Company Detail

Job Description

Provides 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.

• 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.

• Assist efforts to continuously improve by assuming responsibility for identifying and bringing to the attention of responsible entities operations problems and/or inefficiencies.

• Assist in the mentoring and training of new staff.

• Assume full responsibility for self-development and career progression; proactively seek and participate in ongoing trainings (formal and informal).

• Comprehensively assembles and enters patient information into the appropriate delivery system to initiate the EAP, Care and Utilization management programs.

• Demonstrate 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.

• Lead or participate 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's 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 bilingual.

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.

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 MediCal Spanish

Grade

17

Work Experience - Required

Customer Service

Work Experience - Preferred

Education - Required

GED, High School

Education - Preferred

Associates

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.

Job Detail

• Company:
  Magellan Health Services

Job Description

Assist the Military Adaptive Sports team with management of qualified coaches for recovering Services members to improve the recovery process and quality of life.

• Assists in selecting and coordinating appropriate, effective and efficient adapted sports and recreation coaches for recovering Services member activity.

• Assumes coaching roles. Coaching roles can be but are not limited too: venue managers, adaptive sports and recreation subject matter experts, scorers, announcers, time clock and score board operators, turn and start officials, lane officials, and recorders.

• Assists in coordinating coaching travel according to guidelines, standards of practice and professionalism to multiple Military installations throughout the US.

• Demonstrates ability to provide coaches that are appropriate to the population being served.

• Communicates effectively and professionally with coaching staff, senior military and community leadership as well as activity participants.

• Identifies community resources to provide support and augment the program.

  Other Job Requirements

Responsibilities

Bachelor's degree or five years of appropriate experience in the management of programs with diverse populations.

Preference will be given to degrees in the areas of sport management, recreation, adaptive physical education, therapeutic recreation or related field.

Experience working with individuals with Post Traumatic Stress Disorder (PTSD) and Traumatic Brain Injury (TBI) desired.

Experience working with individuals that require sporting equipment modifications to participate in physical activity.

Willingness, ability and experience participating and programming in various adaptive sporting activities Examples include Archery, Cycling, Rowing, Track and Field, Sitting volleyball, Swimming and Wheelchair basketball.

Ability to work at the Headquarters Program level.

Ability to manage multiple activity schedules simultaneously.

Ability to communicate effectively with independent contractors and make the appropriate registrations and travel arrangements.

Demonstrated quality communication (written and oral) and interpersonal skills.

Excellent organizational skills required with attention to detail and follow-through.

Proficient in operating Microsoft office products especially Excel.

Demonstrated ability to lead within a complex system involving individuals with diverse levels of experience, skills and abilities.

Self-starter who can help develop and implement a program with limited direct supervision.

Ability to travel to events throughout the year (up to 50% travel).

Understanding of Military protocols.

General Job Information

Title

Intermittent/Part Time Military Adaptive Sports (MASP) Coach Manager, WCP (REMOTE)

Grade

24

Work Experience - Required

Project/Program Management

Work Experience - Preferred

Military

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.

Job Detail

• Company:
  Magellan Health Services

Job Description

This position is in support of Francis S. Gabreski Air National Guard Base. Candidates must be local to the base or be willing to relocate to become local. Candidates must be licensed at the independent level in the state of New York as a Social Worker (LCSW), Therapist (LMFT), or Mental Health Counselor (LMHC).

Primary responsibility to provide the full breadth of MFLC (Military Family Life Counseling) counseling services to military service members and their families at military installations. Services include non- medical, short-term, walk-around counseling, training/health and wellness presentations, provision of health fairs, and consultation to installation command regarding behavioral health issues. Works 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, walk-around counseling directly to service and family members. 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, participates in health fairs and other base/installation 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.

• 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. Establishes and maintains working relationships with community resources and provides appropriate linkages for service members and their families. Partners with POC to provide MFLC services in a manner that addresses the needs of the installation. Develops an effective and professional working relationship with the installation POC.

• Provides MFLC response to critical incidents, surge and on demand events, 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 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

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.

Job Detail

• Company:
  Magellan Health Services

Job Description

This position is dedicated to delivering an outstanding experience while exceeding the expectations of customers. Goal is to provide this level of service to customers, while working in a fun, collaborative and energetic team environment. This position professionally interacts with the customers while helping them navigate the store and render the best customer service.

• Responsible for helping team members complete everyday tasks, as well as the specific assignments asked of them.

• Must be properly trained in order to effectively train newly hired employees and offer constructive feedback to one another in order to improve.

• Maintains expert knowledge of Point of Sale (POS) operating systems. This includes but is not limited to, Office Retail Star specifically, maintenance, inventory, and purchasing.

• Oversees the store's security by remaining alert to surroundings and keeping up to date on procedures in case of an emergency.

