Company Detail

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 participate in team activities to help build a high-performance team.

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

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

  Other Job Requirements

Responsibilities

Minimum of 5 years of clinical experience after receiving the graduate degree.Clinical training must include instruction on chemical dependency, mental health and brief therapy.Must have understanding of workplace issues, how businesses function and a fundamental understanding of employee/employer relationships.Must be capable of acquiring an understanding of EEO rules, ADA in the workplace, FMLA, and Drug Free Workplace Requirements.Must be able to provide accurate client assessment including level of risk, substance abuse and dependency, job performance issues and refer to appropriate level of care.Competent in crisis intervention.Demonstrates knowledge and expertise in solution-focused, brief therapy in outpatient setting.Strong customer service skills required.Must be able to sensitively, compassionately respond to callers. Excellent listening skills vital.Interacts effectively at all levels both within the company and with external customers.Analyzes and presents issues in a clear, concise, persuasive manner, both orally and in writing. Uses time to manage caseload and documentation effectively.Meets productivity targets and quality management expectations.Develops effective working relationships with peers within and across organizational lines.Effectively resolves individual conflicts. Supports department mission and keeps management informed of team issues.Takes responsibility for own development and stays current on skills and techniques needed to perform job.Adjusts well to new situations and changing priorities.Comfortable with ambiguity and stress while handling a variety of assignments.Maintains a positive, achievement-oriented attitude and consistent in accomplishing expected objectives.

General Job Information

Title

EAP Consultant, Federal

Grade

23

Work Experience - Required

Clinical, Employee Assistance Program (EAP)

Work Experience - Preferred

Education - Required

Masters - Behavioral Health

Education - Preferred

License and Certifications - Required

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

License and Certifications - Preferred

CEAP - Certified Employee Assistance Professional - Care Mgmt

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

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

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

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

Warning: Employment Scam

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

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

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

Job Detail

• Company:
  Magellan Health Services

Job Description

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

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

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

• Creates and maintains database objects.

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

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

• Assists IT management in prioritizing database administration team projects.

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

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

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

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

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

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

• Exports/imports data and data replication.

• Job and events scheduling.

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

• Assigns work to team as necessary.

  Other Job Requirements

Responsibilities

5+ years of relevant experience deploying and/or administrating infrastructure solutions. Requires strong knowledge and experience with multiple infrastructure solutions.Experience moving across different departments within IT to gain a broader perspective of the business/industry. Familiar with a variety of concepts, practices, and procedures.Critical thinker.Demonstrated problem solving techniques.Strong verbal and written communication skills.Ability to mentor teamsAppetite to quickly learn.Experience in health care, insurance or related field.

General Job Information

Title

Lead Cloud Database Administrator

Grade

28

Work Experience - Required

IT

Work Experience - Preferred

Education - Required

Education - Preferred

Bachelors - Computer and Information Science

License and Certifications - Required

License and Certifications - Preferred

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

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

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

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

Warning: Employment Scam

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

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

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

Job Detail

• Company:
  Magellan Health Services

Job Description

Provides Air Force (AF) personnel, their family members, or intimate partners who are victims of domestic abuse nonclinical emergent and urgent service through safety assessments and safety planning services. The Domestic Abuse Victim Advocate (DAVAs) promotes a coordinated community response to allegations of domestic abuse via providing a range of support and education services to victims during duty hours, as well as on-call emergency services after duty hours. This position provides comprehensive services 24 hours a day/7 days per week to assist and advocate for victims of domestic abuse and to ensure victims are connected with the appropriate resources to ensure their safety. The DAVA does not provide clinical treatment services.

• Responds to calls IAW established protocols, maintains a record of calls, and provides the Family Advocacy Officer or designee a situational report the following duty day.

• Partners with the Family Advocacy case manager, or mental health on-call provider if the treatment/case manager is unavailable, to establish current and effective safety plans. The victim's safety is the DAVA's top responsibility and priority. The DAVA shall review the Victim's Safety Plan during each victim contact. Establishes a Victim's Safety Plan on a case-by-case basis.

• Develops safety plans based on initial and ongoing risk assessments. If imminent risk of serious harm or death is established, notify the FAO, law enforcement, and Command.

• Includes children, if involved, in the process and evaluates physical safety and emotional well-being; refer involved children to the treatment/case manager for follow-on care.

• Immediately reports any changes in the victim's circumstances that changes or impacts the safety plan to the FAP treatment/case manager or mental health on-call provider if the treatment/case manager is unavailable.

• Determines victim's imminent risk of serious harm or death, risk factors will be assessed per the detailed job description.

• Provides safety assessments and safety planning for comprehensive services to include emotional support, arrangement of transportation; accompany victims to medical, legal and/or law enforcement appointments, 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 with the exception of state, federal, and military reporting requirements and immediate comprehensive care and treatment needed to restore health and well-being.

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

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

• Explains reporting options during the initial contact whenever possible to ensure that the victim makes informed decisions about whom to disclose information regarding the abuse.

• Ensures that first responders, (Emergency Medical Services and or law enforcement etc.) when appropriate, are contacted immediately during emergencies and in situations where there is imminent harm to the victim or others.

• Partners with the FAP treatment/case manager to support the victim and promote safety for the victim and children in the home. Briefs the treatment/case manager prior to the Clinical Case Staffing (CCS) so that the CCS team has the most current information on the victim and children for staffing.

• Supports the Family Advocacy Outreach Manager (FAOM) in developing System Advocacy, Education and Public Awareness, and promoting a coordinated community response to domestic abuse.

• Operates within established guidelines.

• Other duties as assigned.

  Other Job Requirements

Responsibilities

A Bachelor's degree from an accredited university in any of the following disciplines: Social Work; Psychology; Marriage, Family, and Child Counseling; Counseling or Behavioral Science; Criminal Justice, or related field.Two years of experience assisting and providing advocacy services to victims of domestic abuse or sexual assault.Upon hire, or within six-months of hiring, must obtain the Basic Advocate credential with designation of Comprehensive Intervention Specialist as approved and offered by the National Advocate Credentialing Program, which is overseen by the National Organization for Victims Assistance.Before starting work, all FAP and DAVA 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).At a minimum, all FAP and DAVA 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.Shall be able to obtain and maintain a National Agency Check with Inquiries (NACI) Tier 1 Clearance. Proficient in the use of Microsoft Office Suite and have the ability to input, retrieve, and format documentation via various database/software.DAVAs shall have knowledge of military programs, organizations, chain of command, unit missions, life styles, and situations that contribute to family stress, problems and crisis situations.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.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.Ability to work under time pressure. and rapidly for long periods to meet deadlines.

General Job Information

Title

Victim Advocate, AFMRA

Grade

WDNAFMRADAVA

Work Experience - Required

Victim Advocacy

Work Experience - Preferred

Education - Required

Bachelors - Behavioral Health

Education - Preferred

License and Certifications - Required

License and Certifications - Preferred

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

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

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

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

Warning: Employment Scam

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

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

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

Job Detail

• Company:
  Magellan Health Services

Job Description

Community Healthcare workers dedicated to Montgomery members to provide member support on identifying and connecting to resources to meet their social determinants of needs, as well as behavioral and physical health care.

Provides ongoing, community-based support for an assigned caseload of health plan enrollees to improve access to care and care coordination. Establishes a relationship with the enrollee, the care coordination team, and providers. Conducts new enrollee outreach and orientation, arranges appointments and transportation as needed. Assists the enrollee in learning to navigate the health care delivery system, community resources, transportation, and effectively use health plan benefits.

