Cambridge MA 02141 58 Charles Street

Job Description

This position is responsible for processing, data entry and file maintenance of enrollment, assessment and dis-enrollment documentation for strategic business unit (SBU) operations.
  • Effectively supports Magellan's SBU program operations ensuring that data is entered accurately and timely as required by contract service level agreements.  
  • Communicates with appropriate contacts on eligibility issues and questions.  
  • Answers incoming calls on eligibility, program benefits, plan limitations and point of sale edits from providers.  
  • Proficient use of enrollment and claims point of sale for research and problem resolution.
  • Assists in data collection and reporting.  
  • Completes bi-weekly checkwrite production for provider payment in the accounts payable system, reporting all operational issues and assisting with system issues.
  • Assists with quality monitoring and provides constructive feedback.
  • Reviews production reports, identifies issues and recommends resolutions.
  • Continually seeks to improve processes and increase efficiencies.
  • Assists in data collection and reporting.
  • Other special projects as required by management.

General Job Information





Job Family

Customer Service Group


United States of America

FLSA Status

United States of America (Non-Exempt)

Recruiting Start Date


Date Requisition Created


Minimum Qualifications



License and Certifications - Required

License and Certifications - Preferred

Other Job Requirements


  • Must be a team player, flexible, organized and able to manage multiple tasks.
  • Possess strong verbal and written communication skills.
  • Possess interpersonal skills such as initiative, resourcefulness and integrity.
  • Ability to interact with internal and external clients with confidence, assertiveness and a pleasant demeanor.
  • Strong computer skills and working knowledge of Microsoft Office Suite.
  • Ability and willingness to learn other proprietary computer systems quickly and efficiently.
  • Experience in health care, managed care or pharmacy management preferred.

Magellan Health Services is proud to be an Equal Opportunity Employer and a Tobacco-free workplace. EOE/M/F/Vet/Disabled

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