• Ensure purchase orders are completed and received in a timely matter with a special emphasis on details and correct verification.

• Participate in required meetings, as well as corresponding to weekly emails.

• Support accurate recording of rotating inventory. Stock store as needed.

• Verify work schedule and coordinate with coworkers regarding shift exchanges.

• Reiterate HIPPA regulations.

• Check store expirations dates and ensure product rotation; organize product in a tidy manner.

• Assist with the needs of the Pharmacy team.

• Represent the Store with a professional appearance, as well as utilize respectful people-first skills.

• Successfully receive delivery orders.

• Responsible for stocking shelves, performing inventory counts, and keeping the store in good working order.

• Other duties as assigned.

  Other Job Requirements

Responsibilities

Must be 18 years of age or older.

Utah Food Handlers Permit or ability to obtain permit within 30 days.

Ability to accurately count cash transactions, verify amounts, issue receipts for funds received and reconcile a cash register.

Requires effective decision making skills for handling customer problems.

Strong verbal and written communication skills for friendly, effective interaction with the team and customers.

Strong organizational skills.

Physical Requirements: General retail environment where the noise level is usually moderate (ice machines, phones, escalators, people coming and going). While performing the duties of this job, the employee is regularly required to stand for extended periods of time, talk, and hear. Typing on a keyboard is required (touch screen available). Close vision abilities are required (working at a PC or reading work related order forms). Must be able to lift up to 50lbs.

General Job Information

Title

Pharmacy Retail Cashier (No Nights or Weekends!)

Grade

15

Work Experience - Required

Customer Service, Retail

Work Experience - Preferred

Education - Required

Education - Preferred

GED, High School

License and Certifications - Required

Utah Food Handlers Permit - Other

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.

Job Detail

• Company:
  Magellan Health Services

Job Description

Care Manager - BH -Remote, Johnstown, PA - R00000050448 DESCRIPTION/RESPONSIBILITIES: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 outpatientsetting.* 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 TitleCare Manager - BH -Remote, Johnstown, PA Grade23 Work Experience - RequiredClinical Work Experience - Preferred Education - RequiredAssociates - Nursing, Bachelors - Social Work, Masters - Social Work Education - Preferred License and Certifications - RequiredCEAP - 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 leg

Job Detail

• Company:
  Magellan Health Services

Job Description

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

• Understands the end to end authorization process, the SBU's business and business drivers for success.

• Actively listens and probes callers in a professional and timely manner to process authorizations and/or other customer service requests working towards first call resolution.

• Researches and communicates information regarding member eligibility, provider status and authorization inquiries to callers while maintaining confidentiality.

• Resolves customer complaints or concerns as the first line of contact.

• Makes problem resolution and triage decisions not requiring clinical judgment.

• Discourages unnecessary clinical/physician phone transfers and encourages medical records to be submitted. Helps callers understand what clinical information is required.

• Transfers calls to clinicians and physicians only for clinically escalated situations.

• Communicates appeal and denial language to providers and members when appropriate.

• Processes withdrawals and other case status changes as needed.

• Understands client and regulatory expectations for accounts in their designated region.

• Recognizes and develops relationships with provider groups through repeat calls, and recognizes provider sensitivities for different health plans.

• Is responsible for reading and retaining information disseminated through multiple resources, ensuring calls are handled accurately and appropriately per current account information.

• Processes fax attachments in between calls.

• Responsible for meeting SBU's Service standards in all categories on a monthly basis, team player, maintain member and provider Confidentiality at all times, demonstrate effective problem solving skills, and be punctual and maintain good attendance.

• Participates in SBU's Service Operations activities as requested that help improve Care Center performance, excellence and culture.

• Supports team members and participate in team activities to help build a high-performance team.

• Demonstrates flexibility in areas such as job duties and schedule in order to aid SBU?s Customer Care Operations in better serving its members and help SBU achieve its business and operational goals.

• Assists SBU efforts to continuously improve by assuming responsibility for identifying and bringing to the attention of responsible entities operations problems and/or inefficiencies.

• Assumes responsibility for self-development and career progression.

  Other Job Requirements

Responsibilities

Must be a proficient typist (at least 30 WPM) with the ability to maneuver through various computer platforms/screens while verifying a variety of information simultaneously.

Ability to multi-task while staying organized.

General Job Information

Title

Inbound Call Center Associate (Remote)

Grade

16

Work Experience - Required

Customer Service

Work Experience - Preferred

Healthcare

Education - Required

GED, High School

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.

Job Detail

• Company:
  Magellan Health Services

Job Description

Provides professional military personnel support services to the U.S. Navy's Identification Card Administration (ICA) program at Navy installations designated as Defense Enrollment Eligibility Reporting System (DEERS) and Real-time Automated Personnel Identification System (RAPIDS) sites.

