News

Clinical Manager, Behavioral Health (UM) -Licen...

Responsibilities Assists clinical management in the development and on-going management of designated staff. Performs care management review activities consistent with Magellan policies, procedures, and standards. Conducts recruitment, interviewing, and selection...

Lead Analyst, Payment Integrity - Health Plan (...

<strong>JOB DESCRIPTION Job Summary<br><br></strong>Provides lead level analyst support for health plan payment integrity activities. Partners with leaders and functional representatives to drive health plan financial performance through evaluation and execution...

Division Advisor (Remote)

Resp & Qualifications PURPOSE: The Division Advisor serves as a strategic advisor and operational partner to the divisional Senior Vice President, operating as a direct extension of the executive leader...

Care Coordination Navigator

About the positionThe Care Coordination Navigator is responsible for guiding and supporting members in making sustainable lifestyle changes to improve their overall health and well-being. This position, in collaboration with...

Customer Service Advocate III - Maryland Medica...

Resp & Qualifications PURPOSE: Responsible for answering member, provider & broker inquiries pertaining to product information, benefits, claims resolution, eligibility and billing questions in a call center environment. Proactively provides...

[Hiring] Customer Service Senior Representative...

Role Description In this exciting and challenging role as a Customer Service Senior Representative, you will be working within the fast-paced environment of the Central Nursing Team. As a first...