Company Detail

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

Job Description

Provides direct support to organizations and their employees through the delivery of assessment, consultation, education and triage services. Uses knowledge of federal regulations to assist organizations in their appropriate handling of employee concerns and problems. Consults with employees and organizations on variety of workplace and work based issues. Provides clinical expertise in order to restore employees with diminished performance to healthy functioning.

• Provides employee consultation related to specific personal problems and concerns. Provides crisis assessment and intervention as needed.

• Completes clinical and administrative documentation and required forms in a clear and concise manner.

• Manages caseload and other tasks to meet both qualitative and quantitative performance expectations.

• Provides behavioral health assessments, accurate clinical diagnoses, and referral to appropriate level of care. Provides expert consultation to employees and/or supervisors on a variety of workplace and work based issues.

• Provides information and referral to community resources as appropriate.

• Provides clinical consultation/staffing in absence of EAP Manager.

• Participates in activities as requested that help improve SBU and/or client performance, excellence and culture.

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

• Demonstrates flexibility in areas such as job duties and schedule to aid in better serving its members and help Magellan achieve its business and operational goals.

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

  Other Job Requirements

Responsibilities

2 years post graduate clinical experience., Clinical training must include instruction on chemical dependency, mental health and brief therapy.

Must have understanding of workplace issues, how businesses function and a fundamental understanding of employee/employer relationships.

Must be capable of acquiring an understanding of EEO rules, ADA in the workplace, FMLA, and Drug Free Workplace Requirements.

Must be able to provide accurate client assessment including level of risk, substance abuse and dependency, job performance issues and refer to appropriate level of care.

Competent in crisis intervention.

Demonstrate knowledge and expertise in solution-focused, brief therapy in outpatient setting. Strong customer service skills required.

Must be able to sensitively, compassionately respond to callers. Excellent listening skills vital.

Interact effectively at all levels both within the company and with external customers.

Analyze and present issues in a clear, concise, persuasive manner, both orally and in writing.

Use time to manage caseload and documentation effectively.

Meet productivity targets and quality management expectations.

Develop effective working relationships with peers within and across organizational lines.

Effectively resolves individual conflicts.

Supports department mission and keeps management informed of team issues.

Takes responsibility for own development and stays current on skills and techniques needed to perform job.

Flexible; adjust well to new situations and changing priorities.

Comfortable with ambiguity and stress while handling a variety of assignments.

Maintain a positive, achievement-oriented attitude and consistent in accomplishing expected objectives.

General Job Information

Title

EAP Consultant - Part Time 20 hours/Nights and Weekends

Grade

23

Work Experience - Required

Clinical, Employee Assistance Program (EAP)

Work Experience - Preferred

Education - Required

Masters - Behavioral Health

Education - Preferred

License and Certifications - Required

Current licensure required for this position that meets State, Commonwealth or customer-specific requirements - Care Mgmt, LCSW-C - Licensed Certified Social Worker - Clinical - Care Mgmt, LCSW - Licensed Clinical Social Worker - Care Mgmt, LMHC - Licensed Mental Health Counselor - Care Mgmt, LMHP - Licensed Mental Health Professional - Care Mgmt, LPCC - Licensed Professional Clinical Counselor - Care Mgmt, LPC - Licensed Professional Counselor - Care Mgmt, Must be an independently licensed behavioral health clinician - Care Mgmt

License and Certifications - Preferred

CEAP - Certified Employee Assistance Professional - Care Mgmt

Magellan Health, Inc. is proud to be an Equal Opportunity Employer and a Tobacco-free workplace. EOE/M/F/Vet/Disabled.Every employee must understand, comply with and attest to the security responsibilities and security controls unique to their position; and comply with all applicable legal, regulatory, and contractual requirements and internal policies and procedures.

Job Detail

• Company:
  Magellan Health Services

Job Description

Provides direct support to organizations and their employees through the delivery of assessment, consultation, education and triage services. Uses knowledge of federal regulations to assist organizations in their appropriate handling of employee concerns and problems. Consults with employees and organizations on variety of workplace and work based issues. Provides clinical expertise in order to restore employees with diminished performance to healthy functioning.

• Provides employee consultation related to specific personal problems and concerns. Provides crisis assessment and intervention as needed.

• Completes clinical and administrative documentation and required forms in a clear and concise manner.

• Manages caseload and other tasks to meet both qualitative and quantitative performance expectations.

• Provides behavioral health assessments, accurate clinical diagnoses, and referral to appropriate level of care. Provides expert consultation to employees and/or supervisors on a variety of workplace and work based issues.

• Provides information and referral to community resources as appropriate.

• Provides clinical consultation/staffing in absence of EAP Manager.

• Participates in activities as requested that help improve SBU and/or client performance, excellence and culture.

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

• Demonstrates flexibility in areas such as job duties and schedule to aid in better serving its members and help Magellan achieve its business and operational goals.

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

  Other Job Requirements

Responsibilities

2 years post graduate clinical experience., Clinical training must include instruction on chemical dependency, mental health and brief therapy.

Must have understanding of workplace issues, how businesses function and a fundamental understanding of employee/employer relationships.

Must be capable of acquiring an understanding of EEO rules, ADA in the workplace, FMLA, and Drug Free Workplace Requirements.

Must be able to provide accurate client assessment including level of risk, substance abuse and dependency, job performance issues and refer to appropriate level of care.

Competent in crisis intervention.

Demonstrate knowledge and expertise in solution-focused, brief therapy in outpatient setting. Strong customer service skills required.

Must be able to sensitively, compassionately respond to callers. Excellent listening skills vital.

Interact effectively at all levels both within the company and with external customers.

Analyze and present issues in a clear, concise, persuasive manner, both orally and in writing.

Use time to manage caseload and documentation effectively.

Meet productivity targets and quality management expectations.

Develop effective working relationships with peers within and across organizational lines.

Effectively resolves individual conflicts.

Supports department mission and keeps management informed of team issues.

Takes responsibility for own development and stays current on skills and techniques needed to perform job.

Flexible; adjust well to new situations and changing priorities.

Comfortable with ambiguity and stress while handling a variety of assignments.

Maintain a positive, achievement-oriented attitude and consistent in accomplishing expected objectives.

General Job Information

Title

EAP Consultant - 2nd Shift or 3rd Shift

Grade

23

Work Experience - Required

Clinical, Employee Assistance Program (EAP)

Work Experience - Preferred

Education - Required

Masters - Behavioral Health

Education - Preferred

License and Certifications - Required

Current licensure required for this position that meets State, Commonwealth or customer-specific requirements - Care Mgmt, LCSW-C - Licensed Certified Social Worker - Clinical - Care Mgmt, LCSW - Licensed Clinical Social Worker - Care Mgmt, LMHC - Licensed Mental Health Counselor - Care Mgmt, LMHP - Licensed Mental Health Professional - Care Mgmt, LPCC - Licensed Professional Clinical Counselor - Care Mgmt, LPC - Licensed Professional Counselor - Care Mgmt, Must be an independently licensed behavioral health clinician - Care Mgmt

License and Certifications - Preferred

CEAP - Certified Employee Assistance Professional - Care Mgmt

Magellan Health, Inc. is proud to be an Equal Opportunity Employer and a Tobacco-free workplace. EOE/M/F/Vet/Disabled.Every employee must understand, comply with and attest to the security responsibilities and security controls unique to their position; and comply with all applicable legal, regulatory, and contractual requirements and internal policies and procedures.

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

Provides services in support of the advocacy, intervention, prevention, education and training to address domestic violence under the Army's Family Advocacy Program (FAP). This position supports the Army's Victim Advocacy Program (VAP) which provides comprehensive services 24 hours a day, 7 days per week, to assist and advocate for victims of domestic abuse and to ensure a victim's easy transition to community resources. The victim advocate (VA) serves Soldiers and Army Families living on and off the installation in accordance with the program protocol.