• Conducts outreach and orientation for new enrollees. Gathers information needed to ensure continuity of care and permission to share information.

• Administers Health and Wellness Questionnaire.

• Seeks connection by working with the Peer Support Specialist and leveraging community services, care providers, family members, schools, etc.

• Assists enrollees in accessing care and ensures care is received. Helps members, as needed, in selecting providers, making appointments, and planning transportation.

• Contacts enrollee or provider to ensure appointments have occurred. Assists in transitions of care to and from alternative levels of care or settings.

• Makes follow up care arrangements and ensures post-hospital care is delivered as planned.

• Meets with enrollee regularly (as determined by individual risks) in order to monitor progress according to the Care Coordination Plan.

• Reminds enrollee of self-management tools and crisis support. Informs and engages the Care Coordination Team if enrollee has difficulty adhering to the care coordination plan or adhering to treatment and needs additional support.

• Works with enrollee and family/supports to engage in socialization, work or volunteer related activities, or access community resources and services.

• Maintains up to date documentation in the Care Coordination Plan and other Health Services tools.

• Prepares information for Care Coordination Team meetings and as requested, for shared treatment planning sessions.

  Other Job Requirements

Responsibilities

Experience in community service, health care or social services and/or community-based or home health care experience required, Experience with individuals who have severe mental illness or chronic medical conditions.

General Job Information

Title

Health Guide- Community Healthcare Worker

Grade

19

Work Experience - Required

Clinical

Work Experience - Preferred

Managed Healthcare

Education - Required

Education - Preferred

Associates, Bachelors

License and Certifications - Required

DL - Driver License, Valid In State - Other

License and Certifications - Preferred

LPN - Licensed Practical Nurse - Care Mgmt

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

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

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

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

Warning: Employment Scam

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

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

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

Job Detail

• Company:
  Magellan Health Services

Job Description

Plays a key role in various multi-functional projects critical to the company in achieving its clinical and operational goals and objectives. Develops, implements and monitors clinical specialty programs in the field. Serves as clinical liaison for assigned Pharmacy contract(s). Manages overall client relationship. Participates in the development of clinical management products and services. Activities address impact on customers, operations, program integrity, pricing, quality and satisfaction. Develops and tracks the appropriate metrics to monitor the quality and care cost impact of the client's program. Requires communication across all departments, an understanding of the strategic impact of the program(s) for the company, knowledge of how the specialty programs integrate with other clinical initiatives, and expertise with data management.

• Leads the development of clinical program enhancements and better practices.

• Assists with development, enhancement, and maintenance of operational functions, policy and clinical support and provider education.

• Develops, implements, and monitors project plan requirements and timelines, ensures all necessary support, tools and technology are available, and follows up as needed. Meets with business process owners and other appropriate personnel to identify the project's goals, objectives, critical success factors, and success measures.

• Works closely with teams to ensure consistent delivery of approved programs to their client.

• Ensures operations are standardized at the fullest extent possible.

• Provides overall project coordination for the contract's clinical and operational functions.

• Oversees and coordinates implementation of new specialty programs and serves as liaison between the company and customers as needed.

• Assists in modifying implementation approaches within budget and operational framework.

• Revenue Generation - Works jointly with Account Manager to ensure revenue goals, administrative expenses are managed.

• Develops strong relationships with key contacts at client level.

• Develops strong relationships and contacts within the company that are supportive of the achievement of increased revenue goals.

• Supports other functions as requested throughout the program development lifecycle including finance, outcomes, communications and IT.

• Communicates frequently, either by phone or in person, with client to report program progress.

• Establishes priorities and maintains positive client relationship.

• Responds to client's requests for information.

• Assesses, investigates and resolves difficult issues to achieve customer satisfaction.

• Maintains contract's Preferred Drug List.

• Responsible for oversight of all program reporting.

• Ensures standard and ad hoc reports are provided accurately and on time.

• Supports the State Drug Utilization Review Boards and Pharmacy and Therapeutics (P&T) Committee.

  Other Job Requirements

Responsibilities

3-5 years' experience in clinical operations, quality, network, pharmacy or project management OR a managed care pharmacy residency.Proven ability to plan, organize, schedule, direct, control and monitor project activities. Well-developed interpersonal skills. Able to perform basic financial analysis.Project management experience and knowledge of health plans required.

General Job Information

Title

PBM Clinical Account Manager - REMOTE Nevada

Grade

29

Work Experience - Required

Marketing, Pharmacy, Project/Program Management

Work Experience - Preferred

Education - Required

Bachelors - Pharmacy

Education - Preferred

PharmD - Pharmacy

License and Certifications - Required

RPH - Registered Pharmacist - Pharmacy

License and Certifications - Preferred

PharmD - Doctor Of Pharmacy, State Licensure - Pharmacy

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

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

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

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

Warning: Employment Scam

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

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

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

Job Detail

• Company:
  Magellan Health Services

Job Description

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

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

• Company:
  Magellan Health Services

Job Description

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

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

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

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

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

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

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

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

  Other Job Requirements

Responsibilities

Minimum of 5 years of clinical experience after receiving the graduate degree.Clinical training must include instruction on chemical dependency, mental health and brief therapy.Must have understanding of workplace issues, how businesses function and a fundamental understanding of employee/employer relationships.Must be capable of acquiring an understanding of EEO rules, ADA in the workplace, FMLA, and Drug Free Workplace Requirements.Must be able to provide accurate client assessment including level of risk, substance abuse and dependency, job performance issues and refer to appropriate level of care.Competent in crisis intervention.Demonstrates knowledge and expertise in solution-focused, brief therapy in outpatient setting.Strong customer service skills required.Must be able to sensitively, compassionately respond to callers. Excellent listening skills vital.Interacts effectively at all levels both within the company and with external customers.Analyzes and presents issues in a clear, concise, persuasive manner, both orally and in writing. Uses time to manage caseload and documentation effectively.Meets productivity targets and quality management expectations.Develops effective working relationships with peers within and across organizational lines.Effectively resolves individual conflicts. Supports department mission and keeps management informed of team issues.Takes responsibility for own development and stays current on skills and techniques needed to perform job.Adjusts well to new situations and changing priorities.Comfortable with ambiguity and stress while handling a variety of assignments.Maintains a positive, achievement-oriented attitude and consistent in accomplishing expected objectives.

General Job Information

Title

EAP Consultant, Federal

Grade

23

Work Experience - Required

Clinical, Employee Assistance Program (EAP)