• Serves as ID Card/Common Access Card (CAC) customer service specialist trained and certified by the Defense Manpower Data Center (DMDC).

• Delivers ID Card services to all personnel assigned to support customer commands, other military service personnel, retirees and their dependents, and contractors verified through the Trusted Associate Sponsorship System (TASS).

• Performs as a Verifying Official (VO) on DEERS/RAPIDS terminal and ensures inputted data for accuracy and correctness.

• Verifies the identity and eligibility of authorized DoD beneficiaries, issues DoD Identification Cards and performs DEERS updates in accordance with DoD regulations and AFI 36-3026.

• Issues and strictly controls Armed Forces identification and privilege cards for all eligible personnel, (i.e., active duty military, retired military, 100% Disabled American Veteran (DAV) and respective dependents and verified contractors.

• Operates and maintains RAPIDS workstations, processes CACs, assists customers with questions concerning identification card eligibility, application requirements and DEERS, and answers telephone inquiries.

• Accomplishes DEERS enrollment and updates for all eligible beneficiaries, reconciles erroneous DEERS information, performs PIN resets, verifying and updating PKI certificates, and provides other ICA services as necessary.

• May also be certified by DMDC as Site Security Manager (SSM) with responsibility for the safekeeping, storing, and accountability of the CAC and related consumable materials.

• Maintains RAPIDS equipment within the physical parameters and configurations established at the time of installation.

• Performs -User Maintenance on RAPIDS equipment.

  Other Job Requirements

Responsibilities

High School diploma or equivalent.

1+ years' experience in a Customer Service environment.

HR background in one of the following disciplines: Military Pay, Military Personnel, Travel Claims or Navy Transportation.

Substitutions for HR background can be from similar experience gained in either the private sector or other Federal Agency.

Proficient in both oral and written communication to communicate effectively and explain complex actions regarding military entitlements, allowances and collections.

Working knowledge of Microsoft Office Products, i.e. Word, Excel, Power Point.

Working knowledge of standard office equipment such as computers, electric typewriters, copiers, fax machines, scanners and other office automation systems.

Must be U.S. citizen and possess favorably adjudicated Tier 3 (NACLC) security investigation.

General Job Information

Title

ID Card Specialist (Personnel Assistant II), NAVY ICA

Grade

WDNICAPAII

Work Experience - Required

Work Experience - Preferred

Education - Required

High School

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.

Job Detail

• Company:
  Magellan Health Services

Job Description

This position will analyze, evaluate and design/redesign business, IT or operational processes using scientific approaches such as Critical Thinking, Lean Management, ITIL, Design Thinking and structured systems analysis and design. Provide requirements and testing leadership for the portfolio of applications managed by an IT Service Owner. Drive requirements definition. Oversee detailed design and definition of acceptance criteria to ensure high quality deliverables. Drive usability and quality of the software developed within the area. Ensure integrity of the system is maintained despite the speed of changes. Be a hands-on analyst who can define user stories and acceptance criteria, assist with problem solving, root cause analysis, trouble shooting and coaching of junior it analysts on the team. Develop relationships with senior stakeholders across partner teams, addressing concerns and removing roadblocks to drive projects forward. Work closely with stakeholders to make design decision throughout the development. Is focused on achieving business goals and is vigilant about quality in every phase of the development process.

• Focus on achieving business goals.

• Work with direct reports to deliver identified system improvements.

• Manage the deployment of business requirements through reliable business system configuration updates to enterprise applications.

• Gather requirements and collaborate on design and definition of acceptance criteria.

• Responsible for planning resources and tools to deliver against that roadmap.

• Drive requirements definition, design, unit testing, and integration. Oversee detailed designs, and test plan reviews to ensure high quality deliverables.

• Work closely with stakeholders to provide status, iterative releases, and make design decision throughout the development.

• Engage, motivate and manage individual contributors.

• Develop relationships with senior stakeholders across partner teams, addressing concerns and removing roadblocks to drive projects forward.

  Other Job Requirements

Responsibilities

10+ years of related experience including experience working with Agile Methods. Experience moving across different departments within IT to gain a broader perspective of the business/industry.

Building strong, successful, long-term partnerships.

Produce actionable, results-oriented strategies to solve complex and open-ended business problems.

Experience performing implementation reviews.

Ensure prompt and proper support of resolution of technical challenges.

Thought leader on process improvement methodologies.

Use creative problem-solving approach and strong analytical skills, combined with a strong sense of ownership, and a proactive can-do attitude.

Excellent communication and project management skills, with a track record of handling multiple customers and streams of work.

Take responsibility for ensuring success of all implementations.

Ability to help team meet tight deadlines and prioritize workloads.

General Job Information

Title

Senior Principal Systems Analyst

Grade

29

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.

