Posted - May 08, 2022
Master Resilience Trainer - Performance Experts (MRT-PE) support government...
Master Resilience Trainer - Performance Experts (MRT-PE) support government client's program at multiple locations. MRT-PEs teach mental skills, resil...
Posted - May 08, 2022
Master Resilience Trainer - Performance Experts (MRT-PE) support government...
Master Resilience Trainer - Performance Experts (MRT-PE) support government client's program at multiple locations. MRT-PEs teach mental skills, resil...
Posted - May 08, 2022
Under general supervision, and in collaboration with other members of the c...
Under general supervision, and in collaboration with other members of the clinical team, authorizes and reviews utilization of mental health and subst...
Posted - May 08, 2022
Under general supervision, and in collaboration with other members of the c...
Under general supervision, and in collaboration with other members of the clinical team, authorizes and reviews utilization of mental health and subst...
Posted - May 06, 2022
The System Navigator is responsible for daily coordination with the install...
The System Navigator is responsible for daily coordination with the installation client manager to ensure the facilitation of connections between fami...
Posted - May 06, 2022
The System Navigator is responsible for daily coordination with the install...
The System Navigator is responsible for daily coordination with the installation client manager to ensure the facilitation of connections between fami...
Posted - May 06, 2022
This is a fully remote position, but the preferred candidate would work re...
This is a fully remote position, but the preferred candidate would work remote from the greater St. Louis area. However we are open to candidates wor...
Posted - May 06, 2022
This is a fully remote position, but the preferred candidate would work re...
This is a fully remote position, but the preferred candidate would work remote from the greater St. Louis area. However we are open to candidates wor...
Posted - May 06, 2022
This position is a front-line service position providing assistance to Mage...
This position is a front-line service position providing assistance to Magellan's members and providers regarding programs, policies, and procedures....
Posted - May 06, 2022
This position is a front-line service position providing assistance to Mage...
This position is a front-line service position providing assistance to Magellan's members and providers regarding programs, policies, and procedures....
Posted - May 06, 2022
This position specializes in the analysis and application of intermediate l...
This position specializes in the analysis and application of intermediate level benefit plan design requirements. A successful Analyst will ensure a h...
Posted - May 06, 2022
This position specializes in the analysis and application of intermediate l...
This position specializes in the analysis and application of intermediate level benefit plan design requirements. A successful Analyst will ensure a h...
Posted - May 06, 2022
Provide support to all eligible Families with expectant parents and parents...
Provide support to all eligible Families with expectant parents and parents of children from birth to 3 years of age. This program seeks to support yo...
Posted - May 06, 2022
Provide support to all eligible Families with expectant parents and parents...
Provide support to all eligible Families with expectant parents and parents of children from birth to 3 years of age. This program seeks to support yo...
Posted - May 06, 2022
This position is in support of schools affiliated with Fort Drum . Candidat...
This position is in support of schools affiliated with Fort Drum . Candidates must be local to Fort Drum or willing to relocate to become local and be...
Posted - May 06, 2022
This position is in support of schools affiliated with Fort Drum . Candidat...
This position is in support of schools affiliated with Fort Drum . Candidates must be local to Fort Drum or willing to relocate to become local and be...
Posted - May 06, 2022
In this position you will work in a Child Development Center in support of...
In this position you will work in a Child Development Center in support of Fort Drum . You must hold a New York independent clinical license such as S...
Posted - May 06, 2022
In this position you will work in a Child Development Center in support of...
In this position you will work in a Child Development Center in support of Fort Drum . You must hold a New York independent clinical license such as S...
Posted - May 06, 2022
Interested in fully remote opportunity as a Sr. Business Intelligence Speci...
Interested in fully remote opportunity as a Sr. Business Intelligence Specialist working with Tableau and Cognos? Take the next step in your career by...
Posted - May 06, 2022
Interested in fully remote opportunity as a Sr. Business Intelligence Speci...
Interested in fully remote opportunity as a Sr. Business Intelligence Specialist working with Tableau and Cognos? Take the next step in your career by...
Posted - May 06, 2022
This position is in support of schools affiliated with NAS Key West. Candid...
This position is in support of schools affiliated with NAS Key West. Candidates must be local to the installation or be willing to relocate to become...
Posted - May 06, 2022
This position is in support of schools affiliated with NAS Key West. Candid...
This position is in support of schools affiliated with NAS Key West. Candidates must be local to the installation or be willing to relocate to become...
Posted - May 06, 2022
The Operations Eligibility Specialist assists with maintenance of eligibili...
The Operations Eligibility Specialist assists with maintenance of eligibility files in varying formats processed through automated and/or manual eligi...
Posted - May 06, 2022
The Operations Eligibility Specialist assists with maintenance of eligibili...
The Operations Eligibility Specialist assists with maintenance of eligibility files in varying formats processed through automated and/or manual eligi...
Posted - May 06, 2022
This position is in support of schools affiliated with either NAS Pensacola...
This position is in support of schools affiliated with either NAS Pensacola, NAS Whiting Field, Hurlburt Field or Eglin AFB. Candidates must be local...
Posted - May 06, 2022
This position is in support of schools affiliated with either NAS Pensacola...
This position is in support of schools affiliated with either NAS Pensacola, NAS Whiting Field, Hurlburt Field or Eglin AFB. Candidates must be local...
Posted - May 06, 2022
Youth Support Coordinator - R00000050855 DESCRIPTION/RESPONSIBILITIES:Seeki...
Youth Support Coordinator - R00000050855 DESCRIPTION/RESPONSIBILITIES:Seeking candidates with experience with child and youth mental health including...
Posted - May 06, 2022
Youth Support Coordinator - R00000050855 DESCRIPTION/RESPONSIBILITIES:Seeki...
Youth Support Coordinator - R00000050855 DESCRIPTION/RESPONSIBILITIES:Seeking candidates with experience with child and youth mental health including...
Posted - May 06, 2022
Manager, Recovery and Resiliency Services - R00000050974 DESCRIPTION/RESPON...
Manager, Recovery and Resiliency Services - R00000050974 DESCRIPTION/RESPONSIBILITIES:Responsible for developing and leading Magellan peer support pro...
Posted - May 06, 2022
Manager, Recovery and Resiliency Services - R00000050974 DESCRIPTION/RESPON...
Manager, Recovery and Resiliency Services - R00000050974 DESCRIPTION/RESPONSIBILITIES:Responsible for developing and leading Magellan peer support pro...
Posted - May 04, 2022
This position is in support of Fort Drum . Candidates must be local to the...
This position is in support of Fort Drum . Candidates must be local to the base or be willing to relocate to become local. Relocation assistance may b...
Posted - May 04, 2022
This position is in support of Fort Drum . Candidates must be local to the...
This position is in support of Fort Drum . Candidates must be local to the base or be willing to relocate to become local. Relocation assistance may b...
Posted - May 04, 2022
You will be responsible for providing direct support to client and/or emplo...
You will be responsible for providing direct support to client and/or employees through the delivery of assessment, consultation, education and triage...
Posted - May 04, 2022
You will be responsible for providing direct support to client and/or emplo...
You will be responsible for providing direct support to client and/or employees through the delivery of assessment, consultation, education and triage...
Posted - May 04, 2022
Interested in fully remote opportunity as a Sr. Analyst, Incident Response...
Interested in fully remote opportunity as a Sr. Analyst, Incident Response while working for an innovative healthcare company where you can have an im...
Posted - May 04, 2022
Interested in fully remote opportunity as a Sr. Analyst, Incident Response...
Interested in fully remote opportunity as a Sr. Analyst, Incident Response while working for an innovative healthcare company where you can have an im...
Posted - May 04, 2022
Provide support to all eligible Families with expectant parents and parents...
Provide support to all eligible Families with expectant parents and parents of children from birth to 3 years of age. This program seeks to support yo...
Posted - May 04, 2022
Provide support to all eligible Families with expectant parents and parents...
Provide support to all eligible Families with expectant parents and parents of children from birth to 3 years of age. This program seeks to support yo...
Posted - May 04, 2022
Interested in a fully remote Sr. Software Engineer opportunity with a Fortu...
Interested in a fully remote Sr. Software Engineer opportunity with a Fortune 500 healthcare company that's making a difference in the world? Consider...
Posted - May 04, 2022
Interested in a fully remote Sr. Software Engineer opportunity with a Fortu...
Interested in a fully remote Sr. Software Engineer opportunity with a Fortune 500 healthcare company that's making a difference in the world? Consider...
Posted - May 04, 2022
The System Navigator is responsible for daily coordination with the install...
The System Navigator is responsible for daily coordination with the installation client manager to ensure the facilitation of connections between fami...
Posted - May 04, 2022
The System Navigator is responsible for daily coordination with the install...
The System Navigator is responsible for daily coordination with the installation client manager to ensure the facilitation of connections between fami...
Posted - May 04, 2022
Evaluates and authorizes approval of prior authorization pharmacy requests...
Evaluates and authorizes approval of prior authorization pharmacy requests from prescribers received by telephone and/or facsimile using client clinic...
Posted - May 04, 2022
Evaluates and authorizes approval of prior authorization pharmacy requests...
Evaluates and authorizes approval of prior authorization pharmacy requests from prescribers received by telephone and/or facsimile using client clinic...
Posted - May 04, 2022
Seeking candidates with two years of family peer support/advocacy work expe...
Seeking candidates with two years of family peer support/advocacy work experience and national certification is preferred. CFPS/National Peer Support...
Posted - May 04, 2022
Seeking candidates with two years of family peer support/advocacy work expe...
Seeking candidates with two years of family peer support/advocacy work experience and national certification is preferred. CFPS/National Peer Support...
Posted - May 04, 2022
The Manager of Application Security is responsible for building a comprehen...
The Manager of Application Security is responsible for building a comprehensive Application Vulnerability Management program that includes, Secure Sof...
Posted - May 04, 2022
The Manager of Application Security is responsible for building a comprehen...
The Manager of Application Security is responsible for building a comprehensive Application Vulnerability Management program that includes, Secure Sof...
Master Resilience Trainer - Performance Experts (MRT-PE) support government client's program at multiple locations. MRT-PEs teach mental skills, resilience and performance enhancement techniques to military Soldiers, Families and DA Civilians. Teaching is conducted in group and individual settings and includes general education in human performance along with personalized training on how to acquire and apply specific mental skills and techniques that cultivate the mental and emotional strength necessary to thrive in an environment of overwhelming demands and persistent conflict. The mental skills and techniques taught by the program include: Building Confidence, Goal Setting, Attention Control, Energy Management, Integrating Imagery and Team Building. Using these principles, MRT-PEs help the clients to become high performing -tactical athletes- and help foster high performing -unit teams- in preparation for, during, and following combat operations. Specifically, MRT-PEs teach performance psychology to further promote excellence and efficiency during physical, technical and tactical training, as well as during the challenges of combat operations. MRT-PEs also provide tailored education to facilitate Wounded Warriors in their transition back to their units or to civilian life. The program teams are comprised of 5-10 MRT-PEs and led by a seasoned Site Manager with prior military experience.
Attends training exercises and field operations as requested by individual units to serve as a performance enhancement consultant and to coach the clients and leaders on the acquisition of performance psychology techniques and their application to individual military tasks and unit operations.
Provides tailored educational programs and workshops to help Families and Civilians living and working in demanding environments achieve success and accomplish personal, professional and family goals.
Recommends improvements to all aspects of the program operations.
Performs routine program operational duties.
Conducts assessment, assists in program evaluation and supports research projects being conducted locally.
Assists or provides program overview briefings to VIPs and high-ranking leaders when required.
Develops and maintains professional development relating to all aspects of performance enhancement, academic proficiency and military-related knowledge.
Other Job Requirements
Responsibilities
Master's or Doctoral degree from an accredited college or university in the field of Psychology or Kinesiology with a specialized emphasis in sport and/or performance psychology.
Must be able to operate general office equipment including but not limited to: computer, phones and related media and information devices on most or all workdays.
Ability to communicate and interact with others, both in person and/or by telephone to conduct business.
Experience and ability to work under time pressure.
Working rapidly for long periods to meet deadlines.
Must be able to travel as needed and adhere to AFSC travel policies and procedures.
Must be able to enter private homes that may or may not provide easy access for those with physical disabilities or those recovering from physical rehabilitation or post-recovery mobility.
Position requires ability to transport self from office locations to private homes, other offices and facilities where training and other program activities occur.
Physical requirements can typically be characterized as active: Lifting, bending, sitting on the floor, climbing may be required in the position. Requires lifting or moving various pieces of equipment, maximum 40 lbs. Position may require work on hands and knees to conduct program activities.
Ability to manage multiple concurrent tasks and perform under stress.
Requires reading and comprehension proficiency.