• Provides crisis intervention and comprehensive services to include emotional support, arrangement of transportation; accompany victims to medical, legal and/or law enforcement appointments (when requested), assist in securing protective orders, emergency food and/or shelter and information benefits.

• Works directly with victims to ensure that expressed needs are advocated and presented to personnel at intervening agencies.

• Assesses imminent risks for health and/or safety of the victim and make referrals as appropriate.

• Assists victims with navigating the system to obtain the services desired and refer victims to the appropriate services for continued care.

• Ensures victims of domestic abuse receive sensitive, confidential and immediate comprehensive care and treatment needed to restore health and well-being.

• Performs initial screening, non- clinical risk and lethality assessment and safety planning with victims of domestic abuse.

• Assists victims in developing safety plans, conduct a lethality assessment, and provide emotional support, crisis intervention, prevention awareness and education to victims.

• Liaisons with the installation Family Advocacy Program Manager (FAPM) to ensure that comprehensive victim services and training are provided through a coordinated community response to domestic abuse victims, , Family Members, Soldiers and Civilians authorized to receive services at a Military Treatment Facility.

• Provides crisis intervention and a warm hand off to community resources for victims who are not eligible for services through a Military Treatment Facility.

• Provides information on victim rights, services and resources available on and/or off the installation.

• Coordinates with the (FAPM) to develop procedures that ensure victims of domestic abuse receive timely and appropriate information.

• When contacted by a victim of domestic abuse, make contact either telephonically within 20 minutes or face to face within 60 minutes (when requested) by the victim.

• Explains FAP disclosure and reporting options during the initial contact to ensure that the victim makes informed decisions about disclosing information regarding the abuse.

• Ensures that first responders, (Emergency Medical Services and or law enforcement etc.) are contacted immediately during crisis situations where there is imminent harm to the victim, their children or program staff..

• Operates within established guidelines of the FAP and the Victim Advocacy Program, AR 608-18.

• Conducts domestic abuse training and awareness programs to educate Soldiers and Family members and Civilians.

• Understanding of Problematic Sexual Behavior- Child and Youth (PSB-CY)

• Guide client families through the investigative process, encourage their participation in the process, and help them understand their rights as a victim of a crime.

• Formulate appropriate intervention strategies to improve a family's coping skills during a child abuse case investigation and prosecution process.

• Identify and make every attempt to meet the needs of children and families who may be in crisis

• Educate non-offending caregivers about the dynamics and possible long-term consequences of child abuse

• Assess family needs and encourage non-offending caregivers to participate in recommended services and counseling.

• Provide information and assistance with completing Crime Victims'' Compensation applications.

• Serve as a liaison between the family and multidisciplinary team members as needed.

• Assist multidisciplinary team members in identifying client needs and providing recommendations.

• Represent the child and family's best interest at multidisciplinary team case review meetings.

• Accompany non-offending caregivers to court or other appointments, when requested.

• Participate in relevant community awareness, campaigns and prevention events.

• Maintain ongoing case management, all data entry must be completed within three business days.

• Ensure daily contact with a victim while in crisis and no

• When a victim departs the servicing area, case shall be transferred as appropriate, when advocacy services are completed, the case will be closed as appropriate, with concurrence from the FAPM.

• Part Time Positions: part time positions vary in hours from 12 - 35 hours per week. Flexible schedule is required for this position, as you will be asked to work primarily nights, weekends, and some hours during the day, depending on the needs of the installation. More information will be provided if you are selected for the interview process.

  Other Job Requirements

Responsibilities

Bachelor"s Degree from an accredited school in social/work, psychology, marriage, family, and child counseling, counseling or behavioral science, education, community health or public health.

Two years" experience working with victims of domestic abuse/sexual assault violence or victim advocacy services.

Working knowledge of Family violence dynamics, safety planning, risk assessments, local community resources, and federal and state laws pertaining to domestic abuse or sexual assault, Family law and the Victim Rights Bill.

Possess ability to intervene in crisis situations, using sound professional judgment, ethical practice, and common sense.

Ability to work independently to assess risk, develop, implement, and evaluate safety and intervention plans to meet victim needs.

Demonstrated understanding, sensitivity, and empathy for victims.

Possess the ability to develop trusting helping relationships.

Possess the ability to work effectively with individuals and families from diverse racial, ethnic, and socioeconomic backgrounds.

Ability to work cooperatively with military and civilian medical, social service, law enforcement, and legal personnel on behalf of victims.

Must possess and maintain a valid, unrestricted motor vehicle license.

Must possess transportation to transport victim in crisis (non-emergent) situations as a last resort.

Must be able to provide on-call 24 hours/7 days per week victim advocacy services.

General Job Information

Title

Victim Advocate, FASS

Grade

WDNFASSVA

Work Experience - Required

Victim Advocacy

Work Experience - Preferred

Military

Education - Required

Bachelors - Counseling

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 Lead agile software development efforts as a Technical Leader. This role will respond to audits and contribute to the RFP process. Ensure data governance and best practice is embraced. Responsible for understanding business and IT strategy to align with outcomes. Will be a hands-on Data and Integration Engineer who can write quality code, assist with problem solving, root cause analysis, trouble shooting and coaching. Must understand big picture from a business standpoint within the context of the application. Will define improvements to increase system reliability, security and performance. Perform rich data visualizations and presentations to senior management on value adds. May manage a team.

• Participate in defining strategic IT objectives and leading subordinates toward that strategic vision for their products.

• Acts as the primary focal point for both internal and external customers for software development tasks. This includes estimates of feasibility, time and effort of tasks.

• Provide updates to both the user community and the programmers.

• Monitor projects, determines potential problems and guides them to a successful completion.

• Ensure that all work is getting accomplished by making assignments and monitoring tasks. This includes balancing work between programmers, analysts, project managers, supervisors, and managers, and ensuring that the proper policies and procedures are being followed.

• Assists with budget preparation and management.

• Mentor and evaluate staff performance. - Continues to work hands-on doing programming and analysis work themselves.

• Tracks all project requests in functional area and updates status of projects on a regular basis.

• Assists in estimating work effort associated with new project requests.

• Assists in planning for the development and support of a functional systems area.

• Reviews and evaluates work of subordinate staff and prepares performance reports.

• Participates in planning and budgeting.

  Other Job Requirements

Responsibilities

7+ years related experience including a minimum of 3-4 years of designing, building and maintaining high quality, secure software in IT.

Agile and Design Thinking (Coursera).

Critical thinker.

Demonstrated problem solving techniques.

Strong verbal and written communication skills.

ServiceNow training.

General Job Information

Title

Principal Data and Integration Engineer

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

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

Must have clinical license in Washington, DC.

Provides direct support to organizations and their employees through the delivery of assessment, consultation, education and triage services. Uses knowledge of federal regulations to assist organizations in their appropriate handling of employee concerns and problems. Consults with employees and organizations on variety of workplace and work based issues. Provides clinical expertise in order to restore employees with diminished performance to healthy functioning.

• Provides employee consultation related to specific personal problems and concerns. Provides crisis assessment and intervention as needed.

• Completes clinical and administrative documentation and required forms in a clear and concise manner. Manages caseload and other tasks to meet both qualitative and quantitative performance expectations.

• Provides behavioral health assessments, accurate clinical diagnoses, and referral to appropriate level of care. Provides expert consultation to employees and/or supervisors on a variety of workplace and work based issues. Provides information and referral to community resources as appropriate. Provides clinical consultation/staffing in absence of EAP Manager.

• Participates in activities as requested that help improve SBU and/or client performance, excellence and culture.

• 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 to aid in better serving its members and help Magellan achieve its business and operational goals.

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

  Other Job Requirements

Responsibilities

Minimum of 5 years of clinical experience after receiving the graduate degree.

Clinical training must include instruction on chemical dependency, mental health and brief therapy.

