What Jobs are available for Medical Assistants in Little Rock?

**Work Shift:**
Day Shift
**Time Type:**
Full time
**Department:**
CC Stephens Elementary School-Based Health Clinic
**Summary:**
Mon-Fri 8am-4:30p - Will float between Chicot School-Based Clinic, Stephens School-Based Clinic & Southwest LR Clinic - Bilingual Strongly Preferred - 1 yr MA exp, national registration/certification & graduation from an accredited MA school required
**Additional Information:**
Working under the direction of a physician, provides direct patient care to assigned patients by assisting in their examination and treatment.
**Required Education:**
High School Diploma or GED and completion of accredited medical assistant program
**Recommended Education:**
**Required Work Experience:**
Related Field - 1 year healthcare or related setting as MA
**Recommended Work Experience:**
**Required Certifications:**
1 of the following certifications is required -
**Recommended Certifications:**
Certified Clinical Medical Assistant (CCMA) - Unknown Issuer, National Certified Medical Assistant (NCMA) - Unknown Issuer, Registered Medical Assistant - Unknown Issuer
**Description**
1. Completes and documents patient care in a safe, efficient and timely manner in the chart/record.
2. Plans, prioritizes and organizes patient care tasks
3. Completes routine patient care tasks, including lab functions and medication administration (including vaccines).
4. Recognizes and reports changes in patient condition to licensed staff or provider.
5. Demonstrates knowledge of emergency situations and reacts appropriately.
6. Performs access-related activities and other support duties as assigned.
7. May participate in project management such as Vaccines for Children (VCF) and Patient Centered Medical Home (PCMH) etc.
8. Participates on hospital and system committees.
9. Performs other duties as assigned.
Arkansas Children's ( is the only hospital system in the state dedicated to caring for children, which enables us to uniquely shape the landscape of pediatric care in Arkansas.
Arkansas Children's is driven by four core values-safety, teamwork, compassion and excellence-which inform every action.
Arkansas Children's Hospital has received Magnet Status ( from the American Nurses Credentialing Center (ANCC), for nursing excellence and patient outcomes. And we are nationally ranked by U.S. News & World Report ( for Cancer, Cardiology & Heart Surgery, Diabetes & Endocrinology, Nephrology, Neurology & Neurosurgery, Pulmonology & Lung Surgery and Urology.
For more than a century, Arkansas Children's has met the unique needs of children. But we're more than just a hospital treating sick kids-our services include two hospitals, a pediatric research institute, foundation, clinics, education and outreach, all with an unyielding commitment to making children better today and healthier tomorrow.
Arkansas Children's Little Rock campus includes a 336-bed hospital with the state's only pediatric Level 1 Trauma Center, burn center, Level 4 neonatal intensive care and pediatric intensive care, as well as a nationally-recognized transport service. And Arkansas Children's Northwest ( provides inpatient and emergency care, clinic rooms and diagnostic services to children in that corner of the state.
_"Arkansas Children's is a place of hope and comfort for children and parents. When you are at children's, you are part of an elite team united with a common goal of saving children and making their lives better."_ Michael - Business Operations Manager
"Arkansas Children's Hospital is a prestigious institution that cares for children." Linda - Information Systems Analyst
"We are an organization of care, love, and hope while we champion children." Angela - Parking and Fleet Coordinator
"Care, love, and hope for children!" Kathy - Administrative Assistant
"When I think of my time here at Arkansas Children's Hospital, I can honestly say that it has given me a unique perspective on the human condition, and the various roles that we all have in patient care. As a supply assistant, I have a very important job ensuring that the doctors and nurses have what they need to provide the world class medical care to the Children of Arkansas and surrounding states. Being a Champion for Children is more than a catch phrase, it is a way of life!" Nick - Supply Assistant
Arkansas Children's provides equal employment opportunity to all persons without regard to age, race, color, religion, national origin or citizenship status, disability, military status, sexual orientation, gender identity or expression, pregnancy or any other category protected by federal, state and local laws. Further, Arkansas Children's will not discharge or in any other manner discriminate against employees or applicants because they have inquired about, discussed, or disclosed their own pay or the pay of another employee or applicant.

**Work Shift:**
Please see job description for details.
