Company Detail

Senior EAP Consultant - Magellan Health Services
Posted: Apr 08, 2022 07:53
Detroit, Michigan

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

Director, Cloud Services - Magellan Health Services
Posted: Apr 08, 2022 07:53
Dallas, Texas

Job Description

About This Role

Magellan Health is looking for a passionate, talented, and experienced Cloud Solutions Architect to help us drive our cloud initiatives, in close collaboration with Lead/Principal Engineers across delivery and execution areas.

This position will own the cloud infrastructure vision, researching, designing, implementing, and maintaining solutions that will improve the teams' productivity and quality, while increasing the security, reliability and speed of the platform.

Own the overall architecture, security, performance, and reliability of all Magellan Health's cloud assets.

Support and further develop the current software development CI/CD pipeline.

Full project lifecycle: define & collaborate on requirements, offer solutions, discuss limitations, assess timelines, scoping and diagramming problems and solutions, communicate and discuss solutions with engineers and other stakeholders, maintain architecture diagrams and documentations, identify, and eliminate redundancy.

Build prototypes for finding the best cloud solutions for a variety of on-prem technologies and frameworks.

Collaborate with the vendor Support teams, lead cloud architectural design discussions, and advocate for architectural design applications and implementation.

Help the full-stack engineers remove any roadblocks they might have, work with them to predict possible future challenges and identify bottlenecks.

Carry out issue resolution, troubleshooting, roots cause analysis, and implementation of solutions.

Review and improve existing standards, define, educate on, and implement new standards.

Provide mentorship, identify improvement areas, define & implement a training process to constantly improve the cloud skills of the engineering organization.

Stay on top of the cloud technologies, threats, and opportunities, what's coming and going.

This position provides technology leadership by first understanding our business and IT strategy and ensuring that we have the skills and capabilities required to deliver on our business and technical commitments. Deliver continuous improvement within a solution/service area and lead IT Architecture initiatives and special projects within their portfolio of applications. This role requires a seasoned leader with the ability to shape and drive strategic vision who is highly analytical and strategic and able to drive towards realization of business goals and inspire the team to create world-class solutions. Is passionate about supporting the business and company vision.

  • Influence changes/enhancements to business processes, policies, and system infrastructure.

  • Manage the selection, evaluation, contracting, and integration of externally available hardware, software, and data to deliver business solutions.

  • Direct and manage though analysis, planning, design, development, testing, installation, and maintenance of support systems for business areas.

  • Select and build strong teams through formal training, diverse assignments, and coaching, mentoring, and other development techniques.

  • Manage and develop project cost estimates, benefits and assessment of potential project risks.

  • Manage projects, people, customer expectations, and business priorities to achieve customer satisfaction.

  • Manage budgets, plans and expenses; may have cost center responsibilities.

  • Oversee throughput for encounter processing acting as liaison between the customer and Magellan IT teams.

  • Oversee and act in review board fashion for reports delivered from Magellan to the customer.

  • Manage vendors.

  • Share best practices throughout IT.

    Other Job Requirements

Responsibilities

10+ years of related experience and leading teams through the development and support of applications. 2+ years of experience leading project/teams.Ability to coach and build skills within the team.Broader experience across IT or across different industries (for external hires) is a must.Critical Thinker.Demonstrated ability to coach and build skills within the team.Demonstrated problem solving techniques.Experience managing and leading cross functional teams, workgroups, including HR processes and budget management.Strong verbal and written communication skills.

General Job Information

Title

Director, Cloud Services

Grade

32

Work Experience - Required

IT, Management/Leadership

Work Experience - Preferred

Education - Required

Education - Preferred

Bachelors - Computer and Information Science

License and Certifications - Required

License and Certifications - Preferred

AWS - Amazon Web Services Certified Developer - Associate - Enterprise, AWS - Amazon Web Services Certified Solutions Architect - Associate - Enterprise, AWS - Amazon Web Services Certified SysOps Administrator - Associate - Enterprise, TOGAF - The Open Group Architecture Framework - Enterprise

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

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

Project Manager II - Magellan Health Services
Posted: Apr 08, 2022 07:53
Phoenix, Arizona

Job Description

Responsible for the management of a variety of projects for corporate and/or strategic business unit (SBU). Provides support through the planning and execution of these projects. Support may include establishing deadlines, assigning resources/responsibilities and monitoring and summarizing progress of projects. Prepares reports for upper management regarding status of project. Familiar with a variety of the field's concepts, practices, and procedures.

  • Meets with business process owners and key stakeholders to identify the project's goals, objectives, critical success factors, and success measures.

  • Develops a detailed project charter to serve as a critical communication tool for key stakeholder buy in and set expectations.

  • Creates and executes project work plans and revises as appropriate to meet changing needs and requirements.

  • Identifies resources needed and assigns individual responsibilities.

  • Manages day-to-day operational aspects of a project and scope, including meeting facilitation and documentation.

  • Reviews deliverables prepared by team before passing to project team members.

  • Effectively applies Magellan's methodology and enforces project standards using Microsoft Project or other approved toolkit templates.

  • Prepares for project reviews and quality assurance procedures.

  • Minimizes our exposure and risk on project, appropriately raising awareness on at-risk items.

  • Ensures project documents are complete, current, and stored appropriately.

  • Keeps project team well informed of changes within the organization and general corporate news that may impact project scope.

  • Provides status reporting to stakeholders on a regular basis. Apprises management of issues requiring resolution in order to maintain progress on a timely basis.

  • Prepares reports and/or dashboards for enterprise project activity.

  • Delivers engaging, informative, well-organized presentations.

  • Resolves and/or escalates issues in a timely fashion.

  • Understands how to communicate difficult/sensitive information tactfully.

  • Conducts lessons learned to continually improve processes.

  • Contributes to, implements, and maintains best practices and project management policies and guidelines.

  • Prepares Business Case and Return on Investment (ROI) to show impact to the business.

  • Assists in the development of resource management and project financial materials.

    Other Job Requirements

Responsibilities

Bachelor's degree plus 5+ years' project management or job related experience in a medium to large-scale corporation.May consider additional years of experience in lieu of degree (4 additional years in lieu of degree or 2 additional years with an Associate's degree).Strong working knowledge of Microsoft Product Suite, specifically Excel, Access and Visio.Knowledge of project management practices and methodologies.Knowledge of process improvement methodologies.Ability to develop and maintain multiple project plans.Financial Management knowledge; understands basic financial model and budgeting.Facilitation and interpersonal skills with the ability to work effectively with cross-functional teams. Basic knowledge of health care management. Proven ability to plan, organize, schedule, direct, control, and monitor project activities.5+ years' project management or job related experience in a medium to large-scale corporation.

