Magellan Health Jobs | CareerArc

Jobs at Magellan Health

370 job openings

Save This Search

Refine Your Search

Show more Show less
Displaying results 1 - 15 of 370

Inbound Provider Services Associate I **$1,000 Sign On Bonus**

Magellan Health - United States of America

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 ...

Initial Clinical Reviewer II

Magellan Health - Maryland Heights, MO

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 supported by Physician clinical review staff (MDs) in the utilization management determination process. Reviews charts and analyzes clinical record documentation ...

Senior Project Manager - Fully Remote

Magellan Health - United States of America

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. Director, Operations Services (Remote)

Magellan Health - United States of America

This position will work in conjunction with the Magellan Rx government division to guide account management and rebate contracting efforts for Preferred Drug List (PDL) customers. Supports account management activities with key customers on Preferred Drug List through frequent contact focused on delivering value, service, strategic insight and customer satisfaction. Oversees acco...

Finance Manager

Magellan Health - United States of America

Manages and coordinates the company's financial function across sub-functions such as accounting, cost management, budgeting, finance, audit, credit, collections, and tax to meet company's business requirements. Works within corporate strategies and policy frameworks, designs, proposes and implements financial strategies, guidelines and procedures within broad principles and policies set by the...

Business Operations Analyst - MediCal Rx

Magellan Health - Rancho Cordova, CA

This position is a critical liaison between Non-Clinical Operations, Finance and Analytics. Leads and supports various business operations initiatives, that are cross-functional and in support of continuous process improvement and quality improvement management. Builds analyses and reports using persuasive data visualization and oral and written communication skills that can translate complex a...

Compliance Manager - Remote Opportunity

Magellan Health - United States of America

Serves as the compliance and privacy manager for assigned areas of the company or an SBU as applicable. Assists with regulatory and contract compliance for business managed by the Care Center or supported by corporate compliance. Responsible for the implementation of or support of the SBU and/or Corporate Compliance Program, Health Insurance Portability and Accountability Act (HIPAA) compliance...

Compliance Manager

Magellan Health - United States of America

Serves as the compliance and privacy manager for assigned areas of the company or an SBU as applicable. Assists with regulatory and contract compliance for business managed by the Care Center or supported by corporate compliance. Responsible for the implementation of or support of the SBU and/or Corporate Compliance Program, Health Insurance Portability and Accountability Act (HIPAA) compliance...

Senior Business Operations Analyst - Medi-Cal Rx

Magellan Health - Rancho Cordova, CA

This position is a critical liaison between Non-Clinical Operations, Finance and Analytics. Leads and supports various business operations initiatives, that are cross-functional and in support of continuous process improvement and quality improvement management. Builds analyses and reports using persuasive data visualization and oral and written communication skills that can translate complex a...

Data Scientist

Magellan Health - Columbia, MD

Designs, documents, develops and delivers analyses using the latest innovations in computing tools including Data Lake technologies, Predictive Analytics (Machine Learning), Proprietary or Open Source Statistical Analysis, SQL, and Excel. Uses a variety of computing tools (e.g. Hadoop, H20, Hive, Pig Latin, Apache Spark, R Statistics Language, Predixion, Elastisearch, KNIME, Rapidminer, SQL, Ex...

Clinical Pharmacy Technician II (Remote)-2

Magellan Health - United States of America

Evaluates and authorizes approval of prior authorization pharmacy requests from prescribers received by telephone and/or facsimile using client clinical criteria. Determines appropriateness for medications. Communicates decision to physicians, physician`s office staff, medical management staff and/or pharmacists. Researches, resolves and documents prior authorization outcomes in pharmacy...

System Quality Assurance Analyst

Magellan Health - Glen Allen, VA

This position is responsible to develop thorough test plans for medium (relating to complexity) systems to ensure a smooth transition from a development environment to a production environment. Responsible for testing, reviewing and learning medium (relating to complexity) functionality of software applications which are developed in house and those purchased form third party vendor. Develops a...

School MFLC

Magellan Health - Milton, FL

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, sch...

Claims Processor II

Magellan Health - United States of America

Responsible and accountable for the accurate and timely claims processing of all claim types. Claims must be processed with a high level of detailed quality and in accordance with claims payment policy and by the terms of our customer/provider contractual agreements. Adjudicates claims and adjustments as required. Resolves claims edits and suspended claims. Maintains and ...

Clinical Trainer - BH

Magellan Health - United States of America

Executes the learning and development priorities for the company's training needs. Responsible for developing, scheduling and conducting group and/or one-on-one training, for both virtual and classroom settings. At times it is necessary to conduct classes with virtual participants both face-to-face and virtually; virtual facilitation and technical skills are required for this reason. Training w...