Requires effective writing and problem solving skills.
Ability to maintain confidentiality.
Customer contact expertise.
Travel requirement: 25%.
General Job Information
Title
Master Resilience Trainer-Performance Expert, ARD-TS
Grade
22
Work Experience - Required
Work Experience - Preferred
Education - Required
Masters - Kinesiology, Masters - Psychology
Education - Preferred
PhD
License and Certifications - Required
License and Certifications - Preferred
Magellan Health, Inc. is proud to be an Equal Opportunity Employer and a Tobacco-free workplace. EOE/M/F/Vet/Disabled.Every employee must understand, comply with and attest to the security responsibilities and security controls unique to their position; and comply with all applicable legal, regulatory, and contractual requirements and internal policies and procedures.
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 participates in special quality improvement projects.
Monitors inpatient and/or outpatient level of care services related to mental health and substance abuse treatment to ensure medical necessity and effectiveness.
Provides telephone triage, crisis intervention and emergency authorizations as assigned.
Performs concurrent reviews for inpatient and/or outpatient care and other levels of care as allowed by scope of practice and experience.
In conjunction with providers and facilities, develops discharge plans and oversee their implementation.
Performs quality clinical reviews while educating and making appropriate interventions to advance the care of the member in treatment.
Provides information to members and providers regarding mental health and substance abuse benefits, community treatment resources, mental health managed care programs, and company policies and procedures, and criteria.
Interacts with Physician Advisors to discuss clinical and authorization questions and concerns regarding specific cases.
Participates in quality improvement activities, including data collection, tracking, and analysis.
Maintains an active work load in accordance with National Care Manager performance standards.
Works with community agencies as appropriate. Proposes alternative plans of treatment when requests for services do not meet medical necessity criteria.
Participates in network development including identification and recruitment of quality providers as needed.
Advocates for the patient to ensure treatment needs are met. Interacts with providers in a professional, respectful manner that facilitates the treatment process.
Other Job Requirements
Responsibilities
Licensure is required for this position, specifically a current license that meets State, Commonwealth or customer-specific requirements.
One or more of the following licensure is required for this role with necessary degrees: CEAP, LMSW, LCSW, LSW, LPC or RN.
Minimum 2 years experience post degree in healthcare, behavioral health, psychiatric and/or substance abuse health care setting.
Strong organization, time management and communication skills.
Knowledge of utilization management procedures, mental health and substance abuse community resources and providers.
Knowledge and experience in inpatient and/or outpatient setting.
Knowledge of DSM V or most current diagnostic edition.
Ability to analyze specific utilization problems, plan and implement solutions that directly influence quality of care.
General Job Information
Title
Care Manager BH (UM/Triage) -Licensed/Remote in CA
Grade
23
Work Experience - Required
Clinical
Work Experience - Preferred
Education - Required
Associates - Nursing, Bachelors - Social Work, Masters - Social Work
Education - Preferred
License and Certifications - Required
CEAP - Certified Employee Assistance Professional - Care Mgmt, LCSW - Licensed Clinical Social Worker - Care Mgmt, LMFT - Licensed Marital and Family Therapist - Care Mgmt, LMSW - Licensed Master Social Worker - Care Mgmt, LPC - Licensed Professional Counselor - Care Mgmt, LSW - Licensed Social Worker - Care Mgmt, RN - Registered Nurse, State and/or Compact State Licensure - Care Mgmt
License and Certifications - Preferred
Magellan Health, Inc. is proud to be an Equal Opportunity Employer and a Tobacco-free workplace. EOE/M/F/Vet/Disabled.Every employee must understand, comply with and attest to the security responsibilities and security controls unique to their position; and comply with all applicable legal, regulatory, and contractual requirements and internal policies and procedures.
The System Navigator is responsible for daily coordination with the installation client manager to ensure the facilitation of connections between families who have special needs and the systems of required care. Assigned functions of the position include intake; identification of the Family members needs assessment, referral, follow-up, advocacy, and monitoring of outcomes; and collaboration with military and civilian community resources.
Briefs family readiness staff and others upon request.
Represents the program at installation coordinating committees.
Manages the Soldiers and Family member records in accordance with DoD and Service regulation.
Transfers records to the appropriate program personnel when transitions occur.
Collects and analyzes data for planning, reporting, and program improvement.
Ensures all designated reports are submitted to Service Headquarters as required.
Remains informed regarding recent research and policies.
Monitors, evaluates, and enhances program services to meet the needs of Families.
Develops partnerships with military and civilian agencies and offices (local, state, and national).
Improves program awareness.
Provides information updates to Families.
Hosts and/or participates in program Family events.
Implements policies, procedures, and practices that connect Families to support services.
Partners with Families to increase resilience, develop self-advocacy skills, and improve their ability to navigate systems effectively.
Provides Families with current information and assist Families in connecting to resources.
Other Job Requirements
Responsibilities
United States citizen.
Bachelor degree in social work, psychology; marriage, family, and child counseling; counseling or behavioral science; education; or community health or public health.
Minimum one year experience in Family and children's services or community organization.
Knowledge of human service principles and practices, individual Family needs and problems relative to case management and changing social patterns, knowledge of military and civilian community (local, state and Federal programs), their mission and relationship to readiness, retention and resiliency.
Knowledge of military, state and Federal laws, policies, regulations and practices regarding medical, educational and Family support services, knowledge of available medical, special education and community support programs and services.
Knowledge of military and civilian community (local, state, and Federal programs), their mission and relationship to readiness, retention, and resiliency.
Ability to research, analyze, and conduct studies to evaluate effectiveness of program operation, resolve problems, and develop a comprehensive coordinated Family Service Plan.
Ability to plan, organize and analyze work assignments to determine appropriate course of action.
Shall have skill levels to provide professional non-clinical case management services, facilitating connections between Families who have special needs and the systems of required care.
Must be able to operate general office equipment including but not limited to: computer, phones and related media and information devices on most or all workdays
Ability to communicate and interact with others, both in person and/or by telephone to conduct business.
Working under time pressure.
Working rapidly for long periods to meet deadlines.
Must be able to travel as needed and adhere to AFSC travel policies and procedures.
Must be able to enter private homes that may or may not provide easy access for those with physical disabilities or those recovering from physical rehabilitation or post-recovery mobility.
Position requires ability to transport self from office locations to private homes, other offices and facilities where training and other program activities occur.
General Job Information
Title
System Navigator, EFMP
Grade
19
Work Experience - Required
Behavioral Health
Work Experience - Preferred
Education - Required
Bachelors
Education - Preferred
License and Certifications - Required
License and Certifications - Preferred
Magellan Health, Inc. is proud to be an Equal Opportunity Employer and a Tobacco-free workplace. EOE/M/F/Vet/Disabled.Every employee must understand, comply with and attest to the security responsibilities and security controls unique to their position; and comply with all applicable legal, regulatory, and contractual requirements and internal policies and procedures.
Responsibilities to include:
Oversee outsourced Depot Operations
Create and manage workflows and P&P for Depot
Address escalations and manage improvement plan for Depot
Contract oversite and renegotiation of Depot Outsourcing Agreement
IT leadership experience, preferably within Healthcare
Experience running a Depot team
This position develops guidelines for specific areas within Production Operations and drives the automation of these functions through the use of appropriate tools and improve the overall productivity and performance of the assigned IT Service Area.
Understand and learn Lean Thinking and apply it to improve flow within a specific production operation.
Implement process improvements in a specific area of ITIL Service Delivery or ITIL Service Management (Incident, Problem, Change etc.).
Drive the automation of routine tasks such as Patching, Alerting etc. through the use of Magellan tools such as ServiceNow, Tanium and others.
Other Job Requirements
Responsibilities
6+ years related experience including a minimum of 3-4 years of designing, building and maintaining infrastructure or application services in IT.
Strong coaching capabilities.
Strong understand of Cloud and SaaS technologies.
Critical thinker.
Demonstrated problem solving techniques.
Strong verbal and written communication skills.
General Job Information
Title
Manager - Depot Operations - Fully Remote
Grade
26
Work Experience - Required
IT
Work Experience - Preferred
Management/Leadership
Education - Required
Education - Preferred
Bachelors - Computer and Information Science
License and Certifications - Required
License and Certifications - Preferred
Magellan Health, Inc. is proud to be an Equal Opportunity Employer and a Tobacco-free workplace. EOE/M/F/Vet/Disabled.Every employee must understand, comply with and attest to the security responsibilities and security controls unique to their position; and comply with all applicable legal, regulatory, and contractual requirements and internal policies and procedures.
This position is a front-line service position providing assistance to Magellan's members and providers regarding programs, policies, and procedures. Responsibilities include answering incoming calls related to eligibility, benefits, claims and authorization of services from members or providers. Responsibilities also include the administration of intake documentation into the appropriate systems. Overall expectations is to provide outstanding service to internal and external customers and strive to resolve member and provider needs on the first call. Performance expectations are to meet or exceed operations production and quality standards.
Actively listens and probes callers in a professionally and timely manner to determine purpose of the calls.
Researches and articulately communicates information regarding member eligibility, benefits, EAP services, claim status, and authorization inquiries to callers while maintaining confidentiality.
Resolves customer administrative concerns as the first line of contact - this may include claim resolutions and other expressions of dissatisfaction.
Assists efforts to continuously improve by assuming responsibility for identifying and bringing to the attention of responsible entities operations problems and/or inefficiencies.
Assists in the mentoring and training of new staff.
Assumes full responsibility for self-development and career progression; proactively seek and participate in ongoing training sessions (formal and informal).
Comprehensively assembles and enters patient information into the appropriate delivery system to initiate the EAP, Care and Utilization management programs.
Demonstrates flexibility in areas such as job duties and schedule in order to aid in better serving members and help Magellan achieve its business and operational goals.
Educates providers on how to submit claims and when/where to submit a treatment plan.
Identifies and responds to Crisis calls and continues assistance with the Clinician until the call has been resolved.
Informs providers and members on Magellan's appeal process.
Leads or participates in activities as requested that help improve Care Center performance, excellence and culture.
Links or makes routine referrals and triage decisions not requiring clinical judgment.
Performs necessary follow-up tasks to ensure member or provider needs are completely met.
Provides information regarding Magellan's in-network and out-of-network reimbursement rates and states multiple networks to providers.
Refers callers requesting provider information to Provider Services regarding Magellan's professional provider selection criteria and application process.
Refers patients/EAP clients to the Magellan's Care Management team for a provider, EAP affiliate, or Facility.
Responsible for updating self on ever changing information to ensure accuracy when dealing with members and providers.
Support team members and participate in team activities to help build a high-performance team.
Thoroughly documents customers' comments/information and forwards required information to the appropriate staff.
Other Job Requirements
Responsibilities
Must be flexible in scheduling and comfortable with change as customer service is an ever-changing environment.
Responsible for meeting call handling requirements and daily telephone standards as set forth by management.
Must agree to observing service for the purpose of training and quality control.
Must be a proficient typist (avg. 35+ WPM) with strong written and verbal communication skills.
Must be able to maneuver through various computer platforms while verifying information on all calls.
Must be able to talk and type simultaneously.
General Job Information
Title
Customer Care Associate I
Grade
16
Work Experience - Required
Customer Service
Work Experience - Preferred
Education - Required
GED, High School
Education - Preferred
Associates, Bachelors
License and Certifications - Required
License and Certifications - Preferred
Magellan Health, Inc. is proud to be an Equal Opportunity Employer and a Tobacco-free workplace. EOE/M/F/Vet/Disabled.Every employee must understand, comply with and attest to the security responsibilities and security controls unique to their position; and comply with all applicable legal, regulatory, and contractual requirements and internal policies and procedures.
This position specializes in the analysis and application of intermediate level benefit plan design requirements. A successful Analyst will ensure a high level of quality and accuracy through benefit configuration, test execution and validation efforts while serving as a subject matter expert on benefits and claim adjudication system coding setup.
Analyzes new business requirements for benefit design changes to establish the appropriate solution.
Complies with standards set forth regarding benefit design and configuration including but not limited to Health Insurance Portability and Accountability Act of 1996 (HIPAA) and National Council for Prescription Drug Programs (NCPDP).
Maintains technical documentation based on standard operating procedures.
Partners with various teams to analyze customer specific requirements and configuration and translate those into technical design specification and data flow from which programs are developed and coded.
Actively participates in and contributes to daily communications, team meetings and project/issue resolution.
Responsible for accurate management of plan benefits coding changes, test execution and validation efforts of plan benefit design requests.
Maintains customer documentation that validates configuration.
Efficiently and effectively distributes tasks, using clear and concise instructions and expectations.
Completes deliverables independently and within an agile team setting.
Other duties as assigned.
