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Medical Management Jobs in Georgia (NOW HIRING)

Elevance Health

Medical Management Nurse

Atlanta, GA · On-site

The Medical Management Nurse is responsible for review of the most complex or challenging cases that require nursing judgment, critical thinking, and holistic assessment of member's clinical ...

New

Elevance Health

Medical Management Nurse

Atlanta, GA · On-site

The Medical Management Nurse is responsible for review of the most complex or challenging cases that require nursing judgment, critical thinking, and holistic assessment of member's clinical ...

New

Elevance Health

Medical Management Nurse

Atlanta, GA · On-site

Medical Management Nurse Location : This role enables associates to work virtually full-time, except for required in-person training sessions, providing maximum flexibility and autonomy. This ...

New

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Medical Management information

See Georgia salary details

$12

$37

$62

How much do medical management jobs pay per hour?

As of Aug 10, 2026, the average hourly pay for medical management in Georgia is $37.37, according to ZipRecruiter salary data. Most workers in this role earn between $24.38 and $48.70 per hour, depending on experience, location, and employer.

What does a medical management do?

A medical management professional oversees healthcare operations, coordinates patient care, and ensures compliance with medical policies. They often work with healthcare providers, manage medical records, and utilize healthcare management software to improve service delivery.

How does a medical management professional typically collaborate with healthcare providers and insurance teams?

Medical Management professionals work closely with both healthcare providers and insurance teams to ensure patients receive appropriate, cost-effective care. They review patient cases, coordinate utilization management, and often act as liaisons to facilitate communication between clinical staff and payers. This collaboration involves regular meetings, detailed documentation, and working with multidisciplinary teams to optimize care plans and adhere to regulatory guidelines. Effective teamwork and strong communication skills are essential for success in this role.

What are the key skills and qualifications needed to thrive in medical management?

To thrive in Medical Management, you need a strong background in healthcare administration, clinical operations, and a relevant degree such as healthcare management or nursing. Familiarity with healthcare information systems, regulatory compliance tools, and certifications like Certified Medical Manager (CMM) are often required. Leadership, problem-solving, and effective communication are standout soft skills for this role. These skills and qualifications are crucial for ensuring efficient operations, regulatory adherence, and high-quality patient care in healthcare organizations.

What degree do you need to be a medical management?

Medical management roles typically require a bachelor's degree in healthcare administration, health services management, or a related field. Advanced positions may require a master's degree such as a Master of Healthcare Administration (MHA) or MBA with a healthcare focus. Relevant skills include knowledge of healthcare laws, policies, and management software.

What is the difference between Medical Management vs Medical Coding?

AspectMedical ManagementMedical Coding
Required CredentialsHealthcare administration, certifications like CCM or CPHQCertified Professional Coder (CPC), CPC-H, or CCS
Work EnvironmentHospitals, clinics, healthcare organizations, office settingsMedical offices, billing companies, remote work
Employer & Industry UsageHealthcare management companies, hospitals, insurance firmsMedical billing companies, healthcare providers, insurance companies

Medical Management focuses on overseeing healthcare operations, policy implementation, and patient care coordination. Medical Coding involves translating medical diagnoses and procedures into standardized codes for billing and record-keeping. While both roles are essential in healthcare, Medical Management emphasizes administrative leadership, whereas Medical Coding centers on accurate documentation for billing purposes.

What is medical management?

Medical management refers to the process of overseeing and coordinating healthcare services to ensure patients receive appropriate, cost-effective, and high-quality care. It often involves tasks such as evaluating medical necessity, coordinating care plans, managing healthcare resources, and working with providers and insurance companies. Professionals in medical management may focus on case management, utilization review, quality assurance, and compliance with healthcare regulations. The goal is to optimize patient outcomes while controlling healthcare costs.

What can I do with a medical management degree?

