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Magellan Health Services Jobs & Careers

25 Jobs Found

Magellan Health Services
Open House AlphaCare by Magellan Health 335 Adams Street, Suite 2600, Brooklyn, NY 11201 Tuesday, July 19th – 1:00 – 6:00 pm Scheduled and Walk-in Interviews 4:30 – 6:00 pm Networking Session (hors d’oeuvres served) Guest Speaker: Scot......
Magellan Health Services
It is an exciting time to be part of Business Intelligence at Magellan, as our roles, technology footprint, and team continues to expand. In support of that expansion, we are looking for a highly motivated individual to join our team. Experience in ......
Magellan Health Services
Responsible for the management, direct supervision and coordination of clinical and/or nonclinical management staff, including utilization management and intensive care management staff, providing expertise in designated programs. ESSENTIAL FU......
Magellan Health Services
The Sr. Nurse Recruiter will be in a highly visible role to senior management and will focus on recruiting RN and allied talent. They will provide strategic recruiting solutions at all levels of the organization; partner with HR Business Consultants......
Magellan Health Services
This position will take a practical and risk based approach to manage, maintain, and deploy security solutions throughout the enterprise network. They will contribute to the design, development and maintenance of the network security environment and......
Magellan Health Services
Collects data and provides analyses for a broad array of issues across disciplines and functional areas. Has sole responsibility for some small to medium size analytical projects. May be dedicated to a single department or business unit. ESSENTIA......
Magellan Health Services
JOB SUMMARY HEALTHCARE EXPERIENCE IS A MUST!!! This position is responsible for conducting objective, fair, thorough, unbiased and timely investigations into allegations of healthcare fraud, waste or abuse committed against company by members,......
Magellan Health Services
JOB SUMMARY: Primary HR point of contact for direct reporting line into a Senior Leader of a specific business unit, (i.e., directs to SBU or Corporate leads). Participate in the annual planning process with business partners and build correspond......
Magellan Health Services
This position is responsible for the support of all activities related to developing and maintaining the physician, practitioner, group, and/or facility, MPPS and organization services delivery system in small to mid-size market defined by membershi......
Magellan Health Services
Responsible for sales planning, strategy, leadership and management for Magellan Healthcare's Commercial Markets health plan business. Essential Functions: - Development of sales portion of 5 year plan, including market environment / opportuni......
Magellan Health Services
Provides ongoing, community-based support for an assigned caseload of health plan enrollees to improve compliance with recommended health services with the designated health care provider. Conducts telephone and in-person communication with enrollee......
Magellan Health Services
Evaluates and authorizes approval of prior authorization pharmacy requests from prescribers received by telephone and/or facsimile using client clinical criteria. ESSENTIAL FUNCTIONS: - Determines appropriateness for medications. Communicates ......
Magellan Health Services
With minimal supervision, set-up new accounts or modifications to existing accounts. Work membership related issues. Monitor receipt of expected membership files and run load jobs. Establish and maintain effective and collaborative relationships wit......
Magellan Health Services
Responsible for the assessment, reassessment, care planning and coordination of care and services. Includes ongoing monitoring of an appropriate and effective person centered care plan, member education and care management. Regularly communicates wi......
Magellan Health Services
SUMMARY Responsible for implementing and overseeing the Compliance program for all Magellan federal contracts. Responsible for, among other things, developing and administering a robust federal contracts compliance program, including performing a......
Magellan Health Services
Manages the Magellan Provider Contract Administration functions. Ensures accurate and timely processing of all provider contracting activities in accordance with client, regulatory, and Magellan Policy and Procedures. Manages and maintains daily wor......
Magellan Health Services
Serves as a member of the Service Operations Management Team. Leads and grows the performance of a team of customer service agents while supporting and enhancing customer experiences and business objectives. Responsible for day-to-day tactical activ......
Magellan Health Services
General Job Information Title Sr. Director Corporate Development Job Family Development_Strategy_GS Country United States of America FLSA Status United States of America (Exempt) Recruiting Start Date 12/14/2015 Date......
Magellan Health Services
General Job Information Title Behavioral Health Intern Job Family Temporary Country United States of America FLSA Status United States of America (Non-Exempt) Recruiting Start Date 6/8/2015 Date Requisition Created ......
Magellan Health Services
General Job Information Title Care Worker I Job Family Care Management Country United States of America FLSA Status United States of America (Exempt) Recruiting Start Date 3/5/2015 Date Requisition Created 3/4/201......
Magellan Health Services
Supports the Call Center/Enrollee Services Supervisor and ensures that Magellan Complete Care enrollees and caregivers receive high touch, individualized, timely and effective assistance to access the care and resources they need to live healthier l......
Magellan Health Services
JOB DESCRIPTION Responsible for creation and maintenance of eligibility records. Evaluates data and responds to telephone inquiries regarding eligibility. Has high degree of contact with Case Managers, Client Contacts, and providers. Minimum R......
Magellan Health Services
SUMMARY Responsible to ensure compliance with various laws and regulations specifically Medicare Part D requirements. Coordinates activities with the company's Corporate Compliance Department and staff. ESSENTIAL FUNCTIONS: *Assists in the ......
Magellan Health Services
General Job Information Title Customer Service Associate I Job Family Call_Contact Center_CS Country United States of America FLSA Status United States of America (Non-Exempt) Recruiting Start Date 6/8/2015 Date Requ......