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Jobs at Magellan Health

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Part Time Mental Health Clinician supporting trainees at Preeminent Cancer Care Center - Hybrid

Magellan Health - New York, NY

Looking for a Master's degree or PhD psychologist with 3-5 years experience. The position is primarily onsite at Memorial Sloan Kettering, with some remote options. Degrees: Master's or PhD level education Must be licensed in NY Open to LPC, LCSW, LMHC, LMHP Provides direct support to organizations and their employees through the delivery of assessment, consultatio...

After Hours Customer Care Associate

Magellan Health - United States of America

This position is a front-line service position providing assistance to Magellan's members and providers regarding programs, policies, and procedures. Responsibilities include answering incoming calls related to eligibility, benefits, claims and authorization of services from members or providers. Responsibilities also include the administration of intake documentation into the appropriate syste...

Business Intelligence Specialist

Magellan Health - Rancho Cordova, CA

Delivers against business intelligence objectives including creating and contributing to various facets of information delivery and data analytics projects. Expectations include analyzing, designing, and developing business intelligence and analytics solutions in a timely manner and according to provided specifications. Analyzes, Designs and builds reports, dashboards or other business i...

Sr. Mgr Regulatory Licensing, MRx

Magellan Health - United States of America

This position is accountable for the cross functional leadership, coordination and delivery of regulatory submissions, filings, renewals, notifications, and periodic reporting related to licensed functions [Pharmacy benefit managers (PBM), pharmacy licenses and pharmacy Medicaid provider IDs, Pharmaceutical Pricing Agreement (PPA), Third-Party Administrator (TPA), and Utilization Review (UR)]. ...

Manager Business Systems Analysis

Magellan Health - Sacramento, CA

This position is responsible for providing direction to a team of Business Analysts. Responsible for the administrative duties of hiring, purchasing of equipment, conducting employee reviews, staffing and other resource management tasks. Provides guidance and mentoring to staff. Participates in budget preparation and tracking. Works with the Business Owners and IT Management to set priorities o...

Care Manager, Health Plan

Magellan Health - United States of America

This position is responsible for the assessment, reassessment, care planning and coordination of care and services including ongoing monitoring of an appropriate and effective person-centered care plan, member education and care management. Conducts initial and concurrent review for prior authorization of higher levels of care against medical necessity criteria. Responsible for the development ...

Care Manager- Community HealthChoices

Magellan Health - Newtown, PA

Clinical coordination with Community HealthChoices managed care organizations on Medicare/Medicare dual eligible membership, community engagement with community older adult resources, driving initiatives to enhance older adult behavioral health supports. Understanding of Medicare system is preferred. This is a remote position and candidate must reside in the areas near Newtown or Bethl...

Claims Processor II

Magellan Health - Maryland Heights, MO

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 ...

Military and Family Life Counselor - Embedded

Magellan Health - Goldsboro, NC

This position is in support of t Seymour Johnson AFB. 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). Provides the full breadth of MFLC consultation and counseling services to the command struct...

Lead Analytics analyst

Magellan Health - United States of America

Responsible for leading and facilitating the analytics, decision support, and research functions of the assigned department. Creates, analyzes, and distributes monthly, quarterly and annual reports and analyses for required reporting activities. Extracts, prepares, analyzes, validates and presents data for standard and ad hoc reporting. Interprets, analyzes, and makes recom...

Senior Software Test Engineer

Magellan Health - Glen Allen, VA

Analyze Software under test and build, maintain an automated test infrastructure for a multi-platform product that will be used to validate all aspects of the product operation. Evaluate product functionality and create test strategies and test cases to assess product quality. Interpret and report testing results, and be a vocal proponent for quality in every phase of the develop...

Military and Family Life Counselor - Child and Youth

Magellan Health - Fort Bragg, NC

This position is covered under a Collective Bargaining Agreement. These positions are in person roles at Child Development Centers and/or Youth Centers affiliated with Fort Bragg. Candidates must be local to Fort Bragg or be willing to relocate to become local and be licensed at the independent level in the state of North Carolina as a Social Worker (LCSW), Therapist (LMFT), or Mental ...

Military and Family Life Counselor - School

Magellan Health - Goldsboro, NC

This position is in support of schools affiliated with Seymour Johnson AFB. Candidates must be local to Seymour Johnson AFB or willing to relocate to become local and be licensed at the independent level in the state of North Carolina as a Mental Health Counselor (LCMHC), Therapist (LMFT), or Social Worker (LCSW). This position has the primary responsibility of providing the full breadth ...

Sr Mail Service Coordinator

Magellan Health - Rancho Cordova, CA

Responsible for insuring a smooth work-flow throughout the entire mail operation. Maintains accurate records for all equipment and mail center operations. Ensures mail is date-stamped, sorted and batched. Distributes mail to departments post sorting. Handles incoming, outgoing, interoffice and overnight mail in a timely manner. Retrieves, assembles, and file...

Medical Policy Researcher and Writer (REMOTE)

Magellan Health - Maryland Heights, MO

Oversees clinical guideline review process end to end, responsible for scheduling, tracking, research and policy development, copy editing, formatting, creating and maintaining quality and compliance documents to meet accreditation requirements, supports other departments on research, guideline retrieval as needed, provides support to team to ensure deadlines are met Responsible for the d...