Magellan Health

Counselor

• Provide coverage in short-term, surge and on demand situations for military needs.
• Provide the full breadth of Adult or Child and Youth Behavioral (CYB) counseling services.
• Engage in parental consultation, training, and wellness presentations.
• Enter counselor activity data daily through phone or web application.
• Manage duty to warn and restricted reporting situations according to DoD protocol.
• Respond to critical incidents and special requests as directed by the POC.

Assignment Readiness Counselor – Short Term, On Demand

• Provides substance abuse case-management services
• Oversees employees’ compliance with drug test requirements
• Provides crisis intervention services
• Coordinates treatment monitoring and agency communication
• Maintains a caseload of DFWP clients

Care Manager, LCSW/LPC/SAP

• This position will provide coverage in short-term, surge and on demand situations resulting from the Military needs such as a post-deployment event or to cover an existing assignment for counselors who are absent.
• Primary responsibilities include the full breadth of personal financial counseling services to military service members and their families at military installations.
• Services include education and counseling addressing financial services that may include, but are not limited to, one-on-one counseling, consultation with a commander or with another provider or staff, conducting briefings and presentations, or providing referral resources to a participant outside the context of a counseling session.
• Works closely with the installation and military branch Points of Contact (POC) to assure that the program is provided within scope and meets the needs of the installation.
• Provides personal financial counseling and management services directly to service members and their families.
• Assists service members in establishing a spending plan for extended absences.
• Develops and makes available informational financial materials to service members and families.
• Coordinates, publicizes and provides a wide variety of Personal Financial Management classes/workshops, e.g., topics across the military lifecycle, including, but not limited to, arrival at first duty station, pre- and post-deployment, and personal and career events outlined in DoDI 1322.34.
• Responds to requests for age-appropriate classes or seminars.
• Possess the skills to effectively utilize virtual counseling or other electronic modes of communication, such as web based, secure online chat, or video-based communications and secure video teleconference sponsored by the customer.
• Virtual PFC support may only be authorized by OSD FINRED Program office.
• Manages duty to warn situations according to Department of Defense (DoD) protocol.
• Communicates with leadership and participates in regular individual and group supervision, sharing information regarding trends and issues on the installations to which the counselor is assigned.
• Participates in regular in-services/training, quality improvement committees or other contract activities as assigned/appropriate.
• All other duties as assigned.

Personal Financial Counselor

Customer Support

• Customer advocate role supporting our members and providers, facilitating care and service.
• Handling incoming/outgoing calls related to healthcare related benefits and administration of intake documentation into the appropriate systems.
• Provide assistance to Magellan's members, providers, and clients regarding programs, policies, and procedures.
• Strive to resolve callers’ needs on the first call and meet/exceed quality standards and key performance indicators.
• Researches and articulately communicates medical information including educating providers on claims, member eligibility, benefits, EAP services, claim status, and authorization inquiries while maintaining PHI confidentiality.
• Identify and respond to crisis calls with appropriate resource; facilitate routine referrals and triage decisions not requiring clinical judgment.
• Assemble and enter patient information into the appropriate delivery system; navigate Magellan’s systems and document customer information.
• Demonstrate flexibility in duties and schedule; support team activities and continuous improvement efforts; assume responsibility for self-development.

Customer Experience Associate

Personal Financial Counselor III – Assignment Ready

Manager

• Authorize and review utilization of mental health and substance abuse services in inpatient and/or outpatient settings
• Collect and analyze utilization data and perform concurrent reviews for inpatient/outpatient care
• Assist with discharge planning, develop discharge plans with providers and oversee implementation
• Provide telephone triage, crisis intervention and emergency authorizations as assigned
• Perform quality clinical reviews, educate and intervene to advance member care
• Provide information to members and providers about benefits, community resources, managed care programs, policies and criteria
• Interact with Physician Advisors on clinical and authorization questions
• Participate in quality improvement activities including data collection, tracking, and analysis
• Maintain active workload according to National Care Manager performance standards
• Participate in network development, provider recruitment, and advocate for patient treatment needs