Job Detail

• Company:
  Magellan Health Services

Job Description

Innovative business clinician accountable for building and maintaining customer relationships as well as leadership of the account teams within all assigned accounts. Charged with delivering results that demonstrate value to the customer, derived from identifying, demonstrating and selling valued pharmaceutical care and cost solutions that meet the desired outcomes of the customer; general management of the account, including P&L responsibility; and accountability for contract compliance. Accountable for developing and executing the strategic plan for their accounts in conjunction with sales and operations.

• Performs customer centric pharmacy services.

• Owns overall account satisfaction for all assigned accounts.

• Develops strong relationships with pharmacy department or designated customer contacts.

• Directs operations account manager in resolving customer service issues and actions supportive of the achievement of customer service requirements including attainment of performance guarantees and minimization of performance penalty expense.

• Maintains knowledge in all aspects of the contracts with assigned customers as well as ensuring ongoing contract performance through risk management activities including assurance of Service Level Agreement performance, assurance of accuracy of claims payment and administrative policies, rate maximization through ongoing benefit analysis and adherence to requirements of the account's legal and regulatory environment.

• Creates and maintains partnerships with customers through the development, implementation and execution of strategic business plans that result in long term retention of profitable relationships.

• Ensures all Customer and Account-Facing services are provided in a consistent and timely fashion.

• Demonstrates the value of pharmacy solutions (unit cost, utilization management & patient care enhancement).

• Identifies opportunities for additional services that address unmet customer needs.

• Provides clinical operations input and support of client specific claims processing programs, coordinates implementations of clinical projects and programs and provides support to client-specific Pharmacy and Therapeutics functions, DUR committees and responsibilities.

• Supports elevated customer service and prior authorization inquiries specific to assigned accounts.

• Manages financial aspects of account(s).

• Ensures revenue goals are met, cost of care and administrative expenses managed, and EBIDTA targets achieved for the assigned account(s).

• Ensures contract performance through risk management activities including such items as assurance of Service Level Agreement performance in Care Management Centers and Shared Services, assurance of claims accuracy payment/administrative policies, rate maximization through ongoing benefit analysis and adherence to requirements of the account's legal and regulatory environment.

• Develops opportunities: Seeks and identifies pharmacy products and service requirements based on a thorough understanding of each customer's strategic business goals and the strategic business direction of the product set.

• Aggressively drives up-sell of pharmacy program solutions through consultative methods and ensures flawless handoff to sales and relationship management for contract execution.

• Supports sales and account management in renewal activities related to assigned accounts.

• Manages talent: Accountable for identifying creative talent to serve the account, as well as retention of high performing team members.

• Ensures staff is trained and receive opportunities to learn new things.

  Other Job Requirements

Responsibilities

5+ years' experience in pharmacy, managed care or PBM

2+ years' experience in a leadership role.

General Job Information

Title

Pharmacist Account Executive-Remote-Idaho

Grade

31

Work Experience - Required

Management/Leadership, Pharmacy

Work Experience - Preferred

Education - Required

Bachelors - Pharmacy

Education - Preferred

Masters - Pharmacy

License and Certifications - Required

RPH - Registered Pharmacist - Pharmacy

License and Certifications - Preferred

PharmD - Doctor Of Pharmacy, State Licensure - Pharmacy

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.

Job Detail

• Company:
  Magellan Health Services

Job Description

This position is in support of schools local to NS Mayport. Candidates must be local to NS Mayport or willing to relocate to become local and and must be licensed in the state of Florida as Mental Health Counselor (LMHC), Therapist (LMFT), or Social Worker (LCSW).

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.

Job Detail

• Company:
  Magellan Health Services

Job Description

This position is included in a Collective Bargaining Unit.

This position is in support of Camp Lejeune. Candidates must be local to Camp Lejeune and licensed at the independent level in the state of North Carolina as a Therapist (LMFT), Mental Health Counselor (LCMHC), or Social Worker (LCSW).

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 Family Life Counselor

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.

Job Detail

• Company:
  Magellan Health Services

Job Description

This position is in support of schools affiliated with Eglin AFB. Candidates must be local to Eglin AFB and be licensed at the independent level in the state of Florida as a Mental Health Counselor (LMHC), Therapist (LMFT), or Social Worker (LCSW).

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.

Job Detail

• Company:
  Magellan Health Services

Job Description

This position is covered under a Collective Bargaining Agreement.

This position is in support of Stout and Baez CDC on base at Fort Bragg. Candidates must be local to Fort Bragg and licensed at the independent level in the state of North Carolina as an LCSW, LMFT, or LCMHC.

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 Family Life Counselor Child and 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.

Job Detail

• Company:
  Magellan Health Services

Job Description

This position is included in a Collective Bargaining Unit.

