Company Detail

Job Description

This position is responsible for managing day-to-day operations for manufacturer invoicing and working directly with manufacturers to resolve any issues. Will remain up-to-date on current processes and concerns. Will be required to consistently meet established timeliness for service level agreements and quality objectives.

• Maintains a clear understanding of rebate client contractual requirements, ensuring compliance with service level agreements.

• Understands and adheres to departmental policies and procedures.

• Processes quarterly manufacturer rebate invoicing for assigned clients or manufacturers.

• Reviews invoicing practices, including pre-invoicing quality reviews and adjustments for fee for service, managed care, diabetic supply and supplemental rebate programs.

• Produces reports, including federal rebate 64.9R.

• Works directly with manufacturers pertaining to dispute resolution.

• Acts as primary contact for manufacturers to answer/resolve rebate questions.

• Conducts quality validation and approval of claim files.

  Other Job Requirements

Responsibilities

2+ years of experience in customer support, analysis or business, preferably within a financial environment.Associate's degree required or an additional 2 years of relevant experience in lieu of degree.Strong verbal and written communication skills.Strong working knowledge of Microsoft Word and Excel.

General Job Information

Title

Pharmacy Rebate Specialist, Government - Glen Allen, VA

Grade

19

Work Experience - Required

Customer Service, Operations

Work Experience - Preferred

Education - Required

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

Education - Preferred

License and Certifications - Required

License and Certifications - Preferred

CPT - Certified Pharmacy Technician - Pharmacy

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

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

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

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

Warning: Employment Scam

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

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

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

Job Detail

• Company:
  Magellan Health Services

Job Description

Interested in fully remote opportunity as a Sr. Principal Data and Integration Engineer (ETL) working for an innovative healthcare company where you can have an impact on people's lives? Apply today and come join us at Magellan Health as we lead the world toward a healthier future!

This position will provide technical leadership for the portfolio of applications managed by an IT Service Owner and drive the usability and quality of the software developed within the area. Ensure technical currency is maintained within the applications within the portfolio and be a hands-on Data and Integration Engineer who can write quality code, assist with problem solving, root cause analysis, trouble shooting and coaching. Coach/Lead the team to grow the capabilities of other engineers in the team as well as provide administrative support. Work with customer to define epic and refine requirements to actionable stories. May manage a team.

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

• Acts as the primary focal point for both internal and external customers as to software development tasks. This includes estimates of feasibility, time and effort of tasks. Provide updates to both the user community and the programmers. Monitor projects, determines potential problems and guides them to a successful completion.

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

• Assists with budget preparation and management.

• Mentors and evaluates staff performance. - Continues to work hands-on doing programming and analysis work themselves.

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

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

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

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

• Participates in planning and budgeting.

  Other Job Requirements

Responsibilities

10+ years of related experience including experience working with Agile Methods and modern programming environments. Should have moved across different departments within IT to gain a broader perspective of the business/industryExperience in health care, insurance or related field.Critical thinker.Demonstrated problem solving techniques.Strong verbal and written communication skills.

General Job Information

Title

Sr. Principal Data and Integration Engineer (ETL) - Remote

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

Responsible for timely and accurate client record maintenance. Support Client Billing and remittance. Research and resolve questions, complaints and grievances and ensure information in all databases is accurate and properly configured to support operations and properly record revenue. Support Management by communicating report results through meetings/e-mails to help mitigate revenue risks. Record all contracting information regarding billing and adheres to Sarbanes Oxley Policies for Employer Solutions.

• Ensures Billing System is updated timely, appropriately and accurately to support accurate Client Remittance and proper revenue recognition for assigned Clients including all new business. Ensures timely deliver of billing cycled invoices to Clients.

• Prepares fee for service spreadsheet for billing and includes the individual billing to all customers.

• Researches and responds in a professional and timely manner to inquiries from both clients and other Internal Staff.