Care Manager, BH

• Provide personal financial counseling services to military service members and families
• Deliver one-on-one counseling, consultations, briefings, presentations, and referrals
• Coordinate and provide Personal Financial Management classes/workshops across military lifecycle
• Utilize virtual counseling and electronic communication methods as authorized
• Manage duty to warn situations per DoD protocol
• Communicate with leadership, participate in supervision, training, quality improvement
• Provide coverage in short-term, surge, and on-demand situations to meet military needs

Personal Financial Counselor, Assignment Ready Counselor

This position will provide coverage in short-term, surge and on demand situations for military needs such as post-deployment events or to cover absent counselors.
Provide full breadth of personal financial counseling services to military service members and their families at military installations, including one-on-one counseling, consultations, briefings, presentations, and referrals.
Work closely with installation and military branch Points of Contact (POC) to ensure program meets installation needs.
Assist service members in establishing spending plans for extended absences and develop informational financial materials.
Coordinate, publicize and provide a wide variety of Personal Financial Management classes/workshops across the military lifecycle.
Utilize virtual counseling and electronic communication methods; virtual PFC support may be authorized by OSD FINRED Program office.
Manage duty to warn situations per DoD protocol and participate in supervision, training, quality improvement committees and other contract activities.

Personal Financial Counselor – Assignment Ready

• ARC provides non-medical, short-term, solution-focused counseling to adults, children, and youth of service members
• Services include assessment, brief counseling and consultation, action planning, referral to resources (assuring linkage as appropriate), and follow-up as indicated
• CYB counselors may be assigned to DoDEA schools and community schools; may work with youth programs, summer camps, and on-demand assignments
• ARC adult counselors may be assigned to MFLC services in military community and readiness centers, as well as on-demand and surge assignments
• The counselors work closely with the installation and military branch Points of Contact to assure that the program is provided within scope and meets the needs of the installation; confidentiality and anonymity of service / family member
• Enters counselor activity data daily through smart phone or web application; maintains confidentiality and accuracy of reporting

Assignment Readiness Counselor

• Provide coverage in short-term, surge and on demand situations for military needs such as post-deployment events or to cover absent counselors.
• Provide full breadth of Adult or Child and Youth Behavioral (CYB) counseling services to military service members and their families at installations.
• Provide non-medical counseling, training/health and wellness presentations, consultation with parents, daycare centers and schools, and consultation to installation command regarding behavioral health issues.
• CYB counselors may be assigned to DoDEA schools, community schools, youth programs, summer camps, and require school experience for school backup roles.
• ARC adult counselors may support MFLC services in military community and readiness centers, and on-demand and surge assignments.
• Work closely with installation and military branch Points of Contact (POC) to assure program scope and meet installation needs.
• Provide assessment, brief counseling, consultation, action planning, referral to resources and follow-up as indicated.
• CYB counselors support CDCs, DoDEA and community schools, youth programs and summer camps, and provide parent training and guidance.
• Provide training and health and wellness presentations, participate in health fairs and base activities.
• Enter counselor activity data daily through smartphone or web application, maintaining confidentiality and anonymity of service/family member.
• Manage duty to warn and restricted reporting situations according to DoD protocol and staff cases with Regional Supervisor/Regional Director.
• Respond to critical incidents and special requests as directed by the POC and approved by the OSD program manager.