Work Experience - Preferred

Education - Required

Masters - Behavioral Health

Education - Preferred

License and Certifications - Required

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

License and Certifications - Preferred

CEAP - Certified Employee Assistance Professional - Care Mgmt

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

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

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

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

Warning: Employment Scam

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

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

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

Job Detail

• Company:
  Magellan Health Services

Job Description

Care Manager - R00000049930 & R00000049183 DESCRIPTION/RESPONSIBILITIES:Under general supervision, and in collaboration with other members of the clinical team, authorizes and reviews utilization of mental health and substance abuse services provided in inpatient and/or outpatient care settings. Collects and analyzes utilization data. Assists with discharge planning and care coordination. Provides member assistance with mental health and substance abuse issues, and participates in special quality improvement projects. * Monitors inpatient and/or outpatient level of care services related to mental health and substance abuse treatment to ensure medical necessity and effectiveness. * Provides telephone triage, crisis intervention and emergency authorizations as assigned. * Performs concurrent reviews for inpatient and/or outpatient care and other levels of care as allowed by scope of practice and experience. * In conjunction with providers and facilities, develops discharge plans and oversee their implementation. * Performs quality clinical reviews while educating and making appropriate interventions to advance the care of the member in treatment. * Provides information to members and providers regarding mental health and substance abuse benefits, community treatment resources, mental health managed care programs, and company policies and procedures, and criteria. * Interacts with Physician Advisors to discuss clinical and authorization questions and concerns regarding specific cases. * Participates in quality improvement activities, including data collection, tracking, and analysis. * Maintains an active work load in accordance with National Care Manager performance standards. * Works with community agencies as appropriate. Proposes alternative plans of treatment when requests for services do not meet medical necessity criteria. * Participates in network development including identification and recruitment of quality providers as needed. * Advocates for the patient to ensure treatment needs are met. Interacts with providers in a professional, respectful manner that facilitates the treatment process. Other Job Requirements ResponsibilitiesLicensure is required for this position, specifically a current license that meets State, Commonwealth or customer-specific requirements.One or more of the following licensure is required for this role with necessary degrees: CEAP, LMSW, LCSW, LSW, LPC or RN.Minimum 2 years experience post degree in healthcare, behavioral health, psychiatric and/or substance abuse health care setting.Strong organization, time management and communication skills.Knowledge of utilization management procedures, mental health and substance abuse community resources and providers.Knowledge and experience in inpatient and/or outpatientsetting.Knowledge of DSM V or most current diagnostic edition.Ability to analyze specific utilization problems, plan and implement solutions that directly influence quality of care. General Job InformationTitleCare Manager Grade23 Work Experience - RequiredClinical Work Experience - PreferredEducation - RequiredAssociates - Nursing, Bachelors - Social Work, Masters - Social Work Education - Preferred License and Certifications - RequiredCEAP - Certified Employee Assistance Professional - Care Mgmt, LCSW - Licensed Clinical Social Worker - Care Mgmt, LMFT - Licensed Marital and Family Therapist - Care Mgmt, LMSW - Licensed Master Social Worker - Care Mgmt, LPC - Licensed Professional Counselor - Care Mgmt, LSW - Licensed Social Worker - Care Mgmt, RN - Registered Nurse, State and/or Compact State Licensure - Care Mgmt License and Certifications - Preferred Magellan Health, Inc. is proud to be an Equal Opportunity Employer and a Tobacco-free workplace. EOE/M/F/Vet/Disabled. Every employee must understand, comply with and attest to the security responsibilities and security controls unique to their position; and comply with all applicable legal, regulatory, and contractual requirements and

Job Detail

• Company:
  Magellan Health Services

Job Description

Plays a key role in medical and pharmacy management initiatives critical to the company achieving revenue goals and operational objectives. Responsible for executing utilization management programs on behalf of health plan/payor customers, while utilizing additional clinical knowledge pertaining to a set list of managed medications across all health plans, with additional training for each medication and therapeutic class. Primary activities center on reviewing both prospective and retrospective requests for therapeutic appropriateness using sound clinical criteria. Responsible for making and receiving calls to and from physicians, patients, and pharmacies to gather additional clinical information to determine medication reimbursement. Performs QA of medical exception/prior authorization processing and submits report to supervisor for review. Identifies patterns for training needs and develops training materials for new hires.Coordinates with other internal departments as needed for resolution of system error updates that are discovered.

• Performs quality assurance (QA) of medical exception overrides. Compiles report and identifies training needs and reviews with supervisor.

• Develops and maintains training materials for new hires.

• Provides assistance and coaching to other staff when help is needed in resolving a claim submission error. Acts as a mentor to the department.

• Assists supervisor in completing special projects as necessary.

• Identifies system errors with override completion and acts as point person to communicate with appropriate management for resolution.

• Reviews pertinent patient information and checks appropriateness using clinical criteria. Makes approval recommendations on all services that meet clinical review criteria. Refers all cases not meeting clinical criteria to pharmacist clinical reviewer.

• Conducts Program Integrity Audits including outreach and review of medical records to audit authenticity of provider response during Prior Authorization and reporting results to client. - Assists with the documentation and implementation of both written and verbal communications to physicians/prescribers and assists in the maintenance of the edits and data elements that support the edits.

• Available for consultation in pharmacy related questions to resolve claims submission related to medication edits.

• Regularly reviews and monitors information on pended claims identified as outliers by internal and/or external analysis of pharmacy claims data.

• Electronically documents both written and verbal communications with physicians, their staff, cardholders, and pharmacies.

• Escalates medical exception requests to nurse, pharmacist or physician on the utilization review clinical team when further review is necessary.

• Other duties as assigned.

  Other Job Requirements

Responsibilities

Must have an active pharmacy technician licensure or registration in accordance with state requirements.If state does not require an exam for licensure/registration, must possess both active pharmacy technician licensure or registration in accordance with state requirements AND an active national certification (e.g., PTCB or ExCPT).In states that do not require licensure or registration, must have an active national certification (e.g., PTCB or ExCPT).Minimum of 7 years of pharmacy experience without a Bachelor's degree OR 4 years of pharmacy experience with a Bachelor's degree in Science, Health, Medical or related field ORSpecialty or retail pharmacy experience, previous reimbursement experience, and/or working in a health plan/health care setting.Experience as Pharmacy Technician, Utilization Management or Customer Service in a high-volume, multi-functional call center environment.Must be comfortable with using computers and the internet; basic skills with Microsoft office products and ability to quickly learn proprietary systems, typing.Strong team orientation with respect for all members.Excellent verbal and written communications skills.People skills are essential that allow for the successful consultation with physicians, prescribers and pharmacists and for successful collaboration with company employees and external vendors who do not directly report to this position.Analytic skills which can translate into practical and pragmatic recommendations.In-depth knowledge of medical exception/prior authorization process and claims submission to resolve reimbursement issues. Expertise in client line of business to recognize system and process errors in order to escalate concerns in an organized, professional manner.

General Job Information

Title

Lead Initial Review Pharmacy Technician

Grade

22

Work Experience - Required

Clinical, Pharmacy

Work Experience - Preferred

Education - Required

GED, High School

Education - Preferred

Bachelors

License and Certifications - Required

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

License and Certifications - Preferred

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

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

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

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

Warning: Employment Scam

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

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

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

Job Detail

• Company:
  Magellan Health Services

Job Description

Master Resilience Trainer - Performance Experts (MRT-PE) support government client's program at multiple locations. MRT-PEs teach mental skills, resilience and performance enhancement techniques to military Soldiers, Families and DA Civilians. Teaching is conducted in group and individual settings and includes general education in human performance along with personalized training on how to acquire and apply specific mental skills and techniques that cultivate the mental and emotional strength necessary to thrive in an environment of overwhelming demands and persistent conflict. The mental skills and techniques taught by the program include: Building Confidence, Goal Setting, Attention Control, Energy Management, Integrating Imagery and Team Building. Using these principles, MRT-PEs help the clients to become high performing -tactical athletes- and help foster high performing -unit teams- in preparation for, during, and following combat operations. Specifically, MRT-PEs teach performance psychology to further promote excellence and efficiency during physical, technical and tactical training, as well as during the challenges of combat operations. MRT-PEs also provide tailored education to facilitate Wounded Warriors in their transition back to their units or to civilian life. The program teams are comprised of 5-10 MRT-PEs and led by a seasoned Site Manager with prior military experience.

• Attends training exercises and field operations as requested by individual units to serve as a performance enhancement consultant and to coach the clients and leaders on the acquisition of performance psychology techniques and their application to individual military tasks and unit operations.

