Medical Management Specialist

Company: Innovative Systems Group
Location: Raton
Posted on: May 23, 2025

Job Description:

• Contract-to-hire
• Remote, but candidate must reside in or near Raton, NM
• 90%-95% remote with some visits to customer homes at least 1-3 times per month depending on business needs.
• 40 hrs per week. Typical schedule is M-F, 8:00-4:30 CST with 30-min lunch break.JOB PURPOSE:This position is responsible for conducting medical management and health education programs for customers on government health care programs. This role will include gathering, analyzing and providing data for regulatory reports. This position will represent the company to members.JOB QUALIFICATIONS:
  • Registered Nurse (RN), with 3 years direct clinical care to the consumer in a clinical setting or Licensed Professional Counselor (LPC), or Licensed Master Social Worker (LMSW), which includes 2 years of clinical practice to obtain their LPC 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 NM driver's license, transportation and applicable insurance. (for NM)
  • Ability and willingness to travel within assigned territory.
  • PC proficiency to include Word, Excel, and PowerPoint, database experience and Web based applications.PREFERRED JOB QUALIFICATIONS:
    • 3 years clinical experience.
    • Patient education experience.
    • Condition Management experience.
    • Bilingual in English and Spanish. (preferred but not required)
    • Transition of Care experience.
    • Experience in managing complex or catastrophic cases.
    • Certification in Case Management, Training, Project Management or nationally recognized health care certification. (preferred but not required)

Keywords: Innovative Systems Group, Centennial , Medical Management Specialist , Executive , Raton, Colorado