• Researches information regarding complex inquiries, develops solutions, and communicates professionally the outcome by telephone and in writing. Communicates with Account Executives to ensure that Client data is gathered in a timely manner.

• Responds to client/account management requests to update/change client information and ensures that all changes are made within operational guidelines and accurately support all other system related functions.

• Follows through on additional requests/projects as requested by Management.

  Other Job Requirements

Responsibilities

1+ Years Accounts Receivable experience including Billing, Reconciliations, and Collections.Intermediate level MS Excel, Ten-Key by touch, must be detail oriented, decipher contract language, and compute billing adjustments manually.

General Job Information

Title

Gov't Pharmacy Rebate Billing Specialist

Grade

17

Work Experience - Required

Finance

Work Experience - Preferred

Education - Required

GED, High School

Education - Preferred

Associates

License and Certifications - Required

License and Certifications - Preferred

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

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 person will be responsible for the administration, monitoring and testing of the idashboards application

This position monitors and takes corrective actions to restore services in production operations within the following areas: Data Center Operations, Desktop Operations, Network Operations, Server and Storage Operations, Cloud Operations and LAN/ID Administration.

• Monitors system and application dashboards for anomalies as defined by the assigned IT Service Area.

• Understands and works on resolving problems in the areas you monitor under the guidance of a Senior or Lead Operations Specialist.

• Fulfills services from the Service Catalog of the area you support (Desktop, Server, ID Management etc.).

  Other Job Requirements

Responsibilities

General Job Information

Title

IT Production Operations Specialist Associate

Grade

19

Work Experience - Required

System Administration

Work Experience - Preferred

Education - Required

Education - Preferred

Associates - Computer and Information Science, 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

This position is responsible for comprehensive management and ownership of fraud, waste and abuse investigations including development and presentation of investigative results. This individual carries out analytical and process management tasks with a high degree of autonomy. This individual serves as a corporate resource on fraud, waste and abuse issues and recommends cost containment projects with an emphasis on fraud prevention.

• INVESTIGATIONS

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

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

• Analyze data and select audit samples using various sampling methodologies

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

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

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

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

• Prepare correspondence

• Obtain and preserve physical and documentary evidence to support investigations

• Maintain comprehensive case files

• FRAUD, WASTE AND ABUSE DETECTION

• Triage and prioritize leads from internal and external sources

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

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

• PACKAGING OF FINDINGS AND RECOMMENDATIONS

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

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

• CASE RESOLUTION

• Identify, communicate and recover losses as deemed appropriate

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

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

• Negotiate settlement agreements with subjects and/or attorneys

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

• CUSTOMER INTERACTIONS

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

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

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

• MISCELLANEOUS DUTIES

• Provide guidance and training to SIU Investigators regarding case strategy, best practices, industry standards, Medicare/Medicaid requirements, industry trends, fraud schemes and other related areas

• Drive department efficiency and effectiveness through the recommendation and development of procedures and process flows and the implementation of industry best practices

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

• Measure and report performance metrics

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

• Consult on and develop anti-fraud policies and procedures

• Other duties as assigned.

  Other Job Requirements

Responsibilities

Minimum of 8 years of experience in fraud investigations, claims processing, auditing or provider networks.Demonstrated abilities in time management and establishing priorities.Strong listening and observation skills- Impeccable work ethic, completely dependable, and proactive; a problem solver.Proven ability to effectively handle cases of fraud and abuse in a discreet, confidential, and professional manner.Demonstrated strategic and analytical thinking skills, with ability to effectively communicate conclusions and recommendations to management.Comprehensive, practical knowledge of complex and diverse fraud investigative techniques and methodologies utilized in program audits.Understanding of insurance terms and policy interpretation.Ability to work to tight timelines when necessary.Works independently; collaborates well with peers and customers.Demonstrated ability to manage and prioritize case load with limited supervision.Strong computer skills consisting of Microsoft Excel, Access, Outlook, Word, and Power Point.