• Provides tailored educational programs and workshops to help Families and Civilians living and working in demanding environments achieve success and accomplish personal, professional and family goals.

• Recommends improvements to all aspects of the program operations.

• Performs routine program operational duties.

• Conducts assessment, assists in program evaluation and supports research projects being conducted locally.

• Assists or provides program overview briefings to VIPs and high-ranking leaders when required.

• Develops and maintains professional development relating to all aspects of performance enhancement, academic proficiency and military-related knowledge.

  Other Job Requirements

Responsibilities

Master's or Doctoral degree from an accredited college or university in the field of Psychology or Kinesiology with a specialized emphasis in sport and/or performance psychology. Must be able to operate general office equipment including but not limited to: computer, phones and related media and information devices on most or all workdays.Ability to communicate and interact with others, both in person and/or by telephone to conduct business.Experience and ability to work under time pressure.Working rapidly for long periods to meet deadlines.Must be able to travel as needed and adhere to AFSC travel policies and procedures.Must be able to enter private homes that may or may not provide easy access for those with physical disabilities or those recovering from physical rehabilitation or post-recovery mobility.Position requires ability to transport self from office locations to private homes, other offices and facilities where training and other program activities occur.Physical requirements can typically be characterized as active: Lifting, bending, sitting on the floor, climbing may be required in the position. Requires lifting or moving various pieces of equipment, maximum 40 lbs. Position may require work on hands and knees to conduct program activities.Ability to manage multiple concurrent tasks and perform under stress.Requires reading and comprehension proficiency.Requires effective writing and problem solving skills.Ability to maintain confidentiality.Customer contact expertise.Travel requirement: 25%.

General Job Information

Title

Master Resilience Trainer - Performance Expert, ARD-TS

Grade

22

Work Experience - Required

Work Experience - Preferred

Education - Required

Masters - Kinesiology, Masters - Psychology

Education - Preferred

PhD

License and Certifications - Required

License and Certifications - Preferred

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

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

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

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

Warning: Employment Scam

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

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

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

Job Detail

• Company:
  Magellan Health Services

Job Description

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

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

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

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

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

• Provides information and referral to community resources as appropriate.

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

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

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

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

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

  Other Job Requirements

Responsibilities

2 years post graduate clinical experience., Clinical training must include instruction on chemical dependency, mental health and brief therapy.Must have understanding of workplace issues, how businesses function and a fundamental understanding of employee/employer relationships.Must be capable of acquiring an understanding of EEO rules, ADA in the workplace, FMLA, and Drug Free Workplace Requirements.Must be able to provide accurate client assessment including level of risk, substance abuse and dependency, job performance issues and refer to appropriate level of care.Competent in crisis intervention.Demonstrate knowledge and expertise in solution-focused, brief therapy in outpatient setting. Strong customer service skills required.Must be able to sensitively, compassionately respond to callers. Excellent listening skills vital.Interact effectively at all levels both within the company and with external customers.Analyze and present issues in a clear, concise, persuasive manner, both orally and in writing.Use time to manage caseload and documentation effectively.Meet productivity targets and quality management expectations.Develop effective working relationships with peers within and across organizational lines.Effectively resolves individual conflicts.Supports department mission and keeps management informed of team issues.Takes responsibility for own development and stays current on skills and techniques needed to perform job.Flexible; adjust well to new situations and changing priorities.Comfortable with ambiguity and stress while handling a variety of assignments.Maintain a positive, achievement-oriented attitude and consistent in accomplishing expected objectives.

General Job Information

Title

On-site EAP Field Consultant - Air Force

Grade

23

Work Experience - Required

Clinical, Employee Assistance Program (EAP)

Work Experience - Preferred

Education - Required

Masters - Behavioral Health

Education - Preferred

License and Certifications - Required

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

License and Certifications - Preferred

CEAP - Certified Employee Assistance Professional - Care Mgmt

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

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

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

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

Warning: Employment Scam

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

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

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

Job Detail

• Company:
  Magellan Health Services

Job Description

Master Resilience Trainer - Performance Experts (MRT-PE) support government client's program at multiple locations. MRT-PEs teach mental skills, resilience and performance enhancement techniques to military Soldiers, Families and DA Civilians. Teaching is conducted in group and individual settings and includes general education in human performance along with personalized training on how to acquire and apply specific mental skills and techniques that cultivate the mental and emotional strength necessary to thrive in an environment of overwhelming demands and persistent conflict. The mental skills and techniques taught by the program include: Building Confidence, Goal Setting, Attention Control, Energy Management, Integrating Imagery and Team Building. Using these principles, MRT-PEs help the clients to become high performing -tactical athletes- and help foster high performing -unit teams- in preparation for, during, and following combat operations. Specifically, MRT-PEs teach performance psychology to further promote excellence and efficiency during physical, technical and tactical training, as well as during the challenges of combat operations. MRT-PEs also provide tailored education to facilitate Wounded Warriors in their transition back to their units or to civilian life. The program teams are comprised of 5-10 MRT-PEs and led by a seasoned Site Manager with prior military experience.

• Attends training exercises and field operations as requested by individual units to serve as a performance enhancement consultant and to coach the clients and leaders on the acquisition of performance psychology techniques and their application to individual military tasks and unit operations.

• Provides tailored educational programs and workshops to help Families and Civilians living and working in demanding environments achieve success and accomplish personal, professional and family goals.

• Recommends improvements to all aspects of the program operations.

• Performs routine program operational duties.

• Conducts assessment, assists in program evaluation and supports research projects being conducted locally.

• Assists or provides program overview briefings to VIPs and high-ranking leaders when required.

• Develops and maintains professional development relating to all aspects of performance enhancement, academic proficiency and military-related knowledge.

  Other Job Requirements

Responsibilities

Master's or Doctoral degree from an accredited college or university in the field of Psychology or Kinesiology with a specialized emphasis in sport and/or performance psychology. Must be able to operate general office equipment including but not limited to: computer, phones and related media and information devices on most or all workdays.Ability to communicate and interact with others, both in person and/or by telephone to conduct business.Experience and ability to work under time pressure.Working rapidly for long periods to meet deadlines.Must be able to travel as needed and adhere to AFSC travel policies and procedures.Must be able to enter private homes that may or may not provide easy access for those with physical disabilities or those recovering from physical rehabilitation or post-recovery mobility.Position requires ability to transport self from office locations to private homes, other offices and facilities where training and other program activities occur.Physical requirements can typically be characterized as active: Lifting, bending, sitting on the floor, climbing may be required in the position. Requires lifting or moving various pieces of equipment, maximum 40 lbs. Position may require work on hands and knees to conduct program activities.Ability to manage multiple concurrent tasks and perform under stress.Requires reading and comprehension proficiency.Requires effective writing and problem solving skills.Ability to maintain confidentiality.Customer contact expertise.Travel requirement: 25%.

General Job Information

Title

Master Resilience Trainer - Performance Expert, ARD-TS

Grade

22

Work Experience - Required

Work Experience - Preferred

Education - Required

Masters - Kinesiology, Masters - Psychology

Education - Preferred

PhD

License and Certifications - Required

License and Certifications - Preferred

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

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

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

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

Warning: Employment Scam

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

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

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

Job Detail

• Company:
  Magellan Health Services

Job Description

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

• Manage the design implementation of Disaster Resiliency Program.

• Point-of-contact for the Business Continuity team to ensure DR requirements of their BCP & BIA are addressed in the DR plans.

• Point of contact for new sales opportunities.

