This position is responsible for the development of the provider network, assuring network adequacy and appointment access, development of network resources in response to unmet needs, and adequacy of the provider network to provide member choice of providers, and contracting with qualified service providers in compliance with federal and state laws. This role will lead Magellan's strategy and planning in the successful development of the provide...
This is a remote position working part time /20hrs per week, therefore the compensation range would be an hourly rate based on .5 /half of the anticipated base salary range listed below. Work schedule is: Monday through Friday 8:30AM-12:30PM EST. Flexibility is preferred for a few events and other requests throughout the year. Need to reside near/around the Yardley, PA area. Website design experience is preferred to manage weekly responsibilities...
This position is a trusted advisor and has overall accountability for the successful delivery of the technology solutions for contracted services and adoption of new systems, processes, and products in alignment with Sales and Client Account Management Executive. They act as the bridge between Magellan Technology and the client's needs, ensuring that every aspect of the implementation and support services is planned, executed, and delivered with ...
Coordinate and collaborate with Prison Facilities via in person. Knowledge of community resources that help support incarcerated population. Coordinates care of individual clients with application to identified populations using assessment, care planning, implementations, coordination, monitoring and evaluation for cost effective and quality outcomes. Duties are typically performed during face-to-face home visits. Promotes the appropriate use of ...
This position is a trusted advisor and has overall accountability for the successful delivery of the technology solutions for contracted services and adoption of new systems, processes, and products in alignment with Sales and Client Account Management Executive. They act as the bridge between Magellan Technology and the client's needs, ensuring that every aspect of the implementation and support services is planned, executed, and delivered with ...
Coordinate and collaborate with Prison Facilities via in person. Knowledge of community resources that help support incarcerated population. Coordinates care of individual clients with application to identified populations using assessment, care planning, implementations, coordination, monitoring and evaluation for cost effective and quality outcomes. Duties are typically performed during face-to-face home visits. Promotes the appropriate use of ...
Remote work from home in the Albuquerque area or surrounding area. Extensive community based travel. This position provides non-clinical, evidence-based peer support services, serves as a youth advocate, shares coping skills, and provides recovery information for youth members ages 14 - 21. This position performs a wide range of tasks designed to assist youth members in developing independence through individual recovery planning, wellness self-m...
Work remote from home in the Las Cruces area with extensive community based travel. This position provides non-clinical, evidence-based peer support services, serves as a youth advocate, shares coping skills, and provides recovery information for youth members ages 14 - 21. This position performs a wide range of tasks designed to assist youth members in developing independence through individual recovery planning, wellness self-management, and st...
The Network Contract Specialist will be responsible for creating and maintaining behavioral health provider contracts across the New Mexico territory for Presbyterian Health Plan with Medicaid, Medicare, and Commercial lines of business. This role includes managing provider contracting activities in coordination with the Network team and processing all necessary contract-related updates. Key responsibilities include handling contract changes, Sta...
Responsible for the development, strategy, and implementation of community outreach programs in conjunction with the Clinical and Administrative departments. Leads the development of strategic plans for engagement, within assigned territories, regions or communities, that nurture and retain positive relationships between the health plan, members and caregivers, the community, and provider organizations. Leads resource assessments within assigned ...
Coordinates care of individual clients with application to identified populations using assessment, care planning, implementations, coordination, monitoring and evaluation for cost effective and quality outcomes. Duties are typically performed during face-to-face home visits. Promotes the appropriate use of clinical and financial resources in order to improve the quality of care and member satisfaction. Assists with orientation and mentoring of n...
This position provides non-clinical, evidence-based peer support services and serves as a member and family advocate. The FSN brings their life experiences and skills to deliver assistance to the family as they explore the goals they would like to achieve and offers interventions to the family to increase engagement and empowerment within a variety of service delivery systems. Provides peer support to family/caregivers of children with mental hea...