General Job Information

Title

Senior SIU Investigator

Grade

24

Work Experience - Required

Fraud Investigations

Work Experience - Preferred

Education - Required

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

Education - Preferred

License and Certifications - Required

License and Certifications - Preferred

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

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

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 leads and develops team member performance while supporting and enhancing business objectives and the customer experience. Responsible for the delivery of superior customer service by maximizing team member performance and efficiency, resolving escalated issues, assisting with client inquiries, ensuring compliance with policies and procedures, and adhering to effective scheduling. Motivates team members to peak performance through positive coaching, constructive and consistent feedback, and accountability. Demonstrates a commitment to the company's mission and vision, and supports activities that strengthen the client relationship and grows the organization.

• Drives daily performance of team to ensure service level agreements (SLAs) and other business targets are achieved.

• Provides consistent and constructive feedback to team members through coaching and developing, effective performance management, and positive recognition.

• Oversees the annual goal setting and compensation process.

• Supports initiatives within the department to achieve outstanding client implementation, retention, and customer experience.

• Consistently monitors team members for quality and training purposes.

• Provides and documents training and support to all team members.

• Ensures compliance with policies and procedures.

• Provides direction to team members on achieving departmental standards.

• Consistently monitors volume and adjusts workflow accordingly.

• Trends and reviews monthly team member performance in areas including, but not limited to adherence, quality, attendance, and productivity.

• Actively participates in process improvement and project management activities.

• Takes ownership for the customer experience and ensuring complete client satisfaction.

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

• Effectively delegates workload to team in order to achieve departmental success.

• Proactively addresses areas of opportunity for improvement.

• Other duties as requested.

  Other Job Requirements

Responsibilities

Minimum of 3 years experience in pharmacy and/or healthcare industry.Minimum of 1 year experience in a call center environment.Strong working knowledge of Microsoft Office product suite, specifically Excel and Word.Strong verbal and written communication skills.

General Job Information

Title

Supervisor, Medical Pharmacy Contact Center-Magellan MRx - Orlando, FL

Grade

22

Work Experience - Required

Customer Service, Pharmacy

Work Experience - Preferred

Supervisory, Utilization Management

Education - Required

High School

Education - Preferred

Bachelors

License and Certifications - Required

License and Certifications - Preferred

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

Plays a key role in medical and pharmacy management initiatives critical to the company achieving revenue goals and operational objectives. Responsible for executing specialty injectable utilization management programs on behalf of health plan/payor customers. Often the first point of contact that a providers office has when initiating an authorization for injectable or infused product. Requires communication and teamwork across all departments (Account Management, Specialty Pharmacy, IT, Project Management, Quality), as well as health plan/payor departments (medical management, pharmacy management) and an in-depth understanding of all specialty injectable therapeutic classes, products, trends, current management techniques and industry guidelines.

• Provides outstanding customer service while also achieving department performance metrics.

• In addition to the Utilization Management duties, this role serves as the UM/CS functional expert.

• Uses expertise to aid others in issues which cannot be resolved or the amount of time involved in resolving the issue is anticipated to be excessive.

• Provides assistance and coaching to other clinical pharmacy technicians when they require help in servicing a call.

• Identifies individual clinical pharmacy technician training needs and work to address these needs. Act as a mentor to other clinical pharmacy technicians.

• Assists in the monitoring and auditing staff calls to ensure accuracy and professionalism.

• Assists the Supervisor in completing special projects as deemed necessary.