General Job Information

Title

Project Manager II

Grade

24

Work Experience - Required

Project/Program Management

Work Experience - Preferred

Education - Required

A Combination of Education and Work Experience May Be Considered., Bachelors - Business Administration

Education - Preferred

Masters

License and Certifications - Required

License and Certifications - Preferred

LSSGB - Lean Six Sigma Green Belt Certification - Enterprise, PMP - Project Management Professional - Enterprise

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

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

Part Time Intermittent ID Card Specialist (Personnel Assistant II), NAVY ICA - Magellan Health Services
Posted: Apr 08, 2022 07:53
Jacksonville, Florida

Job Description

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

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

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

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

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

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

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

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

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

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

  • Performs -User Maintenance on RAPIDS equipment.

    Other Job Requirements

Responsibilities

High School diploma or equivalent.1+ years' experience in a Customer Service environment.HR background in one of the following disciplines: Military Pay, Military Personnel, Travel Claims or Navy Transportation.Substitutions for HR background can be from similar experience gained in either the private sector or other Federal Agency.Proficient in both oral and written communication to communicate effectively and explain complex actions regarding military entitlements, allowances and collections.Working knowledge of Microsoft Office Products, i.e. Word, Excel, Power Point.Working knowledge of standard office equipment such as computers, electric typewriters, copiers, fax machines, scanners and other office automation systems.Must be U.S. citizen and possess favorably adjudicated Tier 3 (NACLC) security investigation.

General Job Information

Title

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

Grade

WDNICAPAII

Work Experience - Required

Work Experience - Preferred

Education - Required

High School

Education - Preferred

License and Certifications - Required

License and Certifications - Preferred

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

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

Supervisor, Pharmacy Rebates-Magellan MRx - Glen Allen, VA - Magellan Health Services
Posted: Apr 08, 2022 07:53
Richmond, Virginia

Job Description

Oversees all aspects of the rebate operations process and acts as a representative of the department in meetings when the manager cannot be present. Day-to-day responsibility to meet contractual Service Level Agreements (SLAs), post payments, invoice manufacturers, dispute management, and reporting, resource allocations and support of implementation activities. Escalates to the manager any issues that they cannot resolve.

  • Provides staff direction in day-to-day work responsibilities, training and performance requirements.

  • Manages workload to meet contractual requirements.

  • Maintains a solid understanding of client service level agreements and associated procedures.

  • Provides input/develops procedures and corresponding training materials.

  • Acts as point of contact/escalation for dispute resolution with drug manufacturers.

  • Manages staff metrics and conducts periodic 1-on-1 performance connections with direct reports.

  • Serves as point of contact/escalation for internal and external audits,

  • Manages the cash posting, invoicing, 64.9R and dispute management procedures among assigned clients and staff.

  • Attend working sessions/meeting with internal and external clients, including drug manufacturers.

  • Collaborates with Account Management and Rebate Management on client requests (e.g., ad hoc reporting).

  • Continuously looks for ways to improve current operations; and implements process improvements.

  • Assists with rebate application updates and testing.

  • Serves as backup for department Manager, as necessary.

    Other Job Requirements

Responsibilities

5+ years of experience in a role with demonstrated leadership responsibilities preferably in a business operations function.Bachelor's degree required or an additional 4 years of relevant experience in lieu of degree.Strong verbal and written communication skills.Strong working knowledge of Microsoft Word and Excel.

General Job Information

Title

Supervisor, Pharmacy Rebates-Magellan MRx - Glen Allen, VA

Grade

22

Work Experience - Required

Customer Service, Operations, Supervisory

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

CPT - Certified Pharmacy Technician - Pharmacy

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

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

ID Card Specialist (Personnel Assistant II), Navy ICA - Magellan Health Services
Posted: Apr 08, 2022 07:52
Millington, Tennessee

Job Description

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

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

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

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

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

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

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

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

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

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

  • Performs -User Maintenance on RAPIDS equipment.

    Other Job Requirements

Responsibilities

High School diploma or equivalent.1+ years' experience in a Customer Service environment.HR background in one of the following disciplines: Military Pay, Military Personnel, Travel Claims or Navy Transportation.Substitutions for HR background can be from similar experience gained in either the private sector or other Federal Agency.Proficient in both oral and written communication to communicate effectively and explain complex actions regarding military entitlements, allowances and collections.Working knowledge of Microsoft Office Products, i.e. Word, Excel, Power Point.Working knowledge of standard office equipment such as computers, electric typewriters, copiers, fax machines, scanners and other office automation systems.Must be U.S. citizen and possess favorably adjudicated Tier 3 (NACLC) security investigation.

General Job Information

Title

ID Card Specialist (Personnel Assistant II), Navy ICA

Grade

WDNICAPAII

Work Experience - Required

Work Experience - Preferred

Education - Required

High School

Education - Preferred

License and Certifications - Required

License and Certifications - Preferred

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

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

Customer Service Associate II - Magellan Health Services
Posted: Apr 07, 2022 08:25
Johnstown, Pennsylvania

Job Description

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

Title

Customer Service Associate II

Grade

17

Work Experience - Required

Customer Service

Work Experience - Preferred

Education - Required

GED, High School

Education - Preferred

Associates, Bachelors

License and Certifications - Required

License and Certifications - Preferred

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

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

Victim Advocate, FASS - Magellan Health Services
Posted: Apr 07, 2022 08:24
Fort Stewart, Georgia

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.

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

New Parent Support Program Child and Family Specialist, FASS - Magellan Health Services
Posted: Apr 07, 2022 08:24
Fort Drum, New York

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, FASS

Grade

21

Work Experience - Required

Child Welfare

Work Experience - Preferred

Education - Required

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

Education - Preferred

License and Certifications - Required

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

License and Certifications - Preferred

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

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

Senior Workforce Planning Analyst - Magellan Health Services
Posted: Apr 07, 2022 08:24
Rancho Cordova, California

Job Description

Works to ensure acceptable service levels, abandonment rates and reporting of call handling related metrics. Responsible for intra-day analysis of call flow, contractual answer times and performance goals based on analytical analysis. Will work closely with the leadership of the call center teams on optimization of Workforce Management Tools.