Analyst

• Analyze, design, and test EDI processes per TR3 guidelines
• Create and maintain EDI mappings
• Collaborate with developers and IT teams to develop and test EDI processes
• Develop and execute test strategies; test applications and products
• Document requirements, configurations, acceptance criteria, and issues
• Translate business needs into high-level technical specifications and design
• Work independently and in teams; track multiple deliverables
• Understand healthcare applications and EDI formats 834, 837P/I, 835, 270/271, 276/277, 278N/R, XML, proprietary formats
• Provide ongoing support to cross-functional teams
• Ensure deployment of solutions
• Communicate across management levels
• Analyze and redesign business, IT or operational processes using Critical Thinking, Lean ITIL, Design Thinking

Sr. EDI IT Analyst

• Provide personal financial counseling and management services directly to service members and their families at military installations.
• Education and counseling addressing financial services that may include, but are not limited to, one-on-one counseling, consultation with a commander or with another provider or staff, conducting briefings and presentations, or providing referral resources to a participant outside the context of a counseling session.
• Works closely with the installation and military branch Points of Contact (POC) to assure that the program is provided within scope and meets the needs of the installation.
• Provides personal financial counseling and management services directly to service members and their families.
• Assists service members in establishing a spending plan for extended absences.
• Develops and makes available informational financial materials to service members and families.
• Coordinates, publicizes and provides a wide variety of Personal Financial Management classes/workshops, e.g., topics across the military lifecycle, including arrival at first duty station, pre- and post-deployment, and personal and career events outlined in DoDI 1322.34.
• Responds to requests for age-appropriate classes or seminars.
• Possess the skills to effectively utilize virtual counseling or other electronic modes of communication, such as web based, secure online chat, or video-based communications and secure video teleconference sponsored by the customer.
• Virtual PFC support may only be authorized by OSD FINRED Program office.
• Manages duty to warn situations according to Department of Defense (DoD) protocol.
• Communicates with leadership and participates in regular individual and group supervision, sharing information regarding trends and issues on the installations to which the counselor is assigned.
• Participates in regular in-services/training, quality improvement committees or other contract activities as assigned/appropriate.
• All other duties as assigned.

• The position will provide coverage in short-term, surge and on demand situations resulting from the Military needs such as a post-deployment event or to cover an existing assignment for counselors who are absent. Primary responsibilities include the full breadth of personal financial counseling services to military service members and their families at military installations. Services include education and counseling addressing financial services that may include, but are not limited to, one-on-one counseling, consultation with a commander or with another provider or staff, conducting briefings and presentations, or providing referral resources to a participant outside the context of a counseling session. Works closely with the installation and military branch Points of Contact (POC) to assure that the program is provided within scope and meets the needs of the installation. Provides personal financial counseling and management services directly to service members and their families. Assists service members in establishing a spending plan for extended absences. Develops and makes available informational financial materials to service members and families. Coordinates, publicizes and provides a wide variety of Personal Financial Management classes/workshops, e.g., topics across the military lifecycle, including, but not limited to, arrival at first duty station, pre- and post-deployment, and personal and career events outlined in DoDI 1322.34. Responds to requests for age-appropriate classes or seminars. Possess the skills to effectively utilize virtual counseling or other electronic modes of communication, such as web based, secure online chat, or video-based communications and secure video teleconference sponsored by the customer. Virtual PFC support may only be authorized by OSD FINRED Program office. Manages duty to warn situations according to Department of Defense (DoD) protocol. Communicates with leadership and participates in regular individual and group supervision, sharing information regarding trends and issues on the installations to which the counselor is assigned. Participates in regular in-services/training, quality improvement committees or other contract activities as assigned/appropriate. All other duties as assigned. The job duties listed above are representative and not intended to be all-inclusive of what may be expected of an employee assigned to this job. A leader may assign additional or other duties which would align with the intent of this job, without revision to the job description.