  Other Job Requirements

Responsibilities

Must have an active pharmacy technician licensure or registration in accordance with state requirements.If state does not require an exam for licensure/registration, must possess both active pharmacy technician licensure or registration in accordance with state requirements AND an active national certification (e.g., PTCB or ExCPT).In states that do not require licensure or registration, must have an active national certification (e.g., PTCB or ExCPT).Specialty or retail pharmacy industry experience, previous reimbursement experience, and/or working in a health plan/health care setting.In-depth knowledge of specialty injectable prescription drugs, disease states, health plan formulary management techniques, medical terminology and current diagnostic and reimbursement coding (J/Q codes, ICD-9, CMS 1500, etc.).Proficiency in Pharmacy computerized systems and software applications, as well as MS Office Product Suite.Excellent written and verbal communication skills.Ability to follow clinical criteria and instructions to approve prior authorization requests.Minimum of 2 years dispensing or retail experience required, or equivalent internal training will be substituted. 5+ years of experience in comparable role in a high-volume, multi-functional call center environment.Ability to identify and trouble-shoot problematic issues.For positions supporting Medicare Part B, requires 2+ years of experience in Medicare Part B.

General Job Information

Title

Lead Clinical Pharmacy Technician

Grade

19

Work Experience - Required

Customer Service, Pharmacy

Work Experience - Preferred

Education - Required

GED, High School

Education - Preferred

Associates - Pharmacy

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

Responsible for timely and accurate client record maintenance. Support Client Billing and remittance. Research and resolve questions, complaints and grievances and ensure information in all databases is accurate and properly configured to support operations and properly record revenue. Support Management by communicating report results through meetings/e-mails to help mitigate revenue risks. Record all contracting information regarding billing and adheres to Sarbanes Oxley Policies for Employer Solutions.

• Ensures Billing System is updated timely, appropriately and accurately to support accurate Client Remittance and proper revenue recognition for assigned Clients including all new business. Ensures timely deliver of billing cycled invoices to Clients.

• Prepares fee for service spreadsheet for billing and includes the individual billing to all customers.

• Researches and responds in a professional and timely manner to inquiries from both clients and other Internal Staff.

• Researches information regarding complex inquiries, develops solutions, and communicates professionally the outcome by telephone and in writing. Communicates with Account Executives to ensure that Client data is gathered in a timely manner.

• Responds to client/account management requests to update/change client information and ensures that all changes are made within operational guidelines and accurately support all other system related functions.

• Follows through on additional requests/projects as requested by Management.

  Other Job Requirements

Responsibilities

1+ Years Accounts Receivable experience including Billing, Reconciliations, and Collections.Intermediate level MS Excel, Ten-Key by touch, must be detail oriented, decipher contract language, and compute billing adjustments manually.

General Job Information

Title

Gov't Pharmacy Rebate Billing Specialist

Grade

17

Work Experience - Required

Finance

Work Experience - Preferred

Education - Required

GED, High School

Education - Preferred

Associates

License and Certifications - Required

License and Certifications - Preferred

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

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 responsible for status reports, resolving issues and client escalations. Will assist with resource allocations and implementation activities and will escalate to the manager any issues they cannot resolve. Will remain up to date on current processes and concerns.

• Works with manufacturers and client pertaining to dispute resolution.

• Assists client with Pharmacy audits providing requested information and support.

• Assisting with payment posting, dunning letter mailings and maintaining all client service agreements.

• Invoicing practices, including pre-invoicing review for fee for service, managed care, diabetic supply and supplemental rebate programs.

• Assists account management and rebate management with client requests such as ad hoc reporting.

• Identify areas of improvement and follows through to implementation.

• Assists with application updates and testing.

• Attends meetings and conference calls with clients and drug manufacturers and internal meetings.

  Other Job Requirements

Responsibilities

1+ years' experience in an accounting environment, accounts receivable and/or invoicing. Associate's degree in Accounting or Finance.Will accept equivalent combination of education and experience.Strong verbal and written communication skills.Strong working knowledge of Microsoft Word and Excel.

General Job Information

Title

Pharmacy Rebate Analyst

Grade

19

Work Experience - Required

Accounting, Accounts Receivable

Work Experience - Preferred

Education - Required

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

Education - Preferred

License and Certifications - Required

License and Certifications - Preferred

CPA - Certified Public Accountant - Enterprise, CPT - Certified Pharmacy Technician - Pharmacy

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

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

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

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

Warning: Employment Scam

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

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

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

Job Detail

• Company:
  Magellan Health Services

Job Description

This position is included in a Collective Bargaining Unit.