  • Manages and provides internal Technical Support on the Workforce Management Tools (Avaya CMS, Avaya QM, Avaya/Verint WFM, Verint Desktop Process Analytics, Avaya Performance Management Tools, Workday) to optimize utilization of resources. Maintain relationships with various vendors (Avaya, Verint, etc.).

  • Monitors the call center activity on a real time basis to ensure service level targets are achieved consistently through optimal utilization of resources.

  • Forecasts monthly, weekly, daily and interval level call activity based on historical trends and key business drivers to determine staffing needs and employee schedules required to achieve performance metrics

  • Supports team leaders with the scheduling of employees, productivity tracking, maintaining work schedules, coordination of off-phone activities, and approval of PTO, overtime and flexible time off.

  • Possesses a level of accountability in the achievement of service performance goals and client specific performance guarantee targets. Manage business continuity planning/testing.

  • Managed the coordination, production, accuracy and timeliness of ACD agent, team and overall performance reports for both internal and external distribution. Helps coordinate telecommunication changes.

  • Uses historical call data, interval arrival patterns, average handle times, service level targets, Erlang tables, and other data as necessary to develop forecasts, staffing plans, and schedules that will ensure service level achievement at minimal cost. Able to develop staffing models needed to respond to Request for Proposals (RFP).

    Other Job Requirements

Responsibilities

Experience with Excel spreadsheets, ACD reports, forecasting methodologies and tools.MS Access Database knowledge and experience with Workforce Management programs.5+ years' workforce planning experienceAvaya Workforce Management Tools (Avaya WFM, Avaya QM, Avaya CMS, Verint DPA, Avaya Performance Mgt.

General Job Information

Title

Senior Workforce Planning Analyst

Grade

22

Work Experience - Required

Workforce Planning

Work Experience - Preferred

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.

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

Part Time Intermittent ID Card Specialist (Personnel Assistant II), NAVY ICA - Magellan Health Services
Posted: Apr 07, 2022 08:24
Honolulu, Hawaii

Job Description

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

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

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

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

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

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

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

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

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

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

  • Performs -User Maintenance on RAPIDS equipment.

    Other Job Requirements

Responsibilities

High School diploma or equivalent.1+ years' experience in a Customer Service environment.HR background in one of the following disciplines: Military Pay, Military Personnel, Travel Claims or Navy Transportation.Substitutions for HR background can be from similar experience gained in either the private sector or other Federal Agency.Proficient in both oral and written communication to communicate effectively and explain complex actions regarding military entitlements, allowances and collections.Working knowledge of Microsoft Office Products, i.e. Word, Excel, Power Point.Working knowledge of standard office equipment such as computers, electric typewriters, copiers, fax machines, scanners and other office automation systems.Must be U.S. citizen and possess favorably adjudicated Tier 3 (NACLC) security investigation.

General Job Information

Title

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

Grade

WDNICAPAII

Work Experience - Required

Work Experience - Preferred

Education - Required

High School

Education - Preferred

License and Certifications - Required

License and Certifications - Preferred

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

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

Part Time Intermittent ID Card Specialist (Personnel Assistant II), NAVY ICA - Magellan Health Services
Posted: Apr 07, 2022 08:23
Philadelphia, Pennsylvania

Job Description

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

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

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

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

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

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

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

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

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

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

  • Performs -User Maintenance on RAPIDS equipment.

    Other Job Requirements

Responsibilities

High School diploma or equivalent.1+ years' experience in a Customer Service environment.HR background in one of the following disciplines: Military Pay, Military Personnel, Travel Claims or Navy Transportation.Substitutions for HR background can be from similar experience gained in either the private sector or other Federal Agency.Proficient in both oral and written communication to communicate effectively and explain complex actions regarding military entitlements, allowances and collections.Working knowledge of Microsoft Office Products, i.e. Word, Excel, Power Point.Working knowledge of standard office equipment such as computers, electric typewriters, copiers, fax machines, scanners and other office automation systems.Must be U.S. citizen and possess favorably adjudicated Tier 3 (NACLC) security investigation.

General Job Information

Title

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

Grade

WDNICAPAII

Work Experience - Required

Work Experience - Preferred

Education - Required

High School

Education - Preferred

License and Certifications - Required

License and Certifications - Preferred

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

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

Customer Care Associate I - Magellan Health Services
Posted: Apr 07, 2022 08:23
Baton Rouge, Louisiana

Job Description

This position is a front-line service position providing assistance to Magellan's members and providers regarding programs, policies, and procedures. Responsibilities include answering incoming calls related to eligibility, benefits, claims and authorization of services from members or providers. Responsibilities also include the administration of intake documentation into the appropriate systems. Overall expectations is to provide outstanding service to internal and external customers and strive to resolve member and provider needs on the first call. Performance expectations are to meet or exceed operations production and quality standards.

  • Actively listens and probes callers in a professionally and timely manner to determine purpose of the calls.

  • Researches and articulately communicates information regarding member eligibility, benefits, EAP services, claim status, and authorization inquiries to callers while maintaining confidentiality.

  • Resolves customer administrative concerns as the first line of contact - this may include claim resolutions and other expressions of dissatisfaction.

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

  • Assists in the mentoring and training of new staff.

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

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

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

  • Educates providers on how to submit claims and when/where to submit a treatment plan.

  • Identifies and responds to Crisis calls and continues assistance with the Clinician until the call has been resolved.

  • Informs providers and members on Magellan's appeal process.

  • Leads or participates in activities as requested that help improve Care Center performance, excellence and culture.

  • Links or makes routine referrals and triage decisions not requiring clinical judgment.

  • Performs necessary follow-up tasks to ensure member or provider needs are completely met.

  • Provides information regarding Magellan's in-network and out-of-network reimbursement rates and states multiple networks to providers.

  • Refers callers requesting provider information to Provider Services regarding Magellan's professional provider selection criteria and application process.

  • Refers patients/EAP clients to the Magellan's Care Management team for a provider, EAP affiliate, or Facility.

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

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

  • Thoroughly documents customers' comments/information and forwards required information to the appropriate staff.