• Vendor Management .

• Plan and execute annual testing plans .

• Provide training, documentation and communication of disaster procedures to the organization.

• SharePoint and data owner for Disaster Recovery documentation

This position is a visible technical leader who owns and takes accountability for operations within a specific IT Service Area. This individual is well versed in running IT operations in a Cloud or a hybrid IT environment. This role will drive Production Operations within an assigned SBU(s). Acts as subject matter experts in Magellan's infrastructure and ExO tool sets. Provide technical leadership for an infrastructure/application/database service within IT. Act as expert in ITIL processes. Provide leadership for a business unit or an operational area within the company and demonstrate problem solving approaches such as Kepner-Tregoe resolve. Be a Lean Thinker and drive the implementation of Continuous Delivery and DevOps practices across Magellan.

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

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

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

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

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

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

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

• Oversees and acts in review board fashion for reports delivered from Magellan to the customer.

• Manages vendors.

• Shares best practices throughout IT.

  Other Job Requirements

Responsibilities

10+ years of experience in Infrastructure Engineering or Production Operations and leading teams through the development and support of applications. Must have 2+ years of experience leading teams.Broader experience across IT or across different industries (for external hires) is a must. 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

Director, IT Disaster Recovery

Grade

30

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

• Company:
  Magellan Health Services

Job Description

Master Resilience Trainer - Performance Experts (MRT-PE) support government client's program at multiple locations. MRT-PEs teach mental skills, resilience and performance enhancement techniques to military Soldiers, Families and DA Civilians. Teaching is conducted in group and individual settings and includes general education in human performance along with personalized training on how to acquire and apply specific mental skills and techniques that cultivate the mental and emotional strength necessary to thrive in an environment of overwhelming demands and persistent conflict. The mental skills and techniques taught by the program include: Building Confidence, Goal Setting, Attention Control, Energy Management, Integrating Imagery and Team Building. Using these principles, MRT-PEs help the clients to become high performing -tactical athletes- and help foster high performing -unit teams- in preparation for, during, and following combat operations. Specifically, MRT-PEs teach performance psychology to further promote excellence and efficiency during physical, technical and tactical training, as well as during the challenges of combat operations. MRT-PEs also provide tailored education to facilitate Wounded Warriors in their transition back to their units or to civilian life. The program teams are comprised of 5-10 MRT-PEs and led by a seasoned Site Manager with prior military experience.

• Attends training exercises and field operations as requested by individual units to serve as a performance enhancement consultant and to coach the clients and leaders on the acquisition of performance psychology techniques and their application to individual military tasks and unit operations.

• Provides tailored educational programs and workshops to help Families and Civilians living and working in demanding environments achieve success and accomplish personal, professional and family goals.

• Recommends improvements to all aspects of the program operations.

• Performs routine program operational duties.

• Conducts assessment, assists in program evaluation and supports research projects being conducted locally.

• Assists or provides program overview briefings to VIPs and high-ranking leaders when required.

• Develops and maintains professional development relating to all aspects of performance enhancement, academic proficiency and military-related knowledge.

  Other Job Requirements

Responsibilities

Master's or Doctoral degree from an accredited college or university in the field of Psychology or Kinesiology with a specialized emphasis in sport and/or performance psychology. Must be able to operate general office equipment including but not limited to: computer, phones and related media and information devices on most or all workdays.Ability to communicate and interact with others, both in person and/or by telephone to conduct business.Experience and ability to work under time pressure.Working rapidly for long periods to meet deadlines.Must be able to travel as needed and adhere to AFSC travel policies and procedures.Must be able to enter private homes that may or may not provide easy access for those with physical disabilities or those recovering from physical rehabilitation or post-recovery mobility.Position requires ability to transport self from office locations to private homes, other offices and facilities where training and other program activities occur.Physical requirements can typically be characterized as active: Lifting, bending, sitting on the floor, climbing may be required in the position. Requires lifting or moving various pieces of equipment, maximum 40 lbs. Position may require work on hands and knees to conduct program activities.Ability to manage multiple concurrent tasks and perform under stress.Requires reading and comprehension proficiency.Requires effective writing and problem solving skills.Ability to maintain confidentiality.Customer contact expertise.Travel requirement: 25%.

General Job Information

Title

Master Resilience Trainer - Performance Expert, ARD-TS

Grade

22

Work Experience - Required

Work Experience - Preferred

Education - Required

Masters - Kinesiology, Masters - Psychology

Education - Preferred

PhD

License and Certifications - Required

License and Certifications - Preferred

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

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

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

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

Warning: Employment Scam

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

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

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

Job Detail

• Company:
  Magellan Health Services

Job Description

Responsible for clinical oversight and direction for a complex, multi-faceted and high-volume grievance and complaint unit. Provides oversight and direction to staff including meeting customer, state, and federal regulations for processing grievances and complaints, meeting time requirements, working in the development processes and procedures for continuous quality improvement. Responsible for supervision and oversight of clinical and non-clinical Grievance and Complaint department staff and responsible for team growth. Responsible for compliance with Utilization Review Accreditation Commission (URAC), National Committee for Quality Assurance (NCQA) and applicable state license requirements.

• Manages day-to-day grievance and complaint operations, ensuring program and procedures support company strategic priorities for service, quality, and cost effectiveness as well as compliance with contract, accreditation, federal and state requirements.

• Manages the grievance and complaint program to align with clinical programs along with conducting activities that address the impact of grievance and complaint findings such as trends of issues, overturn rates, customer delegation requirements, and provider and member satisfaction.

• Oversees the grievance and complaint investigation process to ensure that summaries meet needs and requirements set by the health plan Medical Directors.

• Oversees the staff to ensure that case reviews and grievance resolutions are accurate, reliable, complete, and timely and provides expertise with data analysis.

• Communicates across various departments and understands the strategic impact of the grievance and complaint programs for the company and how the grievance and complaint program integrates with other business initiatives.

• Responsible for maintaining current knowledge of state regulations, accreditation standards, and customer contracts and promoting system efficiencies.

• Responsible for determining severity levels for Quality of Care (QOC) and Potential Quality Issues (PQI).

• Responds to member, provider, and client inquiries regarding status, process and outcome of grievances and complaints. Consults with staff on problem cases and interfaces with all departments in resolving issues.

  Other Job Requirements

Responsibilities

7+ years of relevant experience in appeals/grievances/complaints in the state of the applicable contract.Licensed clinician in state of supported contract required.Ability to receive assignments in the form of high-level objectives and independently establish detailed goals to meet objectives.Strong interpersonal skillsExcellent verbal and written communication skills.Ability to function independently and as a team member.Good organization and time management skills with the ability to manage multiple tasks simultaneously.Proven ability to plan, organize, schedule, direct, control and monitor project activities.

General Job Information

Title

Sr Grievance Manager - Remote in CA

Grade

27

Work Experience - Required

Grievances, Healthcare, Management/Leadership

Work Experience - Preferred

Health Plans

Education - Required

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

Education - Preferred

License and Certifications - Required

LCSW - Licensed Clinical Social Worker - Care Mgmt, LPCC - Licensed Professional Clinical Counselor - 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

• Company:
  Magellan Health Services

Job Description

Master Resilience Trainer - Performance Experts (MRT-PE) support government client's program at multiple locations. MRT-PEs teach mental skills, resilience and performance enhancement techniques to military Soldiers, Families and DA Civilians. Teaching is conducted in group and individual settings and includes general education in human performance along with personalized training on how to acquire and apply specific mental skills and techniques that cultivate the mental and emotional strength necessary to thrive in an environment of overwhelming demands and persistent conflict. The mental skills and techniques taught by the program include: Building Confidence, Goal Setting, Attention Control, Energy Management, Integrating Imagery and Team Building. Using these principles, MRT-PEs help the clients to become high performing -tactical athletes- and help foster high performing -unit teams- in preparation for, during, and following combat operations. Specifically, MRT-PEs teach performance psychology to further promote excellence and efficiency during physical, technical and tactical training, as well as during the challenges of combat operations. MRT-PEs also provide tailored education to facilitate Wounded Warriors in their transition back to their units or to civilian life. The program teams are comprised of 5-10 MRT-PEs and led by a seasoned Site Manager with prior military experience.