This position is on base at Fort Bragg at the Pediatric Clinic at Joes Health Clinic. Candidates must be local to Fort Bragg and licensed at the independent level as a Therapist (LMFT), Social Worker (LCSW), or Mental Health Counselor (LCMHC) in the state of North Carolina.

Provides the full breadth of Healthy Steps counseling services to military parents/guardians and their children ages 0-5 to include expeditionary work force and their families, at military medical facilities. These services may include assessment, walk-around counseling, brief solution-based counseling and consultation, anticipatory guidance, action planning, psycho-education, referral to community and military resources (assuring linkage as appropriate), and follow-up as indicated. Collaborate with a pediatric team and need 0-3 child development. Works closely with the Champion Physician to assure that the program is provided within scope and meets the needs of the medical facility and their population.

• Provides non-medical, short term, solution focused, counseling directly military parents/guardians.

• Services take place in a military medical center, pediatric department.

• Services include assessment, walk-around counseling, brief solution-based counseling and consultation, anticipatory guidance, action planning, psycho-education, referral to community and military resources (assuring linkage as appropriate), and follow-up as indicated.

• Focuses on supporting the pediatric physicians and staff as well as providing parent support, consultation, training and guidance.

• Provides training and health and wellness presentations, participate in health fairs and other base/installation activities focused on 0-3 child development.

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

• Creates a presence on the medical facility in which the service and family members feel comfortable approaching the Healthy Steps Specialist and recognize the program to be confidential.

• Creates a presence in pediatric settings; makes self-available to children, youth, and staff. When working with children, counselor must abide by line of sight protocol.

• Establishes and maintains knowledge and working relationships with community resources focused on early childhood development and provides appropriate linkages.

• Partners with Champion Physician to provide Healthy Steps Specialist services in a manner that addresses the needs of the medical facility.

• Develops an effective and professional working relationship with the facility Champion Physician.

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

• Communicates with Regional Supervisors and participate in regular individual and group supervision and OSD Implementation Meetings, sharing information regarding challenges and successes on medical facilities to which they are assigned.

• Responds to critical incidents and special requests as directed by the Champion Physician and approved by the OSD program manager.

• Flexible schedule to respond to urgent requests as needed.

  Other Job Requirements

Responsibilities

Requires knowledge and experience of infant mental health.Minimum 2 years of post-masters supervised clinical experience.Requires ability to engage and communicate with military members or children as assigned, in order to accomplish job functions, and to respond quickly to emergent situations in any physical location on a military installation and/or within a school setting, which includes the need to traverse short and/or long distances within the base to both indoor and outdoor locations, to maneuver through rugged, outdoor or uneven locations (e.g., steep inclines, stairs, grass), and work in outdoor weather and other military base conditions. 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.Ability to prove US Citizenship and must be fluent in English.Advanced knowledge of brief therapy and solution-focused child and youth counseling methods. Must have past work experience in a school setting to qualify for assignment.Prior military service/military family member and/or strong familiarity with military culture.Must meet the Magellan MFLC CYB criteria for experience with children and youth and specialty in child and adolescent development/psychology.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 Healthy Steps Specialist

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, LPC - Licensed Professional Counselor - Care Mgmt, 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 responsible for providing assistance with the resolution of authorization and/or claim issues in various work queues resulting from and calls taken from facilities and providers. Acts as liaison between providers, internal departments and specific accounts, clients, and claims department.

• Resolves cases in queue due to member eligibility issues, referring provider verification or request, imaging provider verification, redirection, and retro reviews.

• Assists with authorization problem resolution through research and facilitating the resolution of the problem in a timely fashion.

• Process, forward, trend, and maintain records of authorization issues.