Must have understanding of workplace issues, how businesses function and a fundamental understanding of employee/employer relationships.

Must be capable of acquiring an understanding of EEO rules, ADA in the workplace, FMLA, and Drug Free Workplace Requirements.

Must be able to provide accurate client assessment including level of risk, substance abuse and dependency, job performance issues and refer to appropriate level of care.

Competent in crisis intervention.

Demonstrates knowledge and expertise in solution-focused, brief therapy in outpatient setting.

Strong customer service skills required.

Must be able to sensitively, compassionately respond to callers. Excellent listening skills vital.

Interacts effectively at all levels both within the company and with external customers.

Analyzes and presents issues in a clear, concise, persuasive manner, both orally and in writing. Uses time to manage caseload and documentation effectively.

Meets productivity targets and quality management expectations.

Develops effective working relationships with peers within and across organizational lines.

Effectively resolves individual conflicts. Supports department mission and keeps management informed of team issues.

Takes responsibility for own development and stays current on skills and techniques needed to perform job.

Adjusts well to new situations and changing priorities.

Comfortable with ambiguity and stress while handling a variety of assignments.

Maintains a positive, achievement-oriented attitude and consistent in accomplishing expected objectives.

General Job Information

Title

Field EAP Counselor - USPS/FOH

Grade

23

Work Experience - Required

Clinical, Employee Assistance Program (EAP)

Work Experience - Preferred

Education - Required

Masters - Behavioral Health

Education - Preferred

License and Certifications - Required

Current licensure required for this position that meets State, Commonwealth or customer-specific requirements - Care Mgmt, LCSW-C - Licensed Certified Social Worker - Clinical - Care Mgmt, LCSW - Licensed Clinical Social Worker - Care Mgmt, LMHC - Licensed Mental Health Counselor - Care Mgmt, LPCC - Licensed Professional Clinical Counselor - Care Mgmt, LPC - Licensed Professional Counselor - Care Mgmt, Must be an independently licensed behavioral health clinician - Care Mgmt

License and Certifications - Preferred

CEAP - Certified Employee Assistance Professional - Care Mgmt

Magellan Health, Inc. is proud to be an Equal Opportunity Employer and a Tobacco-free workplace. EOE/M/F/Vet/Disabled.Every employee must understand, comply with and attest to the security responsibilities and security controls unique to their position; and comply with all applicable legal, regulatory, and contractual requirements and internal policies and procedures.

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

• Supports provider payment operational management by providing information, responding to questions, and resolving complex problems and issues

• Responsible for Financial internal control and policy and procedure development and documentation.

• Responsible for weekly provider payment process and report generation and reconciliation.

• Responsible for daily management of provider AR account balances through the timely processing of Action Notices into the FirstFinancial claims payment system.

• Responsible for semi-annual management of uncashed checks and escheatment.

• Preparation of monthly bank reconciliation.

• Responsible for finance SLA monitoring and supporting documentation.

• Manage the cadence and completion of the provider correspondence and mail merge process.

• Reconcile and balance the series of client reports.

Primary responsibilities include analyzing costs, preparing financial reports and providing recommendations to leadership for lines of business according to established policies, guidelines and methodologies. Prepare journal entries and analyses in conjunction with month end close process and meet monthly deadlines.

• Depending on area supporting, duties may vary.

• Analyzes complex financial information and reports; provides accurate and timely financial recommendations to management for decision making purposes.

• Develops sophisticated financial models. Provides recommendations based upon evaluation of financial trends and forecasts.

• Evaluates and monitors the efficiency and performance of programs, ensuring program execution is on target.

• Manages dashboard reporting by tracking monthly, quarterly and annual revenue and expenses.

• Obtains a thorough understanding of operating infrastructure of Strategic Business Unit(s) (SBUs) operations to be able to proactively analyze and identify opportunities for cost savings and revenue enhancements.

• Regularly reviews historical operating results and proactively identifies and analyzes potential revenue enhancement and cost saving opportunities.

• Performs a variety of pro forma financial and operating analyses as requested to support proposals.

• Reviews and understands fluctuations across SBUs in delivering cost of care and variations in cost of care. Differentiates impact of rate versus utilization variations.

• Supports SBUs by providing information, responding to questions and resolving complex problems and issues.

• If supporting Medicare Part D, will be responsible for implementing CMS requirements related direct and indirect plan remuneration, plan to plan reconciliation, monthly membership reports, coverage gap discount program, medical loss ratio reporting, fiscal soundness reporting, audit assistance and analysis of drug utilization and other costs trends.

• Other special projects as assigned.

  Other Job Requirements

Responsibilities

Requires financial analytical experience and demonstrated health care industry knowledge OR financial analytical experience and understanding of federal acquisition regulations if supporting Magellan Federal.

Ability to understand and analyze complex data sets and frame it to actionable analysis.

Understanding of the financial structure and business practices of the managed care industry OR federal acquisition regulations if supporting Magellan Federal.

Strong PC skills are essential, with advanced skills in Excel and Hyperion Essbase or other large enterprise financial software.

Roles supporting Magellan Federal require working knowledge of compliance requirements and accounting complexities

of federal government contracting, including Federal Acquisition Regulation (FAR) and Cost Accounting Standards) CAS.

General Job Information

Title

Financial Analyst II MediCal

Grade

23

Work Experience - Required

Finance

Work Experience - Preferred

Education - Required

Bachelors - Accounting, Bachelors - Finance

Education - Preferred

Masters

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

Interested in fully remote opportunity as an IT Analyst working for an innovative healthcare company where you can have an impact on people's lives? Apply today and come join us at Magellan Health as we lead the world toward a healthier future!

For this IT Analyst work from home position, we're looking for a junior to intermediate level IT Analyst who can perform requirements gathering, documentation, and testing. You'll be interacting with the ServiceNow platform, so any ServiceNow exposure or experience is a plus, but not required.

This position will analyze, evaluate and test business, IT or operational processes using scientific approaches such as Critical Thinking, Lean Management, ITIL, Design Thinking and structured systems analysis and design. Work with minimal direction and are capable of working quickly while delivering high-quality outputs. Collaborate across IT to understand features and technical implementation and ensure highest quality product delivery. Learn rapidly and enthusiastically, focusing on understanding the application/product/area in detail.

• With limited guidance, participate in requirements documentation, business systems configuration and defining/execution of acceptance criteria. Document issues and participate in their resolution.

• Track and measure metrics for key processes to deliver measurably differentiated business outcomes.

• With limited guidance develop, deploy, and execute test strategies to ensure the highest quality product delivery.

• Assist in design and implementation of scalable and efficient tools and processes to support all aspects pharmacy operations.

• Test applications and products at the user level, both manually and with automated tools

• Work closely with cross functional teams and across boundary organizations to gather requirements, assist in defining solutions.

• Test applications and products at the user level, both manually and with automated tools.

• Understand product testing in detail and update the test case with test execution results.

• Other duties as assigned.

  Other Job Requirements

Responsibilities

Bachelor or Associate degree courses in Programming, Data Structures and Algorithms, Information Design, Mathematics or equivalent hands-on experience.

Strong analytical and quantitative skills.

Strong organizational skills.

Excellent written and oral communication skills.

Ability to synthesize complex information.

Knowledge of QA methodology and problem solving tools/techniques.

Meticulous attention to detail.

Proficiency with analytical programming languages such as SQL.

Ability to develop process flow diagrams.

Knowledge of Agile Methods.