**Time Type:**
Full time
**Department:**
CC Ent Clinic
**Summary:**
The Healthcare Support Apprentice will gain hands-on experience and receive structured on-the-job training in a clinical or healthcare environment. Under the guidance of experienced healthcare professionals, this position will assist with a variety of operational and administrative tasks while developing the foundational skills needed for a successful career in healthcare services. This apprenticeship is designed to prepare individuals for future certification or advancement opportunities in roles such as Certified Medical Assistant, Patient Care Technician, or Behavioral Health Technician as well as other clinical support, medical administration, or healthcare logistics.
**Additional Information:**
**Required Education:**
No education requirements
**Recommended Education:**
**Required Work Experience:**
**Recommended Work Experience:**
**Required Certifications:**
**Recommended Certifications:**
**Description**
1. Assist with daily clinical and administrative tasks such as preparing materials, setting up patient care areas, and supporting healthcare team operations.
2. Follow established procedures to complete basic tasks under supervision, including patient intake support or supply preparation.
3. Maintain clean, organized, and well-stocked clinical or administrative workspaces.
4. Support healthcare staff during patient services, procedures, or internal projects.
5. Answer phones, respond to emails, and assist with scheduling patient appointments or staff meetings.
6. Process patient forms, update medical or administrative records, and ensure documentation accuracy.
7. Perform general office duties including filing, data entry, and handling correspondence.
8. Monitor inventory levels and assist with ordering and restocking medical or office supplies.
9. Participate in training sessions, workshops, or online learning modules related to healthcare operations.
10. Shadow experienced professionals, complete assigned coursework, and apply feedback to improve skills and performance.
Arkansas Children's ( is the only hospital system in the state dedicated to caring for children, which enables us to uniquely shape the landscape of pediatric care in Arkansas.
Arkansas Children's is driven by four core values-safety, teamwork, compassion and excellence-which inform every action.
Arkansas Children's Hospital has received Magnet Status ( from the American Nurses Credentialing Center (ANCC), for nursing excellence and patient outcomes. And we are nationally ranked by U.S. News & World Report ( for Cancer, Cardiology & Heart Surgery, Diabetes & Endocrinology, Nephrology, Neurology & Neurosurgery, Pulmonology & Lung Surgery and Urology.
For more than a century, Arkansas Children's has met the unique needs of children. But we're more than just a hospital treating sick kids-our services include two hospitals, a pediatric research institute, foundation, clinics, education and outreach, all with an unyielding commitment to making children better today and healthier tomorrow.
Arkansas Children's Little Rock campus includes a 336-bed hospital with the state's only pediatric Level 1 Trauma Center, burn center, Level 4 neonatal intensive care and pediatric intensive care, as well as a nationally-recognized transport service. And Arkansas Children's Northwest ( provides inpatient and emergency care, clinic rooms and diagnostic services to children in that corner of the state.
_"Arkansas Children's is a place of hope and comfort for children and parents. When you are at children's, you are part of an elite team united with a common goal of saving children and making their lives better."_ Michael - Business Operations Manager
"Arkansas Children's Hospital is a prestigious institution that cares for children." Linda - Information Systems Analyst
"We are an organization of care, love, and hope while we champion children." Angela - Parking and Fleet Coordinator
"Care, love, and hope for children!" Kathy - Administrative Assistant
"When I think of my time here at Arkansas Children's Hospital, I can honestly say that it has given me a unique perspective on the human condition, and the various roles that we all have in patient care. As a supply assistant, I have a very important job ensuring that the doctors and nurses have what they need to provide the world class medical care to the Children of Arkansas and surrounding states. Being a Champion for Children is more than a catch phrase, it is a way of life!" Nick - Supply Assistant
Arkansas Children's provides equal employment opportunity to all persons without regard to age, race, color, religion, national origin or citizenship status, disability, military status, sexual orientation, gender identity or expression, pregnancy or any other category protected by federal, state and local laws. Further, Arkansas Children's will not discharge or in any other manner discriminate against employees or applicants because they have inquired about, discussed, or disclosed their own pay or the pay of another employee or applicant.

**Work Shift:**
Please see job description for details.
