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Medical Management Specialist Jobs (NOW HIRING)

This position is responsible for conducting medical management and health education programs for customers on government health care programs. Accountabilities include gathering, analyzing and ...

This position is responsible for conducting medical management and health education programs for customers on government health care programs. Accountabilities include gathering, analyzing and ...

This position is responsible for conducting medical management and health education programs for customers on government health care programs. Accountabilities include gathering, analyzing and ...

This position is responsible for conducting medical management and health education programs for customers on government health care programs. Accountabilities include gathering, analyzing, and ...

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Medical Management Specialist information

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$14

$26

$44

How much do medical management specialist jobs pay per hour?

As of Aug 26, 2026, the average hourly pay for medical management specialist in the United States is $26.47, according to ZipRecruiter salary data. Most workers in this role earn between $18.27 and $28.85 per hour, depending on experience, location, and employer.

What are the key skills and qualifications needed to thrive as a medical management specialist?

To thrive as a Medical Management Specialist, you need a solid background in healthcare administration, case management, and knowledge of medical terminology, often supported by a degree in nursing, healthcare management, or a related field. Familiarity with utilization review software, claims processing systems, and relevant certifications like CCM (Certified Case Manager) is typically required. Strong analytical thinking, effective communication, and problem-solving skills are vital soft skills for success in this role. These capabilities ensure efficient coordination of patient care, cost management, and compliance with healthcare regulations.

How does a medical management specialist typically collaborate with healthcare providers and insurance teams to coordinate patient care?

Medical Management Specialists play a vital role in facilitating communication between healthcare providers, patients, and insurance companies. They review clinical information to ensure the most effective and appropriate care is delivered while adhering to insurance policies. Collaboration often involves participating in case reviews, coordinating care plans, and assisting with utilization management. This role requires strong interpersonal skills, as specialists regularly negotiate with providers and support patients in understanding their treatment options and coverage details.

What is the difference between Medical Management Specialist vs Medical Billing Specialist?

AspectMedical Management SpecialistMedical Billing Specialist
CredentialsCertifications like CCM or CPC, relevant healthcare experienceBilling and coding certifications, CPC or CCS-P
Work EnvironmentHealthcare facilities, insurance companies, case managementMedical offices, billing companies, healthcare providers
Job FocusCare coordination, utilization review, case managementProcessing claims, coding, invoicing

While both roles work within healthcare, Medical Management Specialists focus on care coordination and utilization review, whereas Medical Billing Specialists handle billing, coding, and claims processing. They often collaborate but serve distinct functions in healthcare administration.

Is a career in healthcare management worth it?

A career as a Medical Management Specialist offers opportunities in healthcare administration, focusing on coordinating patient care, managing staff, and ensuring compliance with regulations. It typically requires strong organizational skills, knowledge of healthcare systems, and relevant certifications, with job stability and growth potential in the healthcare industry.

What can I do with a medical management specialist degree?

A medical management specialist degree prepares individuals for roles in healthcare administration, such as medical office manager, healthcare coordinator, or insurance claims analyst. These positions involve overseeing patient services, managing healthcare teams, and ensuring compliance with regulations, often requiring strong organizational and communication skills.
More about Medical Management Specialist jobs

What cities are hiring for Medical Management Specialist jobs?

Cities with the most Medical Management Specialist job openings:

Who are the top companies hiring for Medical Management Specialist jobs?

The top employers for Medical Management Specialist jobs are:

What states have the most Medical Management Specialist jobs?

States with the most job openings for Medical Management Specialist jobs include:

Infographic showing various Medical Management Specialist job openings in the United States as of August 2026, with employment types broken down into 1% As Needed, 79% Full Time, 14% Part Time, and 6% Contract. Highlights an 87% Physical, 1% Hybrid, and 12% Remote job distribution, with an average salary of $55,067 per year, or $26.5 per hour.

$16.50 - $18.50/hr

Full-time

Re-posted 26 days ago


Job description

Company Description

HealthCare Support Staffing, Inc. (HSS), is a proven industry-leading national healthcare recruiting and staffing firm. HSS has a proven history of placing talented healthcare professionals in clinical and non-clinical positions with some of the largest and most prestigious healthcare facilities including: Fortune 100 Health Plans, Mail Order Pharmacies, Medical Billing Centers, Hospitals, Laboratories, Surgery Centers, Private Practices, and many other healthcare facilities throughout the United States. HealthCare Support Staffing maintains strong relationships with top providers in healthcare and can assure healthcare professionals they will receive fast access to great career opportunities that best fit their expertise. Connect with one of our Professional Recruiting Consultants today to see how a conversation can turn into a long-lasting and rewarding career!

Job Description

Job Title: Medical Management Specialist

City, State: Eugene, OR

Start Date: ASAP


Position Responsibilities: 

  • Will be supporting the Clinical Specialists/Care Coordinators, who are the nurses and/or social workers who do the case management for Trillium members. They might interact with regular case managers as well as Prior Auth & Concurrent Review nurses and even some providers occasionally
  • The Med Management Specialists get reports from the hospitals and other facilities and use the info to create the workload for nurses
  • They extract info from these reports to determine which case management teams members should be assigned to. They are provided criteria by which to make these determinations, so they don't have to have that clinical knowledge already
  • The use Excel heavily to create the sheets outlining the workload. Also will use Outlook and proprietary software as well as an EMR system called Centricity.




Qualifications
  • Associate's Degree or Comparable
  • Extensive Healthcare Administration, MS Excel and MUST BE Computer Savvy
Additional Information

Advantages of this Opportunity:

  • Pay $16.50 - $18.50 per hour, negotiable
  • Immediate opening, Temp-to-Perm position with excellent benefits offered.


If you are interested, please call, Ryan at 407-478-0332 Ext 102 and email your resume to me.


The greatest compliment to our business is a referral.

If you know of someone looking for a new opportunity, please pass along my contact information! We offer referral bonuses for each placement.






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About Healthcare Support

Sourced by ZipRecruiter

HealthCare Support Staffing, Inc. (HSS), is a proven industry-leading national healthcare recruiting and staffing firm. HSS has a proven history of placing talented healthcare professionals in clinical and non-clinical positions with some of the largest and most prestigious healthcare facilities including: Fortune 100 Health Plans, Mail Order Pharmacies, Medical Billing Centers, Hospitals, Laboratories, Surgery Centers, Private Practices, and many other healthcare facilities throughout the United States. HealthCare Support Staffing maintains strong relationships with top providers in healthcare and can assure healthcare professionals they will receive fast access to great career opportunities that best fit their expertise. Connect with one of our Professional Recruiting Consultants today to see how a conversation can turn into a long-lasting and rewarding career!Healthcare Support Staffing, Inc. is an equal employment opportunity employer and will consider all qualified applicants without regard to race, color, religion, disability, sex, sexual orientation, gender identity, national origin, protected veteran status, or any other characteristic protected by applicable local, state, or federal law.

Industry

Recruiting and staffing services

Company size

201 - 500 Employees

Headquarters location

Maitland, FL, US

Year founded

2003

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