Jobs At Magellan Federal In Fort Belvoir, VA | CareerArc

Jobs at Magellan Federal in Fort Belvoir, VA

70 job openings within 25 miles

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Home Visitor, NPSP

Magellan Federal - Fort Belvoir, VA

Provide support to all eligible Families with expectant parents and parents of children from birth to 3 years of age. This program seeks to support young military Families which directly contribute to military mission readiness, support Family members' adaptation to military life, enhance the knowledge and skills for healthy relationships that can provide safe, nurturing environments for childr...

Physician Clinical Reviewer, MRx - Family Medicine Physician - REMOTE

Magellan Health - Washington, DC

Key member of the utilization management team, and provides timely medical review of service requests that do not initially meet the applicable medical necessity guidelines. Routinely interacts with physicians, leadership and management staff, other Physician Clinical Reviewers (PCR), and health plan members and staff whenever a physician`s input is needed or required. Directs daily invo...

Initial Clinical Reviewer II (Pediatric Speech Therapist) - Full-time- Remote

Magellan Health - Washington, DC

Initial Clinical Reviewer- Pediatric Speech Therapist – Intermittent- Remote Hour requirement: 19 hours a week Training requirement: 7 full days Functions in a clinical review capacity to evaluate all cases, which do not pass the authorization approval process at first call while promoting a supportive team approach with call center staff. Initial clinical reviewers are support...

Site Coordinator - JB Myer Henderson Hall

Magellan Federal - Arlington, VA

Provides assistance to the Family Advocacy Program Manager with FAP efforts including administrative support, analytics, coordination of services to the installation Army Community Services Family Advocacy Program (FAP) supporting prevention, education, training, and direct services. Assists the installation Family Advocacy Program Manager (FAPM) with coordination and implementatio...

Senior Coding Research Analyst

Magellan Health - Washington, DC

Manages claims coding rule process. Evaluates claims coding rule change request from clinical, financial, and claims operations perspectives. Provides regulatory and correct coding research on change requests and makes recommendations on correct payment policy and edit functionality. Defines requirements and partners with vendors throughout testing and implementation. Supports provider dispute/...

Inbound Provider Service Associate ***$1000 sign on bonus***

Magellan Health - Washington, DC

This position is part of an operations team that strives to provide first call resolution to a specified set of customers. This position primarily answers incoming calls for new and existing authorizations. Responsibilities include documenting in the appropriate systems and ensuring high quality and accurate information is provided to callers. This role is expected to meet or exceed operations ...

Physician Clinical Reviewer, MRx - Pulmonologist - REMOTE

Magellan Health - Washington, DC

Key member of the utilization management team, and provides timely medical review of service requests that do not initially meet the applicable medical necessity guidelines. Routinely interacts with physicians, leadership and management staff, other Physician Clinical Reviewers (PCR), and health plan members and staff whenever a physician`s input is needed or required. Directs daily invo...

Site Coordinator - Ft. Belvoir

Magellan Federal - Fort Belvoir, VA

Provides assistance to the Family Advocacy Program Manager with FAP efforts including administrative support, analytics, coordination of services to the installation Army Community Services Family Advocacy Program (FAP) supporting prevention, education, training, and direct services. Assists the installation Family Advocacy Program Manager (FAPM) with coordination and implementatio...

Remote Clinical Pharmacist

Magellan Health - Washington, DC

Performs prospective and/or retrospective drug utilization review and appeals per State and Federal regulations. Participates in the distribution of clinical drug information and educates providers and staff regarding the use of pharmaceutical treatment regimens. Complies with all corporate and facility standard operating procedures, policies, guidelines, and work instructions. Provides ...

Shared Services Coordinator - After Hours - Part Time

Magellan Health - Washington, DC

This position is responsible for supporting the employer, commercial or health plan businesses with coordination of services. Responsible for locating available providers, facilities and scheduling appointments for clients related to EAP or Health Plan Services, outpatient managed care appointments and higher level of care bed searches. Completes requests for organizational and employee service...

Inbound Provider Service Associate ***$1000 sign on bonus***

Magellan Health - Washington, DC

This position is part of an operations team that strives to provide first call resolution to a specified set of customers. This position primarily answers incoming calls for new and existing authorizations. Responsibilities include documenting in the appropriate systems and ensuring high quality and accurate information is provided to callers. This role is expected to meet or exceed operations ...

Referral Management Registered Nurse, IRMAC - Bethesda/Washington DC

Magellan Federal - Bethesda, MD

Provides referral management (RM) timely review of ROFR requests, specialty care referrals, sustaining up-to-date Specialty Clinic Referral Review tools and booking guidance, comply with Referral and Authorization Business rules, tracking, and resulting of referrals, and full use of RM information management systems. Conducts reviews for capacity, capability, medical necessary, deferral to netw...

Referral Management Team Lead, RN, IRMAC - Bethesda/Washington DC

Magellan Federal - Bethesda, MD

Serves as subject matter expert and advisor to clinical and non-clinical IRMAC contract staff providing clinical nursing and referral management guidance. Ensures referral review team processes referrals per established guidelines. Monitors team's performance and provides referral management review of specialty care referrals. Conducts reviews for capacity, capability, medical necessity, deferr...

Referral Management Health Care Coordinator Team Lead, IRMAC - Bethesda/Washington DC

Magellan Federal - Bethesda, MD

Licensed Practical Nurse/Referral Management (RM) Coordinator Team Lead serves as a RM subject matter expert assisting the IRMAC team with problem resolution and process improvement to produce efficiencies. Assists RM Leadership providing oversight of RM management, care coordination, and referral review. Coordinates, monitors workload, assignments, training, and adherence to policies fo...

Referral Management Health Care Coordinator, IRMAC -Bethesda/Washington DC

Magellan Federal - Bethesda, MD

Referral Management Health Care Coordinator provides care coordination and referral management activities in the Integrated Referral Management and Appointing Center (IRMAC). Performs timely and accurate referral review, processing and tracking for administrative, clinical completeness and appropriateness; collaborates with internal and external healthcare, managed care and clinical stak...