• Attends training exercises and field operations as requested by individual units to serve as a performance enhancement consultant and to coach the clients and leaders on the acquisition of performance psychology techniques and their application to individual military tasks and unit operations.

• Provides tailored educational programs and workshops to help Families and Civilians living and working in demanding environments achieve success and accomplish personal, professional and family goals.

• Recommends improvements to all aspects of the program operations.

• Performs routine program operational duties.

• Conducts assessment, assists in program evaluation and supports research projects being conducted locally.

• Assists or provides program overview briefings to VIPs and high-ranking leaders when required.

• Develops and maintains professional development relating to all aspects of performance enhancement, academic proficiency and military-related knowledge.

  Other Job Requirements

Responsibilities

Master's or Doctoral degree from an accredited college or university in the field of Psychology or Kinesiology with a specialized emphasis in sport and/or performance psychology. Must be able to operate general office equipment including but not limited to: computer, phones and related media and information devices on most or all workdays.Ability to communicate and interact with others, both in person and/or by telephone to conduct business.Experience and ability to work under time pressure.Working rapidly for long periods to meet deadlines.Must be able to travel as needed and adhere to AFSC travel policies and procedures.Must be able to enter private homes that may or may not provide easy access for those with physical disabilities or those recovering from physical rehabilitation or post-recovery mobility.Position requires ability to transport self from office locations to private homes, other offices and facilities where training and other program activities occur.Physical requirements can typically be characterized as active: Lifting, bending, sitting on the floor, climbing may be required in the position. Requires lifting or moving various pieces of equipment, maximum 40 lbs. Position may require work on hands and knees to conduct program activities.Ability to manage multiple concurrent tasks and perform under stress.Requires reading and comprehension proficiency.Requires effective writing and problem solving skills.Ability to maintain confidentiality.Customer contact expertise.Travel requirement: 25%.

General Job Information

Title

Master Resilience Trainer - Performance Expert, ARD-TS

Grade

22

Work Experience - Required

Work Experience - Preferred

Education - Required

Masters - Kinesiology, Masters - Psychology

Education - Preferred

PhD

License and Certifications - Required

License and Certifications - Preferred

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

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

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

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

Warning: Employment Scam

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

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

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

Job Detail

• Company:
  Magellan Health Services

Job Description

Master Resilience Trainer - Performance Experts (MRT-PE) support government client's program at multiple locations. MRT-PEs teach mental skills, resilience and performance enhancement techniques to military Soldiers, Families and DA Civilians. Teaching is conducted in group and individual settings and includes general education in human performance along with personalized training on how to acquire and apply specific mental skills and techniques that cultivate the mental and emotional strength necessary to thrive in an environment of overwhelming demands and persistent conflict. The mental skills and techniques taught by the program include: Building Confidence, Goal Setting, Attention Control, Energy Management, Integrating Imagery and Team Building. Using these principles, MRT-PEs help the clients to become high performing -tactical athletes- and help foster high performing -unit teams- in preparation for, during, and following combat operations. Specifically, MRT-PEs teach performance psychology to further promote excellence and efficiency during physical, technical and tactical training, as well as during the challenges of combat operations. MRT-PEs also provide tailored education to facilitate Wounded Warriors in their transition back to their units or to civilian life. The program teams are comprised of 5-10 MRT-PEs and led by a seasoned Site Manager with prior military experience.

• Attends training exercises and field operations as requested by individual units to serve as a performance enhancement consultant and to coach the clients and leaders on the acquisition of performance psychology techniques and their application to individual military tasks and unit operations.

• Provides tailored educational programs and workshops to help Families and Civilians living and working in demanding environments achieve success and accomplish personal, professional and family goals.

• Recommends improvements to all aspects of the program operations.

• Performs routine program operational duties.

• Conducts assessment, assists in program evaluation and supports research projects being conducted locally.

• Assists or provides program overview briefings to VIPs and high-ranking leaders when required.

• Develops and maintains professional development relating to all aspects of performance enhancement, academic proficiency and military-related knowledge.

  Other Job Requirements

Responsibilities

Master's or Doctoral degree from an accredited college or university in the field of Psychology or Kinesiology with a specialized emphasis in sport and/or performance psychology. Must be able to operate general office equipment including but not limited to: computer, phones and related media and information devices on most or all workdays.Ability to communicate and interact with others, both in person and/or by telephone to conduct business.Experience and ability to work under time pressure.Working rapidly for long periods to meet deadlines.Must be able to travel as needed and adhere to AFSC travel policies and procedures.Must be able to enter private homes that may or may not provide easy access for those with physical disabilities or those recovering from physical rehabilitation or post-recovery mobility.Position requires ability to transport self from office locations to private homes, other offices and facilities where training and other program activities occur.Physical requirements can typically be characterized as active: Lifting, bending, sitting on the floor, climbing may be required in the position. Requires lifting or moving various pieces of equipment, maximum 40 lbs. Position may require work on hands and knees to conduct program activities.Ability to manage multiple concurrent tasks and perform under stress.Requires reading and comprehension proficiency.Requires effective writing and problem solving skills.Ability to maintain confidentiality.Customer contact expertise.Travel requirement: 25%.

General Job Information

Title

Master Resilience Trainer - Performance Expert, ARD-TS

Grade

22

Work Experience - Required

Work Experience - Preferred

Education - Required

Masters - Kinesiology, Masters - Psychology

Education - Preferred

PhD

License and Certifications - Required

License and Certifications - Preferred

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

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

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

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

Warning: Employment Scam

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

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

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

Job Detail

• Company:
  Magellan Health Services

Job Description

Part Time Intermittent ID Card Specialist, Navy ICA - R00000049919 DESCRIPTION/RESPONSIBILITIES: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 RequirementsResponsibilitiesHigh 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 TitlePart Time Intermittent ID Card Specialist, Navy ICA GradeWDN_ICA_PAII Work Experience - RequiredWork Experience - Preferred Education - RequiredHigh School Education - PreferredLicense and Certifications - RequiredLicense and Certifications - Preferred Magellan Health, Inc. is proud to be an Equal Opportunity Employer and a Tobacco-free workplace. EOE/M/F/Vet/Disabled. Every employee must understand, comply with and attest to the security responsibilities and security controls unique to their position; and comply with all applicable legal, regulatory, and contractual requirements and internal policies and procedures. Equal Opportunity Employer-minorities/females/veterans/individuals with disabilities/sexual orientation/gender identity

Job Detail

• Company:
  Magellan Health Services

Job Description

This position locates services for patients and members with the goal of supporting the coordination of care such that members are able to access care in a timely manner and to remain in the least restrictive level of care appropriate to their functioning. Facilitates continuity of care as patients move through levels of care as authorized by clinical staff. Responsible for problem-solving and explaining company programs and procedures to clients and providers. May be assigned additional special responsibilities commensurate with experience and qualifications, such as TRF (Treatment Request Form) review, CISD (Critical Incident Stress Debriefing) assistance, clinical decision follow up support or other clinical support as needed. Will coach and precept new hires and less experienced staff in all elements of the role responsibilities as detailed below.

