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Care Coordinator
Magellan Health - United States of America
Coordinates care of individual clients with application to identified populations using assessment, care planning, implementations, coordination, monitoring and evaluation for cost effective and quality outcomes. Duties are typically performed during face-to-face home visits. Promotes the appropriate use of clinical and financial resources in order to improve the quality of care and member sati...
Military and Family Life Counselor - Adults or Children
Magellan Health - United States of America
These positions are in support of Robins Air Force Base either working on base with military members and their families or in local schools with high populations of military children attending. Candidates must be local or be willing to become local and licensed at the independent level as a Social Worker (LCSW), Therapist (LMFT), or Mental Health Counselor (LPC). Primary responsibility to...
Military and Family Life Counselor - Adults or Children
Magellan Health - United States of America
These positions are in support of Robins Air Force Base either working on base with military members and their families or in local schools with high populations of military children attending. Candidates must be local or be willing to become local and licensed at the independent level as a Social Worker (LCSW), Therapist (LMFT), or Mental Health Counselor (LPC). Primary responsibility to...
Clinical Analyst - Remote Opportunity
Magellan Health - United States of America
Demonstrates quality and competency in developing efficient and effective solutions to complex business problems, and will respond with equanimity in a dynamic environment. Builds analyses and reports using persuasive data visualization and oral and written communication skills that can translate complex analytic findings and concepts to a varied audience of users. Performs exploratory d...
Lead BI Analyst - Federal (Fully Remote)
Magellan Health - United States of America
Leads efforts aimed at meeting business intelligence objectives including information delivery and data analytics projects with the goal of empowering and enabling business users with actionable information. In addition to providing project and technical leadership, expectations may include leading teams of developers and analysts, working closely with business and IT partners, developing and m...
Director of Analytics - Federal Market (Fully Remote)
Magellan Health - United States of America
Leads and manages a team responsible for data acquisition, data management and data integrity, reporting and business process analysis. Manages and maintains a comprehensive information resource, ensuring consistency and integrity of data. Oversees collection and reporting of complex, related information. Interprets data, including statistical values, and provides advice and consultation regard...
Military and Family Life Counselor - School (For Fall 2024)
Magellan Health - United States of America
These positions are in person at schools affiliated with MCAS New River. Candidates must be local or be willing to relocate to become local and must be licensed at the independent level as a Social Worker (LCSW), Therapist (LMFT), or Mental Health Counselor (LPC/LCMHC). Relocation assistance may be available. This position has the primary responsibility of providing the full breadth of Ch...
Military and Family Life Counselor - School (For Fall 2024)
Magellan Health - United States of America
These positions are in person at schools affiliated with MCAS New River. Candidates must be local or be willing to relocate to become local and must be licensed at the independent level as a Social Worker (LCSW), Therapist (LMFT), or Mental Health Counselor (LPC/LCMHC). Relocation assistance may be available. This position has the primary responsibility of providing the full breadth of Ch...
Senior Subcontracts Coordinator, Federal (Remote)
Magellan Health - United States of America
This is a remote position that will require the candidate to work EST/CST business hours. This position is responsible for managing and administering procurement activities in support of federal contracts and interfaces between the contracts and subcontracts team, program management, business development, compliance, and legal. Facilitates indirect procurement actions and processes indepe...
Care Worker (UM/CM Support)
Magellan Health - United States of America
Facilitates department workflow by supporting clinical team with administrative care coordination support. Locates community services and other referral locations for enrollees, arranges access to care, supports communication with hospitals, and providers. Provides non-clinical support to workflows involving utilization management, case management, disease management, and health promotio...
Claims Processor II
Magellan Health - United States of America
Responsible and accountable for the accurate and timely processing of all claims. 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 updates requ...
Senior Subcontracts Coordinator, Federal (Remote)
Magellan Health - United States of America
This is a remote position that will require the candidate to work EST/CST business hours. This position is responsible for managing and administering procurement activities in support of federal contracts and interfaces between the contracts and subcontracts team, program management, business development, compliance, and legal. Facilitates indirect procurement actions and processes indepe...
Quality Specialist II
Magellan Health - United States of America
This position is contingent on a contract award. Serves as a member of the quality team at the national, regional or unit level. Coordinates projects resulting in continuous quality improvement and process improvement. Supports the maintenance of a strong quality program, measured processes including URAC, NCQA, and/or HEDIS (where applicable) and reported outcomes. 2+ years of qua...
Senior Quality Specialist
Magellan Health - United States of America
This position is contingent on a contract award. Serves as a member of the quality team at the national, regional or unit level. Coordinates projects resulting in continuous quality improvement and process improvement. Supports the maintenance of a strong quality program, measured processes including URAC, NCQA and/or HEDIS (where applicable) and reported outcomes. Lead assigned qu...
Data and Report Analyst II
Magellan Health - United States of America
This position is contingent on a contract award. 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 wit...
