Supporting the Medical Management department, the full-time temporary Medical Management Assistant will manage provider communications, enter data into the case management system, and assist clinical staff in authorizing services while working remotely for approximately 3-6 months. Key responsibilities Authorize, monitor, and process claims for inpatient and outpatient services by entering data and triaging events according to departmental guidelines Verify member data by researching eligibility, benefits, and provider status while maintaining confidentiality and adhering to privacy standards Provide timely and professional support to internal and external customers, ensuring effective communication and collaboration with network providers Required qualifications High School Diploma or equivalent required; Associate's Degree or equivalent experience preferred 3+ years of medical experience in a managed care environment preferred Proficiency with data entry and knowledge of medical terminology required Utilization Management experience is required Working knowledge of Medicare and Medi-Cal guidelines preferred