Personal Financial Counselor, PFC - Assignment Ready Counselor

• Provide coverage in short-term, surge and on-demand situations for military needs
• Provide full breadth of personal financial counseling services to service members and their families
• Education and counseling on financial services; one-on-one counseling; consultations; briefings; referrals
• Works with installation POC to ensure program meets needs
• Provides personal financial counseling and management services directly
• Assist service members in establishing spending plan for extended absences
• Develops and makes available informational financial materials
• Coordinates and provides a wide variety of Personal Financial Management classes/workshops across the military lifecycle
• Responds to requests for age-appropriate classes or seminars
• Utilize virtual counseling or electronic modes of communication; web-based chat; video-based communications; secure video conference
• Manage duty to warn per DoD protocol
• Communicate with leadership; participate in supervision; share trends
• Participate in in-services, quality improvement committees or other contract activities
• All other duties as assigned

• Analyze and design/redesign business, IT or operational processes using critical thinking, Lean Management, ITIL, Design Thinking and structured systems analysis and design
• Provide coaching and mentoring to more junior staff
• Work with a variety of development roles to understand the overall technical architecture and how each feature is implemented
• Is highly collaborative and comfortable communicating cross-functionally and across management levels
• Have strong analytical skills and a relentless determination to do what is right for customers
• Good at multi-tasking and juggling competing priorities
• Deep understanding of the business/technical domain
• Lead design, planning, and implementation of requirements to satisfy business needs
• Authority on best practices of requirements gathering, business system configuration and defining/execution of acceptance criteria
• Work with the technical teams and the business/product owner to ensure efficiency, smooth and successful implementation
• Coach and mentor junior staff in requirements documentation, systems configuration, defining/execution of acceptance criteria and establishing, tracking, measuring and refining metrics
• Improve product feature offerings by providing feedback to internal cross-functional teams including IT Project Manager, Business/Product owner and Software Engineering
• Identify, drive, and optimize technical and business process flows for existing and new opportunities
• Partner with teams to define systems improvement focusing on scale, efficiency, and automation
• Work with internal business groups to acquire a deep understanding of their processes and operations
• Understand software internals, debug problems using log files, and write automated tests with Perl/JavaScript and/or user-level test automation tools
• Strong organizational skills, tracking multiple test executions simultaneously and be able to synthesize the results
• Works/Collaborates with Software Engineers to understand features and technical implementation and ensure highest quality product delivery
• Drive the software development process toward quality-centric methodologies
• Other duties as assigned

Lead IT Analyst (EDI) - Remote

Data Scientist

• The Principal Data Scientist will have responsibility for providing thought leadership and ownership of deliverables related to the designing, developing, and deploying of forward looking ML models meeting real business objectives and priorities.
• The ideal candidate will thrive in collaborative environments, capable of working in a dynamic data environment still in the early stages with significant growth on the roadmap. The team moves fast with solutioning happening in AWS, Redshift, and Tableau.
• The ideal candidate will prove capable of deep understanding of operational processes, data structures, and technical capabilities.
• The person in this role will collaborate closely with Operational leaders, Product Management, and the Federal EAP Data and Analytics team in order to provide solutions that can be merged into the technology stack and provide features to the overall product.
• Above all else, the candidate will act as a servant leader, supporting the development team and the organization with authenticity, integrity, and empathy.
• Provides thought leadership in designing and implementing strategic frameworks and best practices to help grow overall data science literacy.
• Designs, documents, develops and delivers analyses using the latest innovations in computing tools, predictive analytics and machine learning.
• Uses a variety of computing and data mining tools and develops and maintains algorithms to predict patterns in data.
• Performs both ad hoc analyses that will vary in duration and complexity and participates in projects as part of the Data and Analytics team.
• Build best practices and frameworks as part of broader strategy to build data science literacy.
• Leads development and presentation of compelling, validated stories to all levels of organization, including peers, senior management and internal customers to drive both strategic and operational changes in business.
• Provides thought leadership on product and project roadmaps and participates in planning exercises.
• Coordinates and advises on analytics efforts performed by in-house staff or outside consultants to ensure that all work is completed according to the project plan.
• Utilizes machine learning and supervised and unsupervised learning algorithms. Participates in defining issues to be studied as well as the methodology to be used in addressing these issues. Develops algorithms to determine predictive patterns within the data. Participates in data governance and data definition discussions, ensuring consistency and validity across data universe. Works as part of broader scrum team to deliver capabilities on time and as part of larger project scope.
• Performs exploratory data analyses and data mining of healthcare data. Performs ad hoc analyses that will vary in duration and complexity. (20%)
• Other Job Requirements Responsibilities Master’s Degree and 10+ years of experience in Data Science and/or AI development. 5+ years’ experience mentoring other data scientists learning/moving into a data science role. Experience working in AWS. Must be proficient in using SQL, Python, and Excel. Proficient with basic querying capabilities using ANSI SQL for relational database read only querying purposes. Proficient in the use of the latest innovations in computing tools, predictive analytics. Experience in statistical analysis, data research, data design and sampling methodologies. Experience working with normalized and denormalized data structures. Demonstrated ability to identify issues and propose methodological solutions. Demonstrated competency in developing efficient and effective solutions to complex business problems. Demonstrated ability to conduct and interpret quantitative and qualitative analysis. Must demonstrate effective communication skills - consulting, interpersonal, and presentation. Ability to work under tight deadlines in a dynamic environment. Strong analytic and problem-solving skills and ability to interpret results of query analyses. Ability to develop and communicate analytic results to support business questions. Must be capable of translating complex IT and computer concepts to unfamiliar users of the information at the executive level. Must be able to balance multiple priorities while maintaining a high level of quality. Synthesizes analyses well, highlighting implications of findings.