**Time Type:**
Full time
**Department:**
CC Southwest Little Rock Clinic
**Summary:**
The Healthcare Support Apprentice will gain hands-on experience and receive structured on-the-job training in a clinical or healthcare environment. Under the guidance of experienced healthcare professionals, this position will assist with a variety of operational and administrative tasks while developing the foundational skills needed for a successful career in healthcare services. This apprenticeship is designed to prepare individuals for future certification or advancement opportunities in roles such as Certified Medical Assistant, Patient Care Technician, or Behavioral Health Technician as well as other clinical support, medical administration, or healthcare logistics.
**Additional Information:**
**Required Education:**
No education requirements
**Recommended Education:**
**Required Work Experience:**
**Recommended Work Experience:**
**Required Certifications:**
**Recommended Certifications:**
**Description**
1. Assist with daily clinical and administrative tasks such as preparing materials, setting up patient care areas, and supporting healthcare team operations.
2. Follow established procedures to complete basic tasks under supervision, including patient intake support or supply preparation.
3. Maintain clean, organized, and well-stocked clinical or administrative workspaces.
4. Support healthcare staff during patient services, procedures, or internal projects.
5. Answer phones, respond to emails, and assist with scheduling patient appointments or staff meetings.
6. Process patient forms, update medical or administrative records, and ensure documentation accuracy.
7. Perform general office duties including filing, data entry, and handling correspondence.
8. Monitor inventory levels and assist with ordering and restocking medical or office supplies.
9. Participate in training sessions, workshops, or online learning modules related to healthcare operations.
10. Shadow experienced professionals, complete assigned coursework, and apply feedback to improve skills and performance.
Arkansas Children's ( is the only hospital system in the state dedicated to caring for children, which enables us to uniquely shape the landscape of pediatric care in Arkansas.
Arkansas Children's is driven by four core values-safety, teamwork, compassion and excellence-which inform every action.
Arkansas Children's Hospital has received Magnet Status ( from the American Nurses Credentialing Center (ANCC), for nursing excellence and patient outcomes. And we are nationally ranked by U.S. News & World Report ( for Cancer, Cardiology & Heart Surgery, Diabetes & Endocrinology, Nephrology, Neurology & Neurosurgery, Pulmonology & Lung Surgery and Urology.
For more than a century, Arkansas Children's has met the unique needs of children. But we're more than just a hospital treating sick kids-our services include two hospitals, a pediatric research institute, foundation, clinics, education and outreach, all with an unyielding commitment to making children better today and healthier tomorrow.
Arkansas Children's Little Rock campus includes a 336-bed hospital with the state's only pediatric Level 1 Trauma Center, burn center, Level 4 neonatal intensive care and pediatric intensive care, as well as a nationally-recognized transport service. And Arkansas Children's Northwest ( provides inpatient and emergency care, clinic rooms and diagnostic services to children in that corner of the state.
_"Arkansas Children's is a place of hope and comfort for children and parents. When you are at children's, you are part of an elite team united with a common goal of saving children and making their lives better."_ Michael - Business Operations Manager
"Arkansas Children's Hospital is a prestigious institution that cares for children." Linda - Information Systems Analyst
"We are an organization of care, love, and hope while we champion children." Angela - Parking and Fleet Coordinator
"Care, love, and hope for children!" Kathy - Administrative Assistant
"When I think of my time here at Arkansas Children's Hospital, I can honestly say that it has given me a unique perspective on the human condition, and the various roles that we all have in patient care. As a supply assistant, I have a very important job ensuring that the doctors and nurses have what they need to provide the world class medical care to the Children of Arkansas and surrounding states. Being a Champion for Children is more than a catch phrase, it is a way of life!" Nick - Supply Assistant
Arkansas Children's provides equal employment opportunity to all persons without regard to age, race, color, religion, national origin or citizenship status, disability, military status, sexual orientation, gender identity or expression, pregnancy or any other category protected by federal, state and local laws. Further, Arkansas Children's will not discharge or in any other manner discriminate against employees or applicants because they have inquired about, discussed, or disclosed their own pay or the pay of another employee or applicant.

