Eligibility Screener - Operations Support

November 5

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Magellan Health

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1001 - 5000

💰 $101M Private Equity Round on 2004-01

Description

• Works with members and non-members on eligibility screenings and redetermination. • Supports operations with administrative functions in various departments. • Manages daily task lists for eligibility screenings in TruCare. • Performs eligibility screenings for state funding programs. • Helps facilitate referrals for members losing eligibility. • Documents actions in a centralized record system timely. • Makes recommendations for policy and procedure improvements. • Submits help desk tickets for screenings or medical record issues. • Demonstrates ability to meet performance metrics for calls and screenings. • Assists with managing Authorization to Use and Disclose (AUD) process.

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

• Comprehensive health, life, voluntary and other benefits and perks that enhance wellbeing. • Potential eligibility for short-term incentives.