Job Information
Magellan Health Services Data Management Specialist II - In Office in San Diego, California
Must reside in California and be able to go into the office. This role is not available for remote/telework.
Responsible for timely and accurate data entry and maintenance of provider records or credentialing and contract information in multiple databases. Researches and resolves questions and complaints, and ensures that information in all databases is accurate and properly configured to support operations. May help train lower level peers.
Performs review, correspondence and timely, accurate record set-up and data entry. Supports internal auditing process to ensure data accuracy and integrity.
Researches and resolves issues and ensures systems are updated, timely, appropriately and accurately.
Responds to requests to update or change information and ensures that all changes are made within operational guidelines and accurately support all other systems related functions.
Researches and responds to providers and other internal staff regarding complex inquiries. Develops solutions and communicates outcomes by telephone and in writing.
Supports the implementation of new business by ensuring providers are appropriately and accurately loaded in all applicable systems.
Records daily activities using electronic and manual systems as directed.
Provides consultation and information to area offices regarding the composition of the provider network or specific provider statuses. Forwards provider requests for network inclusion to the area offices for review and approval.
Assists representatives with detailed information in order to answer provider questions and returns provider calls, as requested, to communicate resolution and/or appropriate course of action.
Performs other duties and special projects as assigned.
Other Job Requirements
Responsibilities
Ability to type 45-50+ words per minute.
Other standard office equipment including telephone, copy machines, personal computer software and mainframe/LAN data systems.
Must possess a high level of technical aptitude and be able to organize and manage information in multiple system environments.
Manage multiple priorities, pay close attention to detail as well as be proficient in word processing and spreadsheet applications.
Proven customer service skills and the ability to successfully analyze and procure solutions to problems in a fast paced production based environment.
Minimum of two years experience in customer service, data management, communications, or credentialing verifications required.
Two or more years experience in a behavioral health or related industry.
General Job Information
Title
Data Management Specialist II - In Office
Grade
19
Work Experience - Required
Behavioral Health, Customer Service, Healthcare
Work Experience - Preferred
Education - Required
GED, High School
Education - Preferred
Associate
License and Certifications - Required
License and Certifications - Preferred
Salary Range
Salary Minimum:
$37,725
Salary Maximum:
$56,595
This information reflects the anticipated base salary range for this position based on current national data. Minimums and maximums may vary based on location. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law.
This position may be eligible for short-term incentives as well as a comprehensive benefits package. Magellan offers a broad range of health, life, voluntary and other benefits and perks that enhance your physical, mental, emotional and financial wellbeing.
Magellan Health, Inc. is proud to be an Equal Opportunity Employer and a Tobacco-free workplace. EOE/M/F/Vet/Disabled.Every employee must understand, comply with and attest to the security responsibilities and security controls unique to their position; and comply with all applicable legal, regulatory, and contractual requirements and internal policies and procedures.
Magellan is the employer of choice for hard working people interested in making a difference in the health care industry and in the communities where we work and live. Our strong culture of caring is the common thread in both our business strategy and our work environment. We value professional growth and development, total health and wellness, rewards and recognition as well as employee unity. Magellan is a place where you can thrive.
Magellan is committed to providing equal employment opportunities to employees and applicants for employment without regard to race, color, creed, religion, sex, gender identity and expression, sexual orientation, marital status, age, national origin, ancestry, citizenship, physical or mental disability, disabled veteran or veteran of the Vietnam Era status, or any other factors protected by law.
Magellan is committed to meeting applicable Federal labor and employment law posting requirements by providing necessary posters in a format which is easily accessible and conspicuous to all applicants. Copies of applicable posters are accessible by clicking here (https://www.magellanhealth.com/media/760295/mg-federal-contractors-applicant-english.pdf) .
Warning: Employment Scam
It has come to our attention that a false representative is contacting potential candidates and offering them work at home positions with Magellan Health. “Interviews” are conducted completely through email and the false job offer includes the promise of a check to be issued to the candidate for the purposes of setting up a home office.
Please know that Magellan Health does not interview any candidate through email, nor do we issue checks to candidates to set up home offices. All of our available positions are posted on legitimate job boards and our recruitment team directly contacts candidates should there be a fit.
If you suspect you are being contacted by a false representative of Magellan Health, please call 410-953-2911