MagnaCare Jobs in United States

+Responsibilities• Receives and resolves caregiver inquiries · +Demonstrate strong customer service skills, attention to detail, research & analyzation and issue resolution · +Communicate effectively with individuals/teams to ensure high quality and timely expedition of customer ...

The research assistant will handle mail and packages, manage outgoing mail, log incoming checks, oversee check printing and distribution processes, · Receive, sort and distribute incoming mail and packages. · Manage outgoing mail. · ...

About The Role...MagnaCare provides Utilization Review/ Case Management/ Medical Management/Claims Review services to its clients. Care Coordinators facilitate care management and utilization review by performing data collection & data entry... · ...

Magnacare seeks an onsite Las Vegas-based Director of Customer Service to lead multi-channel customer service operations. · Plan, direct, and oversee contact center operations. · Establish policies, procedures, goals, and service standards. · ...

The job responsibilities of a research assistant include mail handling and processing, check management and documentation. The role also involves customer service support and process documentation. · ...

Strategic Direction · Magnacare seeks a Las Vegas-based Onsite Director of Customer Service responsible for leading multi-channel services across in-house and outsourced environments. · Create comprehensive reporting dashboards for internal stakeholders. · Essential Qualification ...

The Clinical Appeal and Grievance Nurse conducts daily clinical reviews in a quality-focused environment. They review medical necessity cases using member-specific benefit information. This role reports directly to the Clinical Appeal Manager. · ...

A healthcare services company seeks a UM Denials Coordinator in Chapel Hill, NC. This full-time entry-level role involves reviewing and preparing denial correspondence for Utilization Management. Candidates should possess healthcare administrative support experience, a high schoo ...

About This Role · MagnaCare is seeking a Senior Data Engineer to lead our Data Infrastructure group. · Designing and maintaining scalable data pipelines for ingestion, transformation, delivery across multiple sources. · ...

The UM Coordinator is responsible for coordinating all aspects of the prior authorization process, · including member eligibility and benefit verification, · gathering necessary clinical information from electronic medical record, · and timely communication with members, provider ...

We are seeking an Eligibility Enrollment Specialist I who will verify new member or group data into the enrollment database and respond to eligibility questions. The ideal candidate should have a Bachelor's Degree preferred or High School diploma / GED (or higher) OR 10+ years of ...

The Utilization Review Nurse will perform prospective and retrospective utilization reviews for members using evidenced-based guidelines. They must have current licensure as a Registered Nurse (RN) with state licensure and proficiency in Microsoft Office. · Perform prospective, c ...

UM Coordinator MagnaCare · We are looking for a UM Coordinator at MagnaCare to coordinate all aspects of the prior authorization process, including member eligibility and benefit verification, gathering necessary clinical information from electronic medical records, and timely co ...

Job Title: Customer Service Supervisor · MagnaCare seeks a hands-on On-Site Customer Service Supervisor for our high-volume call center. · ...

The Director of Training & Learning Development oversees planning design implementation continuous improvement of organization's training programs evaluates trainer performance develops training learning development strategies uses KPIs performance metrics to evaluate effectivene ...

Eligibility Enrollment Specialist I · This role requires a strong understanding of managed care, labor and commercial carrier enrollment and eligibility procedures. Key responsibilities include verifying new member or group data, responding to membership inquiries, reconciling di ...

Primary Responsibilities include Mail Handling and Check Processing. The role also involves Process Documentation and Compliance, Training and Cross-Coverage, and Other Administrative Tasks. · ...

Brighton Health Plan Solutions is seeking an experienced Account Executive with deep expertise in commercial, self-insured employer benefit plans, PPO network strategies, and Third-Party Administration (TPA) organizations. · ...

We are seeking a strategic Senior Account Manager to manage a dedicated client within the healthcare industry specifically a multi-employer Health and Welfare Trust This senior-level role serves as the single point of contact and accountability for all aspects of service operatio ...

The Eligibility Enrollment Specialist I will be responsible for verifying and updating member data in the enrollment database, responding to eligibility questions, reconciling discrepancies and working with various teams to ensure high-quality customer requests are met. · ...