This is a remote position. Candidate may reside anywhere within the United States and will be expected to work Central Standard Times. Must be a US Citizen. This position works directly with PMO leadership team on highly visible, strategic projects to support the delivery of the MFLC contract. The role requires managing complex, evolving objectives and troubleshooting driven by the MFLC program needs. Manages the MFLC Service Center staff responsible for responding to telephone inquires from MFLC field and program management office staff included but not limited to 1) access to use of technical applications required to perform job functions, 2) location and navigation of technical resources/tools, and requests for supplies (smartphones, record keeping tools, marketing materials, table-top displays). - Provides technical solutions to global issues that arise with the MFLC population including training to the field staff and providing communication. - For all new and amended client requirements, implement business process(es) to meet and exceed client expectations. Provides resource material for Program Management Office (PMO) as well MFLC population. - Coordinates with cross functional teams within the PMO to make enhancements to all platforms utilized in the program (Salesforce, Deltek Costpoint, etc) to improve not only the internal staff experience with the product but also the MFLC user. - Drives complex inventory tracking system development for government property that ensures contract compliance as well oversees creation of business protocol of the same. - Participates as a Subject Matter Expert in various training workstreams to PMO and field staff. Provides guidance as it pertains to SC Operations. - Evaluates and oversees the smartphone inventory. Provides weekly documentation to senior leadership which is provided to the client. - Implements best practices for initial user set up. Coordinates with various enterprise teams to strategize process improvement. - Hires and trains service center representatives, phone administrator and IT Production Operation Specialist. - Monitors and evaluates data from the call tracking and call management telephone system for accuracy, completeness, response time and other performance issues. - Measures individual and team performance against productivity, customer satisfaction, quality, and other established performance standards. - Provides routine communication of productivity statistics along with coaching/improvement action plans if warranted, both individually and team focused. - Trends call types to identify potential system wide problems, and reports trends to MFLC leadership. Creates resolution teams, participates in identifying resolution strategies to address system wide problems, and monitors progress towards completion of resolution plans. - Coordinates with field staff supervisors to provide smooth onboarding and orientation and continued positive working experience for newly hire counselor field staff. - Identifies and develops tasks for service center representatives to complete that improves the overall MFLC operation and reduces administrative burdens from other departments. - Builds, establishes, and maintains open lines of communication and positive working relationships with MFLC and Magellan wide staff (e.g. IT, HR, PR) who may lead, assist, and/or facilitate problem solving and determination of solutions to address technical barriers experienced by counselor and program management staff. In addition, maintains positive working relationships with vendors that support the program. - Oversees inventory of technical and documented materials, and ensure cost efficiencies of the same. The job duties listed above are representative and not intended to be all-inclusive of what may be expected of an employee assigned to this job. A leader may assign additional or other duties which would align with the intent of this job, without revision to the job description. Other Job Requirements Responsibilities Bachelor’s degree in technical field or business administration. A Combination of Education and Work Experience may be considered. 5+ years of project management and 2 + years of of experience working at help desk/or resolving complicated technical issues with smartphones and technical applications. 2+ years of management/leadership experience. Knowledge of call center operations. Working knowledge of technical operating systems, including cloud-based. Working knowledge of mobile communication tools (e.g., smartphones, tablets). Basic statistic and analytical skills. Basic Microsoft Office tools (Excel and PowerPoint). Excellent Organizational skills. Superior Time Management skills. Good communication skills, both written and verbal. General Job Information Title Manager, Service Center, MFLC Grade 26 Work Experience - Required IT, Management/Leadership, Project/Program Management Work Experience - Preferred Education - Required A Combination of Education and Work Experience May Be Considered., Bachelor's - Business Administration, Bachelor's - Computer and Information Science Education - Preferred License and Certifications - Required License and Certifications - Preferred Salary Range Salary Minimum: $70,715Salary Maximum: $113,145 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.