General Job Information

Title

IT Analyst - Remote

Grade

23

Work Experience - Required

IT

Work Experience - Preferred

Education - Required

A Combination of Education and Work Experience May Be Considered., Associates - Computer and Information Science, Bachelors - Computer and Information Science

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

Customer Service Associate II - R00000050245 DESCRIPTION/RESPONSIBILITIES:This position is a frontline service position providing assistance to Magellan?s members and providers regarding programs, policies, and procedures. Responsibilities include answering incoming calls related to eligibility, benefits, claims and authorization of services from members or providers. Responsibilities also include the administration of intake documentation into the appropriate systems. Overall expectations is to provide outstanding service to internal and external customers and strive to resolve member and provider needs on the first call. Performance expectations are to meet or exceed operations production and quality standards. * 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.* Assists in the mentoring and training of new staff.* Assumes full responsibility for self-development and career progression; proactively seek and participate in ongoing trainings (formal and informal).* Assembles and enters patient information into the appropriate delivery system to initiate the EAP, Care and Utilization management programs.* Demonstrates flexibility in areas such as job duties and schedule in order to aid in better serving members and help Magellan achieve its business and operational goals.* Educates providers on how to submit claims and when/where to submit a treatment plan.* Identifies and responds to Crisis calls and continues assistance with the Clinician until the call has been resolved.* Informs providers and members on Magellan's appeal process.* Leads or participates in activities as requested that help improve Care Center performance, excellence and culture.* Links or makes routine referrals and triage decisions not requiring clinical judgment.* Performs necessary follow-up tasks to ensure member or provider'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.* Updates self on ever changing information to ensure accuracy when dealing with members and providers.* Supports team members and participate in team activities to help build a high-performance team.* Documents customers comments/information and forwards required information to the appropriate staff. Other Job Requirements Responsibilities* Must be flexible in scheduling and comfortable with change as customer service is an ever-changing environment.* Responsible for meeting call handling requirements and daily telephone standards as set forth by management.* Must agree to observing service for the purpose of training and quality control.* Must be a proficient typist (avg. 35+ WPM) with strong written and verbal communication skills.* Must be able to maneuver through various computer platforms while verifying information on all calls.* Must be able to talk and type simultaneously. General Job Information TitleCustomer Service Associate II Grade17 Work Experience - RequiredCustomer Service Work Experience - Preferred Education - RequiredGED, High School Education - PreferredAssociates, Bachelors License and Certifications - Required License and C

Job Detail

• Company:
  Magellan Health Services

Job Description

Provide support to all eligible Families with expectant parents and parents of children from birth to 3 years of age. This program seeks to support young military Families which directly contribute to military mission readiness, support Family members' adaptation to military life, enhance the knowledge and skills for healthy relationships that can provide safe, nurturing environments for children to prevent family violence. Provide activities and services including information and referrals, parenting programs, respite care for children, and supervised play time for children. Families with children prenatal to 3 years old who have been assessed as being at risk for child maltreatment and/or Family violence can benefit from additional, more-intensive support from these services.

• Provides effective, timely and confidential services for Families who have been assessed as being at risk for child maltreatment and/or Family violence.

• Protects the privacy and confidentiality of client information.

• Identifies and reports suspected child abuse and neglect and domestic abuse.

• Assesses developmental milestones and referral procedures for indicators of special needs or developmental delays.

• Assesses and strengthening adaptation to parenthood.

• Assesses and strengthening parental capacity for problem-solving, building and sustaining trusting relationships, and seeking help when necessary.

• Promotes developmentally appropriate parenting skills and disciplinary techniques, and parent and child communication skills.

• Facilitates informal and formal community networks to build positive relationships and reduce social isolation.

• Develops relationships with local community and military installation officials and organizations that can maximize program effectiveness.

• Utilizes community-based services and formal and informal community networks to provide concrete support for families who may be in crisis.

• Utilizes methods for screening for, assessing, and addressing protective and risk factors associated with child abuse and neglect using a strengths-based Family centered developmental approach.

• Keeps tracking system up to date with case status.

• Participates in monthly conference calls and annual training events.

  Other Job Requirements

Responsibilities

Qualified candidates must have at least two (2) years of direct work experience in child abuse or domestic abuse, or maternal or child health or medical social work.

Must hold a current and active license as an LCSW, LMFT or RN.

Licensed Clinical Social Workers must possess a current, valid, unrestricted clinical license and a master's degree in Social Work to practice social work independently.

Registered Nurses must have at least a bachelor's degree in nursing, a current unrestricted license in one of the States or U.S. territories, and at least two (2) years of direct work experience with child abuse or domestic abuse, maternal or child health, public/community health, or mental health.

Must have home visitation experience.

Must have a valid driver's license, auto insurance and ability to operate a motor vehicle.

Must have working knowledge of basic computer skills and be able to use Microsoft Word, Power Point, and Excel programs.

Must be able to operate general office equipment including but not limited to: computer, phones and related media and information devices on most or all workdays.

Ability to communicate and interact with others, both in person and/or by telephone to conduct business.

Working under time pressure.

Working rapidly for long periods to meet deadlines.

Must be able to travel as needed and adhere to AFSC travel policies and procedures.

Must be able to enter private homes that may or may not provide easy access for those with physical disabilities or those recovering from physical rehabilitation or post-recovery mobility.

Position requires ability to transport self from office locations to private homes, other offices and facilities where training and other program activities occur.

General Job Information

Title

New Parent Support Program Child and Family Specialist

Grade

21

Work Experience - Required

Child Welfare

Work Experience - Preferred

Education - Required

Bachelors - Nursing, Masters - Counseling, Masters - Social Work

Education - Preferred

License and Certifications - Required

LCSW - Licensed Clinical Social Worker - Care Mgmt, LMFT - Licensed Marital and Family Therapist - Care Mgmt, RN - Registered Nurse, State and/or Compact State Licensure - Care Mgmt

License and Certifications - Preferred

Magellan Health, Inc. is proud to be an Equal Opportunity Employer and a Tobacco-free workplace. EOE/M/F/Vet/Disabled.Every employee must understand, comply with and attest to the security responsibilities and security controls unique to their position; and comply with all applicable legal, regulatory, and contractual requirements and internal policies and procedures.

Job Detail

• Company:
  Magellan Health Services

Job Description

This position is in support of schools affiliated with NAS Jacksonville. Candidates must be local to the base or be willing to relocate to become local and must 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 responsible for comprehensive management and ownership of fraud, waste and abuse investigations including development and presentation of investigative results. This individual carries out analytical and process management tasks with a high degree of autonomy. This individual serves as a corporate resource on fraud, waste and abuse issues and recommends cost containment projects with an emphasis on fraud prevention.

• INVESTIGATIONS

• Prioritize, triage and manage workload to meet internal performance metrics, regulatory and contractual requirements

• Use independent judgment to create investigative work plans and develop case strategies based upon analysis of referral data and contractual/regulatory requirements

• Analyze data and select audit samples using various sampling methodologies

• Plan and conduct desk audits, field audits and/or site visits

• Collect and analyze information to evaluate facts and circumstances through an extensive review of data from professional and facility providers, member data, contractual relationships, payment policies, Medicaid/Medicare rules and statutes, etc.

• Conduct research on medical policies and practices, provider characteristics, and related topics

• Interview patients, providers, provider staff, and other witnesses/experts

• Prepare correspondence

• Obtain and preserve physical and documentary evidence to support investigations

• Maintain comprehensive case files

• FRAUD, WASTE AND ABUSE DETECTION

• Triage and prioritize leads from internal and external sources

• Use knowledge of healthcare coding conventions, fraud schemes, and general areas of vulnerability, reimbursement methodologies, and relevant laws to find suspicious patterns in claims data, provider enrollment data, and other sources

• Remain up to date on published fraud cases, schemes, investigative techniques and methodologies, and industry trends

• PACKAGING OF FINDINGS AND RECOMMENDATIONS

• Organize data and prepare a written summary of investigative steps, conclusions, recommendations with attention to detail and a high level of accuracy

• Prepare clear and concise investigatory reports to support findings of potential fraud, waste and abuse

• CASE RESOLUTION

• Identify, communicate and recover losses as deemed appropriate

• Present case to internal department(s), law enforcement and/or regulatory agencies

• Support legal proceedings as needed, including testifying in court or working with law enforcement personnel to prepare cases for civil or criminal actions

• Negotiate settlement agreements with subjects and/or attorneys

• Assist in preparation, execution, and follow-up of settlement agreement terms

• CUSTOMER INTERACTIONS

• Make presentations to customers, prospects, conference audiences, and law enforcement

• Collaborate, consult, and coordinate regularly with clients on the status and direction of assignments

• Develop and maintain contacts/liaisons with law enforcement, regulatory agencies, task force members, other company SIU staff and external contacts involved in fraud investigation, detection and prevention

• MISCELLANEOUS DUTIES

• Represent client at industry task force meetings and meetings with regulatory agencies

• Measure and report performance metrics

• Identify opportunities and make recommendations for reduction of exposure to fraud, waste and abuse

• Consult on anti-fraud policies and procedures

• Other duties as assigned

  Other Job Requirements

Responsibilities

Minimum of five years of experience in fraud investigations, claims processing, auditing or provider networks.