This position is working at Shughart Elementary School in affiliation with Fort Bragg. Candidates must to be local to the position and licensed at the independent level in the state of North Carolina as a Social Worker (LCSW); Therapist (LMFT); or Mental Health Counselor (LCMHC).

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

School Military Family Life Counselor

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.

Job Detail

• Company:
  Magellan Health Services

Job Description

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.

Job Detail

• Company:
  Magellan Health Services

Job Description

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.

Job Detail

• Company:
  Magellan Health Services

Job Description

With minimal supervision, creates new accounts or modifications to existing accounts. Works membership related issues. Monitors receipt of expected membership files and runs load jobs. Establishes and maintains effective and collaborative relationships with clients and vendor. Monitors and ensures performance standards and guarantees are met.

• Participates with implementation teams to set up eligibility for new accounts.

• Leads the Eligibility work effort with the client and the vendor through development to production.

• Coordinates with IT and vendor to define file layout and mapping requirements.

• Coordinates configuration changes or addition of business lines to existing accounts.

• Monitors receipt of expected membership files, notify client and account management of delayed files.

• Builds and fosters client relationship.

• Runs membership load jobs. Researches issues for root cause.

• Leads the effort with client and/or vendor to resolve all issues.

• Responsible for initial Setup and ongoing maintenance of Eligibility setup / configuration.

• Provides reporting to Management on a monthly and quarterly basis activity against documented standards and performance guarantees.

• Identifies client data trends and acts as consultant to client to improve quality of data and the member experience.

  Other Job Requirements

Responsibilities

Minimum of 2 years of customer service, claims, or general office experience.

Proficient with MS Office software.

Ability to type 60 WPM.

Strong ten key user.

Results and solution oriented; not afraid to ask questions

Proficient in Microsoft Office Suite, with primary focus being MS Excel and MS Access.

General Job Information

Title

Eligibility Processor II

Grade

17

Work Experience - Required

Claims, Customer Service

Work Experience - Preferred

Education - Required

GED, High School

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.

Job Detail

• Company:
  Magellan Health Services

Job Description

Coordinates appeals process as assigned, attends to risk management issues associated with case management and processes appeal requests. In some cases may be combined with Grievance Coordinator functions.

• Maintains a caseload and monitors day to day compliance of appeal decision time frames.

• Reviews clinical and medical records for completeness and determines administrative or clinical appeal.

• Assigns reviews to physician advisers and medical directors for those requiring medical necessity reviews.

• Enters all data related to appeals and case reviews into a database.

• Prepares and presents information on appeals to panels second-level multi-disciplinary committee.

• Participates in data gathering and analysis of reports regarding appeal activity as well as preparing for appeals audits, provides new employee training, monitors QI (Quality Improvement) activities of appeals department, and assists in the development of depart flows and implementations.

• Coordinates and distributes first, second and third level appeal request assignments.

• Consults with managers on problem cases and interfaces with case managers, clinical supervisors, account managers and other personnel in resolving denial and appeal questions.

• Responds to member, provider, and client telephone inquiries regarding status, process and outcome of appeals.

• Organizes volume of work and work-flow so that performance standards and proper procedures for appeals resolution according to client requirements and state and federal regulations are addressed.

  Other Job Requirements

Responsibilities

Experience in customer interactions and detailed review of health related materials.

Strong interpersonal skills and attention to detail.

Ability to organize work and seek help on tasks where needed.

Strong writing and proofing skills required ensuring documents meet standards and are accurate.

General Job Information

Title

Appeals Coordinator - Remote

Grade

18

Work Experience - Required

Customer Service

Work Experience - Preferred

Education - Required

GED, High School

Education - Preferred

Associates

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.

Job Detail

• Company:
  Magellan Health Services

Job Description

Responsible for the resolution of clinical appeals. Reviews documentation and interprets data obtained from clinical records to apply appropriate clinical and administrative criteria and policies in line with regulatory and accreditation requirements for member and provider appeals and disputes. Independently coordinates the clinical resolution with internal and external clinician and medical management support as required. Documents and summarizes to all parties involved in the case investigation's results.

• Communicates with medical office personnel to obtain pertinent clinical history and information. Documents and summarizes clinical or administrative rationale for all approvals and denials to all parties involved in the case.

• Implements quality assurance plans for specific contracts and coordinates this activity with the appropriate account managers or dedicated quality assurance staff.

• Interfaces with other departments to satisfactorily resolve issues related to appeals and retrospective reviews.

• Participates in on-going training programs to ensure quality performance is in compliance with applicable standards and regulations.

• Practices and maintains the principles of utilization management and appeals management by adhering to company policies and procedures.

• Provides optimum customer service through professional and accurate communication while maintaining accreditation and health plan's required timeframes.

• Documents communications with medical office staff and/or MD provider as required.

• Refers cases to appropriate internal reviewers according to the business needs of the particular health plan.