A medical management degree prepares individuals for roles such as healthcare administrator, medical office manager, or health services manager. These positions involve overseeing healthcare operations, managing staff, and ensuring compliance with regulations, often requiring strong organizational and leadership skills.
What are the most commonly searched types of Medical Management jobs in Georgia? The most popular types of Medical Management jobs in Georgia are:
What cities in Georgia are hiring for Medical Management jobs? Cities in Georgia with the most Medical Management job openings:
Medical Management jobs near you
Infographic showing various Medical Management job openings in Georgia as of August 2026, with employment types broken down into 1% As Needed, 76% Full Time, 16% Part Time, 1% Temporary, and 6% Contract. Highlights an 96% Physical, 1% Hybrid, and 3% Remote job distribution, with an average salary of $77,729 per year, or $37.4 per hour.

Medical Management Representative

HealthOne Alliance

Dalton, GA • On-site

$14.75 - $18.50/hr

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Re-posted 28 days ago

Job description

MISSION
Our mission is to enhance well-being by connecting individuals with vital health resources through a compassionate workforce that embodies the spirit of neighbors helping neighbors.
VALUES
HealthOne is guided by a cultural framework that embodies our values and drives our decisions.
Our PURPOSE is to care for people by connecting them to resources that help protect them in health related situations. To fulfill our purpose, we align our PRIORITIES to ensure each decision we make is ethical, empathetic, economical, and efficient. We care for PEOPLE by being welcoming, authentic, truthful, consistent and humble. We are continuously looking for ways to improve our PROCESS and how we get things done.
HealthOne seeks individuals with integrity and heart to embody our values. Whether you're starting your career or looking to develop additional skills to reach your full potential, HealthOne provides the means to help you achieve your goals.
JOB PURPOSE
The Medical Management Representative supports clinical team and serves as a proactive resource for members related to case management and utilization management.
ESSENTIAL JOB DUTIES
Conducts educational telephone calls advising members of available benefits, services and programs; refers members to population health management programs as appropriate
Reaches out to members with identified gaps in care to provide assistance in securing provider(s) and arranging appointment(s)
Manages system work queues; screening identified members for eligibility, prior case activities, recent claims, customer service inquiries and authorization history; assigning members to clinical team for call outreach and intervention
Facilitates research and analysis of inquiries and/or complaints and other program related inquiries
Functions as a liaison to clinical staff
Collects and enters data as appropriate to process prior authorization requests
Participates in projects as needed
Performs duties such as, but not limited to, project research, data entry, and file management
Works with internal and external persons and/or entities to ensure requests, problems and questions are researched and resolved in a timely manner
Works overtime as needed
Regular and predictable attendance
Consistently demonstrates compliance with HIPAA regulations, professional conduct, and ethical practice
Works to encourage and promote Company culture throughout the organization - waiting on this to be approved
Other duties as may be assigned
QUALIFICATIONS
High School diploma or its equivalent
Experience in a customer service role is preferred
Proficient in Microsoft Office (Outlook, Word, Excel)
Fundamentals of Nursing or its equivalent
Working knowledge of NCQA preferred
Must be able to work in an independent and creative manner
Ability to manage multiple projects and priorities
Adaptive to high pace and changing environment
Proficient in interpreting benefits and contract language
Knowledge of medical terminology
PHYSICAL REQUIREMENTS
Prolonged periods of sitting at a desk and working on a computer. Moderate to significant amount of stress in meeting deadlines and dealing with day-to-day responsibilities. Must be able to drive a vehicle and daytime/overnight travel as required.
BENEFITS
401K (4% Match, Immediate Vesting)
Accident insurance
Competitive salary
Critical Illness Insurance
Dental Insurance
Employee Assistance Program
Flexible Spending Account
Health & Wellness Program
Health Savings Account
Life & AD&D Insurance
Long Term Disability
Medical Insurance
Paid Time Off
Pet Insurance
Short Term Disability
Vision Insurance
PRE-EMPLOYMENT SCREENING
Drug Screen and Background Check Required
HEALTHONE IS AN EQUAL OPPORTUNITY EMPLOYER
All qualified applicants will receive consideration for employment without regard to race, color, creed, religion, disability, sex, age, ethnic or national origin, marital status, sexual orientation, gender identity or presentation, pregnancy, genetics, veteran status or any other status protected by state or federal law.

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