    Other Job Requirements

Responsibilities

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

General Job Information

Title

Customer Care Associate I

Grade

16

Work Experience - Required

Customer Service

Work Experience - Preferred

Education - Required

GED, High School

Education - Preferred

Associates, Bachelors

License and Certifications - Required

License and Certifications - Preferred

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

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

Senior SQL Server Database Administrator - Remote - Magellan Health Services
Posted: Apr 07, 2022 08:23
Phoenix, Arizona

Job Description

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

As a Senior SQL Server Database Administrator, you will support a large SQL Server environment with infrastructure both in on-prem data centers and AWS. This role is proficient at SQL Server Database Administration, T-SQL, DevOps concepts, Scripting and automated deployment, monitoring, and support. Be a hands-on engineer to drive detailed and evolutionary designs while working across the organization interfacing with the Application Development and Reporting Teams. Will execute day to day tasks related to operational or project work and contribute to 24x7x365 days of on-call staff coverage.

Responsibilities:

  • Configure and manage Always On Availability Groups and Failover Clustering.

  • Accurately complete change ticket requests for database deployments on a timely basis.

  • Provide SQL Server/T-SQL performance tuning including but not limited to configuration settings, storage optimization (on AWS), query tuning and indexing.

  • Ensure successful database backups in a way to meet the business RPO's and RTO's

  • Define improvements to increase system reliability, security, and performance.

  • Recommend and implement emerging database technologies.

  • Identify and automate repeating database tasks.

  • Ensures proper instrumentation of Infrastructure to align with Production Assurance processes (Event, Incident, Change, Release and Problem management).

  • Assist with database upgrades including planning, preparation & execution of upgrades.

  • Diagnose and troubleshoot database related issues and errors.

  • Incident, Change, Release and Problem management).

  • Contribute to 24x7x365 days of on-call staff coverage.

Required skills:

  • 3+ years minimum experience as a SQL Server Database Administrator

  • Strong verbal and written communication skills.

  • PowerShell scripting experience

  • Knowledge of AWS including RDS, EC2, EBS, Cloud Watch, and S3

  • Demonstrated problem solving techniques.

  • Familiarity with SSAS, SSIS, SSRS

  • Experience with SQL Server Profiler and Extended Events

  • Critical thinker.

  • Experience in health care, insurance, or related field.

This position will analyze problems and administer more than one infrastructure area. Will understand and develop non-functional requirements for a system. This role is proficient at DevOps concepts, Scripting and automated deployment, monitoring and support. Will execute day to day tasks related to operational or project work. Contribute to 24x7x365 days of on-call staff coverage.

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

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

  • Creates and maintains database objects.

  • Monitors, troubleshoots and resolves failed tasks or database issues.

  • Creates databases, database clusters, assign permissions and resolve connectivity issues.

  • Assists IT management in prioritizing database administration team projects.

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

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

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

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

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

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

  • Provides Technical guidance to teammates.

  • Exports/Imports data and data replication.

  • Schedules Jobs and Events.

  • Manages special projects as assigned.

    Other Job Requirements

Responsibilities

3+ years minimum experience deploying and/or administrating infrastructure solutions or database administration. Strong working knowledge of automated deployment and Cloud platforms.AWS Sysops certification or certifications in VMware, Microsoft, Cisco, Avaya, Oracle, SQL Server.Critical thinker.Demonstrated problem solving techniques.Strong verbal and written communication skills.Willing and able to quickly learn new technology.

General Job Information

Title

Senior SQL Server Database Administrator - Remote

Grade

27

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.

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

Principal Cloud Engineer - Fully Remote - Magellan Health Services
Posted: Apr 06, 2022 02:06
Glen Allen, Virginia

Job Description

  • Strong DevOps skill set, more development experience than administration.

  • Plan, Architect, and communicate AWS infrastructure for a transformational organization

  • Python Development Experience

  • Hands on development experience in AWS environment, experience designing, executing

  • Experience with In-structure-as-code highly desirable.

  • AWS security concepts - IAM, KMS, VPC security controls

  • Cloud Formation/Terraform development experience.

  • Monitor performance and capacity metrics for technology solutions while identifying and developing plans to address long term trends or issues.

  • Maintain and Operationally support Cloud Security infrastructure across various providers such as Azure, GCP, AWS, utilizing various cloud native tools such as Prisma Cloud, CASB, DLP, Zscaler, Microsoft Advanced Threat Protection, and others.

  • Any AWS Certification preferred, but not required

  • AWS lambda/"serverless" development experience preferred, but not required

  • JIRA, Agile experience preferred, but not required

The Principal Cloud Platform Engineer is an exceptional and influential thought leader and driver of Cloud Engineering for our Enterprise IT and Business IT teams in both IaaS/PaaS and SaaS implementations. Serve as the primary interface to business leaders, senior executives, and product teams; lead design thinking and establish and drive cloud strategy including both infrastructure, platforms and applications/services; lead projects with a focus adhering and engineering to established guiding principles, platforms, and standards.

  • In partnership with executive leaders, lead the Cloud transformation strategy , driving toward the future state for the team or customer base within domain.

  • Mentor, guide, and teach other engineers as they solve and navigate complex problems in changing/evolving technology landscape.

  • Coach DevOps ideologies while driving and communicating change supporting DevOps/SecOps methodology within the organization.

    Other Job Requirements

Responsibilities

7-10 years of infrastructure or software engineering experience with 5+ years of experience in Cloud technologies/platforms and transformation. Experience with cloud strategy, cloud provider ecosystems (AWS/Azure/GCP) and migrating Enterprise from traditional data center Infrastructure, Application and Data designs to hybrid or fully-cloud enabled practices. Experience creating and executing on Cloud transformation strategy. Viewed as and sought out as Cloud transformation thought leader within respective domain.Experience with container orchestration, Kubernetes; experience with best security practices for Linux/UNIX Windows servers.Demonstrated ability to bridge technology knowledge gaps between IT staff and corporate staff such as Legal, Compliance and Audit organizations.

General Job Information

Title

Principal Cloud Engineer - Fully Remote

Grade

30

Work Experience - Required

IT

Work Experience - Preferred

Education - Required

Education - Preferred

Bachelors - Computer and Information Science, Bachelors - Information Technology

License and Certifications - Required

License and Certifications - Preferred

AWS - Amazon Web Services Certified DevOps Engineer - Professional - Enterprise, AWS - Amazon Web Services Certified Solutions Architect - Professional - Enterprise, Azure Architect Expert - Enterprise

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

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

Eligibility Processor - Magellan Health Services
Posted: Apr 06, 2022 02:06
Orlando, Florida

Job Description

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

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

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

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

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

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

  • Builds and fosters client relationship.