• Researches requests for post-determination review and categorizes each for processing based on the applicable health plan policies and procedures.

• Reviews and coordinates documentation; interprets data obtained from clinical records and ensures appropriate clinical criteria and policies are aligned with regulatory and accreditation requirements for members and providers.

• Tracks all post-determination cases to completion to ensure compliance.

• Trains new employees on the appeals and de-certification process as needed.

• Works closely with the appeals-dedicated Clinical Reviewers to ensure timely adjudication of processed appeals.

  Other Job Requirements

Responsibilities

Requires 1-3 years' experience and is a LPN.

Must be able to exercise independent and sound judgment in clinical decision making.

Must be computer literate and able to navigate through internal and external computer systems.

Strong organizational and effective time management skills; demonstrated ability to manage multiple priorities are a must.

Outstanding interpersonal and negotiation skills to effectively establish positive relationships both internally and externally.

Strong written and verbal communication skills.

General Job Information

Title

Appeals Nurse - Phoenix, AZ

Grade

24

Work Experience - Required

Clinical

Work Experience - Preferred

Education - Required

Associates - Nursing

Education - Preferred

License and Certifications - Required

LPN - Licensed Practical Nurse - 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.

Job Detail

• Company:
  Magellan Health Services

Job Description

Looking for a Lead Oracle Database Administrator with 5+ years of experience. This is a remote opportunity, allowing you to work from the comfort of your own home from anywhere inside the US. Looking for Oracle DBA candidate, any Netezza experience is a plus and any AWS Redshift a large plus as this is the go-forward.

This position will act as the technical liaison between operations teams, engineers and architects, providing critical operational insight to upcoming implementations and strategies, including validation of ongoing solutions supportability and Oracle 19C upgrade.

This is a fully remote position, allowing you to work from home from anywhere in the US.

This position will act as the technical liaison between operations teams, engineers and architects, providing critical operational insight to upcoming implementations and strategies, including validation of ongoing solutions supportability. Function as primary practitioner coach on the team to grow the capabilities of other engineers on the team. Manage projects using agile methods. Define improvements to increase system reliability, security and performance. Document the design, operation and troubleshooting of Disaster Recovery and Business Resumption. Ensures proper instrumentation of Infrastructure to align with Production Assurance processes (Event, Incident, Change, Release and Problem management). Understand the relationship between applications and infrastructure, lead instrumentation of automation necessary for DevOps.

• Performs daily database and database application support which includes the following tasks: Contributing to 24x7x365 staff coverage, Oracle, SQL Server, MongoDB and MariaDB, MySQL, Hadoop, Redshift, AWS EMR database and application server administration.

• Assists with all duties related to on-going operational database infrastructure on premise and in the cloud.

• Creates and maintains database objects.

• Monitors, troubleshoots and resolves failed tasks or database issues. May create database, assign permissions and resolve connectivity issues.

• Creates templates and checklists for operational tasks like database creation, high-availability, monitoring, backups etc.

• Assists IT management in prioritizing database administration team projects.

• Monitors database storage allocation and usage daily as well as other resource usage.

• Assists with backup standards and schedules, and recovery procedures.

• Security plan development, testing and maintenance. Intent of this security plan is to establish a means of providing complete accountability for any and all use of the databases.

• Develops and maintains the portions of the disaster recovery plan that pertain to the database servers and provide documentation of the steps necessary to perform the disaster recovery process. This documentation must provide detailed instructions on how to perform the disaster recovery plan at a level of explanation that any member of IT would be able to perform the steps.

• Advises developers/end users on issues such as database design and application architecture.

• Provides performance turning related to database technology and database/server configuration.

• Exports/imports data and data replication.

• Job and events scheduling.

• Leads and manage projects for both internal DBAs and external IT teams.

• Assigns work to team as necessary.

  Other Job Requirements

Responsibilities

5+ years of relevant experience deploying and/or administrating infrastructure solutions. Requires strong knowledge and experience with multiple infrastructure solutions.

Experience moving across different departments within IT to gain a broader perspective of the business/industry.

Familiar with a variety of concepts, practices, and procedures.

Critical thinker.

Demonstrated problem solving techniques.

Strong verbal and written communication skills.

Ability to mentor teams

Appetite to quickly learn.

Experience in health care, insurance or related field.

General Job Information

Title

Lead Oracle Database Administrator - Fully remote

Grade

28

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.

