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Jobs at Magellan Health

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Senior Coding Research Analyst

Magellan Health - Washington, DC

Manages claims coding rule process. Evaluates claims coding rule change request from clinical, financial, and claims operations perspectives. Provides regulatory and correct coding research on change requests and makes recommendations on correct payment policy and edit functionality. Defines requirements and partners with vendors throughout testing and implementation. Supports provider dispute/...

Clinical Pharmacist Account Manager

Magellan Health - United States of America

Plays a key role in various multi-functional projects critical to the company in achieving its clinical and operational goals and objectives. Develops, implements and monitors clinical specialty programs in the field. Serves as clinical liaison for assigned Pharmacy contract(s). Manages overall client relationship. Participates in the development of clinical management products and services. Ac...

Military and Family Life Counselor Full and Part Time

Magellan Health - Portsmouth, VA

This position provides support to Adult, child youth behavioral and school roles both full and part time. Must hold a Virginia independent license such as LPC, LCSW or LMFT. Provides the full breadth of Child and Youth Behavioral (CYB) Military Family Life Counseling (MFLC) services to children of all ages of military service members and their families at military installation...

Talent Acquisition Consultant (Temporary), MFLC

Magellan Health - United States of America

What is Talent Acquisition at Magellan? It may not be what you think. We operate with one goal in mind, to share our unique brand far and wide. We are thought leaders in health care and masters of networking. This position is ideal for recruitment partners with exceptional ability to find and engage passive candidates, utilize market intelligence and influence key business leaders. In this posi...

HR Business Consultant II - Federal (MFLC)

Magellan Health - United States of America

The person selected for this role will also work closely with the Senior HR administrator as a back-up to include routine audits, orientation delivery, and coordination with the MFLC Program Management Office (PMO), Talent Acquisition, Finance, and Payroll functions. The HRBC role is hands-on with the field staff and attention to detail is paramount in this role. Daily respons...

Data Loss Protection Analyst - Fully Remote

Magellan Health - United States of America

This is a fully remote position, allowing you to work from the comfort of your own home from anywhere in the US. The Data Loss Prevention Analyst will be primarily responsible for the daily monitoring and maintenance of the Magellan's Data Loss Prevention (DLP) solution(s), which encompasses monitoring and responding to the DLP alerts generated from Magellan's DLP toolset, recommend DL...

Care Manager - BH, CA Licensed, Remote

Magellan Health - San Diego, CA

Under general supervision, and in collaboration with other members of the clinical team, authorizes and reviews utilization of mental health and substance abuse services provided in inpatient and/or outpatient care settings. Collects and analyzes utilization data. Assists with discharge planning and care coordination. Provides member assistance with mental health and substance abuse issues, and...

Appeals Coordinator - Remote

Magellan Health - Phoenix, AZ

Coordinates appeals process as assigned, attends to risk management issues associated with case management and processes appeal requests. In some cases may be combined with Grievance Coordinator functions. Maintains a caseload and monitors day to day compliance of appeal decision time frames. Reviews clinical and medical records for completeness and determines administrativ...

CX Consultant

Magellan Health - United States of America

This individual is responsible for delivering insights and analytic products to internal stakeholders within Magellan based on a variety of customer data streams. Responsibilities include storytelling with data, providing insights and delivering recommendations to internal stakeholders on Customer Experience (CX) programs and projects. Synthesize and refine raw quantitative and qualitati...

Inbound Provider Services Associate I **$1,000 Sign On Bonus**

Magellan Health - United States of America

This position is part of an operations team that strives to provide first call resolution to a specified set of customers. This position primarily answers incoming calls for new and existing authorizations. Responsibilities include documenting in the appropriate systems and ensuring high quality and accurate information is provided to callers. This role is expected to meet or exceed operations ...

Sr. Infrastructure Engineer

Magellan Health - Mesa, AZ

Must have experience administrating a telephony system such as Avaya, Genesys or similar solution This position will analyze problems and administer more than one infrastructure area. Will understand and develop non-functional requirements for a system. This role is proficient at DevOps concepts, Scripting and automated deployment, monitoring and support. Will execute day to day tasks rel...

Inbound Provider Service Associate ***$1000 sign on bonus***

Magellan Health - Washington, DC

This position is part of an operations team that strives to provide first call resolution to a specified set of customers. This position primarily answers incoming calls for new and existing authorizations. Responsibilities include documenting in the appropriate systems and ensuring high quality and accurate information is provided to callers. This role is expected to meet or exceed operations ...

Inbound Provider Services Associate I **$1,000 Sign On Bonus**

Magellan Health - United States of America

This position is part of an operations team that strives to provide first call resolution to a specified set of customers. This position primarily answers incoming calls for new and existing authorizations. Responsibilities include documenting in the appropriate systems and ensuring high quality and accurate information is provided to callers. This role is expected to meet or exceed operations ...

Care Manager- BH, UM/Triage, Licensed in CA- Remote

Magellan Health - San Diego, CA

Under general supervision, and in collaboration with other members of the clinical team, authorizes and reviews utilization of mental health and substance abuse services provided in inpatient and/or outpatient care settings. Collects and analyzes utilization data. Assists with discharge planning and care coordination. Provides member assistance with mental health and substance abuse issues, and...

Military and Family Life Counselor - Embedded

Magellan Health - Fort Benning, GA

This position is covered under a Collective Bargaining Agreement. This position is in support of military members at Fort Benning. Candidates must be local to the base or be willing to relocate to become local. Candidates must be licensed at the independent level in the state of Georgia as a Social Worker (LCSW), Therapist (LMFT), or Mental Health Counselor (LPC). Provides the...