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

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

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

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

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

    Other Job Requirements

Responsibilities

Minimum of 2 years of customer service, claims, or general office experience.Proficient with MS Office software.Ability to type 60 WPM.Strong ten key user.Results and solution oriented; not afraid to ask questionsProficient in Microsoft Office Suite, with primary focus being MS Excel and MS Access.

General Job Information

Title

Eligibility Processor

Grade

17

Work Experience - Required

Claims, Customer Service

Work Experience - Preferred

Education - Required

GED, High School

Education - Preferred

License and Certifications - Required

License and Certifications - Preferred

Salary Range

Salary Minimum:

$31,175

Salary Maximum:

$46,765

This information reflects the anticipated base salary range for this position based on current national data. Minimums and maximums may vary based on location. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law.

This position may be eligible for short-term incentives as well as a comprehensive benefits package. Magellan offers a broad range of health, life, voluntary and other benefits and perks that enhance your physical, mental, emotional and financial wellbeing.

Note: For Union-represented and Service Contract Act (SCA) positions, wage rates are governed by applicable bargaining agreement provisions or the defined SCA contract provisions.

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

Sr. Director, Program Portfolio Management - Magellan Health Services
Posted: Apr 06, 2022 02:05
Glen Allen, Virginia

Job Description

This position is responsible for overseeing, managing and leveraging parts of the life cycle of IT investments in infrastructure and systems-from defining and targeting the investment mix, to planning the portfolio structure and packaging, to communicating the portfolio plan and measuring results. This is a key role in the strategic planning process for the IT organization. Works with and advises these individuals and groups on how enterprise priorities link to technology investment, and the risks and benefits of specific portfolio activities. Works with the IT organization and other stakeholders to develop, prioritize the IT and business portfolio. Analyzes portfolio performance, and recommends changes in investment mix to achieve goals. Proactively identifies opportunities for improving IT portfolio performance to provide a competitive advantage to the business. Managing teams with focus on policy and strategy implementation and control rather than development; short-term operational/tactical responsibilities.

  • Demonstrates knowledge of several business areas processes, procedures and functions

  • Ensures that intended business benefits are met.

  • Mentors, plans, directs, coordinates and oversees current and potential projects within the company

  • Reviews projects regularly to ensure the successful completion on a timely basis and within budget.

  • Defines and implements procedures to ensure processes are followed by the project management team.

  • Mentors in the development and overseeing project timelines, reviewing work orders and budgets..

  • Provides mentorship, direction and coaching on project methodologies as well as individual development.

  • Participates in discussions regarding evaluation of potential projects

  • Demonstrates experience leading successful merger & acquisition Programs/Projects

  • Gains an understanding of the organization's strategic goals to support project selection.

  • Assists Solution/Service Owners and Business Stakeholders in ranking potential projects in terms of their expected contribution to meeting organizational goals.

  • Manages teams to create and execute project plans and revise as appropriate to meet changing needs and requirements.

  • Influences changes and system enhancements to business processes, policies, and infrastructure to deliver the most effective IT services.

  • Manages the selection, evaluation, contracting and integration of externally available hardware, software, and processes to deliver business solutions.

  • Directs and manages, through analysis, the planning, design, development, testing, installation and maintenance of support systems for both internal/external clients.

  • Selects and builds strong teams through formal training, diverse assignments, coaching, mentoring, and other team development techniques, along with regular individual and group meetings.

  • Develops tactical and strategic plans to satisfy technical business needs and new business proposals.

  • Manages and develops project cost estimates, benefits, justification and assessment of potential project risks.

  • Manages projects, staff, customer expectations and business priorities to achieve customer and business unit satisfaction.

  • Manages, plans and tracks all budgets and expenses.

  • Oversees vendor relationships and projects.

  • Directs and manages business process re-engineering associated with existing, developing and implementation of systems.

  • Develops and maintains strong, cooperative relationships with other IT services groups. Shares and establishes best practices experiences and opportunities throughout the organization.

  • Applies Agile development practices in delivery of transformational programs as required.

    Other Job Requirements

Responsibilities

12+ years of experience in Project Management with 4+ years of Program Management.Experience in health care, insurance or related field.Critical thinker.Demonstrated problem solving techniques.Strong verbal and written communication skills.Ability to coach and build skills within the team.

General Job Information

Title

Sr. Director, Program Portfolio Management

Grade

32

Work Experience - Required

IT

Work Experience - Preferred

Education - Required

Bachelors - Computer and Information Science

Education - Preferred

License and Certifications - Required

License and Certifications - Preferred

Salary Range

Salary Minimum:

$127,295

Salary Maximum:

$229,105

This information reflects the anticipated base salary range for this position based on current national data. Minimums and maximums may vary based on location. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law.

This position may be eligible for short-term incentives as well as a comprehensive benefits package. Magellan offers a broad range of health, life, voluntary and other benefits and perks that enhance your physical, mental, emotional and financial wellbeing.

Note: For Union-represented and Service Contract Act (SCA) positions, wage rates are governed by applicable bargaining agreement provisions or the defined SCA contract provisions.

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

Benefit Plan Configuration Analyst - Magellan Health Services
Posted: Apr 06, 2022 02:05
Scottsdale, Arizona

Job Description

This position specializes in the analysis and application of intermediate level benefit plan design requirements. A successful Analyst will ensure a high level of quality and accuracy through benefit configuration, test execution and validation efforts while serving as a subject matter expert on benefits and claim adjudication system coding setup.

  • Analyzes new business requirements for benefit design changes to establish the appropriate solution.

  • Complies with standards set forth regarding benefit design and configuration including but not limited to Health Insurance Portability and Accountability Act of 1996 (HIPAA) and National Council for Prescription Drug Programs (NCPDP).

  • Maintains technical documentation based on standard operating procedures.

  • Partners with various teams to analyze customer specific requirements and configuration and translate those into technical design specification and data flow from which programs are developed and coded.

  • Actively participates in and contributes to daily communications, team meetings and project/issue resolution.

  • Responsible for accurate management of plan benefits coding changes, test execution and validation efforts of plan benefit design requests.

  • Maintains customer documentation that validates configuration.

  • Efficiently and effectively distributes tasks, using clear and concise instructions and expectations.

  • Completes deliverables independently and within an agile team setting.

  • Other duties as assigned.

