findings, and resolve member, provider, process, and system issues, communicating recommendations verbally and in writing.
  • Business writing and presentation skills, including writing reports.
  • Excellent attention to detail, including but not limited to interpretation and understanding of benefits/codes.
  • Familiarity with government relations and the ability to operationalize and understand how various aspects of regulation are interdependent and related.
Education and Work Experience:
  • High School diploma/ GED, or equivalent.
  • Current Maryland State Pharmacy Technician licensure, including certification from a nationally recognized Pharmacy Technician Certification Board.
  • Minimum two (2) years of experience as a pharmacy technician.
  • Experience working in a managed care, insurance, PBM, or equivalent environment is strongly preferred.
  • Experience supporting utilization management/prior authorization processes.

EEOC Statement: Following applicable federal, state, and local laws, MCMI prohibits discrimination in employment based on race, color, religion, sex (including pregnancy, gender identity, and sexual orientation), national origin, age, disability, genetic information, or any other characteristic protected by law. This commitment extends to all aspects of employment, including hiring, promotion, compensation, benefits, training, social and recreational programs, and all other conditions and privileges of employment. As a healthcare organization, we recognize the vital importance of inclusivity in delivering quality care to our patients. We strive to foster an environment where individuals of all backgrounds feel respected, valued, and supported. We aim to better comprehend the unique needs of our patients and provide healthcare services that are culturally competent and sensitive. We encourage candidates from all backgrounds to apply and join us in our mission to provide compassionate and inclusive healthcare. We believe that a diverse workforce enriches our organization and allows us to better understand, connect with, and serve our diverse patient population.
Salary Description
$67-72k

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