Medical Management Specialist I/ PHRN

## Medical Management Specialist I/ PHRNApplylocations: PHL-Taguig City-Alliance Global Tower, 11th Ave, Corner 36th St, Uptown Bonifacioposted on: Posted 4 Days Agotime left to apply: End Date: August 24, 2026 (30+ days left to apply)job requisition id: JR **Position Title:**Medical Management Specialist I/ PHRN**Shift:****Job Description:**Responsible for providing non-clinical support to the Medical Management and/or Operations areas. Primary duties may include, but are not limited to: Gathers clinical information regarding case and determines appropriate area to refer or assign case (utilization management, case management, QI, Med Review). Provides information regarding network providers or general program information when requested. May assist with complex cases. May act as liaison between Medical Management and/or Operations and internal departments. Maintains and updates tracking databases. Prepares reports and documents all actions. Responsibilities exclude conducting ...