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

• Links clients to appropriate services within the community.

• Assists in discharge planning for hospitalized patients and makes appropriate placements as needed.

• Participates in the treatment team and assists in coordinating physical, psychological and/or psychiatric services for the patients.

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

• Assists in the adhoc process either in submitting adhocs as the designated adhoc Care Worker or assisting Care Managers in completing the form correctly and, in utilizing search features for securing credentialed providers for appointments as needed.

• Assists in monitoring the CW/Gatekeeping queue during the supervisor's absence.

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

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

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

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

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

• Demonstrates proficiency, ability and willingness to perform all responsibilities including but not limited to, Ambulatory Follow Up, Account Specific Follow Up, Community Resource Requests and basic file room procedures.

• Assumes responsibility for self-development and career progression. Proactively seeks and participates in ongoing training (formal and informal) in all aspects of the role.

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

• Contributes to process improvements to enhance achievement of personal, team and company goals.

  Other Job Requirements

Responsibilities

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

General Job Information

Title

Senior Care Worker

Grade

21

Work Experience - Required

Clinical

Work Experience - Preferred

Education - Required

Education - Preferred

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

• Company:
  Magellan Health Services

Job Description

This position is in support of Fort Detrick military base in Maryland; candidate must be local to the military base or willing to relocate to become local. Candidates must be licensed at the independent level in the state of Maryland with a LCSW-C, LCPC, or LCMFT.

Provides the full breadth of Child and Youth Behavioral (CYB) Military Family Life Counseling (MFLC) services to children of all ages of military service members and their families at military installations to include civilian expeditionary work force and their families (when activated). These services may include non-medical counseling, training/health and wellness presentations, consultation with parents, personnel at child development centers, and consultation to installation command regarding behavioral health issues affecting children and youth. CYB counselors will be assigned to child development centers, youth programs, summer camps, and on demand assignments. The counselors work closely with the installation and military branch Points of Contact (POC) to assure that the program is provided within scope and meets the needs of the installation.

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

• CYB counselors will also have a focus on supporting the staff and personnel of Child Development Centers (CDC), youth programs and summer camps as well as providing parent support, training and guidance.

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

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

• Creates a presence on the installation in which the service and family members feel comfortable approaching the counselor and recognize the program to be confidential. Creates a presence in child and youth settings. Is available to children, youth, and staff. When working with children, counselor must abide by line of sight protocol. (Another adult with responsibility for the child must be able to see the counselor and child they are working with at all times.)

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

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

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

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

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

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

  Other Job Requirements

Responsibilities

Master's Degree from an accredited Graduate Program in a Mental Health related field.Valid unrestricted counseling license from a State, District of Columbia, US Territory or Commonwealth that grants authority to provide counseling services as an independent practitioner.For assignments in the 50 states, counselors shall be licensed or certified in the state in which the client is receiving services.Minimum 2 years of post-masters supervised clinical experience.Must meet the Magellan MFLC CYB criteria for experience with children and youth and specialty in child and adolescent development/psychology.Pass a Child National Agency Check and Inquiries (CNACI) Clearance and an Installation Records Check (IRC), Criminal History Background Check and FBI Fingerprints Check.Understanding, sensitivity and empathy for children, service members and their families. Ability to develop trusting, helping relationships. Ability to work effectively with individuals and families from diverse racial, ethnic, and socioeconomic backgrounds.Ability to prove US Citizenship and must be fluent in English.Requires ability to engage and communicate with military members or children as assigned, in order to accomplish job functions, and to respond quickly to emergent situations in any physical location on a military installation and/or within a school setting, which includes the need to traverse short and/or long distances within the base to both indoor and outdoor locations, to maneuver through rugged, outdoor or uneven locations (e.g., steep inclines, stairs, grass), and work in outdoor weather and other military base conditions. Due to the nature of working on military installations or related worksites, counselors may need to comply with various site-specific requirements to work at designated locations. For example, for some assignments, counselors will need to have certain current immunizations or vaccinations and provide record of receipt.Vehicle Operator's License Requirement: Unless specifically waived by the FEDSIM COR, all contractor personnel providing counseling support at Government locations shall possess a valid U.S. state vehicle operator's license. As a condition for employment under this contract, contractor personnel may be required to pass all tests for and obtain a U.S. military vehicle operator's permit for commercial sedans and similar, for use at Temporary Duty (TDY) locations, if required.

General Job Information

Title

Military Family Life Counselor

Grade

MFLC Tier 2

Work Experience - Required

Clinical

Work Experience - Preferred

Education - Required

Masters - Behavioral Health

Education - Preferred

License and Certifications - Required

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

License and Certifications - Preferred

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

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

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

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

Warning: Employment Scam

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

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

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

Job Detail

• Company:
  Magellan Health Services

Job Description

Evaluates and authorizes approval of prior authorization pharmacy requests from prescribers received by telephone and/or facsimile using client clinical criteria.

• Determines appropriateness for medications. Communicates decision to physicians, physician`s office staff, medical management staff and/or pharmacists.

• Researches, resolves and documents prior authorization outcomes in pharmacy system.

• Communicates selected prior authorization criteria, pharmacy benefit coverage and formulary alternatives to physicians, physician`s office staff, medical management staff and/or pharmacists.

• Escalates requests to Pharmacist when request requires extensive clinical review or denial.

• Researches, resolves and documents physician or client inquiries and grievances and provides verbal or written results to client, prescriber, provider and/or management.

• Performs other duties as required.

  Other Job Requirements

Responsibilities

Must have an active pharmacy technician licensure or registration in accordance with state requirements.If state does not require an exam for licensure/registration, must possess both active pharmacy technician licensure or registration in accordance with state requirements AND an active national certification (e.g., PTCB or ExCPT).In states that do not require licensure or registration, must have an active national certification (e.g., PTCB or ExCPT).Active Pharmacist license supersedes requirement for CPT and/or PTCB.Specialty or retail pharmacy industry experience, previous reimbursement experience, and/or working in a health plan/health care setting.In-depth knowledge of specialty injectable prescription drugs, disease states, health plan formulary management techniques, medical terminology and current diagnostic and reimbursement coding (J/Q codes, ICD-9, CMS 1500, etc.).Proficiency in Pharmacy computerized systems and software applications, as well as MS Office Product Suite.Excellent written and verbal communication skills.Ability to follow clinical criteria and instructions to approve prior authorization requests.Minimum of 6 months dispensing or retail experience required, or equivalent internal training will be substituted.Ability to identify and trouble-shoot problematic issues.

General Job Information

Title

Clinical Pharmacy Technician I

Grade

17

Work Experience - Required

Pharmacy

Work Experience - Preferred

Education - Required

GED, High School

Education - Preferred

License and Certifications - Required

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

License and Certifications - Preferred

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

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

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

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

Warning: Employment Scam

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

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

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

Job Detail

• Company:
  Magellan Health Services

Job Description

Evaluates and authorizes approval of prior authorization pharmacy requests from prescribers received by telephone and/or facsimile using client clinical criteria.

• Determines appropriateness for medications. Communicates decision to physicians, physician`s office staff, medical management staff and/or pharmacists.

• Researches, resolves and documents prior authorization outcomes in pharmacy system.