Other Job Requirements
Responsibilities
Up to 2 years of experience in benefit plan configuration/analysis.
Experience with adjudication processes (FirstRx preferred), analyzing benefit plan design and system application.
This role requires strong attention to detail, critical thinking and analytical skills
Strong working knowledge of Microsoft Office suite, specifically Word and Excel, including running queries and macros.
Ability to work within a team and as an individual contributor in a fast-paced, changing environment.
Ability to identify and resolve process and/or systems issues.
Strong sense of urgency leading to the timely completion of all projects, training and assignments.
General Job Information
Title
Benefit Plan Configuration Analyst
Grade
20
Work Experience - Required
Benefit Plan Configuration
Work Experience - Preferred
Education - Required
A Combination of Education and Work Experience May Be Considered., Bachelors
Education - Preferred
License and Certifications - Required
License and Certifications - Preferred
Magellan Health, Inc. is proud to be an Equal Opportunity Employer and a Tobacco-free workplace. EOE/M/F/Vet/Disabled.Every employee must understand, comply with and attest to the security responsibilities and security controls unique to their position; and comply with all applicable legal, regulatory, and contractual requirements and internal policies and procedures.
Provide support to all eligible Families with expectant parents and parents of children from birth to 3 years of age. This program seeks to support young military Families which directly contribute to military mission readiness, support Family members' adaptation to military life, enhance the knowledge and skills for healthy relationships that can provide safe, nurturing environments for children to prevent family violence. Provide activities and services including information and referrals, parenting programs, respite care for children, and supervised play time for children. Families with children prenatal to 3 years old who have been assessed as being at risk for child maltreatment and/or Family violence can benefit from additional, more-intensive support from these services.
Provides effective, timely and confidential services for Families who have been assessed as being at risk for child maltreatment and/or Family violence.
Protects the privacy and confidentiality of client information.
Identifies and reports suspected child abuse and neglect and domestic abuse.
Assesses developmental milestones and referral procedures for indicators of special needs or developmental delays.
Assesses and strengthening adaptation to parenthood.
Assesses and strengthening parental capacity for problem-solving, building and sustaining trusting relationships, and seeking help when necessary.
Promotes developmentally appropriate parenting skills and disciplinary techniques, and parent and child communication skills.
Facilitates informal and formal community networks to build positive relationships and reduce social isolation.
Develops relationships with local community and military installation officials and organizations that can maximize program effectiveness.
Utilizes community-based services and formal and informal community networks to provide concrete support for families who may be in crisis.
Utilizes methods for screening for, assessing, and addressing protective and risk factors associated with child abuse and neglect using a strengths-based Family centered developmental approach.
Keeps tracking system up to date with case status.
Participates in monthly conference calls and annual training events.
Other Job Requirements
Responsibilities
Qualified candidates must have at least two (2) years of direct work experience in child abuse or domestic abuse, or maternal or child health or medical social work.
Must hold a current and active license as an LCSW, LMFT or RN.
Licensed Clinical Social Workers must possess a current, valid, unrestricted clinical license and a master's degree in Social Work to practice social work independently.
Registered Nurses must have at least a bachelor's degree in nursing, a current unrestricted license in one of the States or U.S. territories, and at least two (2) years of direct work experience with child abuse or domestic abuse, maternal or child health, public/community health, or mental health.
Must have home visitation experience.
Must have a valid driver's license, auto insurance and ability to operate a motor vehicle.
Must have working knowledge of basic computer skills and be able to use Microsoft Word, Power Point, and Excel programs.
Must be able to operate general office equipment including but not limited to: computer, phones and related media and information devices on most or all workdays.
Ability to communicate and interact with others, both in person and/or by telephone to conduct business.
Working under time pressure.
Working rapidly for long periods to meet deadlines.
Must be able to travel as needed and adhere to AFSC travel policies and procedures.
Must be able to enter private homes that may or may not provide easy access for those with physical disabilities or those recovering from physical rehabilitation or post-recovery mobility.
Position requires ability to transport self from office locations to private homes, other offices and facilities where training and other program activities occur.
General Job Information
Title
New Parent Support Home Visitor, FASS
Grade
21
Work Experience - Required
Child Welfare
Work Experience - Preferred
Education - Required
Bachelors - Nursing, Masters - Counseling, Masters - Social Work
Education - Preferred
License and Certifications - Required
LCSW - Licensed Clinical Social Worker - Care Mgmt, LMFT - Licensed Marital and Family Therapist - Care Mgmt, RN - Registered Nurse, State and/or Compact State Licensure - Care Mgmt
License and Certifications - Preferred
Magellan Health, Inc. is proud to be an Equal Opportunity Employer and a Tobacco-free workplace. EOE/M/F/Vet/Disabled.Every employee must understand, comply with and attest to the security responsibilities and security controls unique to their position; and comply with all applicable legal, regulatory, and contractual requirements and internal policies and procedures.
This position is in support of schools affiliated with Fort Drum . Candidates must be local to Fort Drum or willing to relocate to become local and be licensed at the independent level in the state of New York as a Mental Health Counselor (LMHC), Therapist (LMFT), or Social Worker (LCSW). Relocation assistance may be available.
This position has the primary responsibility of providing the full breadth of Child and Youth Behavioral (CYB) counseling services to children of all ages of military service members and their families at military installations and off military installations. These services may include non-medical counseling, training/ health and wellness presentations, consultation with parents, personnel, schools, and consultation to installation command regarding behavioral health issues affecting children and youth. CYB School counselors will be assigned to Department of Defense (DoDEA) schools and community schools and will need to have experience working in a school setting to qualify for school position. CYB School counselors will also be assigned to youth programs, summer camps, and on demand assignments. The counselors work closely with the installation and military branch Points of Contact (POC) to assure that the program is provided within scope and meets the needs of the installation and the schools.
Provides non-medical, short-term, solution focused, counseling directly to children and youth of service members. Services include assessment, brief counseling and consultation, action planning, referral to resources (assuring linkage as appropriate), and follow-up as indicated.
CYB counselors will also have a focus on supporting the staff and personnel of DoDEA and community schools, and summer camps as well as providing parent training and guidance.
Provides training and health and wellness presentations, participates in health fairs and other base/installation activities focused on children and youth.
Enters counselor activity data on a daily basis through smart phone, or web application, to assure that reporting is accurate from assigned installation while maintaining confidentiality and anonymity of service/family member.
Creates a presence in the school; is available to children, youth, and staff. When working with children, the counselor must abide by line of sight protocol (another adult with responsibility for the child must be able to see the counselor and child they are working with at all times).
Establishes and maintains working relationships with community resources focused on children and youth and provides appropriate linkages.
Partners with POC to provide CYB services in a manner that addresses the needs of the installation/facility. Develops an effective and professional working relationship with the installation/facility POC.
Manages duty to warn and restricted reporting situations according to DoD protocol and staffs the cases with Regional Supervisor/Regional Director.
Communicates with Regional Supervisor and participates in regular individual and group supervision, sharing information regarding trends and issues on the installations and in facilities to which they are assigned.
Responds to critical incidents and special requests as directed by the POC and approved by the Office of Secretary of Defense (OSD) program manager. The CYB will flex schedule to respond to urgent requests as needed.
Participates in regular in-services/training, Quality Improvement committees or other contract activities as assigned/appropriate.
Other Job Requirements
Responsibilities
Master's degree from an accredited graduate program in a relevant field of study to include, but not limited to, a mental health related field such as social work, psychology, marriage/family therapy, or counseling.
Valid unrestricted counseling license from a State, District of Columbia, US Territory or Commonwealth that grants authority to provide counseling services as an independent practitioner. For assignments in the 50 states, counselors shall be licensed or certified in the state in which the client is receiving services.
Minimum 2 years of post-masters supervised clinical experience.
Requires ability to engage and communicate with military members or children as assigned, in order to accomplish job functions, and to respond quickly to emergent situations in any physical location on a military installation and/or within a school setting, which includes the need to traverse short and/or long distances within the base to both indoor and outdoor locations, to maneuver through rugged, outdoor or uneven locations (e.g., steep inclines, stairs, grass), and work in outdoor weather and other military base conditions.
May require travel to locations outside of a military base in a variety of physical environments.
Due to the nature of working on military installations or related worksites, counselors may need to comply with various site-specific requirements to work at designated locations. For example, for some assignments, counselors will need to have certain immunizations or vaccinations and provide record of receipt.
Ability to prove US Citizenship and must be fluent in English.
Understanding, sensitivity and empathy for service members and their families. Ability to develop trusting, helping relationships. Ability to work with individuals and families from diverse racial, ethnic and socioeconomic backgrounds.
Must pass a National Agency Check and Inquiries (NACI) Clearance, and an Installation Records Check (IRC), Criminal Background Check, and FBI Fingerprints Check.
Vehicle Operator's License Requirement: Unless specifically waived by the FEDSIM COR, all contractor personnel providing counseling support at Government locations shall possess a valid U.S. state vehicle operator's license. As a condition for employment under this contract, contractor personnel may be required to pass all tests for and obtain a U.S. military vehicle operator's permit for commercial sedans and similar, for use at Temporary Duty (TDY) locations, if required.
General Job Information
Title
Military and Family Life Counselor - School
Grade
MFLC Tier 2
Work Experience - Required
Clinical
Work Experience - Preferred
Education - Required
Masters - Behavioral Health, Masters - Social Work
Education - Preferred
License and Certifications - Required
Current licensure required for this position that meets State, Commonwealth or customer-specific requirements - Care Mgmt, DL - Driver License, Valid In State - Other, Must be an independently licensed behavioral health clinician - Care Mgmt
License and Certifications - Preferred
Magellan Health, Inc. is proud to be an Equal Opportunity Employer and a Tobacco-free workplace. EOE/M/F/Vet/Disabled.Every employee must understand, comply with and attest to the security responsibilities and security controls unique to their position; and comply with all applicable legal, regulatory, and contractual requirements and internal policies and procedures.
In this position you will work in a Child Development Center in support of Fort Drum . You must hold a New York independent clinical license such as Social Worker (LCSW), Therapist, (LMFT), or Mental Health Counselor (LMHC) and be local to the installation or willing to relocate to become local. Relocation assistance may be available.
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 installations to include civilian expeditionary work force and their families (when activated). These services may include non-medical counseling, training/health and wellness presentations, consultation with parents, personnel at child development centers, and consultation to installation command regarding behavioral health issues affecting children and youth. CYB counselors will be assigned to child development centers, youth programs, summer camps, and on demand assignments. The counselors work closely with the installation and military branch Points of Contact (POC) to assure that the program is provided within scope and meets the needs of the installation.
Provides non-medical, short-term, solution focused counseling directly to children and youth of service members. Services include assessment, brief counseling and consultation, action planning, referral to resources (assuring linkage as appropriate), and follow-up as indicated.
CYB counselors will also have a focus on supporting the staff and personnel of Child Development Centers (CDC), youth programs and summer camps as well as providing parent support, training and guidance.
Provides training and health and wellness presentations, participate in health fairs and other base/installation activities focused on children and youth.
Enters counselor activity data on a daily basis through smart phone or web application to assure that reporting is accurate from assigned installation while maintaining confidentiality and anonymity of service/family member.
Creates a presence on the installation in which the service and family members feel comfortable approaching the counselor and recognize the program to be confidential. Creates a presence in child and youth settings. Is available to children, youth, and staff. When working with children, counselor must abide by line of sight protocol. (Another adult with responsibility for the child must be able to see the counselor and child they are working with at all times.)
Establishes and maintains working relationships with community resources focused on children and youth and provides appropriate linkages.
Partners with POC to provide CYB services in a manner that addresses the needs of the installation/facility. Develops an effective and professional working relationship with the installation/facility POC.
Manages duty to warn and restricted reporting situations according to Department of Defense (DoD) protocol and staffs the cases with Regional Supervisor/Regional Director.
Communicates with Regional Supervisors and participates in regular individual and group supervision, sharing information regarding trends and issues on the installations and in facilities to which the counselor is assigned.
Responds to critical incidents and special requests as directed by the POC and approved by the Office of Secretary of Defense (OSD) program manager. The CYB will flex schedule to respond to urgent requests as needed.
Participates in regular in-services/training, Quality Improvement committees or other contract activities as assigned/appropriate.
Other Job Requirements
Responsibilities
Master's Degree from an accredited Graduate Program in a Mental Health related field.
Valid unrestricted counseling license from a State, District of Columbia, US Territory or Commonwealth that grants authority to provide counseling services as an independent practitioner.
For assignments in the 50 states, counselors shall be licensed or certified in the state in which the client is receiving services.
Minimum 2 years of post-masters supervised clinical experience.
Must meet the Magellan MFLC CYB criteria for experience with children and youth and specialty in child and adolescent development/psychology.
