
Healthcare Insurance • Biotechnology • Wellness
Magellan Health is a leading healthcare management company that provides a range of services, including behavioral health, pharmacy management, and employee assistance programs. The company focuses on delivering high-quality care and support to individuals and families, particularly those in military and community settings. Magellan Health emphasizes personalized service and innovative solutions to improve health outcomes and enhance the overall patient experience.
1001 - 5000 employees
⚕️ Healthcare Insurance
🧬 Biotechnology
🧘 Wellness
💰 $101M Private Equity Round on 2004-01
2 days ago

Healthcare Insurance • Biotechnology • Wellness
Magellan Health is a leading healthcare management company that provides a range of services, including behavioral health, pharmacy management, and employee assistance programs. The company focuses on delivering high-quality care and support to individuals and families, particularly those in military and community settings. Magellan Health emphasizes personalized service and innovative solutions to improve health outcomes and enhance the overall patient experience.
1001 - 5000 employees
⚕️ Healthcare Insurance
🧬 Biotechnology
🧘 Wellness
💰 $101M Private Equity Round on 2004-01
• Support the clinical vision for the health plan(s) for all lines of business (Medicaid, Medicare, and Commercial) • Implement programs to support this vision • Provide clinical leadership to the interdisciplinary Medical Management team • Ensure that persons with severe, complex, and/or treatment resistant illnesses receive medically necessary coordinated care throughout the episode of treatment • Develop, implement and interpret medical policy, technology assessments, and medical necessity guidelines • Develop effective working relationships with practitioners, provider facilities, treatment programs, and may establish relationships and/or consult with client organizations
• Doctor of Medicine (MD) degree OR Doctor of Osteopathic Medicine (DO) degree OR Bachelor of Medicine, Bachelor of Surgery (MBBS) international degree with successful completion of United States based internship and residency • Successful completion of the ECFMG and FLEX examinations • Full training in a residency program in the United States or Canada that is approved by the Accreditation Council for Graduate Medical Education (ACGME) • Post-residency experience of at least 3 years involving substantial direct patient care during this period at multiple levels of care • Clinical experience pertinent to the patient population(s) being managed • Unrestricted current and valid license or certification to practice medicine in a state or territory of the United States • Ability and desire to lead through and effect appropriate changes • Experience with cost-benefit analysis, medical decision analysis, credentialing, quality assurance and continuous quality improvement (CQI) processes
• health insurance • other benefits and perks that enhance your physical, mental, emotional and financial wellbeing
Apply Now2 days ago
Medical Director at Aetna, a CVS Health Company, implementing medical policy and promoting clinical management programs. Overseeing utilization review activities and supporting case management for member care.
2 days ago
Associate Medical Director contributing to strategic planning and content development in the life sciences sector. Leading projects and ensuring quality in scientific communications for clients.
3 days ago
1001 - 5000
Clinical Director in Training responsible for gaining knowledge in assisted living operations. Assisting in community's overall operations and meeting training requirements for certification.
3 days ago
Medical Director performing inpatient case reviews at Wellmark, using evidence-based decision-making for timely patient care. Collaborating with internal teams to improve processes and member health outcomes.
3 days ago
Medical Director responsible for inpatient case reviews in healthcare management at Wellmark. Collaborating across teams and demonstrating strong clinical decision-making in acute care settings.