• Acts as a troubleshooter to resolve problems among internal departments.

• Handles special requests from Customers requiring manual workarounds or specials projects.

• Investigates written/verbal complaints involving authorizations, and resolves complex issues with Customers and Providers.

• Assists specific accounts who have special processes.

• Observes and tracks authorization problem trends and works with internal department for resolution.

• Assists with User Acceptance Testing (UAT).

• Provides phone back-up coverage for other teams as needed.

  Other Job Requirements

Responsibilities

Ability to review and interpret multiple contract/account information to successfully resolve issues regarding benefit plan administration; experience with account benefit structures.Demonstrated ability for problem solving, meeting deadlines, initiative and follow-through.Excellent written and verbal communication skills.Knowledge of pharmacy benefits management.Understanding of customer service performance metrics (ASA, abandonment rate, talk time).

General Job Information

Title

Customer Resolution Associate

Grade

18

Work Experience - Required

Claims, Customer Service

Work Experience - Preferred

Education - Required

GED, High School

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

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

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

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

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

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

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

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

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

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

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

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

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

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

  Other Job Requirements

Responsibilities

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

General Job Information

Title

School Military Family Life Counselor

Grade

MFLC Tier 2

Work Experience - Required

Clinical

Work Experience - Preferred

Education - Required

Masters - Behavioral Health, Masters - Social Work

Education - Preferred

License and Certifications - Required

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

License and Certifications - Preferred

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

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

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

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

Warning: Employment Scam

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

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

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

Job Detail

• Company:
  Magellan Health Services

Job Description

Provides the full breadth of MFLC consultation and counseling services to the command structure and military service members and their families as an embedded counselor assigned to a dedicated military unit. Responsible for providing MFLC services including non-medical, short-term, walk-around counseling, training/health and wellness presentations, and consultation to the brigade/regiments command regarding behavioral health issues with a understanding of the particular military unit, cultural and mission.

• Provides non-medical, short-term, solution focused, walk-around counseling directly to service and family members of a dedicated military unit (brigade, wing or regiment) as an embedded counselor. Services include assessment, brief counseling and consultation, action planning, referral to resources (assuring linkage as appropriate), and follow-up as indicated. Delivers training and health and wellness presentations and activities as requested/ directed.

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

• Cultivates and maintains direct relationships with commanders and personnel within the assigned military unit, utilizing relationship management skills and recognizing the unique structure and mission of the assigned military unit. Responsible for development of an effective and professional working relationship with the installation POC (Point of Contact), command, and the command POC.

• Creates a presence within the brigade/regiment in which the service and family members feel comfortable approaching the counselor, recognizing the program to be confidential. Establish and maintain working relationships with community resources and provide appropriate linkages for service members and their families. Partners with POC to provide MFLC services in a manner that addresses the needs of the brigade/regiment.

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

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

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

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

  Other Job Requirements

Responsibilities

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

General Job Information

Title

Military Family Life Counselor Embedded

Grade

MFLC Union (inactive)

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

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

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

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

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

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

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

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

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

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

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

• Performs -User Maintenance on RAPIDS equipment.

  Other Job Requirements

Responsibilities

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

General Job Information

Title

Part Time Intermittent ID Card Specialist, Navy ICA

Grade

WDNICAPAII

Work Experience - Required

Work Experience - Preferred

Education - Required

High School

Education - Preferred

License and Certifications - Required

License and Certifications - Preferred

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

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

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

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

Warning: Employment Scam

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

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

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

Job Detail

• Company:
  Magellan Health Services

Job Description

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

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

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

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

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

• Assists in the mentoring and training of new staff.