Job Detail

• Company:
  Magellan Health Services

Job Description

Health Guide - R00000050037 DESCRIPTION/RESPONSIBILITIES:Provides ongoing, community-based support for an assigned caseload of health plan enrollees to improve access to care and care coordination. Establishes a relationship with the enrollee, the care coordination team, and providers. Conducts new enrollee outreach and orientation, arranges appointments and transportation as needed. Assists the enrollee in learning to navigate the health care delivery system, community resources, transportation, and effectively use health plan benefits.* Conducts outreach and orientation for new enrollees. Gathers information needed to ensure continuity of care and permission to share information.* Administers Health and Wellness Questionnaire.* Seeks connection by working with the Peer Support Specialist and leveraging community services, care providers, family members, schools, etc.* Assists enrollees in accessing care and ensures care is received. Helps members, as needed, in selecting providers, making appointments, and planning transportation.* Contacts enrollee or provider to ensure appointments have occurred. Assists in transitions of care to and from alternative levels of care or settings.* Makes follow up care arrangements and ensures post-hospital care is delivered as planned.* Meets with enrollee regularly (as determined by individual risks) in order to monitor progress according to the Care Coordination Plan.* Reminds enrollee of self-management tools and crisis support. Informs and engages the Care Coordination Team if enrollee has difficulty adhering to the care coordination plan or adhering to treatment and needs additional support.* Works with enrollee and family/supports to engage in socialization, work or volunteer related activities, or access community resources and services.* Maintains up to date documentation in the Care Coordination Plan and other Health Services tools.* Prepares information for Care Coordination Team meetings and as requested, for shared treatment planning sessions. Other Job RequirementsResponsibilitiesExperience in community service, health care or social services and/or community-based or home health care experience required, Experience with individuals who have severe mental illness or chronic medical conditions. General Job InformationTitleHealth Guide Grade19 Work Experience - RequiredClinical Work Experience - PreferredManaged Healthcare Education - RequiredEducation - PreferredAssociates, Bachelors License and Certifications - RequiredDL - Driver License, Valid In State - Other License and Certifications - PreferredLPN - Licensed Practical Nurse - 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.

Job Detail

• Company:
  Magellan Health Services

Job Description

This position is a full-time, temporary, one-year benefited position that will provide training in a variety of areas related to managed care. The resident will have learning experiences that include, but not limited to Pharmacy Operations, Formulary Management, Specialty Pharmacy, Government Programs, Integrated Care Management, Medication Therapy Management, P&T Committee Management, Quality Improvement, Business Management, etc.

The resident is expected to perform with high expectations with significant amount of responsibilities. We view the resident as an integral part of the clinical team, and will be assigned tasks and projects that will stretch their abilities in order to develop into a competent managed care pharmacist.

• P&T Committee participation

• Formulary Management

• Benefit Design

• Specialty Pharmacy Management

• Telephonic and Outpatient Clinic MTM Services

• Student Precepting.

• Participation in projects and clinical studies for presentation

• Other related duties and projects, as assigned.

  Other Job Requirements

Responsibilities

Doctor of Pharmacy (PharmD) from an ACPE accredited College of Pharmacy.

GPA of 3.0 or higher.

Eligible for Licensure in the State of Utah within the first 60 days of the program.

3 Letters of Recommendation.

Letter of Intent.

General Job Information

Title

Pharmacist, Resident - MRx Residency Program

Grade

19

Work Experience - Required

Pharmacy

Work Experience - Preferred

Education - Required

PharmD

Education - Preferred

License and Certifications - Required

PharmD - Doctor Of Pharmacy, State Licensure - 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.

Job Detail

• Company:
  Magellan Health Services

Job Description

Ideal candidate would possess the following skills:

• High level attention to detail.

• Ability to visualize outside of the box

• High Level organization skills

• Advanced user in Microsoft Office

• Advanced user skills for computers overall

• Proven capability to master new systems

• Effective communication skills with others via technology or live interactions

Serves as liaison between departmental team business owners, end users, IT, Claims and Clinical departments. Responds to ad hoc requests for support, reports and analysis. Supports departmental management team by providing trending and performance data. Supports special projects. Maintains and monitors reporting queues and requests (if appropriate), and internal share point sites. May participate in full life cycle development by performing requirements analysis, process development and design, and testing using development methodology. Collaborates with functional teams, as well as with IT business analysts and programmers to develop detailed design specifications according to standards.

• Develops and documents workflow, systems requirements, system impact analysis, systems design, process analysis and testing (including reasonableness checks) using software development methodology to provide efficient, cost-effective solutions as directed.

• Identifies impact of solutions on existing and future systems. May perform operational activities.

• Creates and maintains standard related reports to support operational and development needs.

• Manages reporting and requests for ad hoc reports to support sales, implementation, new product development, specials.

• Queries data warehouse and internal databases and prepares user friendly reports according to outlined requirements.

• Creates and maintains internal management tools and databases to support CQI, rates, workflow business rules and system configuration, reimbursement and document management requirements.

• Develops and maintains project plans.

• Manages small to medium sized projects, system enhancements impacting data management.

