Medical Management Specialist I 30227
Company: Solving IT
Location: Downers Grove
Posted on: June 25, 2025
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Job Description:
One of the largest health insurers in the nation is focused on
continuously building an industry-defining, world-class IT
capability. Healthcare is forever evolving, especially due to
emerging technologies, making this a great experience to add to
your resume. Come join their winning team! This contract role as a
Medical Management Specialist I in Downers Grove, IL is responsible
for conducting medical management and health education programs for
customers on government health care programs. Pay Rate: $34.50 -
$37.50 per hour Responsibilities: • Conducting medical management
and health education programs for customers on government health
care programs. • Gathering, analyzing and providing date for
regulatory reports. • This position will represent the company to
members. Job Requirements: ? • Registered Nurse (RN), with 3 years
direct clinical care to the consumer in a clinical setting or
Licensed Clinical Professional Counselor (LCPC), or Licensed Master
Social Worker (LMSW), which includes 2 years of clinical practice
to obtain their LCPC or LMSW license. • Current, valid,
unrestricted license in the state of operations (or reciprocity).
For compact licensee changing permanent residence to state of
operations, you must obtain active, unrestricted RN licensure in
the state of operations within 90 days of hire. • Plus 3 years
wellness or managed care experience presenting clinical issues with
members/physicians. • Knowledge of the health and wellness
marketplace and employer trends. • Verbal and written communication
skills including discussing medical needs with members and
interfacing with internal staff/management and external vendors and
community resources. • Analytical experience including medical data
analysis. • Current driver's license, transportation and applicable
insurance. • Ability and willingness to travel within assigned
territory. • PC proficiency to include Word, Excel, and PowerPoint,
database experience and Web based applications. Preferred Job
Requirements: • 3 years clinical experience. • Patient education
experience. • Condition Management experience. • Bilingual in
English and Spanish. • Transition of Care experience. • Experience
in managing complex or catastrophic cases. • Certification in Case
Management, Training, Project Management or nationally recognized
health care certification. Benefits : Solving IT, a Woman and LGBTQ
owned and operated organization is thrilled to provide a
comprehensive benefit package to all our W2 employees and their
families, regardless of gender. We are proud to offer five diverse
health plan options as well as a PPO dental plan through Blue Cross
Blue Shield, Term Life/AD&D Insurance, and a 401(k) Savings
Plan. Solving IT covers a portion of the health and dental premiums
for our employees. As you progress in your professional journey,
Solving IT is dedicated to accommodating your evolving preferences
and matching you with fulfilling projects. We champion equality and
embrace diversity in all its forms. Creating an atmosphere that
encourages varied perspectives to collaborate fosters personal
development, strengthens team unity, and contributes to the overall
success of the organization! Whether you're seeking your next
career challenge or aiming to stay abreast of industry trends,
Solving IT is committed to supporting your career advancement. We
actively encourage applications from all backgrounds and utilize
the most up-to-date market insights and compensation data to ensure
that you receive not just advice, but the complete Solving IT
Experience.
Keywords: Solving IT, Elgin , Medical Management Specialist I 30227, Healthcare , Downers Grove, Illinois