Demonstrated abilities in time management and establishing priorities.

Strong listening and observation skills.

Impeccable work ethic, completely dependable, and proactive; a problem solver.

Proven ability to effectively handle cases of fraud and abuse in a discreet, confidential, and professional manner.

Demonstrated strategic and analytical thinking skills, with ability to effectively communicate conclusions and recommendations to management.

Comprehensive, practical knowledge of complex and diverse fraud investigative techniques and methodologies utilized in program audits.

Understanding of insurance terms and policy interpretation.

Ability to work to tight timelines when necessary.

Works independently; collaborates well with peers and customers.

Demonstrated ability to manage and prioritize case load with limited supervision.

Strong computer skills consisting of Microsoft Excel, Access, Outlook, Word, and Power Point.

Minimum of five years fraud investigations, claims processing, auditing or provider networks.

General Job Information

Title

SIU Investigator

Grade

23

Work Experience - Required

Fraud Investigations

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

AHFI - Accredited Healthcare Fraud Investigator - Enterprise, CFE - Certified Fraud Examiner - Enterprise, CPC - Certified Professional Coder - Enterprise, RN - Registered Nurse, State and/or Compact State Licensure - 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

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

• Monitors inpatient and/or outpatient level of care services related to mental health and substance abuse treatment to ensure medical necessity and effectiveness.

• Provides telephone triage, crisis intervention and emergency authorizations as assigned.

• Performs concurrent reviews for inpatient and/or outpatient care and other levels of care as allowed by scope of practice and experience.

• In conjunction with providers and facilities, develops discharge plans and oversee their implementation.

• Performs quality clinical reviews while educating and making appropriate interventions to advance the care of the member in treatment.

• Provides information to members and providers regarding mental health and substance abuse benefits, community treatment resources, mental health managed care programs, and company policies and procedures, and criteria.

• Interacts with Physician Advisors to discuss clinical and authorization questions and concerns regarding specific cases.

• Participates in quality improvement activities, including data collection, tracking, and analysis.

• Maintains an active work load in accordance with National Care Manager performance standards.

• Works with community agencies as appropriate. Proposes alternative plans of treatment when requests for services do not meet medical necessity criteria.

• Participates in network development including identification and recruitment of quality providers as needed.

• Advocates for the patient to ensure treatment needs are met. Interacts with providers in a professional, respectful manner that facilitates the treatment process.

  Other Job Requirements

Responsibilities

Licensure is required for this position, specifically a current license that meets State, Commonwealth or customer-specific requirements.

One or more of the following licensure is required for this role with necessary degrees: CEAP, LMSW, LCSW, LSW, LPC or RN.

Minimum 2 years experience post degree in healthcare, behavioral health, psychiatric and/or substance abuse health care setting.

Strong organization, time management and communication skills.

Knowledge of utilization management procedures, mental health and substance abuse community resources and providers.

Knowledge and experience in inpatient and/or outpatient setting.

Knowledge of DSM V or most current diagnostic edition.

Ability to analyze specific utilization problems, plan and implement solutions that directly influence quality of care.

General Job Information

Title

Care Manager - BH -Remote, Johnstown, PA

Grade

23

Work Experience - Required

Clinical

Work Experience - Preferred

Education - Required

Associates - Nursing, Bachelors - Social Work, Masters - Social Work

Education - Preferred

License and Certifications - Required

CEAP - Certified Employee Assistance Professional - Care Mgmt, LCSW - Licensed Clinical Social Worker - Care Mgmt, LMFT - Licensed Marital and Family Therapist - Care Mgmt, LMSW - Licensed Master Social Worker - Care Mgmt, LPC - Licensed Professional Counselor - Care Mgmt, LSW - Licensed Social Worker - Care Mgmt, RN - Registered Nurse, State and/or Compact State Licensure - Care Mgmt

License and Certifications - Preferred

Magellan Health, Inc. is proud to be an Equal Opportunity Employer and a Tobacco-free workplace. EOE/M/F/Vet/Disabled.Every employee must understand, comply with and attest to the security responsibilities and security controls unique to their position; and comply with all applicable legal, regulatory, and contractual requirements and internal policies and procedures.

Job Detail

• Company:
  Magellan Health Services

Job Description

This position is in support of schools or Child Development Centers affiliated with NSA Panama City and Tyndall AFB. Candidates must be local to one of those installations or be willing to relocate to become local and 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 - Child/Youth and 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

Collects data and provides analyses for a broad array of issues across disciplines and functional areas. Has sole responsibility for some small to medium size analytical projects. May be dedicated to a single department or business unit.

• Assists in the identification of key business issues and the design of analytic approaches. Conducts research on identified key business issues. Provides oversight and direction to analysts and assigned components of project work. Evaluates and distills analyses conducted by other departments and/or outside consultants.

• Assists in developing and utilizing data gathering tools, such as surveys/questionnaires, work sampling, financial modeling, and/or interview questions, to ensure that appropriate quantitative and qualitative data is gathered for the analyses. Extracts data for analysis and interpretation.

• Conducts quantitative and qualitative analyses on a broad array of issues across disciplines, projects and functional areas. Structures and executes analysis independently.

• Prepares preliminary interpretations of analyses for project teams, clients, and/or department management. Recommends suggested action steps based on the analytic results.

• Prepares reports synthesizing analytical results, highlighting implications of findings. Follows through any further actions based on the results using sound business judgment.

• Assists in the development of project proposals, recommendations, implementation plans, communication packages, performance measurement tools, and training materials related to the assigned projects.

• Contributes to practice development and department administration including, recruiting, debriefing on training, and developing thought pieces on topics like change management. May provide input to performance reviews of others in the department.

• Performs other duties as required.

  Other Job Requirements

Responsibilities

5-7 years of related analytical and/or consulting experience required.

Bachelor's degree in Business Administration, Computer Science, IT, Mathematics or related field.

May consider an additional 3-4 years of relevant experience in lieu of Bachelor's degree.

Requires strong expertise in MS Excel and relational database such as MS Access and other database management (MS SQL) and reporting tools.

Ability to use reporting software such as Actuate, Cognos, Crystal reports, SAS, or other.

Ability to query the company's data warehouse and/or department systems in response to data requests.

For positions supporting Medicare Part B, requires 2+ years of experience in pharmacy or pharmacy benefit management (PBM).

General Job Information

Title

Senior Data and Reporting Analyst-Magellan MRx

Grade

25

Work Experience - Required

Analytics/Informatics

Work Experience - Preferred

Education - Required

A Combination of Education and Work Experience May Be Considered., Bachelors - Business Administration, Bachelors - Computer and Information Science, Bachelors - Information Technology, Bachelors - Mathematics

Education - Preferred

Masters

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

Facilitates department workflow by supporting clinical team with various care coordination workflows. Locates community services and other referral locations for enrollees, arranges access to care, supports communication with hospitals, and providers.