    Other Job Requirements

Responsibilities

Up to 2 years of experience in benefit plan configuration/analysis.Experience with adjudication processes (FirstRx preferred), analyzing benefit plan design and system application.This role requires strong attention to detail, critical thinking and analytical skillsStrong working knowledge of Microsoft Office suite, specifically Word and Excel, including running queries and macros.Ability to work within a team and as an individual contributor in a fast-paced, changing environment.Ability to identify and resolve process and/or systems issues.Strong sense of urgency leading to the timely completion of all projects, training and assignments.

General Job Information

Title

Benefit Plan Configuration Analyst

Grade

20

Work Experience - Required

Benefit Plan Configuration

Work Experience - Preferred

Education - Required

A Combination of Education and Work Experience May Be Considered., Bachelors

Education - Preferred

License and Certifications - Required

License and Certifications - Preferred

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

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

Care Coordinator - Magellan Health Services
Posted: Apr 06, 2022 02:05
Albuquerque, New Mexico

Job Description

Coordinates care of individual clients with application to identified populations using assessment, care planning, implementations, coordination, monitoring and evaluation for cost effective and quality outcomes. Duties are typically performed during face-to-face home visits. Promotes the appropriate use of clinical and financial resources in order to improve the quality of care and member satisfaction. Assists with orientation and mentoring of new team members as appropriate.

  • Provides care coordination to members with behavioral health conditions identified and assessed as requiring intensive interventions and oversight including multiple, clinical, social and community resources.

  • Conducts in depth health risk assessment and/or comprehensive needs assessment which includes, but is not limited to psycho-social, physical, medical, behavioral, environmental, and financial parameters.

  • Communicates and develops the care plan and serves as point of contact to ensure services are rendered appropriately, (i.e. during transition to home care, back up plans, community based services).

  • Implements, coordinates, and monitors strategies for members and families to improve health and quality of life outcomes.

  • Develops, documents and implements plan which provides appropriate resources to address social, physical, mental, emotional, spiritual and supportive needs.

  • Acts as an advocate for member`s care needs by identifying and addressing gaps in care.

  • Performs ongoing monitoring of the plan of care to evaluate effectiveness.

  • Measures the effectiveness of interventions as identified in the members care plan.

  • Assesses and reviews plan of care regularly to identify gaps in care, trends to improve health and quality of life outcomes.

  • Collects clinical path variance data that indicates potential areas for improvement of case and services provided.

  • Works with members and the interdisciplinary care plan team to adjust plan of care, when necessary.

  • Educates providers, supporting staff, members and families regarding care coordination role and health strategies with a focus on member-focused approach to care.

  • Facilitates a team approach to the coordination and cost effective delivery to quality care and services.

  • Facilitates a team approach, including the Interdisciplinary Care Plan team, to ensure appropriate interventions, cost effective delivery of quality care and services across the continuum.

  • Collaborates with the interdisciplinary care plan team which may include member, caregivers, member`s legal representative, physician, care providers, and ancillary support services to address care issues, specific member needs and disease processes whether, medical, behavioral, social, community based or long term care services. Utilizes licensed care coordination staff as appropriate for complex cases.

  • Provides assistance to members with questions and concerns regarding care, providers or delivery system.

  • Maintains professional relationship with external stakeholders, such as inpatient, outpatient and community resources.

  • Generates reports in accordance with care coordination goal.

    Other Job Requirements

Responsibilities

3-5 years experience in Social Work, Nursing, or Healthcare-related field, or relevant experience in lieu of degree., Experience in utilization management, quality assurance, home or facility care, community health, long term care or occupational health required.Experience in analyzing trends based on decision support systems.Business management skills to include, but not limited to, cost/benefit analysis, negotiation, and cost containment.Knowledge of referral coordination to community and private/public resources.Requires detailed knowledge of cost-effective coordination of care in terms of what and how work is to be done as well as why it is done, this level include interpretation of data.Ability to make decisions that require significant analysis and investigation with solutions requiring significant original thinking.Ability to determine appropriate courses of action in more complex situations that may not be addressed by existing policies or protocols.Decisions include such matters as changing in staffing levels, order in which work is done, and application of established procedures.Ability to maintain complete and accurate enrollee records.Effective verbal and written communication skills. Ability to work well with clinicians, hospital officials and service agency contacts.

General Job Information

Title

Care Coordinator

Grade

21

Work Experience - Required

Clinical, Quality

Work Experience - Preferred

Education - Required

GED, High School

Education - Preferred

Associates, Bachelors

License and Certifications - Required

DL - Driver License, Valid In State - Other

License and Certifications - Preferred

CCM - Certified Case Manager - Care Mgmt, LCSW - Licensed Clinical Social Worker - Care Mgmt, 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.

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

Military and Family Life Counselor - Child/Youth SOCOM - Magellan Health Services
Posted: Apr 06, 2022 02:05
Eglin AFB, Florida

Job Description

This position is in support of families and children in affiliation with SOCOM units at Eglin AFB. Candidates must be local to Eglin AFB or be willing to relocate to become local. Candidates 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 MFLC counseling services to military service members and their families at the Special Operations Command (SOCOM). This position requires a secret level security clearance and must abide by the rules governing such secret clearance. The counselor is responsible for providing MFLC services including non-medical, short-term, walk-around counseling, training/health and wellness presentations, and consultation to installation command regarding behavioral health issues with a unique understanding of the special operations cultural and security issues.

  • Provides non-medical, short-term, solution focused, walk-around counseling directly to service and family members of the SOCOM. Services include assessment, brief counseling and consultation, action planning, referral to resources (assuring linkage as appropriate), and follow-up as indicated.

  • Delivers training and health and wellness presentations and other base/installation activities as requested/directed.

  • Enters counselor activity data daily through smart phone, or web application to assure that reporting is accurate from assigned installation, while maintaining client / service member confidentiality.

  • Cultivate and maintain direct relationships with installation personnel within the SOCOM. Responsible for development of an effective and professional working relationship with the installation POC (Point of Contact) and with the SOCOM leadership.

  • Create 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.

  • Provides MFLC response to critical incidents, surge, and special requests as directed by the POC and approved by the Office of Secretary of Defense (OSD) program manager. Counselor will flex schedule to respond to urgent requests as needed.

  • Manages duty to warn and restricted reporting situations according to Department of Defense (DoD) protocol and staffs the cases with Regional Supervisor/Regional Director.

  • Communicates with Regional Supervisors and participates in regular individual and group supervision, sharing information regarding trends and issues on the installations to which the counselor is assigned.