• Communicates selected prior authorization criteria, pharmacy benefit coverage and formulary alternatives to physicians, physician`s office staff, medical management staff and/or pharmacists.

• Escalates requests to Pharmacist when request requires extensive clinical review or denial.

• Researches, resolves and documents physician or client inquiries and grievances and provides verbal or written results to client, prescriber, provider and/or management.

• Performs other duties as required.

  Other Job Requirements

Responsibilities

Must have an active pharmacy technician licensure or registration in accordance with state requirements.If state does not require an exam for licensure/registration, must possess both active pharmacy technician licensure or registration in accordance with state requirements AND an active national certification (e.g., PTCB or ExCPT).In states that do not require licensure or registration, must have an active national certification (e.g., PTCB or ExCPT).Active Pharmacist license supersedes requirement for CPT and/or PTCB.Specialty or retail pharmacy industry experience, previous reimbursement experience, and/or working in a health plan/health care setting.In-depth knowledge of specialty injectable prescription drugs, disease states, health plan formulary management techniques, medical terminology and current diagnostic and reimbursement coding (J/Q codes, ICD-9, CMS 1500, etc.).Proficiency in Pharmacy computerized systems and software applications, as well as MS Office Product Suite.Excellent written and verbal communication skills.Ability to follow clinical criteria and instructions to approve prior authorization requests.Minimum of 6 months dispensing or retail experience required, or equivalent internal training will be substituted.Ability to identify and trouble-shoot problematic issues.

General Job Information

Title

Clinical Pharmacy Technician I

Grade

17

Work Experience - Required

Pharmacy

Work Experience - Preferred

Education - Required

GED, High School

Education - Preferred

License and Certifications - Required

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

License and Certifications - Preferred

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

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

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

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

Warning: Employment Scam

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

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

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

Job Detail

• Company:
  Magellan Health Services

Job Description

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

• Company:
  Magellan Health Services

Job Description

Primary responsibility to provide the full breadth of MFLC (Military Family Life Counseling) counseling services to military service members and their families at military installations. Services include non- medical, short-term, walk-around counseling, training/health and wellness presentations, provision of health fairs, and consultation to installation command regarding behavioral health issues. Works closely with the installation and military branch Points of Contact (POC) to assure that the program is provided within scope and meets the needs of the installation.

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

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

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

• Creates a presence on the installation in which the service and family members feel comfortable approaching the counselor and recognize the program to be confidential. Establishes and maintains working relationships with community resources and provides appropriate linkages for service members and their families. Partners with POC to provide MFLC services in a manner that addresses the needs of the installation. Develops an effective and professional working relationship with the installation POC.

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

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

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

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

  Other Job Requirements

Responsibilities

Master's Degree from an accredited Graduate Program in a 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 within the 50 states, counselors shall be licensed or certified in the state in which the MFLC is providing client services.A minimum of two years of post-masters licensure counseling 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 36 to develop trusting, helping relationships. Ability to work with individuals and families 37 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 preferred.Prior services as MFLC and/or CYB counselor strongly preferred.Pass a National Agency Check and Inquiries (NACI) Clearance and an Installation Records Check (IRC), Criminal Background Check and FBI Fingerprints Check.Vehicle Operator's License Requirement: Unless specifically waived by the FEDSIM COR, all contractor personnel providing counseling support at Government locations shall possess a valid U.S. state vehicle operator's license. As a condition for employment under this contract, contractor personnel may be required to pass all tests for and obtain a U.S. military vehicle operator's permit for commercial sedans and similar, for use at Temporary Duty (TDY) locations, if required.

General Job Information

Title

Military Family Life Counselor

Grade

MFLC Tier 3

Work Experience - Required

Clinical

Work Experience - Preferred

Education - Required

Masters - Behavioral Health, Masters - Social Work

Education - Preferred

License and Certifications - Required

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

License and Certifications - Preferred

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

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

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

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

Warning: Employment Scam

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

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

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

Job Detail

• Company:
  Magellan Health Services

Job Description

This position is in support of CYB roles in support of Dover AFB in Delaware; candidate must be local to the military base or willing to relocate to become local. Candidates must be licensed at the independent level in the state of Delaware as a Social Worker (LCSW), Therapist (LMFT), Mental Health Counselor (LPCMH), or Psychologist.

Provides the full breadth of Child and Youth Behavioral (CYB) Military Family Life Counseling (MFLC) services to children of all ages of military service members and their families at military installations to include civilian expeditionary work force and their families (when activated). These services may include non-medical counseling, training/health and wellness presentations, consultation with parents, personnel at child development centers, and consultation to installation command regarding behavioral health issues affecting children and youth. CYB counselors will be assigned to child development centers, youth programs, summer camps, and on demand assignments. The counselors work closely with the installation and military branch Points of Contact (POC) to assure that the program is provided within scope and meets the needs of the installation.

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

• CYB counselors will also have a focus on supporting the staff and personnel of Child Development Centers (CDC), youth programs and summer camps as well as providing parent support, training and guidance.

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

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

• Creates a presence on the installation in which the service and family members feel comfortable approaching the counselor and recognize the program to be confidential. Creates a presence in child and youth settings. Is available to children, youth, and staff. When working with children, counselor must abide by line of sight protocol. (Another adult with responsibility for the child must be able to see the counselor and child they are working with at all times.)

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

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

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

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

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

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

  Other Job Requirements

Responsibilities

Master's Degree from an accredited Graduate Program in a Mental Health related field.Valid unrestricted counseling license from a State, District of Columbia, US Territory or Commonwealth that grants authority to provide counseling services as an independent practitioner.For assignments in the 50 states, counselors shall be licensed or certified in the state in which the client is receiving services.Minimum 2 years of post-masters supervised clinical experience.Must meet the Magellan MFLC CYB criteria for experience with children and youth and specialty in child and adolescent development/psychology.Pass a Child National Agency Check and Inquiries (CNACI) Clearance and an Installation Records Check (IRC), Criminal History Background Check and FBI Fingerprints Check.Understanding, sensitivity and empathy for children, service members and their families. Ability to develop trusting, helping relationships. Ability to work effectively with individuals and families from diverse racial, ethnic, and socioeconomic backgrounds.Ability to prove US Citizenship and must be fluent in English.Requires ability to engage and communicate with military members or children as assigned, in order to accomplish job functions, and to respond quickly to emergent situations in any physical location on a military installation and/or within a school setting, which includes the need to traverse short and/or long distances within the base to both indoor and outdoor locations, to maneuver through rugged, outdoor or uneven locations (e.g., steep inclines, stairs, grass), and work in outdoor weather and other military base conditions. Due to the nature of working on military installations or related worksites, counselors may need to comply with various site-specific requirements to work at designated locations. For example, for some assignments, counselors will need to have certain current immunizations or vaccinations and provide record of receipt.Vehicle Operator's License Requirement: Unless specifically waived by the FEDSIM COR, all contractor personnel providing counseling support at Government locations shall possess a valid U.S. state vehicle operator's license. As a condition for employment under this contract, contractor personnel may be required to pass all tests for and obtain a U.S. military vehicle operator's permit for commercial sedans and similar, for use at Temporary Duty (TDY) locations, if required.

General Job Information

Title

Military Family Life Counselor

Grade

MFLC Tier 2

Work Experience - Required

Clinical

Work Experience - Preferred

Education - Required

Masters - Behavioral Health

Education - Preferred

License and Certifications - Required

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

License and Certifications - Preferred

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

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

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

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

Warning: Employment Scam

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

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

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

Job Detail

• Company:
  Magellan Health Services