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Jobs at Magellan Health

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Sr. Salesforce Admin - Fully Remote

Magellan Health - United States of America

This is a fully remote position, allowing you to work out of the comfort of your own home from anywhere in the US. Proven work experience as a Salesforce Administrator or similar role Extensive experience in the administration and maintenance of Salesforce systems Experience in performing Salesforce upgrades and ensuring successful integration Exceptional...

Account Manager I - California/West Coast

Magellan Health - Sacramento, CA

Overall management of assigned book of business for the company's products and services in order to achieve profitable retention of accounts. Supports in the development and maintenance of a strategic business plan that fully reflects the customer's business objectives and how the company solutions align to those objectives and specifically guides our operational, financial, network, cli...

Military Adult Therapist

Magellan Health - Detroit, MI

This position will support on base the Taylor National Guard Armory in Detroit. You must hold a Michigan independent license such as LCSW, LPC, LMFT Primary responsibility to provide the full breadth of MFLC (Military Family Life Counseling) counseling services to military service members and their families at military installations. Services include non- medical, short-term, walk-around ...

Data and Reporting Analyst l

Magellan Health - Washington, DC

Provides data collection, data management, data analysis and reporting, and decision management tool design and development. Responsible for interfacing with IT to ensure utilization and effective use of IT sponsored tools. Provide basic programming and technical skills to support data management and reporting requirements. Works with designated department to assess, define, and develop ...

Appeals Coordinator

Magellan Health - Phoenix, AZ

Coordinates appeals process as assigned, attends to risk management issues associated with case management and processes appeal requests. In some cases may be combined with Grievance Coordinator functions. Maintains a caseload and monitors day to day compliance of appeal decision time frames. Reviews clinical and medical records for completeness and determines administrativ...

Business Analyst, Business Systems

Magellan Health - United States of America

Serves as liaison between departmental team business owners, end users, IT, Claims and Clinical departments. Responds to ad hoc requests for support, reports and analysis. Supports departmental management team by providing trending and performance data. Supports special projects. Maintains and monitors reporting queues and requests (if appropriate), and internal share point sites. May participa...

Director, Workforce Planning

Magellan Health - United States of America

This position is responsible for directing the Operations Hub function for the Care Management Center (CMC). This involves management of staffing levels, client specific and overall CMC service performance levels, resource utilization, PTO and FTO authorizations and overtime for business unit(s) care center operations. The role will provide leadership and direction to the workforce planning tea...

Military Adult Therapist

Magellan Health - Kenova, WV

This position will support the National Guard Armory, Kenova, WV. Candidate must hold a West Virginia independent license such as LPC, LICSW, LMFT Primary responsibility to provide the full breadth of MFLC (Military Family Life Counseling) counseling services to military service members and their families at military installations. Services include non- medical, short-term, walk-around co...

Instructional Designer

Magellan Health - United States of America

Remote This position designs, develops, implements and evaluates enterprise-wide learning solutions in support of Magellan's business objectives. Partner with SMEs and key stakeholders to develop learning paths and curriculum content that reflects sound instructional design based on adult learning principles and best practices. Display demonstrated expertise in instructional design system...

Clinical Pharmacist (Algorithm) - Fully Remote

Magellan Health - Washington, DC

Maintains the inventory of MRxM clinical algorithms. Responsible for coordinating the timing of implementation(s), revisions, revision quality, documentation of changes, and coordinating with IT on release. Creates new and updates existing MRxM clinical algorithms based upon relevant source data (e.g. MRxM clinical criteria, client criteria, Medicare LCD, etc.). Provides support for ...

Sr. Account Executive, Behavioral Health, California - Remote

Magellan Health - Chino, CA

Accountable for relationship building at multiple strategic customer touch points to include but not limited to day-to-day contacts, senior management, and key decision makers. May be directly or indirectly accountable to Profit and Loss of assigned account (s). Supports the development of ongoing strategy to ensure retention and growth by providing solutions that align with customers? overall ...

Formulary Management Systems Pharmacist

Magellan Health - United States of America

This position supports the clinical and operational formulary needs of various lines of business, including Managed Medicaid. The team performs drug reviews on new entities for Pharmacy and Therapeutics (P&T), updates criteria, makes recommendations regarding drug inclusion and utilization management that will be used to create and maintain Magellan's formularies as well as client formularies. ...

Sr Project Solution Manager - Fully Remote

Magellan Health - Washington, DC

Responsible for the management of a variety of projects for corporate and/or strategic business unit (SBU). Provides support through the planning and execution of these projects. Support may include establishing deadlines, assigning resources/responsibilities and monitoring and summarizing progress of projects. Prepares reports for upper management regarding status of project. Familiar with a v...

Sr Actuarial Analyst - Fully Remote

Magellan Health - Washington, DC

Provides actuarial analytics for the Actuarial team supporting one or more of the company's health plans, in areas of rate adequacy, claims reserving, cost of care forecasting and planning. Responsible for maintaining complex cost models and the preparation of required regulatory reporting while operating in a fast-paced, small team environment. Provides actuarial market support for one ...

Military and Family Life Counselor - Special Operations Command (SOCOM) Child and Youth

Magellan Health - Fort Bragg, NC

This position is covered under a Collective Bargaining Agreement. This Child and Youth SOCOM role is in support of Fort Bragg. Candidates must be local to the base or be willing to relocate to become local. Candidates must be licensed at the independent level in the state of North Carolina as a Social Worker (LCSW), Therapist (LMFT), or Mental Health Counselor (LCHMC). This po...