  • Participates in regular in-services/training, Quality Improvement committees or other contract activities as assigned/ appropriate.

    Other Job Requirements

Responsibilities

Master's Degree from an accredited Graduate Program in a Mental Health related field.Valid unrestricted counseling license from a State, District of Columbia, US Territory or Commonwealth that grants authority to provide counseling services as an independent practitioner.For assignments in the 50 states, counselors shall be licensed or certified in the state in which the client is receiving services.A minimum of two years of post licensure counseling experience.Requires ability to engage and communicate with military members or children as assigned, in order to accomplish job functions, and to respond quickly to emergent situations in any physical location on a military installation and/or within a school setting, which includes the need to traverse short and/or long distances within the base to both indoor and outdoor locations, to maneuver through rugged, outdoor or uneven locations (e.g., steep inclines, stairs, grass), and work in outdoor weather and other military base conditions.May require travel to locations outside of a military base in a variety of physical environments. Due to the nature of working on military installations or related worksites, counselors may need to comply with various site specific requirements to work at designated locations. For example, for some assignments, counselors will need to have certain immunizations or vaccinations and provide record of receipt.Secret Level security clearance.Pass a National Agency Check and Inquiries (NACI) Clearance and an Installation Records Check (IRC), Criminal History Background Check and FBI Fingerprints Check.Ability to prove US Citizenship and must speak fluent English.Understanding, sensitivity and empathy for service members and their families. Ability to develop trusting, helping relationships. Ability to work effectively with individuals and families from diverse racial, ethnic, and socioeconomic backgrounds.Prior military service/military family member and/or strong familiarity with military culture and command structure; ability to establish productive relationships with high ranking military personnel.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 SOCOM

Grade

MFLC Tier 3

Work Experience - Required

Clinical

Work Experience - Preferred

Education - Required

Masters - Behavioral Health, Masters - Social Work

Education - Preferred

License and Certifications - Required

Current licensure required for this position that meets State, Commonwealth or customer-specific requirements - Care Mgmt, DL - Driver License, Valid In State - Other, Must be an independently licensed behavioral health clinician - Care Mgmt, Secret Security Clearance - Other

License and Certifications - Preferred

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

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

Contract Analyst - Specialty Markets - Magellan Health Services
Posted: Apr 06, 2022 02:05
Latham, New York

Job Description

Responsible for drafting various agreements using standard templates for the purchase of goods or services including consulting agreements, letters of agreement, non-disclosure agreements, business associate agreements and other contracts. The position is responsible for developing and implementing national and regional plans that meet new and existing customer requirements, assures member access to qualified providers for authorized services, and collaborates with key leaders to ensure adherence to budget and cost of care projections.

  • Reviews third party agreements to ensure the terms and conditions align with standard contract template terms and conditions.

  • Creates contract amendments, renegotiating the contract if required, to accommodate scope changes.

  • Requests or approves amendments to contract terms or contract extensions.

  • Works directly with internal and external stakeholders to negotiate and finalize agreements.

  • Ensures that all internal documentation to authorize the agreements is completed prior to execution including obtaining business and legal approvals.

  • Tracks and distributes executed contracts to third parties and internal stakeholders.

  • Responsible for development, modification, maintenance and review of ad hoc contracts and agreements in conjunction with Corporate Legal Counsel, in addition to the Provider Authorization and Referral policy.

  • Meets financial goals (e.g., care cost trends, profitability) as defined by the business, ensuring out-of-network provider ad hoc rates are contracted within agreements.

  • Responsible for maintaining executed contracts, the contract term library, the contracting procedural manual, updating and maintaining 25 contract templates, and tracking contract milestones including renewals in proprietary database.

  • Has fundamental knowledge of the principles and concepts in commercial or governmental contracting.

    Other Job Requirements

Responsibilities

Ability to write, interpret and edit contract language as required.Comfortable taking initiative and working independently and effectively under pressure in a fast-paced, deadline-oriented environment.Demonstrated ability to prioritize, organize, and manage multiple tasks simultaneously.Strong working knowledge of MS Office Suite, specifically Excel.Health care administration experience. Strong preference for managed care experience.Excellent communication and negotiation skills. Effective problem solving skills.

General Job Information

Title

Contract Analyst - Specialty Markets

Grade

20

Work Experience - Required

Contract Administration and Management, Legal

Work Experience - Preferred

Education - Required

Associates - General Studies

Education - Preferred

Bachelors - General Studies

License and Certifications - Required

License and Certifications - Preferred

Salary Range

Salary Minimum:

$41,505

Salary Maximum:

$62,255

This information reflects the anticipated base salary range for this position based on current national data. Minimums and maximums may vary based on location. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law.

This position may be eligible for short-term incentives as well as a comprehensive benefits package. Magellan offers a broad range of health, life, voluntary and other benefits and perks that enhance your physical, mental, emotional and financial wellbeing.

Note: For Union-represented and Service Contract Act (SCA) positions, wage rates are governed by applicable bargaining agreement provisions or the defined SCA contract provisions.

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

Principal Data and Integration Engineer (ETL) - Magellan Health Services
Posted: Apr 06, 2022 02:05
Rancho Cordova, California

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 (ETL)

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.

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

Care Worker- ABA/Autism Dept - Magellan Health Services
Posted: Apr 06, 2022 02:05
San Diego, California

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- ABA/Autism Dept

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.

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

School Military Family Life Counselor - Magellan Health Services
Posted: Apr 05, 2022 06:28
Fort Bragg, North Carolina

Job Description

This position is included in a Collective Bargaining Unit.

This position is working at Max Abbot Middle School; Lewis Chapel Middle School; and Gray's Creek High School in affiliation with Fort Bragg. Candidates must to be local to the position and licensed at the independent level in the state of North Carolina as a Social Worker (LCSW); Therapist (LMFT); or Mental Health Counselor (LCMHC).

This position has the primary responsibility of providing the full breadth of Child and Youth Behavioral (CYB) counseling services to children of all ages of military service members and their families at military installations and off military installations. These services may include non-medical counseling, training/ health and wellness presentations, consultation with parents, personnel, schools, and consultation to installation command regarding behavioral health issues affecting children and youth. CYB School counselors will be assigned to Department of Defense (DoDEA) schools and community schools and will need to have experience working in a school setting to qualify for school position. CYB School counselors will also be assigned to youth programs, summer camps, and on demand assignments. The counselors work closely with the installation and military branch Points of Contact (POC) to assure that the program is provided within scope and meets the needs of the installation and the schools.