**Job Summary and Responsibilities**
+ Support and maintain patient flow to reduce patient wait times during clinic
+ Efficiently manage time by prioritizing each patients' needs
+ Return/ Direct patient phone calls
+ Record/ verify medical records such as medical histories, medication reconciliations, and vital signs
+ Coordinate with hospital admissions and laboratory services
+ Diagnostic Testing: EKGs, Stress Echos, Lab, Nuclear Medicine
+ Assist clinic RN staff as needed
**Job Requirements**
+ Current Certified Medical Assistant (CMA) certification or Registered Medical Assistant (RMA) required
+ High School Diploma/ GED required
+ Previous experience is preferred, but not required
+ BLS through the American Heart Association is required
While you're busy impacting the healthcare industry, we'll take care of you with benefits that include health/dental/vision, FSA, matching retirement plans, paid vacation, adoption assistance, and more!
**Where You'll Work**
As our Certified Medical Assistant at CHI St. Vincent Heart Clinic of Arkansas - Kanis location, you will help patients navigate their heart health journey by providing essential clinical support so they can achieve optimal cardiac well-being.
Every day you will perform a variety of clinical tasks, including taking vital signs, preparing patients for exams, and assisting with procedures. You will be expected to accurately document patient information, maintain a clean and organized workspace, and collaborate effectively with the healthcare team.
To be successful in this role, you must possess strong clinical skills, excellent communication abilities, and a genuine compassion for patients.
CHI St. Vincent Heart Clinic of Arkansas is a cardiology subspecialty clinic for the diagnosis and treatment of diseases and conditions of the heart and vascular systems. We take care to get a proper diagnosis and develop a personalized treatment plan to ensure the best outcome and quality of life for each patient. We are part of CommonSpirit Health which operates 139 hospitals and more than 1,000 care sites across 21 states, making our services accessible to nearly 1 in 4 U.S. residents.
If you are committed to social justice, health equity, and prepared to deliver care in new, innovative ways, you belong with us.
**Pay Range**
$16.83 - $23.77 /hour
We are an equal opportunity/affirmative action employer.

**Work Shift:**
Day Shift
**Time Type:**
Full time
**Department:**
CC General Pediatric Clinic
**Summary:**
West Little Rock Primary Care Clinic - Mon-Fri 8:30a-5p - 1 yr MA exp & national MA registration/certification required at time of hire
Working under the direction of a physician, provides direct patient care to assigned patients by assisting in their examination and treatment.
**Additional Information:**
**West Little Rock Primary Care Clinic**
**Mon-Fri 8:30a-5p**
**1 yr MA experience required**
**National MA registration/certification required at time of hire**
**Required Education:**
High School Diploma or GED and completion of accredited medical assistant program
**Recommended Education:**
**Required Work Experience:**
Related Field - 1 year healthcare or related setting as MA
**Recommended Work Experience:**
**Required Certifications:**
1 of the following certifications is required -
**Recommended Certifications:**
Certified Clinical Medical Assistant (CCMA) - Unknown Issuer, National Certified Medical Assistant (NCMA) - Unknown Issuer, Registered Medical Assistant - Unknown Issuer
**Description**
1. Completes and documents patient care in a safe, efficient and timely manner in the chart/record.
2. Plans, prioritizes and organizes patient care tasks
3. Completes routine patient care tasks, including lab functions and medication administration (including vaccines).
4. Recognizes and reports changes in patient condition to licensed staff or provider.
5. Demonstrates knowledge of emergency situations and reacts appropriately.
6. Performs access-related activities and other support duties as assigned.
7. May participate in project management such as Vaccines for Children (VCF) and Patient Centered Medical Home (PCMH) etc.
8. Participates on hospital and system committees.
9. Performs other duties as assigned.
Arkansas Children's ( is the only hospital system in the state dedicated to caring for children, which enables us to uniquely shape the landscape of pediatric care in Arkansas.
Arkansas Children's is driven by four core values-safety, teamwork, compassion and excellence-which inform every action.
Arkansas Children's Hospital has received Magnet Status ( from the American Nurses Credentialing Center (ANCC), for nursing excellence and patient outcomes. And we are nationally ranked by U.S. News & World Report ( for Cancer, Cardiology & Heart Surgery, Diabetes & Endocrinology, Nephrology, Neurology & Neurosurgery, Pulmonology & Lung Surgery and Urology.
