Job Detail

Mgr, Claims - Magellan Health Services
Maryland Heights, Missouri
Posted: Feb 16, 2022 01:48

Job Description

Responsible for managing multiple service or business units to meet or exceed customer requirements and business objectives. Responsible for maintaining a supportive work environment. Must conduct activities within guidelines set forth by individual state or federal regulations.

  • Develops strategic, operational and tactical business plans to achieve desired business goals for responsible units.

  • Reviews and directs service operation performance to meet or exceed business goals.

  • Builds and maintains collaborative relationships and alliances with internal and external customers including but not limited to Employer and Provider Groups, Members, Marketing, Finance and Client Services IT and Compliance to achieve business goals.

  • Meets regularly with internal partners to determine service requirements and expectations for overall satisfaction.

  • Provides reporting and project support to management as needed.

  • Recruits, attracts, develops, motivates and manages a high caliber of talent.

  • Fosters confidence and trust with client base.

  • Ability to understand and manage expense budget, as well as the incremental per unit costs associated with production environments.

  • Identifies and implements process improvements on multiple systems or units within the business unit.

  • Maintains a positive work environment that supports self-directed teams; provides a structure to optimize the experience, skill, knowledge and capability of the teams.

  • Rewards employees based on contribution and performance.

    Other Job Requirements

Responsibilities

A combination of education and work experience may be considered.7+ years' experience in service industry/operations.Knowledge of MS Office software, specifically Excel.Experience in developing and managing budgets.Progressive supervisory responsibilities and experience in managing cross-functional, self-directed teams.Strong influencing, negotiation and analytical skills.Team advocate. Ability to travel 10%.

General Job Information

Title

Mgr, Claims

Grade

25

Work Experience - Required

Claims, Customer Service, Supervisory

Work Experience - Preferred

Education - Required

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

Education - Preferred

License and Certifications - Required

License and Certifications - Preferred

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 Overview

Magellan Health Services

Maryland Heights, Missouri