  • Provides non-medical, short-term, solution focused, counseling directly to children and youth of service members. Services include assessment, brief counseling and consultation, action planning, referral to resources (assuring linkage as appropriate), and follow-up as indicated.

  • CYB counselors will also have a focus on supporting the staff and personnel of DoDEA and community schools, and summer camps as well as providing parent training and guidance.

  • Provides training and health and wellness presentations, participates in health fairs and other base/installation activities focused on children and youth.

  • Enters counselor activity data on a daily basis through smart phone, or web application, to assure that reporting is accurate from assigned installation while maintaining confidentiality and anonymity of service/family member.

  • Creates a presence in the school; is available to children, youth, and staff. When working with children, the counselor must abide by line of sight protocol (another adult with responsibility for the child must be able to see the counselor and child they are working with at all times).

  • Establishes and maintains working relationships with community resources focused on children and youth and provides appropriate linkages.

  • Partners with POC to provide CYB services in a manner that addresses the needs of the installation/facility. Develops an effective and professional working relationship with the installation/facility POC.

  • Manages duty to warn and restricted reporting situations according to DoD protocol and staffs the cases with Regional Supervisor/Regional Director.

  • Communicates with Regional Supervisor and participates in regular individual and group supervision, sharing information regarding trends and issues on the installations and in facilities to which they are assigned.

  • Responds to critical incidents and special requests as directed by the POC and approved by the Office of Secretary of Defense (OSD) program manager. The CYB will flex schedule to respond to urgent requests as needed.

  • Participates in regular in-services/training, Quality Improvement committees or other contract activities as assigned/appropriate.

    Other Job Requirements

Responsibilities

Master's degree from an accredited graduate program in a relevant field of study to include, but not limited to, a mental health related field such as social work, psychology, marriage/family therapy, or counseling.Valid unrestricted counseling license from a State, District of Columbia, US Territory or Commonwealth that grants authority to provide counseling services as an independent practitioner. For assignments in the 50 states, counselors shall be licensed or certified in the state in which the client is receiving services.Minimum 2 years of post-masters supervised clinical experience.Requires ability to engage and communicate with military members or children as assigned, in order to accomplish job functions, and to respond quickly to emergent situations in any physical location on a military installation and/or within a school setting, which includes the need to traverse short and/or long distances within the base to both indoor and outdoor locations, to maneuver through rugged, outdoor or uneven locations (e.g., steep inclines, stairs, grass), and work in outdoor weather and other military base conditions.May require travel to locations outside of a military base in a variety of physical environments.Due to the nature of working on military installations or related worksites, counselors may need to comply with various site-specific requirements to work at designated locations. For example, for some assignments, counselors will need to have certain immunizations or vaccinations and provide record of receipt.Ability to prove US Citizenship and must be fluent in English.Understanding, sensitivity and empathy for service members and their families. Ability to develop trusting, helping relationships. Ability to work with individuals and families from diverse racial, ethnic and socioeconomic backgrounds.Must pass a National Agency Check and Inquiries (NACI) Clearance, and an Installation Records Check (IRC), Criminal Background Check, and FBI Fingerprints Check.Vehicle Operator's License Requirement: Unless specifically waived by the FEDSIM COR, all contractor personnel providing counseling support at Government locations shall possess a valid U.S. state vehicle operator's license. As a condition for employment under this contract, contractor personnel may be required to pass all tests for and obtain a U.S. military vehicle operator's permit for commercial sedans and similar, for use at Temporary Duty (TDY) locations, if required.

General Job Information

Title

School Military Family Life Counselor

Grade

MFLC Tier 2

Work Experience - Required

Clinical

Work Experience - Preferred

Education - Required

Masters - Behavioral Health, Masters - Social Work

Education - Preferred

License and Certifications - Required

Current licensure required for this position that meets State, Commonwealth or customer-specific requirements - Care Mgmt, DL - Driver License, Valid In State - Other, Must be an independently licensed behavioral health clinician - Care Mgmt

License and Certifications - Preferred

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

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

Family Advocacy Program Assistant (Secretary II), AFMRA - Magellan Health Services
Posted: Apr 05, 2022 06:24
Tucson, Arizona

Job Description

Family Advocacy Program Assistants (FAPAs) provides administrative, technical, and prevention services under the direction of the site Family Advocacy Officer (FAO). FAPAs will support all components of the FAP to include providing administrative assistance, records management, computer support, meeting preparation, assisting in research and evaluation, and assisting in administering and scoring instruments related to secondary prevention. FAPAs with the skill set to assist with prevention services and under direction of the site FAO, may assist with New Parent Support Program and FAP Outreach activities.

  • Provides administrative, technical, and prevention services under the direction of the site FAO.

  • Supports all components of the FAP to include providing administrative assistance, records management, computer support, meeting preparation, assisting in research and evaluation, and assisting in administering and scoring instruments related to secondary prevention.

  • Assists with prevention services and under direction of the site FAO, may assist with New Parent Support Program and FAP Outreach activities.

    Other Job Requirements

Responsibilities

Associate's degree in Education or Teacher Certification Program, Social Behavior, Human Behavior, or Health Care.Experience developing an education curriculum with learning objectives and outcomes are essential.Critical the FAPA have a high proficiency in Microsoft Office and various database and software programs.Shall be able to obtain and maintain a National Agency Check with Inquiries (NACI) Tier 1 Clearance.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.Able to work under time pressure and rapidly for long periods to meet deadlines.Before starting work, FAP personnel working with Military Treatment Facilities shall provide proof of immunization from the following diseases according to CDC guidelines: Hepatitis B, measles, mumps, rubella, varicella, and influenza, and proof of a negative TB skin test (completed within the past 12 months (if positive, proof of negative chest X-ray within the past 12 months).Basic Life Support Certification: At a minimum, all FAP personnel working within a Military Treatment Facility must maintain current certification in either the American Heart Association Basic Life Support Course (BLS) (Course C) or the American Red Cross Cardiopulmonary Resuscitation (CPR)/BLS (Heart Saver) Course.

General Job Information

Title

Family Advocacy Program Assistant (Secretary II), AFMRA

Grade

WDNAFMRAFAPA

Work Experience - Required

Work Experience - Preferred

Education - Required

Associates

Education - Preferred

License and Certifications - Required

BLS - Basic Life Support - 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.

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



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