For more than a century, Arkansas Children's has met the unique needs of children. But we're more than just a hospital treating sick kids-our services include two hospitals, a pediatric research institute, foundation, clinics, education and outreach, all with an unyielding commitment to making children better today and healthier tomorrow.
Arkansas Children's Little Rock campus includes a 336-bed hospital with the state's only pediatric Level 1 Trauma Center, burn center, Level 4 neonatal intensive care and pediatric intensive care, as well as a nationally-recognized transport service. And Arkansas Children's Northwest ( provides inpatient and emergency care, clinic rooms and diagnostic services to children in that corner of the state.
_"Arkansas Children's is a place of hope and comfort for children and parents. When you are at children's, you are part of an elite team united with a common goal of saving children and making their lives better."_ Michael - Business Operations Manager
"Arkansas Children's Hospital is a prestigious institution that cares for children." Linda - Information Systems Analyst
"We are an organization of care, love, and hope while we champion children." Angela - Parking and Fleet Coordinator
"Care, love, and hope for children!" Kathy - Administrative Assistant
"When I think of my time here at Arkansas Children's Hospital, I can honestly say that it has given me a unique perspective on the human condition, and the various roles that we all have in patient care. As a supply assistant, I have a very important job ensuring that the doctors and nurses have what they need to provide the world class medical care to the Children of Arkansas and surrounding states. Being a Champion for Children is more than a catch phrase, it is a way of life!" Nick - Supply Assistant
Arkansas Children's provides equal employment opportunity to all persons without regard to age, race, color, religion, national origin or citizenship status, disability, military status, sexual orientation, gender identity or expression, pregnancy or any other category protected by federal, state and local laws. Further, Arkansas Children's will not discharge or in any other manner discriminate against employees or applicants because they have inquired about, discussed, or disclosed their own pay or the pay of another employee or applicant.

**Work Shift:**
Please see job description for details.
**Time Type:**
Full time
**Department:**
CC Orthopedic Clinic
**Summary:**
The Healthcare Support Apprentice will gain hands-on experience and receive structured on-the-job training in a clinical or healthcare environment. Under the guidance of experienced healthcare professionals, this position will assist with a variety of operational and administrative tasks while developing the foundational skills needed for a successful career in healthcare services. This apprenticeship is designed to prepare individuals for future certification or advancement opportunities in roles such as Certified Medical Assistant, Patient Care Technician, or Behavioral Health Technician as well as other clinical support, medical administration, or healthcare logistics.
**Additional Information:**
**Required Education:**
No education requirements
**Recommended Education:**
**Required Work Experience:**
**Recommended Work Experience:**
**Required Certifications:**
**Recommended Certifications:**
**Description**
1. Assist with daily clinical and administrative tasks such as preparing materials, setting up patient care areas, and supporting healthcare team operations.
2. Follow established procedures to complete basic tasks under supervision, including patient intake support or supply preparation.
3. Maintain clean, organized, and well-stocked clinical or administrative workspaces.
4. Support healthcare staff during patient services, procedures, or internal projects.
5. Answer phones, respond to emails, and assist with scheduling patient appointments or staff meetings.
6. Process patient forms, update medical or administrative records, and ensure documentation accuracy.
7. Perform general office duties including filing, data entry, and handling correspondence.
8. Monitor inventory levels and assist with ordering and restocking medical or office supplies.
9. Participate in training sessions, workshops, or online learning modules related to healthcare operations.
10. Shadow experienced professionals, complete assigned coursework, and apply feedback to improve skills and performance.
Arkansas Children's ( is the only hospital system in the state dedicated to caring for children, which enables us to uniquely shape the landscape of pediatric care in Arkansas.
Arkansas Children's is driven by four core values-safety, teamwork, compassion and excellence-which inform every action.
Arkansas Children's Hospital has received Magnet Status ( from the American Nurses Credentialing Center (ANCC), for nursing excellence and patient outcomes. And we are nationally ranked by U.S. News & World Report ( for Cancer, Cardiology & Heart Surgery, Diabetes & Endocrinology, Nephrology, Neurology & Neurosurgery, Pulmonology & Lung Surgery and Urology.
