Medical Management Specialist I | Chicago | Contract to Hire

Overview

On Site
Depends on Experience
Contract - W2

Job Details

Medical Management Specialist | 3+ Years of Experience | Remote in Illinois | Contract

Walker Healthforce is seeking a Medical Management Specialist  with 3+ Years of Experience  to support a Healthcare Payor Client remotely in IL. This is a 6 month Contract opportunity.

START DATE: June 5, 2025
HOURS/SCHEDULE: M-F 8am-5pm CST
WORKER TYPE: W2

CORE REQUIREMENTS:

  • Registered Nurse (RN) with 2 years of direct clinical care in a healthcare setting, or Licensed Professional Counselor (LPC), or Licensed Master Social Worker (LMSW) with 2 years of clinical practice to obtain licensure.
  • 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.
  • 3+ years of wellness or managed care experience presenting clinical issues with members/physicians.
  • PC proficiency in Word, Excel, PowerPoint, database experience, and web-based applications.
  • Current driver's license, transportation and applicable insurance.
ADDITIONAL REQUIREMENTS:
  • Ability and willingness to travel within assigned territory. Must be located to: 
    • Illinois
  • 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.

WE CONSIDER IT A BONUS IF YOU ALSO HAVE:
  • 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.

JOB RESPONSIBILITIES:
  • This position is responsible for conducting medical management and health education programs for customers on government health care programs.
  • Accountabilities include gathering, analyzing and providing date for regulatory reports. 

WHAT WE OFFER:
  • Competitive compensation package
  • Weekly pay via Direct Deposit
  • Medical, Dental & Vision available
  • 401k options

WHY WORK WITH WALKER?
  • Access to our top ranked team of recruiting and placement specialists
  • Continuous, one-on-one support from a dedicated engagement manager
  • Professional resume development and interview preparation


Contact our Recruiting Team today to experience the Walker Healthforce difference!

ABOUT US:
Walker Healthforce is known as the dominant force of performance, precision, expertise, and integrity in the healthcare consulting community! As a certified WMBE, we provide end-to-end healthcare IT and clinical solutions to hospitals, health systems, and payer organizations, including Fortune 100 firms nationwide. We are healthcare experts, we’re custom not commodity and we’ve been exceeding expectations for nearly 20 years. Join forces with us to experience unparalleled results today!

We are an Equal Opportunity Employer committed to a culturally diverse workforce. All qualified applicants will receive consideration for employment without regard to race, religion, color, age, sex, national origin, sexual orientation, gender identity, disability status or protected veteran status.

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About Walker Healthforce