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Medical Management Associates Jobs (NOW HIRING)

Medical Management Clinician Senior

Tampa, FL ยท On-site

$63K - $79K/yr

Medical Management Clinician Senior Location: Candidates are required to reside in the state of ... This role enables associates to work virtually full-time, except for required in-person training ...

Medical Management Clinician Senior

Tampa, FL ยท On-site

$63K - $79K/yr

Medical Management Clinician Senior Location: Candidates are required to reside in the state of ... This role enables associates to work virtually full-time, except for required in-person training ...

Medical Management Clinician Senior

Miami, FL ยท On-site

$64K - $80K/yr

Medical Management Clinician Senior Medical Management Clinician Senior Location: Candidates are ... This role enables associates to work virtually full-time, except for required in-person training ...

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Property Manager

Santa Ana, CA ยท On-site

$28 - $34/hr

PROPERTY MANAGEMENT ASSOCIATES is seeking a Property Manager for an amazing 288-unit apartment ... Medical, Dental, Vision, and Life Insurance with an employer contribution * 401(k) with ...

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Property Manager

Long Beach, CA ยท On-site

$23 - $25/hr

Property Management Associates is seeking a full-time Property Manager to oversee 3 properties ... Medical, Dental, Vision, and Life Insurance with an employer contribution * 401(k) with ...

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How much do medical management associates jobs pay per hour?

As of Jun 10, 2026, the average hourly pay for medical management associates in the United States is $44.26, according to ZipRecruiter salary data. Most workers in this role earn between $28.85 and $57.69 per hour, depending on experience, location, and employer.

What is the difference between Medical Management Associates vs Medical Billing Specialists?

AspectMedical Management AssociatesMedical Billing Specialists
CredentialsRelevant certifications like CPC, CMA, or healthcare management degreesCertification in medical billing (e.g., Certified Billing and Coding Specialist)
Work EnvironmentHealthcare facilities, insurance companies, or management firmsMedical offices, billing companies, or healthcare providers
Employer & Industry UsageUsed by organizations managing healthcare operations and patient care coordinationUsed by clinics and billing companies handling insurance claims and payments

Medical Management Associates focus on overseeing healthcare operations, patient care coordination, and administrative management, often requiring broader healthcare knowledge. In contrast, Medical Billing Specialists primarily handle insurance claims, coding, and billing processes. Both roles are essential in healthcare but differ in scope and responsibilities.

What are some common challenges faced by Medical Management Associates, and how can candidates prepare to address them?

Medical Management Associates often navigate complex healthcare regulations, coordinate between clinical staff and administrative teams, and manage patient data confidentiality. Candidates can prepare by developing strong communication skills, staying updated on healthcare compliance standards, and becoming proficient with electronic health record (EHR) systems. Building problem-solving abilities and learning to prioritize tasks efficiently will also help in addressing the fast-paced, multifaceted nature of the role.

What are the key skills and qualifications needed to thrive as a Medical Management Associate, and why are they important?

To thrive as a Medical Management Associate, you need a solid understanding of healthcare administration, insurance processes, and medical terminology, often backed by a relevant degree or healthcare certification. Familiarity with healthcare management software, claims processing systems, and regulatory compliance tools is typically required. Strong organizational, analytical, and communication skills set candidates apart in this role. These skills are crucial for efficiently managing patient care coordination, ensuring regulatory adherence, and supporting effective healthcare operations.

What are Medical Management Associates?

Medical Management Associates are professionals or organizations that provide administrative, financial, and operational support services to medical practices and healthcare providers. They help with tasks such as practice management, billing, compliance, human resources, and strategic planning. Their goal is to streamline operations, improve efficiency, and ensure that healthcare providers can focus on patient care while meeting regulatory and business requirements.
What cities are hiring for Medical Management Associates jobs? Cities with the most Medical Management Associates job openings:
What states have the most Medical Management Associates jobs? States with the most job openings for Medical Management Associates jobs include:
Infographic showing various Medical Management Associates job openings in the United States as of June 2026, with employment types broken down into 4% As Needed, 39% Full Time, 38% Part Time, and 19% Contract. Highlights an 92% Physical, 2% Hybrid, and 6% Remote job distribution, with an average salary of $92,054 per year, or $44.3 per hour.
Medical Management Specialist I

Medical Management Specialist I

Hawaii Medical Service Association

Kapolei, HI โ€ข On-site

Full-time

Posted 17 days ago


Job description

  1. Evaluation, interpretation, and processing of clinical review requests to include but not limited to applying the following requirements:
    • Validation that requests has met submission requirements based on accreditation / governmental regulation requirements.
    • Educate and/or communicate with provider offices on appropriate procedures.
    • Application of internal policies and procedures, contractual provisions, and regulatory requirements.
    • Multi-system validation of member specific eligibility, benefit and provider requirement for selected service(s) based on member's primary line of business.
    • Utilization of various resources to confirm HMSA's clinical review requirements; as required, educate and/or respond to provider office with outcome.
    • Creation of the electronic file within the Utilization Management (UM) management system for review.
    • Adhering to the guidelines and processes for management of documents within the Fax Manager Application (FMA).
  2. Process vendor authorization files to reflect the appropriate decisions within HMSA's system to appropriately and accurately impact claims processing to include but not limited to the following:
    • Researching, validate and update existing authorizations based on extensions, peer to peer reviews and updates requested from provider community.
    • Monitoring and addressing errors as a result of the request program load feature.
    • Notify and/or communicate issues associated with authorization files with unit coordinator, supervisor or UM Solutions Administrator.
  3. Resolve, document and accurately respond to inquiries, issues or complaints received telephonically from provider (and members) by:
    • Application of Ulysses Call Strategy servicing skills.
    • Researching multiple system and/or online document resources
    • Contacting unit leads or resources for additional explanation.
    • Triage and transfer calls to appropriate areas upon request or require a subject matter expert (SME).
    • Escalate calls as appropriate taking into account urgency, customer's level of concern, knowledge required to respond in an accurate manner.
  4. Processing of the Aerial to QNXT (A2Q) error / balance reports by:
    • Accurately building UMD documents within QNXT to support the claims processing activities.
    • Notify and/or communicate issues associated with A2Q process to unit coordinator, supervisor or UM Solutions Administrator.
  5. Monitor and processing of clinical review requests received via online authorization tool by:
    • Applying internal policies and procedures, contractual provisions and regulatory requirements.
    • Multi-system validation of member specific eligibility, benefit and provider requirement for selected service(s) based on member's primary line of business.
    • Triaging and distribution of the cases to the respective units taking into account type of service, place of treatment, provider relationship and line of business.
  6. Performs all other miscellaneous responsibilities and duties as assigned or directed.

#LI-Hybrid
  1. Associate's degree or equivalent combination of education and work experience.
  2. Good customer service skills.
  3. Working knowledge of basic office equipment.
  4. Strong verbal communication skills.
  5. Good written communication skills to document actions/conversations with customers clearly and precisely.
  6. Understanding of CPT/HCPCS coding and medical terminology.
  7. Basic knowledge of Microsoft Office applications. Including but not limited to Word, Excel, and Outlook.