For more than a century, Arkansas Children's has met the unique needs of children. But we're more than just a hospital treating sick kids-our services include two hospitals, a pediatric research institute, foundation, clinics, education and outreach, all with an unyielding commitment to making children better today and healthier tomorrow.
Arkansas Children's Little Rock campus includes a 336-bed hospital with the state's only pediatric Level 1 Trauma Center, burn center, Level 4 neonatal intensive care and pediatric intensive care, as well as a nationally-recognized transport service. And Arkansas Children's Northwest ( provides inpatient and emergency care, clinic rooms and diagnostic services to children in that corner of the state.
_"Arkansas Children's is a place of hope and comfort for children and parents. When you are at children's, you are part of an elite team united with a common goal of saving children and making their lives better."_ Michael - Business Operations Manager
"Arkansas Children's Hospital is a prestigious institution that cares for children." Linda - Information Systems Analyst
"We are an organization of care, love, and hope while we champion children." Angela - Parking and Fleet Coordinator
"Care, love, and hope for children!" Kathy - Administrative Assistant
"When I think of my time here at Arkansas Children's Hospital, I can honestly say that it has given me a unique perspective on the human condition, and the various roles that we all have in patient care. As a supply assistant, I have a very important job ensuring that the doctors and nurses have what they need to provide the world class medical care to the Children of Arkansas and surrounding states. Being a Champion for Children is more than a catch phrase, it is a way of life!" Nick - Supply Assistant
Arkansas Children's provides equal employment opportunity to all persons without regard to age, race, color, religion, national origin or citizenship status, disability, military status, sexual orientation, gender identity or expression, pregnancy or any other category protected by federal, state and local laws. Further, Arkansas Children's will not discharge or in any other manner discriminate against employees or applicants because they have inquired about, discussed, or disclosed their own pay or the pay of another employee or applicant.

**Company :**
Highmark Inc.
**Job Description :**
**JOB SUMMARY**
This job, as part of a physician team, ensures that utilization management responsibilities are performed in accordance with the highest and most current clinical standards. The incumbent reviews escalated cases electronically and using Medical Policy criteria sets to evaluate the medical necessity and appropriateness of the requested treatment of service. Depending on the nature of the case, telephonic peer to peer discussions may be required. The incumbent ensures compliance to NCQA, URAC, CMS, DOH, and DOL regulations at all times. In addition to utilization review, the incumbent participates as the physician member of the multidisciplinary team for case and disease management. They will advise the multidisciplinary team on cases, particularly high-risk cases, through the team structure. Additionally, the incumbent may be assigned special projects to help support and improve the care of our members
**ESSENTIAL RESPONSIBILITIES**
+ Conduct electronic review of escalated cases against medical policy criteria, which may include telephonic peer to peer discussions, to determine medical necessity and appropriateness. Complete initial determination of cases, review of appeals and grievances, and other reviews as assigned. Compose clear and concise rationales for member and provider determination notifications all while adhering to required compliance standards (NCQA, URAC, CMS, DOH, and DOL regulations, etc.). Ensure that all aspects of the medical management process are consistent with community standards of care.
+ Participate as a member of the CMDM multidisciplinary team. Attend huddles and grand rounds. Advise multidisciplinary team on cases that require physician expertise.
+ Participate in protocol and guidelines development to ensure consistency in the review process.
+ Actively manage projects and/or participate on project teams that require a physician subject matter expert.
+ Other duties as assigned.
**EDUCATION**
**Required**
+ Medical Doctor (MD) or Doctor of Osteopathic Medicine (DO)
**Substitutions**
+ None
**Preferred**
+ Master's Degree in Business Administration/Management or Public Health
**EXPERIENCE**
**Required**
+ 5 years in Clinical, Direct Patient care (hospital, outpatient, or private practice)
**Preferred**
+ 1 year in Medical Management in a Health Insurance Plan; strong knowledge of managed care industry
**LICENSES AND CERTIFICATION**
**Required**
+ Medical Doctor or Doctor of Osteopathic Medicine (DO)
+ Awarded Board Certification at least once in specialty recognized by the American Board of Medical Specialties or the American Osteopathic Association Specialty Certifying Boards
+ Active medical state licensure required. Additional specific state licensure(s) may be required based on business need.