Pass a Child National Agency Check and Inquiries (CNACI) Clearance and an Installation Records Check (IRC), Criminal History Background Check and FBI Fingerprints Check.
Understanding, sensitivity and empathy for children, service members and their families. Ability to develop trusting, helping relationships. Ability to work effectively with individuals and families from diverse racial, ethnic, and socioeconomic backgrounds.
Ability to prove US Citizenship and must be fluent in English.
Requires ability to engage and communicate with military members or children as assigned, in order to accomplish job functions, and to respond quickly to emergent situations in any physical location on a military installation and/or within a school setting, which includes the need to traverse short and/or long distances within the base to both indoor and outdoor locations, to maneuver through rugged, outdoor or uneven locations (e.g., steep inclines, stairs, grass), and work in outdoor weather and other military base conditions. Due to the nature of working on military installations or related worksites, counselors may need to comply with various site-specific requirements to work at designated locations. For example, for some assignments, counselors will need to have certain current immunizations or vaccinations and provide record of receipt.
Vehicle Operator's License Requirement: Unless specifically waived by the FEDSIM COR, all contractor personnel providing counseling support at Government locations shall possess a valid U.S. state vehicle operator's license. As a condition for employment under this contract, contractor personnel may be required to pass all tests for and obtain a U.S. military vehicle operator's permit for commercial sedans and similar, for use at Temporary Duty (TDY) locations, if required.
General Job Information
Title
Military and Family Life Counselor - Child/Youth
Grade
MFLC Tier 2
Work Experience - Required
Clinical
Work Experience - Preferred
Education - Required
Masters - Behavioral Health
Education - Preferred
License and Certifications - Required
Current licensure required for this position that meets State, Commonwealth or customer-specific requirements - Care Mgmt, DL - Driver License, Valid In State - Other, Must be an independently licensed behavioral health clinician - Care Mgmt
License and Certifications - Preferred
Magellan Health, Inc. is proud to be an Equal Opportunity Employer and a Tobacco-free workplace. EOE/M/F/Vet/Disabled.Every employee must understand, comply with and attest to the security responsibilities and security controls unique to their position; and comply with all applicable legal, regulatory, and contractual requirements and internal policies and procedures.
Interested in fully remote opportunity as a Sr. Business Intelligence Specialist working with Tableau and Cognos? Take the next step in your career by working for an innovative healthcare company where you can have an impact on people's lives. Apply today and come join us at Magellan Health as we lead the world toward a healthier future! Ideal candidates would have at least 2 years of Tableau and Cognos experience and experience with health care data.
Deliver against business intelligence objectives including creating solutions for information delivery and data analytics projects with the goal of empowering and enabling business users with actionable information. Expectations include independently analyzing, designing, and developing business intelligence and analytics solutions using coding standards and best practices in close partnership with business teams, architecture, and IT leaders; as well as, mentoring junior staff by providing guidance and design consultation.
Independently creates solutions that provide accurate information quickly to the organization.
Analyzes, designs and builds reports, dashboards or other business intelligence components as needed.
Responsible for development initiatives that may drive the creation of new data assets or information exchange to support the creation of decision support applications or business intelligence/analytics solutions.
Work closely with other staff to identify levels of effort and task dependencies as assigned by the Manager.
Provides technical guidance on the creation of database tables, objects, assets and/or cubes utilizing commonly accepted methodologies and best practices for dimensional modeling and normal forms. Leads the creation of data marts as needed.
Trains and mentors business intelligence and analytics staff on use of new technologies, design and development approaches and the application of established standards and best practices for business intelligence development and data design.
Collaborates with other developers on the application of standards and best practices and contributes to the evolution of best practices and standards aimed at improving scalability, performance and maintainability; as well as, mentoring junior staff on the use and value of those standards.
Oversees and/or participates in the research and evaluation of new business intelligence, analytics and/or data visualization technologies.
Determines the best technologies to use for our environment considering future direction, risk, consistency and return on investment.
Considers the technology changes that have taken place over the years and helps project the trends for the future. Trains and mentors programming staff on use of newly acquired/adopted technologies.
Creates architecture and/or design documents that may be needed to initiate new development efforts, which may come from knowledge of the overall environment or incoming requirements and specifications.
Reviews incoming projects to determine if existing technologies/capabilities can support the needs of the incoming request.
Demonstrates the ability to work collaboratively or autonomously (based on the situation) on the design, creation and maintenance of metadata layers that provide easy to understand and accurate representations of our physical data structures and that allow the organization's user communities to derive value and insights from our data assets.
Will support, either through consultation, coaching, mentoring or by specifically performing the necessary tasks independently, the analysis, designs and development of reports, dashboards or data sources as needed.
Maintain communication with customers, internal and external, to facilitate analysis and troubleshooting for production issues or to ensure high levels of customer focus relating to business intelligence and analytics solutions.
Other Job Requirements
Responsibilities
A bachelor's degree in business intelligence, management information systems, mathematics, statistics, analytics, computer and information sciences or similar is required. Will substitute seven years of direct experience in business intelligence, data analytics or statistics in lieu of a bachelor's degree.
4+ years of work experience in BI or related discipline, other employment or volunteer activities or demonstrated proficiency in Business Intelligence/Analytics project activities through successful initiatives that demonstrate competence that goes beyond what is typical of individuals with 4+ years of work experience.
Prior experience as a Business Intelligence Developer or Data Analyst supporting business intelligence, reporting, analytics or data warehouse projects.
Experience researching and implementing new information systems in a business setting.
Demonstrated experience using multiple databases and tools and using leading business intelligence, analytics or data visualization technologies.
Familiarity with a broad range of data platforms (e.g., Oracle, SQL Server, MySQL, Hadoop, Netezza, Teradata, RedShift, Snowflake) and Business Intelligence/data visualization tools/platforms/environments (IBM Cognos, SAS, R, Qlik, OracleBI and SQL Server Reporting Services/PowerBI, Micros Strategy, Tableau) is required.
Hands-on knowledge of data warehousing and business intelligence concepts, including various forms of modeling (dimensional and relational) and warehousing strategies.
The ability to quickly learn and apply new technologies while considering the business needs and direction. Experience serving as the senior member on business intelligence or analytics/data warehousing projects with responsibility for design and approach decisions on projects.
The ability to overcome technical, political, environmental, and/or product owner related impediments to drive results.
General Job Information
Title
Sr BI Specialist (Tableau / Cognos) - Remote
Grade
27
Work Experience - Required
Business Intelligence, IT
Work Experience - Preferred
Education - Required
A Combination of Education and Work Experience May Be Considered., Bachelors - Computer and Information Science, Bachelors - Information Technology, Bachelors - Mathematics, Bachelors - Statistics
Education - Preferred
License and Certifications - Required
License and Certifications - Preferred
Magellan Health, Inc. is proud to be an Equal Opportunity Employer and a Tobacco-free workplace. EOE/M/F/Vet/Disabled.Every employee must understand, comply with and attest to the security responsibilities and security controls unique to their position; and comply with all applicable legal, regulatory, and contractual requirements and internal policies and procedures.
This position is in support of schools affiliated with NAS Key West. Candidates must be local to the installation or be willing to relocate to become local. Relocation assistance may be available. Candidates must be licensed at the independent level in the state of Florida with their LCSW (Social Work), LMFT (Therapist), or LMHC (Mental Health Counselor).
This position has the primary responsibility of providing the full breadth of Child and Youth Behavioral (CYB) counseling services to children of all ages of military service members and their families at military installations and off military installations. These services may include non-medical counseling, training/ health and wellness presentations, consultation with parents, personnel, schools, and consultation to installation command regarding behavioral health issues affecting children and youth. CYB School counselors will be assigned to Department of Defense (DoDEA) schools and community schools and will need to have experience working in a school setting to qualify for school position. CYB School counselors will also be assigned to youth programs, summer camps, and on demand assignments. The counselors work closely with the installation and military branch Points of Contact (POC) to assure that the program is provided within scope and meets the needs of the installation and the schools.
Provides non-medical, short-term, solution focused, counseling directly to children and youth of service members. Services include assessment, brief counseling and consultation, action planning, referral to resources (assuring linkage as appropriate), and follow-up as indicated.
CYB counselors will also have a focus on supporting the staff and personnel of DoDEA and community schools, and summer camps as well as providing parent training and guidance.
Provides training and health and wellness presentations, participates in health fairs and other base/installation activities focused on children and youth.
Enters counselor activity data on a daily basis through smart phone, or web application, to assure that reporting is accurate from assigned installation while maintaining confidentiality and anonymity of service/family member.
Creates a presence in the school; is available to children, youth, and staff. When working with children, the counselor must abide by line of sight protocol (another adult with responsibility for the child must be able to see the counselor and child they are working with at all times).
Establishes and maintains working relationships with community resources focused on children and youth and provides appropriate linkages.
Partners with POC to provide CYB services in a manner that addresses the needs of the installation/facility. Develops an effective and professional working relationship with the installation/facility POC.
Manages duty to warn and restricted reporting situations according to DoD protocol and staffs the cases with Regional Supervisor/Regional Director.
Communicates with Regional Supervisor and participates in regular individual and group supervision, sharing information regarding trends and issues on the installations and in facilities to which they are assigned.
Responds to critical incidents and special requests as directed by the POC and approved by the Office of Secretary of Defense (OSD) program manager. The CYB will flex schedule to respond to urgent requests as needed.
Participates in regular in-services/training, Quality Improvement committees or other contract activities as assigned/appropriate.
Other Job Requirements
Responsibilities
Master's degree from an accredited graduate program in a relevant field of study to include, but not limited to, a mental health related field such as social work, psychology, marriage/family therapy, or counseling.
Valid unrestricted counseling license from a State, District of Columbia, US Territory or Commonwealth that grants authority to provide counseling services as an independent practitioner. For assignments in the 50 states, counselors shall be licensed or certified in the state in which the client is receiving services.
Minimum 2 years of post-masters supervised clinical experience.
Requires ability to engage and communicate with military members or children as assigned, in order to accomplish job functions, and to respond quickly to emergent situations in any physical location on a military installation and/or within a school setting, which includes the need to traverse short and/or long distances within the base to both indoor and outdoor locations, to maneuver through rugged, outdoor or uneven locations (e.g., steep inclines, stairs, grass), and work in outdoor weather and other military base conditions.
May require travel to locations outside of a military base in a variety of physical environments.
Due to the nature of working on military installations or related worksites, counselors may need to comply with various site-specific requirements to work at designated locations. For example, for some assignments, counselors will need to have certain immunizations or vaccinations and provide record of receipt.
Ability to prove US Citizenship and must be fluent in English.
Understanding, sensitivity and empathy for service members and their families. Ability to develop trusting, helping relationships. Ability to work with individuals and families from diverse racial, ethnic and socioeconomic backgrounds.
Must pass a National Agency Check and Inquiries (NACI) Clearance, and an Installation Records Check (IRC), Criminal Background Check, and FBI Fingerprints Check.
Vehicle Operator's License Requirement: Unless specifically waived by the FEDSIM COR, all contractor personnel providing counseling support at Government locations shall possess a valid U.S. state vehicle operator's license. As a condition for employment under this contract, contractor personnel may be required to pass all tests for and obtain a U.S. military vehicle operator's permit for commercial sedans and similar, for use at Temporary Duty (TDY) locations, if required.
General Job Information
Title
Part-time Military and Family Life Counselor - School
Grade
MFLC Tier 2
Work Experience - Required
Clinical
Work Experience - Preferred
Education - Required
Masters - Behavioral Health, Masters - Social Work
Education - Preferred
License and Certifications - Required
Current licensure required for this position that meets State, Commonwealth or customer-specific requirements - Care Mgmt, DL - Driver License, Valid In State - Other, Must be an independently licensed behavioral health clinician - Care Mgmt
License and Certifications - Preferred
Magellan Health, Inc. is proud to be an Equal Opportunity Employer and a Tobacco-free workplace. EOE/M/F/Vet/Disabled.Every employee must understand, comply with and attest to the security responsibilities and security controls unique to their position; and comply with all applicable legal, regulatory, and contractual requirements and internal policies and procedures.
The Operations Eligibility Specialist assists with maintenance of eligibility files in varying formats processed through automated and/or manual eligibility data/files. This role utilizes and understands eligibility processes to make updates to various systems, providing manual eligibility support for all clients. This role Identifies and recommends modifications and enhancements that will increase efficiency in the process and use of systems. This role will frequently communicate with internal and external partners regarding day-to-day aspects of eligibility files including issues and concerns. This position provides support during the implementation of client eligibility including, but not limited to file changes, process improvements, automation, or resolution of ongoing issues. This role also represents eligibility operations in internal/external meetings.