• Provides non-clinical support to workflows involving utilization management, case management, disease management, and health promotion.

• Troubleshoots when an appropriate provider, type of service, or appropriate level of care cannot be readily found.

• Has current knowledge or researches availability of community resources and services and link members to appropriate services. May assist in transitions in care for hospitalized patients and makes appropriate placements, if needed.

• Assumes responsibility for self-development and career progression.

• Proactively seeks and participates in ongoing training (formal and informal) in all aspects of the Care Worker role.

• Assists in the mentoring and training of new Care Workers.

• Remains responsible for updating self on ever changing information to ensure accuracy when dealing with members and providers.

• Coordinates and manages distribution of correspondence and materials to enrollees and providers.

• Participates in operational activities, including data collection, tracking, and analysis.

  Other Job Requirements

Responsibilities

Understanding of plan benefit structures, psychiatric/medical terminology, and local communication resources.

For roles supporting the Chronic Pain Management SBU, understanding of Chronic Pain Management guidelines and workflows is also required.

General Job Information

Title

Care Worker -Remote Louisiana

Grade

19

Work Experience - Required

Work Experience - Preferred

Clinical

Education - Required

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

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 Requirements

Responsibilities

Experience 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 Information

Title

Health Guide

Grade

19

Work Experience - Required

Clinical

Work Experience - Preferred

Managed Healthcare

Education - Required

Education - Preferred

Associates, Bachelors

License and Certifications - Required

DL - Driver License, Valid In State - Other

License and Certifications - Preferred

LPN - 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.

Magellan is the employer of choice for hard working people interested in making a difference in the health care industry and in the communities where we work and live. Our strong culture of caring is the common thread in both our business strategy and our work environment. We value professional growth and development, total health and wellness, rewards and recognition as well as employee unity. Magellan is a place where you can thrive.

Magellan is committed to providing equal employment opportunities to employees and applicants for employment without regard to race, color, creed, religion, sex, gender identity and expression, sexual orientation, marital status, age, national origin, ancestry, citizenship, physical or mental disability, disabled veteran or veteran of the Vietnam Era status, or any other factors protected by law.

Magellan is committed to meeting applicable Federal labor and employment law posting requirements by providing necessary posters in a format which is easily accessible and conspicuous to all applicants. Copies of applicable posters are accessible by clicking here (https://www.magellanhealth.com/media/760295/mg-federal-contractors-applicant-english.pdf) .

Warning: Employment Scam

It has come to our attention that a false representative is contacting potential candidates and offering them work at home positions with Magellan Health. -Interviews- are conducted completely through email and the false job offer includes the promise of a check to be issued to the candidate for the purposes of setting up a home office.

Please know that Magellan Health does not interview any candidate through email, nor do we issue checks to candidates to set up home offices. All of our available positions are posted on legitimate job boards and our recruitment team directly contacts candidates should there be a fit.

If you suspect you are being contacted by a false representative of Magellan Health, please call 410-953-2911

Job Detail

• Company:
  Magellan Health Services

Job Description

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

Business Analyst

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.

Magellan is the employer of choice for hard working people interested in making a difference in the health care industry and in the communities where we work and live. Our strong culture of caring is the common thread in both our business strategy and our work environment. We value professional growth and development, total health and wellness, rewards and recognition as well as employee unity. Magellan is a place where you can thrive.

Magellan is committed to providing equal employment opportunities to employees and applicants for employment without regard to race, color, creed, religion, sex, gender identity and expression, sexual orientation, marital status, age, national origin, ancestry, citizenship, physical or mental disability, disabled veteran or veteran of the Vietnam Era status, or any other factors protected by law.

Magellan is committed to meeting applicable Federal labor and employment law posting requirements by providing necessary posters in a format which is easily accessible and conspicuous to all applicants. Copies of applicable posters are accessible by clicking here (https://www.magellanhealth.com/media/760295/mg-federal-contractors-applicant-english.pdf) .

Warning: Employment Scam

It has come to our attention that a false representative is contacting potential candidates and offering them work at home positions with Magellan Health. -Interviews- are conducted completely through email and the false job offer includes the promise of a check to be issued to the candidate for the purposes of setting up a home office.

Please know that Magellan Health does not interview any candidate through email, nor do we issue checks to candidates to set up home offices. All of our available positions are posted on legitimate job boards and our recruitment team directly contacts candidates should there be a fit.

If you suspect you are being contacted by a false representative of Magellan Health, please call 410-953-2911

Job Detail

• Company:
  Magellan Health Services

Job Description

Supports the Operations Manager, servicing a specified set of customers. This position is the primary resource responsible for the coaching of Customer Care operations team members, and ensuring they follow appropriate guidelines and processes in delivering a high caliber, efficient level of service to members, providers and health plan representatives. The Lead supports a team environment which motivates staff to deliver operational excellence and strive for first call resolution.

• Serves as the primary resource for Customer Care team members and drives the highest level of performance on all nonclinical processes end to end.

• Assists with quality monitoring and provides constructive feedback.

• Mentors new staff and coaches staff on improvement plans.

• Collaborates with Manager and implements plans to ensure team achieves specific goals in support of client, team and overall operations goals. Be a champion for first call resolution strategy.

• Motivates and encourages team members to excel.

• Supports a team environment that contributes to a high degree of employee satisfaction and engagement.

• Assists with team incentives and fosters constructive interoffice team competition to motivate and reward performance excellence.

• With collaboration with Manager and Workforce Management Team, monitors team performance levels on an ongoing basis to ensure telephone and timeliness goals are achieved.

• Assists with calls and queues on an as needed basis.

• Assists with data collection and reporting of performance results for scorecards, SERP, shift bid, and other measurement tools.

• Reviews and analyzes daily metrics for staff to ensure compliance, identify trends, and implement action plans to address issues.

• Communicates process changes and new customer requirements to team members.

• Assists in modifying materials and providing training as needed to accommodate customer needs.

• Serves as the primary backup in the Manager's absence, providing direction and guidance to the team.

  Other Job Requirements

Responsibilities

Must be flexible in scheduling and comfortable with change as customer service is an ever-changing environment.Responsible for meeting call handling requirements and daily telephone standards as set forth by management.Must agree to observing service for the purpose of training and quality control.Must be a proficient typist (avg. 35+ WPM) with strong written and verbal communication skills.Must be able to maneuver through various computer platforms while verifying information on all calls.Must be able to talk and type simultaneously.3+ years in a call center lead role, preferably in the health care industry.

General Job Information

Title

Lead Customer Care Associate

Grade

19

Work Experience - Required

Customer Service

Work Experience - Preferred

Education - Required

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.

Magellan is the employer of choice for hard working people interested in making a difference in the health care industry and in the communities where we work and live. Our strong culture of caring is the common thread in both our business strategy and our work environment. We value professional growth and development, total health and wellness, rewards and recognition as well as employee unity. Magellan is a place where you can thrive.

Magellan is committed to providing equal employment opportunities to employees and applicants for employment without regard to race, color, creed, religion, sex, gender identity and expression, sexual orientation, marital status, age, national origin, ancestry, citizenship, physical or mental disability, disabled veteran or veteran of the Vietnam Era status, or any other factors protected by law.

Magellan is committed to meeting applicable Federal labor and employment law posting requirements by providing necessary posters in a format which is easily accessible and conspicuous to all applicants. Copies of applicable posters are accessible by clicking here (https://www.magellanhealth.com/media/760295/mg-federal-contractors-applicant-english.pdf) .

Warning: Employment Scam

It has come to our attention that a false representative is contacting potential candidates and offering them work at home positions with Magellan Health. -Interviews- are conducted completely through email and the false job offer includes the promise of a check to be issued to the candidate for the purposes of setting up a home office.

Please know that Magellan Health does not interview any candidate through email, nor do we issue checks to candidates to set up home offices. All of our available positions are posted on legitimate job boards and our recruitment team directly contacts candidates should there be a fit.