**Preferred**
+ None
**SKILLS**
+ Critical Thinking
+ Case Management
+ Customer Service
+ Oral & Written Communication Skills
+ Collaboration
+ Listening
+ Telephone Skills
+ General Computer Skills
+ Clinical Software
+ Managed Care
**Language (Other than English)**
None
**Travel Required**
0% - 25%
**PHYSICAL, MENTAL DEMANDS and WORKING CONDITIONS**
Position Type
Office-Based
Teaches / trains others regularly
Occasionally
Travel regularly from the office to various work sites or from site-to-site
Rarely
Works primarily out-of-the office selling products/services (sales employees)
Never
Physical work site required
No
Lifting: up to 10 pounds
Constantly
Lifting: 10 to 25 pounds
Rarely
Lifting: 25 to 50 pounds
Rarely
**_Disclaimer:_** _The job description has been designed to indicate the general nature and essential duties and responsibilities of work performed by employees within this job title. It may not contain a comprehensive inventory of all duties, responsibilities, and qualifications required of employees to do this job._
**_Compliance Requirement_** _: This job adheres to the ethical and legal standards and behavioral expectations as set forth in the code of business conduct and company policies._
_As a component of job responsibilities, employees may have access to covered information, cardholder data, or other confidential customer information that must be protected at all times. In connection with this, all employees must comply with both the Health Insurance Portability Accountability Act of 1996 (HIPAA) as described in the Notice of Privacy Practices and Privacy Policies and Procedures as well as all data security guidelines established within the Company's Handbook of Privacy Policies and Practices and Information Security Policy._
_Furthermore, it is every employee's responsibility to comply with the company's Code of Business Conduct. This includes but is not limited to adherence to applicable federal and state laws, rules, and regulations as well as company policies and training requirements._
**Pay Range Minimum:**
$170,000.00
**Pay Range Maximum:**
$352,500.00
_Base pay is determined by a variety of factors including a candidate's qualifications, experience, and expected contributions, as well as internal peer equity, market, and business considerations. The displayed salary range does not reflect any geographic differential Highmark may apply for certain locations based upon comparative markets._
Highmark Health and its affiliates prohibit discrimination against qualified individuals based on their status as protected veterans or individuals with disabilities and prohibit discrimination against all individuals based on any category protected by applicable federal, state, or local law.
We endeavor to make this site accessible to any and all users. If you would like to contact us regarding the accessibility of our website or need assistance completing the application process, please contact the email below.
For accommodation requests, please contact HR Services Online at
California Consumer Privacy Act Employees, Contractors, and Applicants Notice
Req ID: J

**Company :**
Highmark Inc.
**Job Description :**
**JOB SUMMARY**
This job, as part of a physician team, ensures that utilization management responsibilities are performed in accordance with the highest and most current clinical standards. The incumbent reviews escalated cases electronically and using Medical Policy criteria sets to evaluate the medical necessity and appropriateness of the requested treatment of service. Depending on the nature of the case, telephonic peer to peer discussions may be required. The incumbent ensures compliance to NCQA, URAC, CMS, DOH, and DOL regulations at all times. In addition to utilization review, the incumbent participates as the physician member of the multidisciplinary team for case and disease management. They will advise the multidisciplinary team on cases, particularly high-risk cases, through the team structure. Additionally, the incumbent may be assigned special projects to help support and improve the care of our members
**ESSENTIAL RESPONSIBILITIES**
+ Conduct electronic review of escalated cases against medical policy criteria, which may include telephonic peer to peer discussions, to determine medical necessity and appropriateness. Complete initial determination of cases, review of appeals and grievances, and other reviews as assigned. Compose clear and concise rationales for member and provider determination notifications all while adhering to required compliance standards (NCQA, URAC, CMS, DOH, and DOL regulations, etc.). Ensure that all aspects of the medical management process are consistent with community standards of care.
+ Participate as a member of the CMDM multidisciplinary team. Attend huddles and grand rounds. Advise multidisciplinary team on cases that require physician expertise.
