Assists in day to day management of the operations for assigned site. Operational functions managed include client services, customer service, claims, data processing, and/or utilization to ensure the operating integrity of the plan. Coordinates interdepartmental reports and statistics in accordance with regulatory agency requirements and acts as organizer, facilitator, and decision maker of associated work flows.
Assists in planning and managing the operations of assigned site to ensure all operations meet the plans overall objectives and contractual requirements. Coordinates and liaisons with appropriate Corporate departments to ensure smooth operations of client and provider services.
Develops procedures, selects, trains, and instructs staff. Coordinates work flows between customer service staff, vendors and applicable corporate departments.
Develops and maintains operations work flows, standard operating procedures, desk top procedures and all pertinent business documents in order to ensure operational excellence and efficiency.
Assess the need and develops detailed documentation requirements to meet business needs under standardization and virtualization of assigned site. Responsible for monitoring productivity and quality of work for all operations staff.
Provides status reports that give a detailed description of the current projects progress and indicates time devoted to each task of the project. Respond to ad hoc requests for support and analysis.
Other Job Requirements
Responsibilities
Effective verbal and written communication skills.Strong working knowledge of Microsoft Office Product Suite, specifically Excel and database management.
General Job Information
Title
Manager, Service Operations, MediCal
Grade
25
Work Experience - Required
Customer Service, Human Services, Operations, Supervisory
Work Experience - Preferred
Education - Required
Bachelors
Education - Preferred
Masters
License and Certifications - Required
DL - Driver License, Valid In State - Other
License and Certifications - Preferred
Magellan Health, Inc. is proud to be an Equal Opportunity Employer and a Tobacco-free workplace. EOE/M/F/Vet/Disabled.Every employee must understand, comply with and attest to the security responsibilities and security controls unique to their position; and comply with all applicable legal, regulatory, and contractual requirements and internal policies and procedures.
Magellan is the employer of choice for hard working people interested in making a difference in the health care industry and in the communities where we work and live. Our strong culture of caring is the common thread in both our business strategy and our work environment. We value professional growth and development, total health and wellness, rewards and recognition as well as employee unity. Magellan is a place where you can thrive.
Magellan is committed to providing equal employment opportunities to employees and applicants for employment without regard to race, color, creed, religion, sex, gender identity and expression, sexual orientation, marital status, age, national origin, ancestry, citizenship, physical or mental disability, disabled veteran or veteran of the Vietnam Era status, or any other factors protected by law.
Magellan is committed to meeting applicable Federal labor and employment law posting requirements by providing necessary posters in a format which is easily accessible and conspicuous to all applicants. Copies of applicable posters are accessible by clicking here (https://www.magellanhealth.com/media/760295/mg-federal-contractors-applicant-english.pdf) .
Warning: Employment Scam
It has come to our attention that a false representative is contacting potential candidates and offering them work at home positions with Magellan Health. -Interviews- are conducted completely through email and the false job offer includes the promise of a check to be issued to the candidate for the purposes of setting up a home office.
Please know that Magellan Health does not interview any candidate through email, nor do we issue checks to candidates to set up home offices. All of our available positions are posted on legitimate job boards and our recruitment team directly contacts candidates should there be a fit.
If you suspect you are being contacted by a false representative of Magellan Health, please call 410-953-2911