• Conducts root cause analyses, gathering data to pinpoint problem areas on which to focus, validating that the analysis is data driven, recommending and implementing solutions and evaluating those results, and implementing controls to monitor consistent use of the solution.

• Participates in design plans for implementation, produces user documentation and training materials. May conduct end user training.

• Provides status reports that give a detailed description of the current project's progress and indicates time devoted to each task of the project; leads status meetings, creating agendas and documenting meeting minutes as needed.

• Identifies reporting needs based on system configuration and workflows and documents reporting requirements and testing of new reports in development prior to implementation to Production.

• Participates in initiatives or projects that support process improvements, leveraging new system capabilities or the integration of data/other applications into existing systems.

• Performs other duties as assigned.

  Other Job Requirements

Responsibilities

Analytical/problem solving skills.

Excellent verbal and written communication skills.

Strong PC skills.

Proficient in using standard software.

Knowledge of system process analysis and/or program management, estimating IT system development and testing.

General Job Information

Title

Data Specialist

Grade

21

Work Experience - Required

Business Analysis

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.

Job Detail

• Company:
  Magellan Health Services

Job Description

Provides professional military personnel support services to the U.S. Navy's Identification Card Administration (ICA) program at Navy installations designated as Defense Enrollment Eligibility Reporting System (DEERS) and Real-time Automated Personnel Identification System (RAPIDS) sites.

• Serves as ID Card/Common Access Card (CAC) customer service specialist trained and certified by the Defense Manpower Data Center (DMDC).

• Delivers ID Card services to all personnel assigned to support customer commands, other military service personnel, retirees and their dependents, and contractors verified through the Trusted Associate Sponsorship System (TASS).

• Performs as a Verifying Official (VO) on DEERS/RAPIDS terminal and ensures inputted data for accuracy and correctness.

• Verifies the identity and eligibility of authorized DoD beneficiaries, issues DoD Identification Cards and performs DEERS updates in accordance with DoD regulations and AFI 36-3026.

• Issues and strictly controls Armed Forces identification and privilege cards for all eligible personnel, (i.e., active duty military, retired military, 100% Disabled American Veteran (DAV) and respective dependents and verified contractors.

• Operates and maintains RAPIDS workstations, processes CACs, assists customers with questions concerning identification card eligibility, application requirements and DEERS, and answers telephone inquiries.

• Accomplishes DEERS enrollment and updates for all eligible beneficiaries, reconciles erroneous DEERS information, performs PIN resets, verifying and updating PKI certificates, and provides other ICA services as necessary.

• May also be certified by DMDC as Site Security Manager (SSM) with responsibility for the safekeeping, storing, and accountability of the CAC and related consumable materials.

• Maintains RAPIDS equipment within the physical parameters and configurations established at the time of installation.

• Performs -User Maintenance on RAPIDS equipment.

  Other Job Requirements

Responsibilities

High School diploma or equivalent.

1+ years' experience in a Customer Service environment.

HR background in one of the following disciplines: Military Pay, Military Personnel, Travel Claims or Navy Transportation.

Substitutions for HR background can be from similar experience gained in either the private sector or other Federal Agency.

Proficient in both oral and written communication to communicate effectively and explain complex actions regarding military entitlements, allowances and collections.

Working knowledge of Microsoft Office Products, i.e. Word, Excel, Power Point.

Working knowledge of standard office equipment such as computers, electric typewriters, copiers, fax machines, scanners and other office automation systems.

Must be U.S. citizen and possess favorably adjudicated Tier 3 (NACLC) security investigation.

General Job Information

Title

Part Time Intermittent ID Card Specialist (Personnel Assistant II), NAVY ICA

Grade

WDNICAPAII

Work Experience - Required

Work Experience - Preferred

Education - Required

High School

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.

Job Detail

• Company:
  Magellan Health Services

Job Description

Must hold a VA independent license such as LPC, LCSW, LMFT.

Primary responsibility of providing the full breadth of MFLC (Military Family Life Counseling) counseling services to military service members and their families at military installations. Services include non-medical, short-term, walk-around counseling, training/health and wellness presentations, provision of health fairs, and consultation to installation command regarding behavioral health issues. Works 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, walk-around counseling directly to service and family members. 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, participates in health fairs and other base/installation 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.

• 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. Establishes and maintains working relationships with community resources and provides appropriate linkages for service members and their families. Partners with POC to provide MFLC services in a manner that addresses the needs of the installation. Develops an effective and professional working relationship with the installation POC.

• Provides MFLC response to critical incidents, surge and on demand events, 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 of 5 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 be fluent in 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 socio-economic backgrounds.

Pass a National Agency Check and Inquiries (NACI) Clearance and an Installation Records Check (IRC), Criminal History 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 - Charlottesville

Grade

MFLC Tier 4

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.

Job Detail

• Company:
  Magellan Health Services