+ Participate in protocol and guidelines development to ensure consistency in the review process.
+ Actively manage projects and/or participate on project teams that require a physician subject matter expert.
+ Other duties as assigned.
**EDUCATION**
**Required**
+ Medical Doctor (MD) or Doctor of Osteopathic Medicine (DO)
**Substitutions**
+ None
**Preferred**
+ Master's Degree in Business Administration/Management or Public Health
**EXPERIENCE**
**Required**
+ 5 years in Clinical, Direct Patient care (hospital, outpatient, or private practice)
**Preferred**
+ 1 year in Medical Management in a Health Insurance Plan; strong knowledge of managed care industry
**LICENSES AND CERTIFICATION**
**Required**
+ Medical Doctor or Doctor of Osteopathic Medicine (DO)
+ Awarded Board Certification at least once in specialty recognized by the American Board of Medical Specialties or the American Osteopathic Association Specialty Certifying Boards
+ Active medical state licensure required. Additional specific state licensure(s) may be required based on business need.
**Preferred**
+ None
**SKILLS**
+ Critical Thinking
+ Case Management
+ Customer Service
+ Oral & Written Communication Skills
+ Collaboration
+ Listening
+ Telephone Skills
+ General Computer Skills
+ Clinical Software
+ Managed Care
**Language (Other than English)**
None
**Travel Required**
0% - 25%
**PHYSICAL, MENTAL DEMANDS and WORKING CONDITIONS**
Position Type
Office-Based
Teaches / trains others regularly
Occasionally
Travel regularly from the office to various work sites or from site-to-site
Rarely
Works primarily out-of-the office selling products/services (sales employees)
Never
Physical work site required
No
Lifting: up to 10 pounds
Constantly
Lifting: 10 to 25 pounds
Rarely
Lifting: 25 to 50 pounds
Rarely
**_Disclaimer:_** _The job description has been designed to indicate the general nature and essential duties and responsibilities of work performed by employees within this job title. It may not contain a comprehensive inventory of all duties, responsibilities, and qualifications required of employees to do this job._
**_Compliance Requirement_** _: This job adheres to the ethical and legal standards and behavioral expectations as set forth in the code of business conduct and company policies._
_As a component of job responsibilities, employees may have access to covered information, cardholder data, or other confidential customer information that must be protected at all times. In connection with this, all employees must comply with both the Health Insurance Portability Accountability Act of 1996 (HIPAA) as described in the Notice of Privacy Practices and Privacy Policies and Procedures as well as all data security guidelines established within the Company's Handbook of Privacy Policies and Practices and Information Security Policy._
_Furthermore, it is every employee's responsibility to comply with the company's Code of Business Conduct. This includes but is not limited to adherence to applicable federal and state laws, rules, and regulations as well as company policies and training requirements._
**Pay Range Minimum:**
$170,000.00
**Pay Range Maximum:**
$352,500.00
_Base pay is determined by a variety of factors including a candidate's qualifications, experience, and expected contributions, as well as internal peer equity, market, and business considerations. The displayed salary range does not reflect any geographic differential Highmark may apply for certain locations based upon comparative markets._
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Req ID: J

Description Medical Receptionist needed for local Medical facility. Responsibilities include answering phones, scheduling appointments, insurance verifications, prior authorizations. etc. Requirements Medical Insurance Verification, Prior Authorizations, Patient Scheduling, Receptionist Duties TalentMatch®
Robert Half is the world's first and largest specialized talent solutions firm that connects highly qualified job seekers to opportunities at great companies. We offer contract, temporary and permanent placement solutions for finance and accounting, technology, marketing and creative, legal, and administrative and customer support roles.
Robert Half works to put you in the best position to succeed. We provide access to top jobs, competitive compensation and benefits, and free online training. Stay on top of every opportunity - whenever you choose - even on the go. Download the Robert Half app ( and get 1-tap apply, notifications of AI-matched jobs, and much more.
All applicants applying for U.S. job openings must be legally authorized to work in the United States. Benefits are available to contract/temporary professionals, including medical, vision, dental, and life and disability insurance. Hired contract/temporary professionals are also eligible to enroll in our company 401(k) plan. Visit roberthalf.gobenefits.net for more information.
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