If you suspect you are being contacted by a false representative of Magellan Health, please call 410-953-2911

Job Detail

• Company:
  Magellan Health Services

Job Description

Schedule: Tuesday through Saturday 2PM to 10:30PM and will be eligible for a shift differential!

Serves as a member of the Service Operations Management Team. Leads and grows the performance of a team of customer service agents while supporting and enhancing customer experiences and business objectives. Responsible for day-to-day tactical activities, performance trending, performance managing/coaching/developing agents and time management. Responsible for the delivery of superior customer service by maximizing employee performance and ensuring calls are answered effectively and efficiently by supervising incoming calls, resolving escalated calls, assisting agents with any client related questions, ensuring agents adherence to schedules and ensuring compliance to policies and procedures. Motivates agents to peak performance through positive coaching, constructive feedback and incentives, demonstrates a commitment to the company`s mission and vision, and supports activities that strengthen the client relationship and grow the organization.

• Drives the daily performance of a team of customer service agents ensuring SLAs and other business targets are met and exceeded.

• Collects and provides timely, productive and measurable feedback to ensure recognition, process changes and development opportunities are maximized.

• Oversees the team`s annual goal setting process, performance evaluations and performance improvement plans.

• Supports agents, business and brand initiatives, especially as related to achieving outstanding client experiences, including engaged daily floor support, escalated customer resolution and engagement in training and support areas as needed.

• Remains alert to conversations on the floor, monitoring agents for quality and training purposes.

• Reviews new and updated accounts with Agents (one-on-one).

• Ensures agents compliance with policies and procedures.

• Provides direction to agents on achieving departmental standards while encouraging and motivating them in promoting customer loyalty, employee recognition, and revenue generation.

• Monitors call traffic and makes adjustments based on call center traffic patterns.

• Produces monthly team report detailing team activity, trend analysis, goals/objective status and special projects.

• Actively participates in process / project conversations, emails and activities that will improve effectiveness/experience for client, agents, leadership, brands or partner departments

• Displays ownership and accountability for the customer experience, employee relations, core business metric targets/contributing factors and understanding of the organizations policies and procedures.

• Maintains reliability and flexibility to ensure team and business needs are appropriately supported.

• Delegates work to agents as needed.

• Proactively addresses call center concerns and identifies areas of opportunity.

• Handles system emergencies with direction from IT department and/or appropriate vendor.

• Assists with task assignments in the Manager's absence.

• Performs other related duties and special projects as requested.

  Other Job Requirements

Responsibilities

Must have an active pharmacy technician licensure or registration in accordance with state requirements.If state does not require an exam for licensure/registration, must possess both active pharmacy technician licensure or registration in accordance with state requirements AND an active national certification (e.g., PTCB or ExCPT).In states that do not require licensure or registration, must have an active national certification (e.g., PTCB or ExCPT).Minimum of 3 years of experience in a high volume call center and Pharmacy Benefit Management (PBM) experience required.For positions supporting Medicare Part B, requires 2+ years of experience in Medicare Part B.

General Job Information

Title

Supervisor, Clinical Pharmacy Operations

Grade

22

Work Experience - Required

Customer Service, PBM (Pharmacy Benefit Management)

Work Experience - Preferred

Education - Required

GED, High School

Education - Preferred

License and Certifications - Required

CPT/ExCPT/LPT/PTCB/RPT, Pharmacy Technician, State Requirements - Pharmacy

License and Certifications - Preferred

Magellan Health, Inc. is proud to be an Equal Opportunity Employer and a Tobacco-free workplace. EOE/M/F/Vet/Disabled.Every employee must understand, comply with and attest to the security responsibilities and security controls unique to their position; and comply with all applicable legal, regulatory, and contractual requirements and internal policies and procedures.

Magellan is the employer of choice for hard working people interested in making a difference in the health care industry and in the communities where we work and live. Our strong culture of caring is the common thread in both our business strategy and our work environment. We value professional growth and development, total health and wellness, rewards and recognition as well as employee unity. Magellan is a place where you can thrive.

Magellan is committed to providing equal employment opportunities to employees and applicants for employment without regard to race, color, creed, religion, sex, gender identity and expression, sexual orientation, marital status, age, national origin, ancestry, citizenship, physical or mental disability, disabled veteran or veteran of the Vietnam Era status, or any other factors protected by law.

Magellan is committed to meeting applicable Federal labor and employment law posting requirements by providing necessary posters in a format which is easily accessible and conspicuous to all applicants. Copies of applicable posters are accessible by clicking here (https://www.magellanhealth.com/media/760295/mg-federal-contractors-applicant-english.pdf) .

Warning: Employment Scam

It has come to our attention that a false representative is contacting potential candidates and offering them work at home positions with Magellan Health. -Interviews- are conducted completely through email and the false job offer includes the promise of a check to be issued to the candidate for the purposes of setting up a home office.

Please know that Magellan Health does not interview any candidate through email, nor do we issue checks to candidates to set up home offices. All of our available positions are posted on legitimate job boards and our recruitment team directly contacts candidates should there be a fit.

If you suspect you are being contacted by a false representative of Magellan Health, please call 410-953-2911

Job Detail

• Company:
  Magellan Health Services

Job Description

Provides direct support to organizations and their employees through the delivery of assessment, consultation, education and triage services. Uses knowledge of federal regulations to assist organizations in their appropriate handling of employee concerns and problems. Consults with employees and organizations on variety of workplace and work based issues. Provides clinical expertise in order to restore employees with diminished performance to healthy functioning.

• Provides employee consultation related to specific personal problems and concerns.

• Provides crisis assessment and intervention as needed.

• Completes clinical and administrative documentation and required forms in a clear and concise manner.

• Manages caseload and other tasks to meet both qualitative and quantitative performance expectations.

• Provides behavioral health assessments, accurate clinical diagnoses, and referral to appropriate level of care.

• Provides expert consultation to employees and/or supervisors on a variety of workplace and work based issues.

• Provides information and referral to community resources as appropriate.

• Provides clinical consultation/staffing in absence of EAP Manager

• Participates in activities as requested that help improve SBU and/or client performance, excellence and culture.

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

• Demonstrates flexibility in areas such as job duties and schedule to aid in better serving its members and help Magellan achieve its business and operational goals.

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

• Meets productivity targets and quality management expectations.

• Develops effective working relationships with peers within and across organizational lines.

• Effectively resolves individual conflicts.

• Supports department mission and keeps management informed of team issues.

• Takes responsibility for own development and stays current on skills and techniques needed to perform job.

  Other Job Requirements

Responsibilities

Clinical training must include instruction on chemical dependency, mental health and brief therapy.Must have understanding of workplace issues, how businesses function and a fundamental understanding of employee/employer relationships.Must be capable of acquiring an understanding of EEO rules, ADA in the workplace, FMLA, and Drug Free Workplace Requirements.Must be able to provide accurate client assessment including level of risk, substance abuse and dependency, job performance issues and refer to appropriate level of care.Competent in crisis intervention.Demonstrates knowledge and expertise in solution-focused, brief therapy in outpatient setting.Strong customer service skills required. Must be able to sensitively, compassionately respond to callers.Excellent listening skills vital.Interacts effectively at all levels both within the company and with external customers.Analyzes and presents issues in a clear, concise, persuasive manner, both orally and in writing.Uses time to manage caseload and documentation effectively.Able to adjust well to new situations and changing priorities.Deals well with ambiguity and stress while handling a variety of assignments.Maintains a positive, achievement-oriented attitude and consistent in accomplishing expected objectives.6+ years' post graduate clinical experience. Minimum 2 years' EAP Consultant experience with high performance ratings.