This position is responsible for providing accurate, efficient and timely contract support and service for the assigned client. Operational management of assigned book of business in order to achieve profitable retention of accounts. Responsible for timely and accurate entry and maintenance of operational records and information in multiple databases. Researches and resolves questions and complaints, and ensures that information in all databases is accurate and properly configured to support operations.
Performs daily operation-specific duties that directly relate to the products and/or services assigned
Supports in the development and maintenance of a strategic business plan that fully reflects the clients program objectives and how the company provides solutions to align to those objectives and specifically guides our operational, financial, clinical and relationship initiatives. Understands the client's organizational structure and demonstrates the ability to apply this knowledge in business and retention planning for the client.
Ensures Service Level Agreement performance. Documents and maintains required reporting
Owns overall internal account satisfaction within the company as well as satisfaction with each support area particularly account management.
Develops and maintains multi-level relationships within client organizations which includes maintaining contract requirements. Communicates and updates account service information to appropriate internal staff. Makes presentations to the professional community to enhance the visibility and image of the company.
Supports the account management team to ensure performance standards are measurable and realistic to achieve and/or exceed to avoid penalties. Manages methodology, reporting and communications.
Ensures all Customer and Account-Facing services are provided in a consistent and timely fashion.
Resolves or appropriately escalates customer service issues in conjunction with operations (claims, service, and systems).
Coordinates with the compliance department on knowing and understanding state and federal regulations and the implication to customer impact.
Proactively communicates to internal and external contacts.
Demonstrates contract understanding and detailed knowledge of business requirements.
Assists in the coordination with legal to ensure contract compliance.
Supports the account management team in the definition of customer reports and ensures coordination with the client.
Prepares and supports presentations of customer reports with meaningful analytics, trending and recommendations for program improvement based on findings.
Supports the account management team ensuring revenue goals are met, administrative expenses are managed and segment profit targets are achieved for assigned account(s).
Supports up-sell and renewal activities across assigned account.
Effectively explains or uses technology (internally and externally) for customers.
Understands about the company business and operational decisions to predict impacts on customer.
Demonstrates knowledge of the company products and how multiple products are interdependent within the customer contract deliverables and clinical outcomes.
Identifies products and services that bring solutions to the customer based on a thorough understanding of the customer strategic business goals and the business needs.
Other duties as assigned.
Other Job Requirements
Responsibilities
Bachelor's degree required.
Two years of experience in account management required.
May consider an additional 4 years of directly relevant experience in customer service, account management or project management in lieu of degree.
Ability to prioritize workload effectively within a fast-paced, time sensitive and results oriented environment.
Demonstrated willingness to be flexible and adaptable to changing priorities.
Detail oriented.
Effective verbal and written communication skills.
Proven ability to work effectively both independently and in a team based environment.
Strong multi-tasking and organizational skills.
Strong presentation skills.
Strong working knowledge of Microsoft Office Product Suite.
Willing and able to quickly learn new software applications as needed.
General Job Information
Title
Operations Eligibility Specialist I
Grade
22
Work Experience - Required
Account Management
Work Experience - Preferred
PBM (Pharmacy Benefit Management)
Education - Required
A Combination of Education and Work Experience May Be Considered., Bachelors
Education - Preferred
License and Certifications - Required
License and Certifications - Preferred
Magellan Health, Inc. is proud to be an Equal Opportunity Employer and a Tobacco-free workplace. EOE/M/F/Vet/Disabled.Every employee must understand, comply with and attest to the security responsibilities and security controls unique to their position; and comply with all applicable legal, regulatory, and contractual requirements and internal policies and procedures.
This position is in support of schools affiliated with either NAS Pensacola, NAS Whiting Field, Hurlburt Field or Eglin AFB. Candidates must be local to one of the installations or be willing to relocate to become local. Candidates must be licensed at the independent level in the state of Florida with their LCSW (Social Work), LMFT (Therapist), or LMHC (Mental Health Counselor).
This position has the primary responsibility of providing the full breadth of Child and Youth Behavioral (CYB) counseling services to children of all ages of military service members and their families at military installations and off military installations. These services may include non-medical counseling, training/ health and wellness presentations, consultation with parents, personnel, schools, and consultation to installation command regarding behavioral health issues affecting children and youth. CYB School counselors will be assigned to Department of Defense (DoDEA) schools and community schools and will need to have experience working in a school setting to qualify for school position. CYB School counselors will also be assigned to youth programs, summer camps, and on demand assignments. The counselors work closely with the installation and military branch Points of Contact (POC) to assure that the program is provided within scope and meets the needs of the installation and the schools.
Provides non-medical, short-term, solution focused, counseling directly to children and youth of service members. Services include assessment, brief counseling and consultation, action planning, referral to resources (assuring linkage as appropriate), and follow-up as indicated.
CYB counselors will also have a focus on supporting the staff and personnel of DoDEA and community schools, and summer camps as well as providing parent training and guidance.
Provides training and health and wellness presentations, participates in health fairs and other base/installation activities focused on children and youth.
Enters counselor activity data on a daily basis through smart phone, or web application, to assure that reporting is accurate from assigned installation while maintaining confidentiality and anonymity of service/family member.
Creates a presence in the school; is available to children, youth, and staff. When working with children, the counselor must abide by line of sight protocol (another adult with responsibility for the child must be able to see the counselor and child they are working with at all times).
Establishes and maintains working relationships with community resources focused on children and youth and provides appropriate linkages.
Partners with POC to provide CYB services in a manner that addresses the needs of the installation/facility. Develops an effective and professional working relationship with the installation/facility POC.
Manages duty to warn and restricted reporting situations according to DoD protocol and staffs the cases with Regional Supervisor/Regional Director.
Communicates with Regional Supervisor and participates in regular individual and group supervision, sharing information regarding trends and issues on the installations and in facilities to which they are assigned.
Responds to critical incidents and special requests as directed by the POC and approved by the Office of Secretary of Defense (OSD) program manager. The CYB will flex schedule to respond to urgent requests as needed.
Participates in regular in-services/training, Quality Improvement committees or other contract activities as assigned/appropriate.
Other Job Requirements
Responsibilities
Master's degree from an accredited graduate program in a relevant field of study to include, but not limited to, a mental health related field such as social work, psychology, marriage/family therapy, or counseling.
Valid unrestricted counseling license from a State, District of Columbia, US Territory or Commonwealth that grants authority to provide counseling services as an independent practitioner. For assignments in the 50 states, counselors shall be licensed or certified in the state in which the client is receiving services.
Minimum 2 years of post-masters supervised clinical experience.
Requires ability to engage and communicate with military members or children as assigned, in order to accomplish job functions, and to respond quickly to emergent situations in any physical location on a military installation and/or within a school setting, which includes the need to traverse short and/or long distances within the base to both indoor and outdoor locations, to maneuver through rugged, outdoor or uneven locations (e.g., steep inclines, stairs, grass), and work in outdoor weather and other military base conditions.
May require travel to locations outside of a military base in a variety of physical environments.
Due to the nature of working on military installations or related worksites, counselors may need to comply with various site-specific requirements to work at designated locations. For example, for some assignments, counselors will need to have certain immunizations or vaccinations and provide record of receipt.
Ability to prove US Citizenship and must be fluent in English.
Understanding, sensitivity and empathy for service members and their families. Ability to develop trusting, helping relationships. Ability to work with individuals and families from diverse racial, ethnic and socioeconomic backgrounds.
Must pass a National Agency Check and Inquiries (NACI) Clearance, and an Installation Records Check (IRC), Criminal Background Check, and FBI Fingerprints Check.
Vehicle Operator's License Requirement: Unless specifically waived by the FEDSIM COR, all contractor personnel providing counseling support at Government locations shall possess a valid U.S. state vehicle operator's license. As a condition for employment under this contract, contractor personnel may be required to pass all tests for and obtain a U.S. military vehicle operator's permit for commercial sedans and similar, for use at Temporary Duty (TDY) locations, if required.
General Job Information
Title
Part-time Military and Family Life Counselor - School
Grade
MFLC Tier 2
Work Experience - Required
Clinical
Work Experience - Preferred
Education - Required
Masters - Behavioral Health, Masters - Social Work
Education - Preferred
License and Certifications - Required
Current licensure required for this position that meets State, Commonwealth or customer-specific requirements - Care Mgmt, DL - Driver License, Valid In State - Other, Must be an independently licensed behavioral health clinician - Care Mgmt
License and Certifications - Preferred
Magellan Health, Inc. is proud to be an Equal Opportunity Employer and a Tobacco-free workplace. EOE/M/F/Vet/Disabled.Every employee must understand, comply with and attest to the security responsibilities and security controls unique to their position; and comply with all applicable legal, regulatory, and contractual requirements and internal policies and procedures.
Youth Support Coordinator - R00000050855 DESCRIPTION/RESPONSIBILITIES:Seeking candidates with experience with child and youth mental health including developing youth oriented programs and within youth based organizations. Public Speaking and strong interpersonal skills with the ability to manage competing demands, while working independently or as a team member. Ability to work some weekends and evenings. Strong organizational skills; detail oriented. Be approachable and knowledgeable of youth organization development and implementation of programs and public agencies. Positive attitude that communicates hope that is recovery/resiliency oriented. In this position you will work with the Care Management Center (CMC) and the County to fill service gaps for transition age youth. Must be a self-identified person in recovery who is a current or former user of child/youth/young adult mental health services and can relate to others who are now using those services. Peer Support Certification required. This position plays a key role in efforts to enhance support and resources for Youth and Young Adults, with a focus on leadership development. This role participates in all levels of the system of care and is responsible for promoting continuous quality improvement of all youth supported initiatives and positions. This role also raises awareness of the importance of valuing youth and young adult voices and choices. * Coordinates with local/regional leadership, peer- and family- run organizations and provider agencies to expand the use of youth and young adult (Y/YA) peer specialists, achieve youth-guided care, and increase leadership development opportunities for Y/YA.* Conducts member, provider, and stakeholder trainings and presentations on Y/YA and acts as a liaison with community-based organizations regarding Y/YA training, events, and implementation initiatives.* Acts as an advocate by identifying and addressing gaps in services and supports for transition age youth in partnership with Magellan and local/regional leadership.* Leads the MY Life program in partnership with National, State, and Regional MY LIFE management.* Implements, leads, and manages projects. Develops work plans, reports, outcomes, and evaluations.* Identifies and communicates with Y/YA partners and Y/YA leaders across the system of care and in the community.* Coordinates recruitment of youth representatives for various levels of youth representation in partnership with stakeholders.* Represents Magellan on boards in the service system and participates in youth/young adult related activities and meetings.* Facilitates Y/YA developing leadership skills through 1:1 work with members.* When needed, provides peer support to Y/YA members experiencing mental health challenges.* Strategically shares their lived experience to inspire hope empowerment, and positive action.* Implements, coordinates, and monitors strategies for members and families to improve health and quality of life outcomes.* Strategically shares their lived experience to inspire hope and positive action.* Educates providers, supporting staff, members, and families on resiliency and recovery principles, strategies, and tools.* Documents all interactions according to company standards.* Maintains professional responsibility to maximize supervision, respond appropriately to personal stressors that impact ability to perform job duties, and recognize crisis situations or risks to the member's.* Other duties as assigned. Other Job Requirements ResponsibilitiesMust be a self-identified person in recovery who is a current or former user of child/youth/young adult mental health services and can relate to others who are now using those services.Must have a Peer Specialist certification, and be able to obtain with one year of hire the National Peer Support Credential (NCPS/NCPRSS).Experience within Y/YA based organizations and developing youth-oriented programs.Must have a vehicle in good, working condition with
Manager, Recovery and Resiliency Services - R00000050974 DESCRIPTION/RESPONSIBILITIES:Responsible for developing and leading Magellan peer support programs and guiding the role, knowledge, practice, and activities of peer support specialists within the Care Management Center (CMC) or Health Plan. This position helps to oversee the research, planning, implementation, and monitoring of effective delivery of recovery support services and training of Peer Support Specialists within the community. This position serves as an advocate for recovery and resiliency principles and practices across the CMC, in the provider network, and in the community.* Builds partnerships with individuals, families, youth, and key stakeholders to promote recovery, resiliency and wellness and remove barriers that affect service delivery or member satisfaction* Provides technical assistance and consultation to CMC/HP senior staff and members customers regarding the development and implementation of peer-run recovery services, including peer support services. Research administrative and reimbursement policies that promote and eliminate barriers to peer-run services. Conducts member focus groups to determine strengths and opportunities for improvement at CMCs/HPs* Establishes structure and mechanisms to increase member and family voice in areas of leadership, service delivery and decision making including on committees and boards* Administers and oversees pilot programs that promote peer-run and recovery initiatives. Assist in replicating innovative programs across provider agencies. Advocates for service environments that are supporting, welcoming and recovery-oriented by implementing recovery oriented and trauma Informed service delivery approaches and other initiatives* Provides support, training, and supervision to peer support specialists.* Assists leadership and other CMC/HP staff involved in transforming provider network to be aligned with principles of recovery, resiliency, and wellness. Assists with developing ongoing training programs for Magellan staff as well as for staff at network provider agencies, including on-line training modules, conferences, etc.* Keeps informed of national, regional, and local trends and developments regarding recovery, wellness, and peer-directed initiatives. Serves as Magellan's key liaison to local mental health advocacy groups; works closely with these agencies on major campaigns* Participates in CMC cross-departmental workgroups, committees, and meetings to ensure a recovery and resiliency-oriented approach* Assists in developing and implementing locally culturally competent recovery-oriented programs, and conduct outreach tohistorically underserved populations. Other Job RequirementsMust be a self-identified person in recovery who is a current or former user of mental health/substance use services and can relate to others who are now using those services.4+ years living with mental health/substance use recovery, peer support specialist. 3+ years of supervisory experience leading programs, projects, or people.Certified CPRS/CPS/CPSS/CRPS/PRSS, Peer Specialist.Must obtain within one year of hire NCPS/NCPRSS// National Peer Support Credential.Membership or leadership positions in peer support advocacy organizations, self-help organizations, associations,, or technical assistance centers.Strong knowledge of Microsoft Office Product Suite.Strong interpersonal and organizational skills and effective verbal and written communication skills.Must be able to work effectively, independently and in a team, and prioritize in a fast-paced environment to meet the demands of the organization.Knowledge of behavioral health and community systems, wellness strategies, resiliency and recovery principles, practices, and tools, such as Wellness Recovery Action Plans (WRAP), wraparound process, and community-based peer, family and parent support organizations and services. General Job InformationTitleManager, Recovery and Resiliency S
This position is in support of Fort Drum . Candidates must be local to the base or be willing to relocate to become local. Relocation assistance may be available. Candidates must be licensed at the independent level in the state of New York as a Social Worker (LCSW), Therapist (LMFT), or Mental Health Counselor (LMHC).