Federal Analytics - Principal Data Scientist

• This position will provide coverage in short-term, surge and on demand situations resulting from the Military needs such as a post-deployment event or to cover an existing assignment for counselors who are absent.
• Provides personal financial counseling and management services directly to service members and their families.
• Coordinates, publicizes and provides a wide variety of Personal Financial Management classes/workshops, e.g., topics across the military lifecycle, including, but not limited to, arrival at first duty station, pre- and post-deployment, and personal and career events outlined in DoDI 1322.34.
• Responds to requests for age-appropriate classes or seminars.
• Possess the skills to effectively utilize virtual counseling or other electronic modes of communication, such as web based, secure online chat, or video-based communications and secure video teleconference sponsored by the customer. Virtual PFC support may only be authorized by OSD FINRED Program office.
• Manages duty to warn situations according to Department of Defense (DoD) protocol.
• Communicates with leadership and participates in regular individual and group supervision, sharing information regarding trends and issues on the installations to which the counselor is assigned.
• Participates in regular in-services/training, quality improvement committees or other contract activities as assigned/appropriate.
• All other duties as assigned.

Personal Financial Counselor, Assignment Ready Counselor, PFC- Alabama

• This position will provide coverage in short-term, surge and on demand situations resulting from the Military needs such as a post-deployment event or to cover an existing assignment for counselors who are absent.
• Primary responsibilities include the full breadth of personal financial counseling services to military service members and their families at military installations.
• Services include education and counseling addressing financial services that may include, but are not limited to, one-on-one counseling, consultation with a commander or with another provider or staff, conducting briefings and presentations, or providing referral resources to a participant outside the context of a counseling session.
• Works closely with the installation and military branch Points of Contact (POC) to assure that the program is provided within scope and meets the needs of the installation.
• Provides personal financial counseling and management services directly to service members and their families.
• Assists service members in establishing a spending plan for extended absences.
• Develops and makes available informational financial materials to service members and families.
• Coordinates, publicizes and provides a wide variety of Personal Financial Management classes/workshops, e.g., topics across the military lifecycle, including, but not limited to, arrival at first duty station, pre- and post-deployment, and personal and career events outlined in DoDI 1322.34.
• Responds to requests for age-appropriate classes or seminars.
• Possess the skills to effectively utilize virtual counseling or other electronic modes of communication, such as web based, secure online chat, or video-based communications and secure video teleconference sponsored by the customer.
• Virtual PFC support may only be authorized by OSD FINRED Program office.
• Manages duty to warn situations according to Department of Defense (DoD) protocol.
• Communicates with leadership and participates in regular individual and group supervision, sharing information regarding trends and issues on the installations to which the counselor is assigned.
• Participates in regular in-services/training, quality improvement committees or other contract activities as assigned/appropriate.
• All other duties as assigned.
• The job duties listed above are representative and not intended to be all-inclusive of what may be expected of an employee assigned to this job.
• A leader may assign additional or other duties which would align with the intent of this job, without revision to the job description.