General Job Information

Title

Senior EAP Consultant

Grade

24

Work Experience - Required

Clinical, Employee Assistance Program (EAP)

Work Experience - Preferred

Education - Required

Masters - Behavioral Health, PhD - Behavioral Health

Education - Preferred

License and Certifications - Required

Current licensure required for this position that meets State, Commonwealth or customer-specific requirements - Care Mgmt, LCSW-C - Licensed Certified Social Worker - Clinical - Care Mgmt, LCSW - Licensed Clinical Social Worker - Care Mgmt, LMHC - Licensed Mental Health Counselor - Care Mgmt, LMHP - Licensed Mental Health Professional - Care Mgmt, LPCC - Licensed Professional Clinical Counselor - Care Mgmt, LPC - Licensed Professional Counselor - Care Mgmt, Must be an independently licensed behavioral health clinician - Care Mgmt, PSY - Psychologist - Care Mgmt

License and Certifications - Preferred

CEAP - Certified Employee Assistance Professional - Care Mgmt

Magellan Health, Inc. is proud to be an Equal Opportunity Employer and a Tobacco-free workplace. EOE/M/F/Vet/Disabled.Every employee must understand, comply with and attest to the security responsibilities and security controls unique to their position; and comply with all applicable legal, regulatory, and contractual requirements and internal policies and procedures.

Magellan is the employer of choice for hard working people interested in making a difference in the health care industry and in the communities where we work and live. Our strong culture of caring is the common thread in both our business strategy and our work environment. We value professional growth and development, total health and wellness, rewards and recognition as well as employee unity. Magellan is a place where you can thrive.

Magellan is committed to providing equal employment opportunities to employees and applicants for employment without regard to race, color, creed, religion, sex, gender identity and expression, sexual orientation, marital status, age, national origin, ancestry, citizenship, physical or mental disability, disabled veteran or veteran of the Vietnam Era status, or any other factors protected by law.

Magellan is committed to meeting applicable Federal labor and employment law posting requirements by providing necessary posters in a format which is easily accessible and conspicuous to all applicants. Copies of applicable posters are accessible by clicking here (https://www.magellanhealth.com/media/760295/mg-federal-contractors-applicant-english.pdf) .

Warning: Employment Scam

It has come to our attention that a false representative is contacting potential candidates and offering them work at home positions with Magellan Health. -Interviews- are conducted completely through email and the false job offer includes the promise of a check to be issued to the candidate for the purposes of setting up a home office.

Please know that Magellan Health does not interview any candidate through email, nor do we issue checks to candidates to set up home offices. All of our available positions are posted on legitimate job boards and our recruitment team directly contacts candidates should there be a fit.

If you suspect you are being contacted by a false representative of Magellan Health, please call 410-953-2911

Job Detail

• Company:
  Magellan Health Services

Job Description

Provides direct support to organizations and their employees through the delivery of assessment, consultation, education and triage services. Uses knowledge of federal regulations to assist organizations in their appropriate handling of employee concerns and problems. Consults with employees and organizations on variety of workplace and work based issues. Provides clinical expertise in order to restore employees with diminished performance to healthy functioning.

• Provides employee consultation related to specific personal problems and concerns.

• Provides crisis assessment and intervention as needed.

• Completes clinical and administrative documentation and required forms in a clear and concise manner.

• Manages caseload and other tasks to meet both qualitative and quantitative performance expectations.

• Provides behavioral health assessments, accurate clinical diagnoses, and referral to appropriate level of care.

• Provides expert consultation to employees and/or supervisors on a variety of workplace and work based issues.

• Provides information and referral to community resources as appropriate.

• Provides clinical consultation/staffing in absence of EAP Manager

• Participates in activities as requested that help improve SBU and/or client performance, excellence and culture.

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

• Demonstrates flexibility in areas such as job duties and schedule to aid in better serving its members and help Magellan achieve its business and operational goals.

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

• Meets productivity targets and quality management expectations.

• Develops effective working relationships with peers within and across organizational lines.

• Effectively resolves individual conflicts.

• Supports department mission and keeps management informed of team issues.

• Takes responsibility for own development and stays current on skills and techniques needed to perform job.

  Other Job Requirements

Responsibilities

Clinical training must include instruction on chemical dependency, mental health and brief therapy.Must have understanding of workplace issues, how businesses function and a fundamental understanding of employee/employer relationships.Must be capable of acquiring an understanding of EEO rules, ADA in the workplace, FMLA, and Drug Free Workplace Requirements.Must be able to provide accurate client assessment including level of risk, substance abuse and dependency, job performance issues and refer to appropriate level of care.Competent in crisis intervention.Demonstrates knowledge and expertise in solution-focused, brief therapy in outpatient setting.Strong customer service skills required. Must be able to sensitively, compassionately respond to callers.Excellent listening skills vital.Interacts effectively at all levels both within the company and with external customers.Analyzes and presents issues in a clear, concise, persuasive manner, both orally and in writing.Uses time to manage caseload and documentation effectively.Able to adjust well to new situations and changing priorities.Deals well with ambiguity and stress while handling a variety of assignments.Maintains a positive, achievement-oriented attitude and consistent in accomplishing expected objectives.6+ years' post graduate clinical experience. Minimum 2 years' EAP Consultant experience with high performance ratings.

General Job Information

Title

Senior EAP Consultant

Grade

24

Work Experience - Required

Clinical, Employee Assistance Program (EAP)

Work Experience - Preferred

Education - Required

Masters - Behavioral Health, PhD - Behavioral Health

Education - Preferred

License and Certifications - Required

Current licensure required for this position that meets State, Commonwealth or customer-specific requirements - Care Mgmt, LCSW-C - Licensed Certified Social Worker - Clinical - Care Mgmt, LCSW - Licensed Clinical Social Worker - Care Mgmt, LMHC - Licensed Mental Health Counselor - Care Mgmt, LMHP - Licensed Mental Health Professional - Care Mgmt, LPCC - Licensed Professional Clinical Counselor - Care Mgmt, LPC - Licensed Professional Counselor - Care Mgmt, Must be an independently licensed behavioral health clinician - Care Mgmt, PSY - Psychologist - Care Mgmt

License and Certifications - Preferred

CEAP - Certified Employee Assistance Professional - Care Mgmt

Magellan Health, Inc. is proud to be an Equal Opportunity Employer and a Tobacco-free workplace. EOE/M/F/Vet/Disabled.Every employee must understand, comply with and attest to the security responsibilities and security controls unique to their position; and comply with all applicable legal, regulatory, and contractual requirements and internal policies and procedures.

Magellan is the employer of choice for hard working people interested in making a difference in the health care industry and in the communities where we work and live. Our strong culture of caring is the common thread in both our business strategy and our work environment. We value professional growth and development, total health and wellness, rewards and recognition as well as employee unity. Magellan is a place where you can thrive.

Magellan is committed to providing equal employment opportunities to employees and applicants for employment without regard to race, color, creed, religion, sex, gender identity and expression, sexual orientation, marital status, age, national origin, ancestry, citizenship, physical or mental disability, disabled veteran or veteran of the Vietnam Era status, or any other factors protected by law.

Magellan is committed to meeting applicable Federal labor and employment law posting requirements by providing necessary posters in a format which is easily accessible and conspicuous to all applicants. Copies of applicable posters are accessible by clicking here (https://www.magellanhealth.com/media/760295/mg-federal-contractors-applicant-english.pdf) .

Warning: Employment Scam

It has come to our attention that a false representative is contacting potential candidates and offering them work at home positions with Magellan Health. -Interviews- are conducted completely through email and the false job offer includes the promise of a check to be issued to the candidate for the purposes of setting up a home office.

Please know that Magellan Health does not interview any candidate through email, nor do we issue checks to candidates to set up home offices. All of our available positions are posted on legitimate job boards and our recruitment team directly contacts candidates should there be a fit.

If you suspect you are being contacted by a false representative of Magellan Health, please call 410-953-2911

Job Detail

• Company:
  Magellan Health Services