Provides the full breadth of MFLC consultation and counseling services to the command structure and military service members and their families as an embedded counselor assigned to a dedicated military unit. Responsible for providing MFLC services including non-medical, short term, walk around counseling, training/health and wellness presentations, and consultation to the brigade/regiments command regarding behavioral health issues with a unique understanding of the particular military unit, cultural and mission.
Provides non-medical, short-term, solution focused, walk-around counseling directly to service and family members of a dedicated military unit (brigade, wing or regiment) as an embedded counselor. Services include assessment, brief counseling and consultation, action planning, referral to resources (assuring linkage as appropriate), and follow-up as indicated. Delivers training and health and wellness presentations and activities as requested/ directed.
Enters counselor activity data on a daily basis through smart phone or web application to assure that reporting is accurate from assigned installation, while maintaining client / service member confidentiality.
Cultivates and maintains direct relationships with commanders and personnel within the assigned military unit, utilizing relationship management skills and recognizing the unique structure and mission of the assigned military unit. Responsible for development of an effective and professional working relationship with the installation POC (Point of Contact), command, and the command POC.
Creates a presence within the brigade/regiment in which the service and family members feel comfortable approaching the counselor, recognizing the program to be confidential. Establish and maintain working relationships with community resources and provide appropriate linkages for service members and their families. Partners with POC to provide MFLC services in a manner that addresses the needs of the brigade/regiment.
Provides MFLC response to critical incidents, surge, and special requests as directed by the POC and approved by the Office of Secretary of Defense (OSD) program manager. Counselor will flex schedule to respond to urgent requests as needed.
Manages duty to warn and restricted reporting situations according to Department of Defense (DoD) protocol and staffs the cases with Regional Supervisor/Regional Director.
Communicates with Regional Supervisors and participates in regular individual and group supervision, sharing information regarding trends and issues on the installations to which the counselor is assigned.
Participates in regular in-services/training, Quality Improvement committees or other contract activities as assigned/appropriate.
Other Job Requirements
Responsibilities
Master's Degree from an accredited Graduate Program in a Mental Health related field.
Valid unrestricted counseling license from a State, District of Columbia, US Territory or Commonwealth that grants authority to provide counseling services as an independent practitioner.
For assignments in the 50 states, counselors shall be licensed or certified in the state in which the client is receiving services.
A minimum two years of post licensure counseling experience.
Requires ability to engage and communicate with military members or children as assigned, in order to accomplish job functions, and to respond quickly to emergent situations in any physical location on a military installation and/or within a school setting, which includes the need to traverse short and/or long distances within the base to both indoor and outdoor locations, to maneuver through rugged, outdoor or uneven locations (e.g., steep inclines, stairs, grass), and work in outdoor weather and other military base conditions. May require travel to locations outside of a military base in a variety of physical environments. Due to the nature of working on military installations or related worksites, counselors may need to comply with various site specific requirements to work at designated locations. For example, for some assignments, counselors will need to have certain immunizations or vaccinations and provide record of receipt.
Ability to prove US Citizenship and must speak fluent English.
Understanding, sensitivity and empathy for service members and their families. Ability to develop trusting, helping relationships. Ability to work effectively with individuals and families from diverse racial, ethnic, and socioeconomic backgrounds.
Pass a National Agency Check and Inquiries (NACI) Clearance and an Installation Records Check (IRC), Criminal History Background Check and FBI Fingerprints Check.
Some units require a secret level clearance in addition to the previously stated requirements.
Vehicle Operator's License Requirement: Unless specifically waived by the FEDSIM COR, all contractor personnel providing counseling support at Government locations shall possess a valid U.S. state vehicle operator's license. As a condition for employment under this contract, contractor personnel may be required to pass all tests for and obtain a U.S. military vehicle operator's permit for commercial sedans and similar, for use at Temporary Duty (TDY) locations, if required.
General Job Information
Title
Military and Family Life Counselor - Embedded
Grade
MFLC Tier 3
Work Experience - Required
Clinical
Work Experience - Preferred
Education - Required
Masters - Behavioral Health, Masters - Social Work
Education - Preferred
License and Certifications - Required
Current licensure required for this position that meets State, Commonwealth or customer-specific requirements - Care Mgmt, DL - Driver License, Valid In State - Other, Must be an independently licensed behavioral health clinician - Care Mgmt
License and Certifications - Preferred
Magellan Health, Inc. is proud to be an Equal Opportunity Employer and a Tobacco-free workplace. EOE/M/F/Vet/Disabled.Every employee must understand, comply with and attest to the security responsibilities and security controls unique to their position; and comply with all applicable legal, regulatory, and contractual requirements and internal policies and procedures.
You will be responsible for providing direct support to client and/or employees through the delivery of assessment, consultation, education and triage services. You will use knowledge of federal regulations to assist clients in their appropriate handling of employee concerns and problems. You will consult with employees and organizations on a variety of workplace and work based issues. You will provide clinical expertise in: - General stress and anxiety - Workplace conflict and management - Career change/transition - Family conflict and interpersonal relationships - Substance use disorder - Eating disorder - Gender identity - Trauma and abuse You will need to hold an active, in good standing independent behavioral health clinical license (LPC, LCSW, LMFT or LMHC) in one or more of the following states: WA, AZ, CO, NM, NV, ID, OH, NC, GA, MI, IN, KY, MD, MA, SC, CT, AL, MN, IA, IL, CA.
Provides direct support to organizations and their employees through the delivery of assessment, consultation, education and triage services. Uses knowledge of federal regulations to assist organizations in their appropriate handling of employee concerns and problems. Consults with employees and organizations on variety of workplace and work based issues. Provides clinical expertise in order to restore employees with diminished performance to healthy functioning.
Provides employee consultation related to specific personal problems and concerns. Provides crisis assessment and intervention as needed.
Completes clinical and administrative documentation and required forms in a clear and concise manner.
Manages caseload and other tasks to meet both qualitative and quantitative performance expectations.
Provides behavioral health assessments, accurate clinical diagnoses, and referral to appropriate level of care. Provides expert consultation to employees and/or supervisors on a variety of workplace and work based issues.
Provides information and referral to community resources as appropriate.
Provides clinical consultation/staffing in absence of EAP Manager.
Participates in activities as requested that help improve SBU and/or client performance, excellence and culture.
Support team members and participate in team activities to help build a high-performance team.
Demonstrates flexibility in areas such as job duties and schedule to aid in better serving its members and help Magellan achieve its business and operational goals.
Assists in efforts to continuously improve by assuming responsibility for identifying and bringing to the attention of responsible entities operations problems and/or inefficiencies.
Other Job Requirements
Responsibilities
2 years post graduate clinical experience., Clinical training must include instruction on chemical dependency, mental health and brief therapy.
Must have understanding of workplace issues, how businesses function and a fundamental understanding of employee/employer relationships.
Must be capable of acquiring an understanding of EEO rules, ADA in the workplace, FMLA, and Drug Free Workplace Requirements.
Must be able to provide accurate client assessment including level of risk, substance abuse and dependency, job performance issues and refer to appropriate level of care.
Competent in crisis intervention.
Demonstrate knowledge and expertise in solution-focused, brief therapy in outpatient setting. Strong customer service skills required.
Must be able to sensitively, compassionately respond to callers. Excellent listening skills vital.
Interact effectively at all levels both within the company and with external customers.
Analyze and present issues in a clear, concise, persuasive manner, both orally and in writing.
Use time to manage caseload and documentation effectively.
Meet productivity targets and quality management expectations.
Develop effective working relationships with peers within and across organizational lines.
Effectively resolves individual conflicts.
Supports department mission and keeps management informed of team issues.
Takes responsibility for own development and stays current on skills and techniques needed to perform job.
Flexible; adjust well to new situations and changing priorities.
Comfortable with ambiguity and stress while handling a variety of assignments.
Maintain a positive, achievement-oriented attitude and consistent in accomplishing expected objectives.
General Job Information
Title
EAP Telehealth Clinician - Remote Michigan
Grade
23
Work Experience - Required
Clinical, Employee Assistance Program (EAP)
Work Experience - Preferred
Education - Required
Masters - Behavioral Health
Education - Preferred
License and Certifications - Required
Current licensure required for this position that meets State, Commonwealth or customer-specific requirements - Care Mgmt, LCSW-C - Licensed Certified Social Worker - Clinical - Care Mgmt, LCSW - Licensed Clinical Social Worker - Care Mgmt, LMHC - Licensed Mental Health Counselor - Care Mgmt, LMHP - Licensed Mental Health Professional - Care Mgmt, LPCC - Licensed Professional Clinical Counselor - Care Mgmt, LPC - Licensed Professional Counselor - Care Mgmt, Must be an independently licensed behavioral health clinician - Care Mgmt
License and Certifications - Preferred
CEAP - Certified Employee Assistance Professional - Care Mgmt
Magellan Health, Inc. is proud to be an Equal Opportunity Employer and a Tobacco-free workplace. EOE/M/F/Vet/Disabled.Every employee must understand, comply with and attest to the security responsibilities and security controls unique to their position; and comply with all applicable legal, regulatory, and contractual requirements and internal policies and procedures.
Interested in fully remote opportunity as a Sr. Analyst, Incident Response while working for an innovative healthcare company where you can have an impact on people's lives? Apply today and come join us at Magellan Health as we lead the world toward a healthier future!
Promotes a positive security culture for the organization by protecting the confidentiality, integrity, and availability of data and assets while assisting the company to successfully meet its strategic goals. Provides senior level expertise from various IT disciplines with focus in information security. This role will contribute to the design, engineering, development and maintenance of security processes and solutions throughout the enterprise according to policy and risk. This role will contribute to the design, development, and maintenance of the security environment and architecture to ensure the assets are protected. Be a champion to their team and other business units to promote a secure organization through positive knowledge sharing, training, influences, and conduct.
Manages and maintains adequate security processes and solutions to mitigate or remediate identified risks sufficiently to meet business objectives, contractual and/or regulatory requirements.
Leads incident response activities, ensuring security incidents are properly contained, eradicated, and recovered.
Supports in the development of security policies, standards and plans to ensure the protection of corporate data against unauthorized use, access, modification and destruction.
Ensures proper security logs are generated and sent to the organization's Security Information and Event Management ( SIEM ) system .
Researches emerging technologies in support of IT security enhancement and development efforts.
Persistently evaluates adherence with defined policies and standards.
Drives efforts with identifying, remediating, and/or mitigating vulnerabilities in the environment, ensuring appropriate response to high risk and aged findings.
Designs, implements, and maintains a secure environment for Magellan Health.
