Eligibility Screener, Operations Support
Magellan Health
full-time
Posted on:
Location Type: Remote
Location: Idaho • United States
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Salary
💰 $37,725 - $56,595 per year
About the role
- Works directly with members and non-members to ensure access to assistance in completing eligibility and redetermination screenings.
- Conducts eligibility screenings determining eligibility for state funding and GPRA assessments.
- Supports operations with administrative functions to assist departments such as clinical operations, network, compliance, and quality.
- Manages daily task lists in TruCare for eligibility screenings.
- Facilitates referrals for members no longer meeting eligibility requirements.
- Documents all actions in the centralized record system in a timely manner.
- Makes recommendations for policy and procedure improvements.
Requirements
- 2+ years of relevant experience in the human services field required.
- Proven ability to build relationships and collaborate with providers and members.
- High level of accountability and responsibility for outcomes.
- Excellent interpersonal, verbal, and written communication skills.
- Strong problem-solving skills and creativity.
- Proficiency with Microsoft Office products and ability to quickly learn new software applications.
Benefits
- Magellan offers a broad range of health, life, voluntary and other benefits and perks that enhance your physical, mental, emotional and financial wellbeing.
Applicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills & Tools
eligibility screeningsGPRA assessmentsadministrative functionspolicy improvementsprocedure improvements
Soft Skills
relationship buildingcollaborationaccountabilityresponsibilityinterpersonal skillsverbal communicationwritten communicationproblem-solvingcreativity