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

  Other Job Requirements

Responsibilities

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

General Job Information

Title

Customer Care Associate I

Grade

16

Work Experience - Required

Customer Service

Work Experience - Preferred

Education - Required

GED, High School

Education - Preferred

Associates, Bachelors

License and Certifications - Required

License and Certifications - Preferred

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

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

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

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

Warning: Employment Scam

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

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

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

Job Detail

• 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

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

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

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

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

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

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

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

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

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

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

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

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

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

  Other Job Requirements

Responsibilities

Licensure is required for this position, specifically a current license that meets State, Commonwealth or customer-specific requirements. One or more of the following licensure is required for this role with necessary degrees: CEAP, LMSW, LCSW, LSW, LPC or RN.Minimum 2 years experience post degree in healthcare, behavioral health, psychiatric and/or substance abuse health care setting.Strong organization, time management and communication skills.Knowledge of utilization management procedures, mental health and substance abuse community resources and providers.Knowledge and experience in inpatient and/or outpatient setting.Knowledge of DSM V or most current diagnostic edition.Ability to analyze specific utilization problems, plan and implement solutions that directly influence quality of care.

General Job Information

Title

Care Manager

Grade

23

Work Experience - Required

Clinical

Work Experience - Preferred

Education - Required

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

Education - Preferred

License and Certifications - Required

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

License and Certifications - Preferred

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

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

C ompetitive pay and benefit package

Implements the ASACS Counseling Program at assigned location.

• Implements the Adolescent Support and Counseling Services (ASACS) Program at assigned school-based locations.

• Performs a comprehensive assessment of referred adolescents and families.

• Develops an individualized service plan that addresses the needs identified in the comprehensive assessment with goals, methods, and techniques tailored the needs of each client.

• Performs individual, and/or group counseling, and/or family counseling as necessary.

• Promotes resiliency, reduces mental health disorders, reduces adolescent substance abuse, and develops general life skills through a proactive approach, such as engaging in community-wide drug awareness campaigns and interfacing with community key stakeholders including the garrison command on adolescent substance use issues and trends within the community.

  Other Job Requirements

Responsibilities

Master's degree from an accredited university (CACREP accreditation required for counseling programs).Drug and Alcohol Certification (MRAS, CSAC, CAP, etc).Licensed as an independent level provider Licensed Clinical Social Worker (LCSW), Licensed Mental Health Counselor/Licensed Professional Counselor (LHMC/LPC), Licensed Marriage and Family Therapist (LMFT) or Clinical/Counseling Psychologist at PhD level, with clinical license.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 and have experience with electronic medical records. Ability to work under time pressure. and rapidly for long periods to meet deadlines.

General Job Information

Title

Counselor, Adolescent Support and Counseling Services (ASACS)

Grade

24

Work Experience - Required

Behavioral Health

Work Experience - Preferred

Education - Required

Masters

Education - Preferred

License and Certifications - Required

CADAC - Certified Alcohol and Drug Abuse Counselor - Care Mgmt, CAP - Certified Addiction Professional - Care Mgmt, CSAC - Certified Substance Abuse Counselor - Care Mgmt, LCSW - Licensed Clinical Social Worker - Care Mgmt, LMFT - Licensed Marital and Family Therapist - Care Mgmt, LMHC - Licensed Mental Health Counselor - Care Mgmt, LPC - Licensed Professional Counselor - Care Mgmt, MRAS - Masters Level Registered Addiction Specialist - Care Mgmt, PSY - Psychologist - 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

Provides supervision and monitoring of unlicensed staff (UM Specialists) responsible for all utilization management (UM) support duties, prioritizing adherence to regulatory, customer, and departmental performance standards.

• Monitors and manages daily non-authorization processes, staff production and adherence to regulatory, customer, and departmental standards.

• Oversees and organizes daily volume of work and manages assignments of UM staff.

• Assists with providing employee training on specialized task processes.

• Assists in the development of department workflows and implementations.

• Consults with business partners on identified problems and interfaces with departmental staff on recommended resolutions.

• Assists in data-gathering and analysis of reports regarding UM support activities.

• Oversees preparation for audits involving UM support processes.