Ensures Magellan security processes and solutions are protected against a failure or attack that reduces the organization's ability to respond to security incidents.
Ensures Magellan processes and solutions are maintained securely and highly available to protect the confidentiality, integrity and availability of assets
Monitors and ensures systems revisions and patches are up-to-date.
Manages and performs changes to the solutions and removes unnecessary services.
Understands risks and impact to systems in the corporate environment and their interconnectivity.
Builds team unity by supporting other engineers to understand security risks and impact to corporate solutions.
Supports others in performing forensic analysis and risk assessments for the entire infrastructure.
Designs and manages enterprise high-availability solutions running a complex arrangement of operating systems, including system updates, log analysis, access controls and backup.
Performs changes to the solution configurations to add new services, adapt existing services, and removes unnecessary services.
Monitors, remediates and mitigates security violations for network, devices, servers and other assets
Designs, implements and maintains security guidelines and a security infrastructure for Magellan Health.
Develops technical solutions to autonomously verify compliance with required technical controls.
Other Job Requirements
Responsibilities
5+ years of IT experience required.
May substitute 2 or more relevant certifications for a year of experience.
Able to effectively manage evolving and competing objectives and possess a wide range of knowledge of information security tools and techniques.
Has strong communication, and negotiation skills. Results driven with a bias for action. Demonstrated knowledge in 3 or more of the following information security principles: risk assessment and management, threat and vulnerability management, incident response, and identity & access management.
Understands network protocols and packet analysis tools such as TCPDUMP and Wireshark.
Knowledge of and experience with security-related systems and applications, firewalls, load balancers, intrusion detection/prevention, and web content filtering.
Familiarity with information security publications (e.g., NIST 800-53), incident response, problem resolution, vulnerability remediation, computer forensic techniques and eDiscovery, reviewing automated security test results, and network and host-based firewalls.
Ability to work with multi-discipline teams and cross-functional management.
Excellent verbal and written communication skills with the ability to collaborate effectively with other groups.
General Job Information
Title
Senior Analyst, Incident Response - Remote
Grade
28
Work Experience - Required
IT
Work Experience - Preferred
Information Security
Education - Required
Education - Preferred
Bachelors - Information Security
License and Certifications - Required
License and Certifications - Preferred
CEH-Certified Ethical Hacker - Enterprise, CISSP - Certified Information Systems Security Professional - Enterprise, GISP-GIAC Information Security Professional - Enterprise, GSEC-SANS GIAC Security Essentials - Enterprise, Network+ - Enterprise, Security+ - Enterprise
Magellan Health, Inc. is proud to be an Equal Opportunity Employer and a Tobacco-free workplace. EOE/M/F/Vet/Disabled.Every employee must understand, comply with and attest to the security responsibilities and security controls unique to their position; and comply with all applicable legal, regulatory, and contractual requirements and internal policies and procedures.
Provide support to all eligible Families with expectant parents and parents of children from birth to 3 years of age. This program seeks to support young military Families which directly contribute to military mission readiness, support Family members' adaptation to military life, enhance the knowledge and skills for healthy relationships that can provide safe, nurturing environments for children to prevent family violence. Provide activities and services including information and referrals, parenting programs, respite care for children, and supervised play time for children. Families with children prenatal to 3 years old who have been assessed as being at risk for child maltreatment and/or Family violence can benefit from additional, more-intensive support from these services.
Provides effective, timely and confidential services for Families who have been assessed as being at risk for child maltreatment and/or Family violence.
Protects the privacy and confidentiality of client information.
Identifies and reports suspected child abuse and neglect and domestic abuse.
Assesses developmental milestones and referral procedures for indicators of special needs or developmental delays.
Assesses and strengthening adaptation to parenthood.
Assesses and strengthening parental capacity for problem-solving, building and sustaining trusting relationships, and seeking help when necessary.
Promotes developmentally appropriate parenting skills and disciplinary techniques, and parent and child communication skills.
Facilitates informal and formal community networks to build positive relationships and reduce social isolation.
Develops relationships with local community and military installation officials and organizations that can maximize program effectiveness.
Utilizes community-based services and formal and informal community networks to provide concrete support for families who may be in crisis.
Utilizes methods for screening for, assessing, and addressing protective and risk factors associated with child abuse and neglect using a strengths-based Family centered developmental approach.
Keeps tracking system up to date with case status.
Participates in monthly conference calls and annual training events.
Other Job Requirements
Responsibilities
Qualified candidates must have at least two (2) years of direct work experience in child abuse or domestic abuse, or maternal or child health or medical social work.
Must hold a current and active license as an LCSW, LMFT or RN.
Licensed Clinical Social Workers must possess a current, valid, unrestricted clinical license and a master's degree in Social Work to practice social work independently.
Registered Nurses must have at least a bachelor's degree in nursing, a current unrestricted license in one of the States or U.S. territories, and at least two (2) years of direct work experience with child abuse or domestic abuse, maternal or child health, public/community health, or mental health.
Must have home visitation experience.
Must have a valid driver's license, auto insurance and ability to operate a motor vehicle.
Must have working knowledge of basic computer skills and be able to use Microsoft Word, Power Point, and Excel programs.
Must be able to operate general office equipment including but not limited to: computer, phones and related media and information devices on most or all workdays.
Ability to communicate and interact with others, both in person and/or by telephone to conduct business.
Working under time pressure.
Working rapidly for long periods to meet deadlines.
Must be able to travel as needed and adhere to AFSC travel policies and procedures.
Must be able to enter private homes that may or may not provide easy access for those with physical disabilities or those recovering from physical rehabilitation or post-recovery mobility.
Position requires ability to transport self from office locations to private homes, other offices and facilities where training and other program activities occur.
General Job Information
Title
New Parent Support Home Visitor, FASS
Grade
21
Work Experience - Required
Child Welfare
Work Experience - Preferred
Education - Required
Bachelors - Nursing, Masters - Counseling, Masters - Social Work
Education - Preferred
License and Certifications - Required
LCSW - Licensed Clinical Social Worker - Care Mgmt, LMFT - Licensed Marital and Family Therapist - Care Mgmt, RN - Registered Nurse, State and/or Compact State Licensure - Care Mgmt
License and Certifications - Preferred
Magellan Health, Inc. is proud to be an Equal Opportunity Employer and a Tobacco-free workplace. EOE/M/F/Vet/Disabled.Every employee must understand, comply with and attest to the security responsibilities and security controls unique to their position; and comply with all applicable legal, regulatory, and contractual requirements and internal policies and procedures.
Interested in a fully remote Sr. Software Engineer opportunity with a Fortune 500 healthcare company that's making a difference in the world? Consider joining us as at Magellan Health! We're looking for a Software Engineer with web portal development experience and content management tool expertise. You will be working with React, JavaScript, and AWS.n
This position services as an expert technical and industry resource to management, clients and development staff in new uses of information technology and in all phases of major system and subsystem development. Provides consultation on internal and industry IT technical and business process capabilities including leadership in the identification and recommendation of new IT opportunities. Formulates, contributes to, and directs task identification, work effort estimates, and work schedules for research, prototype, and proof-of-concept IT activities. Directs and participates in software/hardware releases and installation tasks.
Analyzes problems and program in two or more programming language/platforms.
Understands and develops functional and non-functional requirements for a system.
Works with multiple programming frameworks.
Develops, tests and maintains code using software development methodology and appropriate technologies for the system being used.
Integrates systems to databases and other applications using middleware such as SnapLogic and consume or produce SOAP or REST based services, etc.
Agile, DevOPS and Cloud:
Possesses proficiency in automated testing strategies, including TDD.
Understands advanced concepts of Containers, Micro-Services, Continuous Integration.
Understands Cloud computing concepts and how to build Cloud deployable application.
Performs load and performance testing on the application and do regular performance tuning.
Other Job Requirements
Responsibilities
3+ years of programming experience.
Strong working knowledge of modern programming languages including JavaScript, Java, Swift etc.
Critical thinker.
Demonstrated problem solving techniques.
Strong verbal and written communication skills.
General Job Information
Title
Senior Software Engineer - Remote
Grade
26
Work Experience - Required
IT
Work Experience - Preferred
Education - Required
Education - Preferred
Bachelors - Computer and Information Science
License and Certifications - Required
License and Certifications - Preferred
Magellan Health, Inc. is proud to be an Equal Opportunity Employer and a Tobacco-free workplace. EOE/M/F/Vet/Disabled.Every employee must understand, comply with and attest to the security responsibilities and security controls unique to their position; and comply with all applicable legal, regulatory, and contractual requirements and internal policies and procedures.
The System Navigator is responsible for daily coordination with the installation client manager to ensure the facilitation of connections between families who have special needs and the systems of required care. Assigned functions of the position include intake; identification of the Family members needs assessment, referral, follow-up, advocacy, and monitoring of outcomes; and collaboration with military and civilian community resources.
Briefs family readiness staff and others upon request.
Represents the program at installation coordinating committees.
Manages the Soldiers and Family member records in accordance with DoD and Service regulation.
Transfers records to the appropriate program personnel when transitions occur.
Collects and analyzes data for planning, reporting, and program improvement.
Ensures all designated reports are submitted to Service Headquarters as required.
Remains informed regarding recent research and policies.
Monitors, evaluates, and enhances program services to meet the needs of Families.
Develops partnerships with military and civilian agencies and offices (local, state, and national).
Improves program awareness.
Provides information updates to Families.
Hosts and/or participates in program Family events.
Implements policies, procedures, and practices that connect Families to support services.
Partners with Families to increase resilience, develop self-advocacy skills, and improve their ability to navigate systems effectively.
Provides Families with current information and assist Families in connecting to resources.
Other Job Requirements
Responsibilities
United States citizen.
Bachelor degree in social work, psychology; marriage, family, and child counseling; counseling or behavioral science; education; or community health or public health.
Minimum one year experience in Family and children's services or community organization.
Knowledge of human service principles and practices, individual Family needs and problems relative to case management and changing social patterns, knowledge of military and civilian community (local, state and Federal programs), their mission and relationship to readiness, retention and resiliency.
Knowledge of military, state and Federal laws, policies, regulations and practices regarding medical, educational and Family support services, knowledge of available medical, special education and community support programs and services.
Knowledge of military and civilian community (local, state, and Federal programs), their mission and relationship to readiness, retention, and resiliency.
Ability to research, analyze, and conduct studies to evaluate effectiveness of program operation, resolve problems, and develop a comprehensive coordinated Family Service Plan.
Ability to plan, organize and analyze work assignments to determine appropriate course of action.
Shall have skill levels to provide professional non-clinical case management services, facilitating connections between Families who have special needs and the systems of required care.
Must be able to operate general office equipment including but not limited to: computer, phones and related media and information devices on most or all workdays
Ability to communicate and interact with others, both in person and/or by telephone to conduct business.
Working under time pressure.
Working rapidly for long periods to meet deadlines.
Must be able to travel as needed and adhere to AFSC travel policies and procedures.
Must be able to enter private homes that may or may not provide easy access for those with physical disabilities or those recovering from physical rehabilitation or post-recovery mobility.
Position requires ability to transport self from office locations to private homes, other offices and facilities where training and other program activities occur.
General Job Information
Title
System Navigator, EFMP
Grade
19
Work Experience - Required
Behavioral Health
Work Experience - Preferred
Education - Required
Bachelors
Education - Preferred
License and Certifications - Required
License and Certifications - Preferred
Magellan Health, Inc. is proud to be an Equal Opportunity Employer and a Tobacco-free workplace. EOE/M/F/Vet/Disabled.Every employee must understand, comply with and attest to the security responsibilities and security controls unique to their position; and comply with all applicable legal, regulatory, and contractual requirements and internal policies and procedures.
Evaluates and authorizes approval of prior authorization pharmacy requests from prescribers received by telephone and/or facsimile using client clinical criteria.
Determines appropriateness for medications. Communicates decision to physicians, physician`s office staff, medical management staff and/or pharmacists. Researches, resolves and documents prior authorization outcomes in pharmacy system.
Communicates selected prior authorization criteria, pharmacy benefit coverage and formulary alternatives to physicians, physician`s office staff, medical management staff and/or pharmacists.
Escalates requests to Pharmacist when request requires extensive clinical review or denial.
Monitors telephone system to ensure adequate staffing to maintain client services levels.
Assesses training needs within the team. Serves as a training resource, mentor and coach to others. Identifies and shares best practices.
Demonstrates, advocates and reinforces a positive team environment.
Other duties as assigned.
Other Job Requirements
Responsibilities
Must have an active pharmacy technician licensure or registration in accordance with state requirements.
If state does not require an exam for licensure/registration, must possess both active pharmacy technician licensure or registration in accordance with state requirements AND an active national certification (e.g., PTCB or ExCPT).