Delivering an exceptional infusion experience, everywhere. Delivering on our unyielding commitment, always. Naven Health is a nationwide home infusion nursing network and clinical platform focused on delivering specialized, truly exceptional infusion care. With over 1,600 team members, including over 1,500 nurses, we are a company aligned to the values of the nurses at our center – to provide an exceptional infusion experience, everywhere. Naven Health delivers home infusion services for a broad range of specialized therapies, as well as clinical trial services and special programs for pharmaceutical manufacturers. Joining the Naven Health team means being a part of a dynamic and growing organization that is dedicated to our customers, our teammates, and the patients we serve. Job Description Summary: Job Description: ​ Job Responsibilities (listed in order of importance and/or time spent) - Plans and leads regulatory and accreditation program activities for full compliance of The Joint commission (TJC) accreditation and certification, and other state and federal healthcare standards, rules and regulations pertaining to Naven Health’s Home Health and Healthcare Staffing Services. - Plans and leads Mock Surveys to ensure Naven is well-prepared for surveys from state and accrediting bodies. - Identifies regulatory compliance gaps and mentors leadership in developing appropriate plans to address and close the gaps to achieve outcomes, promote safe practices and achieve sustainable compliance with regulatory standards. - Provides consultative services, coaches and facilitates key stakeholders and staff to help mitigate/resolve potential and actual issues/deficiencies/violations in accordance with established requirements and policies. - Collaborates with other key stakeholders in the Quality and Education Department such as Patient Safety, Risk Management, Quality Assurance, and Training and education, to ensure communication and implementation of system quality improvement initiatives. - Participates in complaint investigations submitted to accrediting bodies or state and federal agencies, evaluates actions and prepares documentation and provided written and verbal communication to appropriate regulatory and accreditation agencies. - Coordinates and is the point of contact for customer-initiated audits such as delegation management audits and/or Supplier Qualification Audits. - Participates and leads committee and workgroup appointments and actively participates to affect change in patient care. - Monitors and analyzes regulatory and accreditation trends and requirements that will influence Naven’s policy governance framework. - Assists in development of clinical policies and procedures as requested. - Serves as the primary liaison between Naven Health and regulatory agencies and accrediting bodies. Supervisory Responsibilities Does this position have supervisory responsibilities? (i.e. hiring, recommending/approving promotions and pay increases, scheduling, performance reviews, discipline, etc.) Yes X Basic Education and/or Experience Requirements - Bachelor’s degree in nursing - Active and unrestricted RN license - 3 years of relevant regulatory and accreditation Home Health experience - 2 years of experience developing and leading Corrective Action Plans or Evidence of Standards Compliance Basic Qualifications - Strong self-starter who can be consultative and collaborative to influence individuals and departments - Managerial experience in the healthcare setting. - Experience in conducting gap analysis to assess compliance with regulatory and accreditation standards. - Proven strong Communication Skills – verbal, written, presentation - Strong clinical background with direct knowledge of care in the home - Change Management capabilities Physical Demand Requirements Ability to work on a personal or laptop computer for extended periods of time Travel Requirements: (if required) - Up to ~50% Preferred Qualifications & Interests (PQIs) - Master’s Degree - Previous experience as a Surveyor for an Accrediting Body (TJC, ACHC, CHAP, etc.) This job description is to be used as a guide for accomplishing Company and department objectives, and only covers the primary functions and responsibilities of the position. It is in no way to be construed as an all-encompassing list of duties. Due to state pay transparency laws, the full range for the position is below: Salary to be determined by the applicant's education, experience, knowledge, skills, and abilities, as well as internal equity and alignment with market data. Pay Range is $68,215.48-$113,677.46 Benefits: -Medical, Dental, & Vision Insurance -Paid Time off -Bonding Time Off -401K Retirement Savings Plan with Company Match -HSA Company Match -Flexible Spending Accounts -Tuition Reimbursement -myFlexPay -Family Support -Mental Health Services -Company Paid Life Insurance -Award/Recognition Programs Naven Health subscribes to a policy of equal employment opportunity, making employment available without regard to race, color, religion, national origin, citizenship status according to the Immigration Reform and Control Act of 1986, sex, sexual orientation, gender identity, age, disability, veteran status, or genetic information. ​

The Manager Solution Delivery will lead and scale the execution of our data and analytics product deliveries in a rapidly growing business. The role will be critical in ensuring quality, efficiency, and standardization working across internal teams and with external partners to enhance delivery performance, drive process improvements, and establish key operational metrics. Scaling product delivery for multiple products across multiple lines of business lines in HAS is a critical success factor driving customer satisfaction and revenue growth. The role will build repeatable, efficient, and scalable processes to support business expansion while maintaining high-quality, timely deliveries. Quest Diagnostics honors our service members and encourages veterans to apply. While we appreciate and value our staffing partners, we do not accept unsolicited resumes from agencies. Quest will not be responsible for paying agency fees for any individual as to whom an agency has sent an unsolicited resume. Equal Opportunity Employer: Race/Color/Sex/Sexual Orientation/Gender Identity/Religion/National Origin/Disability/Vets or any other legally protected status.

• Own end-to-end financial modeling for CMS LEAD and other APMs • Translate CMS technical specifications into production-grade actuarial models • Develop and maintain benchmark, attribution, risk adjustment, and reconciliation logic • Ensure integrity of actuarial inputs (e.g., underwriting methodology, pricing assumptions) in value-based contract modeling • Identify model vulnerabilities and proactively mitigate financial exposure • Work directly with CMS VRDC data environments to extract, structure, and analyze Medicare claims and enrollment data • Write production-level SAS and Python code to: • Process large claims datasets • Facilitate risk-adjustments • Calculate, risk adjust, and project PMPM benchmarks • Run sensitivity testing • Conduct reconciliation and true-up calculations • Ensure compliance with CMS methodological guidance • Validate data integrity prior to model production • Establish independent validation standards and ensure consistent adherence to these standards across the enterprise • Create automated testing scripts and exception reporting to implement validation checks, parallel runs, and reconciliation frameworks • Maintain version control, documentation, and auditability of all models at a sufficiently robust level to enable audits or CMS review