• magellan health services jobs

    Total searched jobs are :29

    • Plays a key role in various multi-functional projects critical to the company in achieving its clinical and operational goals and objectives. Develops, implements and monitors clinical specialty programs in the field. Serves as clinical liaison for a ...Read More

      Posted: 10-22-2021

    • Serves as the departmental resource for assigned credentialing and contracting projects. Projects range from basic to moderate complexity. Using advanced systems knowledge and provider credentialing/contracting information, identifies barriers impact ...Read More

      Posted: 10-22-2021

    • Plays a key role in medical and pharmacy management initiatives critical to the company achieving revenue goals and operational objectives. Responsible for executing utilization management programs on behalf of health plan/payor customers, while util ...Read More

      Posted: 10-22-2021

    • Plays a key role in medical and pharmacy management initiatives critical to the company achieving revenue goals and operational objectives. Responsible for executing utilization management programs on behalf of health plan/payor customers, while util ...Read More

      Posted: 10-22-2021

    • Serves as the departmental resource for assigned credentialing and contracting projects. Projects range from basic to moderate complexity. Using advanced systems knowledge and provider credentialing/contracting information, identifies barriers impact ...Read More

      Posted: 10-22-2021

    • Performs all functions of a registered pharmacist. Complies with all federal and state rules and regulations governing the practice of pharmacy. Complies with all corporate and facility standard operating procedures, policies, guidelines and work ins ...Read More

      Posted: 10-22-2021

    • Responsible for timely and accurate client record maintenance. Support Client Billing and remittance. Research and resolve questions, complaints and grievances and ensure information in all databases is accurate and properly configured to support ope ...Read More

      Posted: 10-22-2021

    • This position provides administrative oversight and management of a site or line of business Prior Authorization (PA)/Utilization Management (UM) department responsible for managing the delivery of member and provider services. This position plays a ...Read More

      Posted: 10-22-2021

    • This position specializes in the analyzing and solving intermediate level of benefit design requirements. This role requires strong attention to detail, extensive pharmacy benefits administration knowledge, and well-honed analytical skills to assist ...Read More

      Posted: 10-14-2021

    • PHARMACY TECHNICIAN IUnder the supervision of a pharmacist, picks and affixes labels to packages of prepackaged and unit dose drugs in accordance with the dispensing order. Prepares and affixes shipping labels to the individual patient shipping conta ...Read More

      Posted: 10-13-2021

    • 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, physici ...Read More

      Posted: 10-12-2021

    • The Service Team Leader reports to the Service Operations Manager and serves as a member of the Management Team. The purpose of the position is to lead and grow the performance of a team of customer service agents while supporting and enhancing custo ...Read More

      Posted: 10-12-2021

    • The Clinical Account Manager (CAM) position plays a key role in various multi-functional projects critical to Magellan Health in achieving its clinical and operational goals and objectives. This position is located at the Maryland Department of Healt ...Read More

      Posted: 10-12-2021

    • PHARMACY TECHNICIAN IUnder the supervision of a pharmacist, picks and affixes labels to packages of prepackaged and unit dose drugs in accordance with the dispensing order. Prepares and affixes shipping labels to the individual patient shipping conta ...Read More

      Posted: 10-11-2021

    • 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, physici ...Read More

      Posted: 10-08-2021

    • 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, physici ...Read More

      Posted: 10-02-2021

    • 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, physici ...Read More

      Posted: 10-01-2021

    • 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, physici ...Read More

      Posted: 09-24-2021

    • 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, physici ...Read More

      Posted: 09-22-2021

    • Evaluates and authorizes approval of prior authorization pharmacy requests from prescribers received by telephone and/or facsimile using client clinical criteria.Evaluates and authorizes approval of prior authorization pharmacy requests from prescrib ...Read More

      Posted: 09-14-2021

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