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company:(magellan health services inc)
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VP and Associate General Counsel The Candidate will be responsible to develops and negotiates managed care service contracts for the company s behavioral health and radiology lines of business Develops..
VP and Associate General Counsel The Candidate will be responsible to develops and negotiates managed care service contracts for the company’s behavioral health and radiology lines of business. Develops responses..
M Customer Care Associate I Magellan Health Services Orlando , FL 32812 Posted Yesterday Apply This Job is not relevant Tell us why Job Profile Summary This position is a..
Job Description: TMG by Magellan Health is seeking a Self-Directed Personal Care Registered Nurse who lives in Chippewa Falls, Wisconsin. Self-Directed Personal Care RN's are responsible for providing self-directed personal..
The, Medical works collaboratively with the Chief Medical Officer (CMO), senior leadership of designated business unit (Magellan Complete Care of Virginia, MCC of VA) nationally and regionally to achieve overall..
What is Talent Acquisition at Magellan? It may not be what you think. We operate with one goal in mind, to share our unique brand far and wide. We are..
Responsible for the development of business analytical needs and delivery of process improvement projects aimed at achieving company transformation objectives. The assigned Process Improvement projects will be focused on transforming..
Provide corporate direction, management, consultation and oversight of the customer care functions. Assist in planning, developing and implementing corporate customer care policies, procedures, performance standards and training programs. Plan, develop..
Job Description: Florida Statue 39.407 mandates that every child/adolescent in the care and custody of the Department of Children and Families will have an evaluation/suitability assessment prior to admission into..
Job Description: 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,..
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..
Provides strategic direction, clinical oversight and leadership for the Magellan Complete Care (MCC) medical policy, utilization management, cost of care initiatives and patient safety programs for all products, benefits and..
Works with business units to create Education and Outreach strategies for Medi-Cal Rx. Determines how communication, education and outreach activity plans should be executed to provide information and awareness around..
Job Description: JOB SUMMARY Under the direction of the Director of Clinical Operations and in coordination with the Medical Directors, the UR Nurse is responsible to conduct medical necessity reviews..
Full Time 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..
Looking for a Director, Information Security Officer in the greater Sacramento, CA area. Ideal candidate will have experience in compliance of controls and policy. Experience with NIST, SOC1, SOC2, SOX..
Families with expectant parents and parents of children from birth to 3 years of age. This program seeks to support young military Families which directly contribute to military mission readiness,..
M Customer Care Associate New! Magellan Health Services Short Pump , VA 23233 Posted Today Apply This Job is not relevant Tell us why This position is a front-line service..
responsible for oversight and implementation of the continuous processnimprovement program audits across Magellan Complete Care (MCC), supporting andndriving all aspects of the adherence to clinical quality performancenmanagement. Responsible for developing..
SunIRef:Manunn This position will analyze, evaluate and design/redesign business, IT or operational processes using scientific approaches such as Critical Thinking, Lean Management, ITIL, Design Thinking and structured systems analysis and..
The Project Manager is responsible for the management of a variety of cost of care related projects for Magellan Complete Care of Virginia and/or corporate. In this position, you will..
develop and manage the Magellan Federal strategically aligned US Air Forcen(USAF) Business Development Pipeline and achieve allocated revenue growth. Thisnresponsibility includes development and execution of specific opportunitynCapture Plans in collaboration..
u003Cpu003EThis position will assist the Senior Vice President and Associate General Counsel in all functions of the Legal Department but will focus primarily on developing and negotiating managed care service..
The Director, MFLC -CYB (Children & Youth Behavioral) provides clinical leadership and subject matter expertise to the CYB Counseling program assuring that the program utilizes best practices and is responsive..