• Identifies gaps in processes and works to resolve them.

• Facilitates staff meetings.

• Hires new staff, as needed, to ensure the ongoing success of the team, and provides coaching, as needed.

• Other duties as assigned.

  Other Job Requirements

Responsibilities

Minimum of 5 years in a healthcare operations focused position.Excellent research and analytical skills.Ability to work under tight deadlines.Self-starter with an approach that demonstrates strong attention to detail.Highly organized with excellent communication skills, including coordinating cross-functional team meetings and prioritizing projects/tasks.Strong work ethic and focus on process and achieving results.Strong working knowledge of Microsoft Office Product Suite.Excellent problem-solving skills with ability to supervise and motivate team members.

General Job Information

Title

SUPERVISOR, UTILIZATION MANAGEMENT SUPPORT SERVICES, MRX

Grade

22

Work Experience - Required

Compliance, Healthcare, Quality, Supervisory, Utilization Management

Work Experience - Preferred

Education - Required

GED, High School

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

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

PL/SQL

This position services as an expert technical and industry resource to management, clients and development staff in new uses of information technology in all phases of major system and subsystem development. Provides consultation on internal and industry IT technical and business domain process capabilities including leadership in the identification and recommendation of new IT opportunities and business operations as it relates to application development. Formulates, contributes to, and directs task identification, work effort estimates, and work schedules for research, prototype, and proof-of-concept IT activities. Directs and participates in all aspects of development tasks including data management, application architecture and business architecture. Provides guidance to staff on complex assignments and mentors on new technologies.

• Works with to break down a complex system into smaller components and coach/lead a team of software engineers to design and develop these components.

• Functions as primary practitioner coach on the team to grow the capabilities of other engineers on the team.

• Integrates systems to databases and other applications using middleware such as SnapLogic, REST based services, etc.

• Understands the relationship between applications and infrastructure.

• Acts as a leader in the developer community within Magellan and performs demo, knowledge sharing sessions.

• Writes technical blogs and be active in Open Source Community.

Agile, DevOPS and Cloud:

• Acts as expert for automated testing strategies, including TDD and ATDD.

• Works on Agile software development projects.

• Understands advanced concepts of Containers, Micro-Services, Continuous Integration

• Develops highly scalable applications in AWS cloud using tools like Cloud Formation Templates, EC2, SWF, ELB, Lambda, S3, RDS/Dynamo DB and others.

• Identifies track key metrics produced by the application.

• Performs load and performance testing on the applications and have advanced troubleshooting ability to tune the application to scale.

  Other Job Requirements

Responsibilities

5+ years related experience including a minimum of 2+ years designing, building and deploying software in IT.Critical thinker.Demonstrated problem solving techniques.Strong verbal and written communication skills.

General Job Information

Title

Lead Software Engineer

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

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

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

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

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

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

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

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

• Ensures agents compliance with policies and procedures.

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

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

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

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

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

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

• Delegates work to agents as needed.

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

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

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

• Performs other related duties and special projects as requested.

  Other Job Requirements

Responsibilities

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

General Job Information

Title

Service Team Leader

Grade

22

Work Experience - Required

Customer Service, PBM (Pharmacy Benefit Management)

Work Experience - Preferred

Education - Required

GED, High School

Education - Preferred

License and Certifications - Required

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

License and Certifications - Preferred

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

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

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

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

Warning: Employment Scam

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

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

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

Job Detail

• Company:
  Magellan Health Services

Job Description

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

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

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

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

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

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

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

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

  Other Job Requirements

Responsibilities

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

General Job Information

Title

Field EAP Consultant - USPS/FOH

Grade

23

Work Experience - Required

Clinical, Employee Assistance Program (EAP)

Work Experience - Preferred

Education - Required

Masters - Behavioral Health

Education - Preferred

License and Certifications - Required

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

License and Certifications - Preferred

CEAP - Certified Employee Assistance Professional - Care Mgmt

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

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