In states that do not require licensure or registration, must have an active national certification (e.g., PTCB or ExCPT).
Specialty or retail pharmacy industry experience, previous reimbursement experience, and/or working in a health plan/health care setting.
In-depth knowledge of specialty injectable prescription drugs, disease states, health plan formulary management techniques, medical terminology and current diagnostic and reimbursement coding (J/Q codes, ICD-9, CMS 1500, etc.).
Proficiency in Pharmacy computerized systems and software applications, as well as MS Office Product Suite.
Excellent written and verbal communication skills.
Ability to follow clinical criteria and instructions to approve prior authorization requests.
Minimum of 2 years dispensing or retail experience required, or equivalent internal training will be substituted.
Ability to identify and trouble-shoot problematic issues.
General Job Information
Title
Clinical Pharmacy Technician II
Grade
18
Work Experience - Required
Pharmacy
Work Experience - Preferred
Education - Required
GED, High School
Education - Preferred
License and Certifications - Required
CPT/ExCPT/LPT/PTCB/RPT, Pharmacy Technician, State Requirements - Pharmacy
License and Certifications - Preferred
Magellan Health, Inc. is proud to be an Equal Opportunity Employer and a Tobacco-free workplace. EOE/M/F/Vet/Disabled.Every employee must understand, comply with and attest to the security responsibilities and security controls unique to their position; and comply with all applicable legal, regulatory, and contractual requirements and internal policies and procedures.
Seeking candidates with two years of family peer support/advocacy work experience and national certification is preferred. CFPS/National Peer Support Credential will required within one year of hire. For this position it will require a valid State Driver's License and must have a vehicle in good, working condition with the ability to travel within the field regularly.
This position provides non-clinical, evidence-based peer support services and serves as a member advocate. The FSS brings their life experiences and skills to deliver assistance to the family as they explore the goals they would like to achieve and offers interventions to the family to increase engagement and empowerment within a variety of service delivery systems.
Provides peer support to family/caregivers of children with behavioral health conditions identified as requiring intensive wellness support and recovery-oriented interventions.
Guides families in creating Wellness Recovery Action Plans (WRAPR) for themselves and their family to recognize strengths and identify wellness self-management and crisis prevention strategies.
Conducts in depth social determinant needs determinations utilizing the 8 dimensions of wellness to help a family member identify their whole health goals and objectives to address their own challenges and those of their child.
Guides and empowers family members to understand and participate in all decisions related to the treatment process, the support plan, service choices, and transitions in care.
Coaches and role-models regarding a parent's perspective and lessons learned from life experience.
Facilitates support and education to families who have questions, concerns or specific needs related to behavioral health and their behavioral health relationship to Magellan and child serving agencies.
Strategically shares their lived experience to inspire hope, empowerment, and positive action.
Performs ongoing interventions to engage families and members in traditional and nontraditional health services and supports, as well as community and social support networks including community-based peer, parent, and family support services.
Facilitates a team approach to member care including with the Magellan care coordination team.
Implements, coordinates, and monitors strategies for members and families to improve health and quality of life outcomes.
Acts as an advocate for family and member`s needs by identifying and addressing gaps in services and supports.
Educates providers, supporting staff, members, and families on resiliency and recovery-oriented principles, practices, strategies, and tools.
Documents all interactions according to company standards.
Maintains professional responsibility to maximize supervision, respond appropriately to personal stressors that impact ability to perform job duties, and recognize crisis situations or risks to the member's safety and respond appropriately.
Travels to meet families within the community.
Other duties as assigned.
Other Job Requirements
Responsibilities
2+ years experience with child who is or has received services from a child-serving agency for mental health or cooccurring related issues, peer support
CPRS/CPS/CPSS/CRPS/PRSS, Peer Specialist as required by state.
CFPS/National Peer Support Credential required within one year of hire.
Must be or have been a parent of a child who is or who has in the past received services from a child-serving agency for mental health related issues.
Applicants must be able to draw from their own personal experience of parenting a child or youth with significant behavioral health challenges or co-occurring disorders; negotiating services and supports for their child and family; be familiar with key resources for children, youth and families in the community; be able to transcend personal events to provide unconditional support and assistance to families.
Positive attitude that communicates hope and a recovery and resiliency orientation; approachable and empathetic; strong people skills.
Must have a vehicle in good, working condition with the ability to travel within the field regularly.
Working knowledge of Microsoft Office Product Suite.
Ability to make decisions that require significant analysis of solutions, and quick, original, and independent thinking.
Ability to determine appropriate courses of action in complex situations that may not be addressed by existing policies or protocols.
Knowledge of local behavioral health and community systems, wellness strategies, resiliency and recovery principles, practices, and tools, such as system of care, Wellness Recovery Action Plans (WRAP), wraparound process, and community-based peer, family and parent support organizations and services.
Strong interpersonal and organizational skills and effective verbal and written communication skills.
Ability to represent strengths and needs of members in clinical settings.
Ability to summarize and document findings and maintain complete and accurate records.
Must be able to work effectively, independently and in a team, and prioritize in a fast-paced environment to meet the demands of the organization.
Must have a vehicle in good, working condition with the ability to travel within the field regularly.
General Job Information
Title
Family Support Coordinator
Grade
19
Work Experience - Required
Lived Experience With Mental Health/Substance Abuse Recovery, Peer Support
Work Experience - Preferred
Education - Required
Education - Preferred
Associates
License and Certifications - Required
DL - Driver License, Valid In State - Other
License and Certifications - Preferred
CPRS/CPS/CPSS/CRPS/PRSS, Peer Specialist, State Requirements - Care Mgmt, NCPS - National Certified Peer Specialist - Care Mgmt
Magellan Health, Inc. is proud to be an Equal Opportunity Employer and a Tobacco-free workplace. EOE/M/F/Vet/Disabled.Every employee must understand, comply with and attest to the security responsibilities and security controls unique to their position; and comply with all applicable legal, regulatory, and contractual requirements and internal policies and procedures.
The Manager of Application Security is responsible for building a comprehensive Application Vulnerability Management program that includes, Secure Software Development Lifecycle, Patch Governance, and Application Security.
Reporting directly to the Senior Director of Vulnerability Management, this position leads the Application Security Team.
This is a fully remote position, allowing you to work from the comfort of your own home from anywhere in the US.
Promotes a positive security culture for the organization by protecting the confidentiality, integrity, and availability of data and assets while assisting the company to successfully meet its strategic goals. Manages a team of Information Security Engineers and/or Analysts and is accountable for this team's performance in engineering, implementation, and maintenance of security processes and solutions throughout the enterprise according to policy and risk. Accountable for the team's ability to design, develop, and maintain the security environment and architecture to ensure assets are protected. Serves as a leader and mentor for their team, and others, providing master level expertise from various IT disciplines with focus in information security. Be a champion to their team and other business units to promote a secure organization through positive knowledge sharing, training, influences, and conduct.
Manages a team responsible for ensuring adequate security processes and solutions to mitigate or remediate identified risks sufficiently to meet business objectives, contractual and/or regulatory requirements.
Delivers Key Performance indicators to drive success to leadership.
Accountable for the development of security policies, standards and plans to ensure the protection of corporate data against unauthorized use, access, modification and destruction.
Accountable for the oversight and management of a functional area within the Office of Information Security, including supervision and mentorship.
Oversees the monitoring and compliance of information security policies and procedures.
Leads incident response activities, ensuring security incidents are properly contained, eradicated, and recovered.
Ensures proper security logs are generated and sent to the organization's SIEM.
Researches and implements emerging technologies to enhance the security portfolio.
Persistently evaluates adherence with defined policies and standards.
Leads team efforts with identifying, remediating, and/or mitigating vulnerabilities in the environment, ensuring appropriate response to high risk and aged findings.
Leads the development, design, implementation, and maintenance of a secure environment for Magellan Health.
Ensures Magellan information security processes and solutions are protected against a failure or attack that reduces the organizations ability to respond to security incidents.
Ensures Magellan processes and solutions are maintained securely and highly available to protect the confidentiality, integrity and availability of assets.
Accountable for the monitoring, systems revisions and patches are up to date.
Manages the teams changes to the solutions and remove unnecessary services.
Understands risks and impact to all downstream systems in the corporate environment and their interconnectivity
Helps build and drive a security aware culture that understand security risks and impact to all corporate solutions
Manages teams that perform forensic analysis and risk assessments for the entire environment.
Oversees and manages teams that support enterprise high-availability solutions running a complex arrangement of operating systems, including system updates, log analysis, access controls and backup.
Monitors, remediates and mitigates security violations for network, devices, servers and other assets.
Designs, implements and maintains security guidelines and a security infrastructure for Magellan Health.
Develops technical solutions to autonomously verify compliance with required technical controls.
Other Job Requirements
Responsibilities
7+ years of IT experience.
3+ years of information security experience.
May substitute 2 or more relevant certifications for a year of experience.
Proven in-depth knowledge of network protocols and packet analysis tools such as tcpdump and Wireshark.
Detailed knowledge on network and host- based firewalls and intrusion prevention systems.
Detailed knowledge on proxy servers, SSL inspection techniques, load- balancers, reverse proxy servers, and web application firewalls.
Proven ability to develop custom threat signatures in response to zero-day and emerging security threats.
Detailed knowledge with security-related systems and applications, firewalls, packet analysis tools, intrusion detection/prevention, and web content filtering.
Detailed digital forensics and eDiscovery skills and experience.
Detailed knowledge of network infrastructure, including routers, switches, firewalls.
Knowledge of information security publications (e.g., NIST 800-53, 53A, 37).
Detailed knowledge of incident response, problem resolution, and vulnerability remediation.
Detailed knowledge of automated security testing. Ability to work with multi-discipline teams, cross- functional management.
Self-starter with the ability to lead tasks with demonstrated ability to work independently.
Strong verbal and written communication skills with the ability to collaborate effectively with other groups.
Able to effectively manage evolving and competing objectives and possess a mastery of information security tools and techniques.
Has strong leadership, communication, and negotiation skills.
Results driven with a bias for action.
General Job Information
Title
Manager of Application Security - Fully Remote
Grade
30
Work Experience - Required
Information Security, IT
Work Experience - Preferred
Education - Required
A Combination of Education and Work Experience May Be Considered., Bachelors - Information Security
Education - Preferred
License and Certifications - Required
License and Certifications - Preferred
CISSP - Certified Information Systems Security Professional - Enterprise
Magellan Health, Inc. is proud to be an Equal Opportunity Employer and a Tobacco-free workplace. EOE/M/F/Vet/Disabled.Every employee must understand, comply with and attest to the security responsibilities and security controls unique to their position; and comply with all applicable legal, regulatory, and contractual requirements and internal policies and procedures.
Customer Resolution Associate - R00000050305 DESCRIPTION/RESPONSIBILITIES:This position is responsible for providing assistance with the resolution of authorization and/or claim issues in various work queues resulting from and calls taken from facilities and providers. Acts as liaison between providers, internal departments and specific accounts, clients, and claims department.* Resolves cases in queue due to member eligibility issues, referring provider verification or request, imaging provider verification, redirection, and retro reviews.* Assists with authorization problem resolution through research and facilitating the resolution of the problem in a timely fashion.* Process, forward, trend, and maintain records of authorization issues.* Acts as a troubleshooter to resolve problems among internal departments.* Handles special requests from Customers requiring manual workarounds or specials projects.* Investigates written/verbal complaints involving authorizations, and resolves complex issues with Customers and Providers.* Assists specific accounts who have special processes.* Observes and tracks authorization problem trends and works with internal department for resolution.* Assists with User Acceptance Testing (UAT).* Provides phone back-up coverage for other teams as needed. Other Job RequirementsResponsibilitiesAbility to review and interpret multiple contract/account information to successfully resolve issues regarding benefit plan administration; experience with account benefit structures.Demonstrated ability for problem solving, meeting deadlines, initiative and follow-through.Excellent written and verbal communication skills.Knowledge of pharmacy benefits management.Understanding of customer service performance metrics (ASA, abandonment rate, talk time). General Job InformationTitleCustomer Resolution Associate Grade18 Work Experience - RequiredClaims, Customer Service Work Experience - Preferred Education - RequiredGED, High School Education - PreferredBachelors License and Certifications - Required License and Certifications - Preferred Magellan Health, Inc. is proud to be an Equal Opportunity Employer and a Tobacco-free workplace. EOE/M/F/Vet/Disabled. Every employee must understand, comply with and attest to the security responsibilities and security controls unique to their position; and comply with all applicable legal, regulatory, and contractual requirements and internal policies and procedures. Equal Opportunity Employer-minorities/females/veterans/individuals with disabilities/sexual orientation/gender identity