Magellan HRSC

  • Phoenix, AZ, USA
Nov 28, 2021
Magellan HRSC Remote * (Glen Allen, VA, USA)
Serves as liaison between departmental team business owners, end users, IT, Claims and Clinical departments. Responds to ad hoc requests for support, reports and analysis. Supports departmental management team by providing trending and performance data. Supports special projects. Maintains and monitors reporting queues and requests (if appropriate), and internal share point sites. May participate in full life cycle development by performing requirements analysis, process development and design, and testing using development methodology. Collaborates with functional teams, as well as with IT business analysts and programmers to develop detailed design specifications according to standards. Develops and documents workflow, systems requirements, system impact analysis, systems design, process analysis and testing (including reasonableness checks) using software development methodology to provide efficient, cost-effective solutions as directed. Identifies impact of solutions on...
Nov 28, 2021
Magellan HRSC Remote * (San Diego, CA, USA)
Proactively and creatively develops strategies to build the company; sourcing, social media and clinical/non-clinical recruitment strategies for future growth. Grows social media options, employer branding and talent communities. Be an analytical problem-solver, digging into the current systems and processes and uncovering inefficiencies to improve while bringing fresh new ideas for process improvements. Develops sourcing strategies and assists in sourcing for clinical and non-clinical positions. Researches and captures the changes in the Healthcare market to develop solid recruitment strategies. Researches career fair opportunities for the company to benefit from for clinical and non-clinical positions. Develops veteran hiring strategies. Develops and maintains social media recruitment strategies to include but not limited to: LinkedIn, Facebook, Twitter, Instagram and Pinterest Develops strategies for Monster and Career Builder to use these external job board options for...
Nov 23, 2021
Magellan HRSC Remote * (PO Box 60173, Philadelphia, PA 19102, USA)
Assists in the monthly closing process, including financial review and monthly journal entry preparation, consolidations, and financial package preparation and fluctuation analysis. Assists in preparing monthly financial statements, including journalizing all transactions, including cash receipts and disbursements. This includes thorough documentation of cash receipts and disbursements. Assists in audit inquiries from internal and external auditors. Prepares general ledger account reconciliations and ensure all discrepancies are identified. This includes preparation of all required work papers for year end audits. Prepares requests for reimbursement for cash account and submit to corporate timely. This includes review of requests to ensure proper documentation is attached according to policy. Assists in the preparation of the monthly financial package for corporate and executive management's review. This includes preparation of monthly revenue reports, medical expense analysis...
Nov 14, 2021
Magellan HRSC Remote * (San Diego, CA, USA)
Under general supervision, and in collaboration with other members of the clinical team, authorizes and reviews utilization of mental health and substance abuse services provided in inpatient and/or outpatient care settings. Collects and analyzes utilization data. Assists with discharge planning and care coordination. Provides member assistance with mental health and substance abuse issues, and participates in special quality improvement projects. Monitors inpatient and/or outpatient level of care services related to mental health and substance abuse treatment to ensure medical necessity and effectiveness. Provides telephone triage, crisis intervention and emergency authorizations as assigned. Performs concurrent reviews for inpatient and/or outpatient care and other levels of care as allowed by scope of practice and experience. In conjunction with providers and facilities, develops discharge plans and oversee their implementation. Performs quality clinical reviews while...
Nov 14, 2021
Magellan HRSC Remote * (Albany, NY, USA)
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 assigned Pharmacy contract(s). Manages overall client relationship. Participates in the development of clinical management products and services. Activities address impact on customers, operations, program integrity, pricing, quality and satisfaction. Develops and tracks the appropriate metrics to monitor the quality and care cost impact of the client's program. Requires communication across all departments, an understanding of the strategic impact of the program(s) for the company, knowledge of how the specialty programs integrate with other clinical initiatives, and expertise with data management. Leads the development of clinical program enhancements and better practices. Assists with development, enhancement, and maintenance of...