Assignment Ready Counselor

• Provides support to Care Managers and other clinical team members through content knowledge, technical and utilization management expertise.
• Researches open questions and unresolved issues for Care Managers who are providing direct utilization management services.
• Mentors new Care Managers and assists with training.
• Authorizes and reviews utilization of autism services, including Applied Behavioral Analysis (ABA).
• Collects and analyzes utilization data.
• Assists with shaping of ABA services and assures coordination with other services providers such as medical, speech, occupational therapy, physical therapy and IEP services provided through the school setting.
• Works with ABA treatment team to shape care planning and provision and assures measurements of the child’s progress are ongoing.
• Assures overall case management with the inclusion of behavioral health services when required.
• Provides point of need support and coaching to Care Managers and other clinical team members in the course of normal operations.
• Builds clinical team members expertise through direct feedback and real-time coaching.
• Is available to provide clinical, procedural or interpretational assistance.
• Mentors and trains Care Managers.
• Serves as a `buddy` to new Care Managers during their first few months on the job by providing daily support and feedback.
• Researches and resolves escalated issues that frontline Care Managers cannot resolve in a timely fashion.
• As necessary, takes escalated calls or fills-in for the Care Manager team during high-peak periods.
• Works with the workforce planning team to perform data collection and analysis of trends to determine problem areas and strategies for better practices for the Care Manager team.
• Maintains an active workload in accordance with Care Manager performance standards.
• Provides frontline UM functions during high volume and peak periods.
• Advocates for the patient to ensure treatment needs are met.
• Interacts with providers in a professional, respectful manner that facilitates the treatment process.
• Performs initial case requests for autism services, behavioral health and ABA.
• Reviews all submitted materials and consultation with treatment team providers.
• Reviews IEP, psych testing and other case evaluation materials.
• Provides information to members and providers regarding mental health and autism benefits, community treatment resources, mental health managed care programs, and company policies and procedures, and criteria.
• Interacts with the company's Medical and Associate Medical Directors and/or Physician Advisors to discuss clinical and authorization questions and concerns regarding specific cases.
• Leads or participates in team activities to help build a high-performance team.
• Demonstrates flexibility in areas such as job duties and schedule in order to aid Care Center in better serving its members and to help the company achieve its business and operational goals.
• Assists Care Center efforts to continuously improve by assuming responsibility for identifying and bringing to the attention of responsible entities operations problems and/or inefficiencies.

Assignment Readiness Counselor – Short Term, On Demand

Care Manager, LCSW/LPC/SAP

Personal Financial Counselor

Customer Experience Associate

Personal Financial Counselor III – Assignment Ready

Care Manager, BH

Personal Financial Counselor, Assignment Ready Counselor

Personal Financial Counselor – Assignment Ready

Assignment Readiness Counselor

Assignment Readiness Counselor

Sr. EDI IT Analyst

Personal Financial Counselor, Assignment Ready Counselor

Personal Financial Counselor, PFC - Assignment Ready Counselor

Personal Financial Counselor

Lead IT Analyst (EDI) - Remote

Federal Analytics - Principal Data Scientist

Personal Financial Counselor, Assignment Ready Counselor, PFC- Alabama

Assignment Ready Counselor

Lead Care Manager, Autism