Magellan Health Services, Inc.
Industry: Managed care company
DescriptionMagellan Health Inc., is an American for-profit managed health care company, focused on special populations, complete pharmacy benefits and other specialty areas of healthcare. Headquarters: Scottsdale, AZ CEO: Barry M Smith (Jan 1, 2013–) Number of employees: 10,700 (2017) Subsidiaries: Magellan Pharmacy Services, Inc.,
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Magellan Health Services, Inc. Employees
Lamac House, LLC February 2014 - Present
At Work Personnel May 2013 - Present
Terros February 2010 - May 2013
Magellan Health Services, Inc July 2005 - August 2009
ValueOptions, Inc October 2003 - July 2005
Skills
Clinical Management, Staff Development, Staff Supervision, Data Quality, Computer Proficiency, Program Management, Clinical Data Management, Clinical Monitoring, Mentoring Of Staff, Coaching Staff, Behavioral Health, Behavior Modification, Mental Health Treatment, Mental Health Care, Crisis Intervention, Adolescents, Clinical Supervision, Case Management, Motivational..., Managed Care, Mental Health, Individual Counselling, Program Development
Education
Ottawa University 2005 — 2007
Masters Degree, Human Resources: Addiction Studies
Fellman and Associates, LLC March 2010 - Present
Magellan Health, Inc. May 2012 - March 2015
Express Scripts, Inc. August 2009 - June 2010
KV Pharmaceutical June 2005 - June 2009
Magellan Health Services, Inc. May 2004 - May 2005
Correctional Medical Services, Inc. April 1998 - December 2003
UnitedHealth Group October 1996 - April 1998
Deaconess Incarnate Word Health System April 1996 - October 1996
Beautyman Associates September 1995 - April 1996
Skills
Managed Care, Pharmaceutical Industry, Medicaid, Healthcare, Pharmacy Benefit..., Employee Benefits, Leadership, PPO, Health Policy, Strategic Planning, Regulatory Affairs, Health Insurance, Pharmacy, Strategy, Policy, Healthcare Industry, Hospitals, Medical Devices, Management, Oncology, Contract Management, Medicare/Medicaid..., Medicaid Managed Care, Health Care Reform, Physicians, Healthcare Consulting, Business Development, Cross-functional Team..., Lifesciences, Start-ups, Program Management, Clinical Research, Medicare, Mergers & Acquisitions, Biotechnology, Regulations, Market Research, PBM Contracting, Pharmaceutical Supply..., HIPAA, Biologics, Pharmacueticals, Pharmacogenomics, Government Pricing, Supply Chain Management, Contract Negotiation, Purchasing, Government Contract..., 340B Drug Pricing..., FDA Regulated Life...
Education
The Johns Hopkins University
BA, Social and Behavioral Sciences
University of Florida
JD, Law
Ceridian Corporation May 2010 - August 2012
Magellan Health Services, Inc January 2007 - January 2010
Magellan Health Services, Inc March 2001 - January 2007
Magellan Health Services, Inc March 1996 - February 2001
Health Management Systems of America September 1995 - March 1996
Family Resources, Inc January 1984 - January 1996
Skills
Call Center, Leadership, Coaching, Account Management, Temporary Placement, Budgets, Customer Service, Business Development, Contract Management, Project Management, Networking, Psychotherapy, Executive Management, Market Planning, Quality Control, Strategy, Team Building, Healthcare, Employee Relations, Call Centers, Government, Conflict Resolution, Human Resources, Quality Assurance, Start-ups, Leadership Development, Business Process, Operations Management, Recruiting, Employee Benefits, New Business Development, Management, Strategic Planning, Contract Negotiation, Mental Health, Training, Policy, Organizational..., Change Management, Behavioral Health, Executive Coaching, Vendor Management, Negotiation, Process Improvement, Performance Management, Team Leadership, Cross-functional Team..., CRM, Managed Care, Project Planning
Education
University of South Florida 1998 — 2000
MBA
Florida State University 1982 — 1984
Master of Science
University of Florida 1978 — 1982
Bachelor of Arts
MITRE August 2014 - Present
Integrity Management Services, LLC June 2013 - August 2014
Integrity Management Services, LLC July 2010 - June 2013
IMS Health, Government Solutions March 2009 - July 2010
Magellan Health Services, Inc August 2008 - February 2009
Tidewater Camera Club 2007 - 2009
Health Integrity, LLC March 2005 - July 2008
Health Policy Institute of Ohio March 2004 - March 2005
Delmarva Foundation for Medical Care July 1999 - March 2004
The Lewin Group February 1999 - June 1999
Skills
Business Development, Data Mining, SAS, Statistics, Program Evaluation, Proposal Writing, Government, Research, Analytics, SPSS, Predictive Analytics, Predictive Modeling, SQL, Policy, Health Policy, Medicaid, Epidemiology, Public Health, Audit Planning, Cost Recovery, Strategic Planning, Public Policy, Nonprofits, Healthcare, Training, Policy Analysis, Leadership, Statistical Modeling, Medicare, Analysis, Data Analysis, Access, Auditing, Strategy, Managed Care, Informatics, Hospitals, Research Design, Quantitative Research, Data Management, Qualitative Research, Survey Research, SAS programming, Health Economics, Grants, R, Data Collection, Logistic Regression, Quantitative Analytics, Quality Assurance
Education
University of North Carolina at Chapel Hill 1983 — 1984
Postdoc, Psychometrics and Biostatistics
The University of Chicago 1979 — 1983
Ph.D, Methodology of Behavioral Research
The Ohio State University 1974 — 1978
M.A, Quantitative Psychology
University of Utah 1970 — 1974
B.S, Psychology
Yellow Springs High School
Montgomery County Juvenile Court April 2014 - Present
Kaplan University October 2011 - November 2013
MetLife October 2010 - January 2011
MetLife October 2010 - January 2011
Farmers Insurance Group August 2009 - October 2010
MetLife Auto and Home January 2005 - August 2009
MetLife Auto and Home October 2004 - January 2005
Magellan Health Services Inc June 2000 - May 2003
Skills
Microsoft Office, Microsoft Excel, Microsoft Word, Customer Service, PowerPoint, English, Windows, Research, Outlook, Teaching, Photoshop
Education
Kaplan University 2011 — 2013
Bachelors of Science, Criminal Justice; Juvenile Justice
Sinclair Community College 1997 — 1999
Associates of Applied Science, Architectural Technology
Magellan Health Services, Inc. February 2008 - Present
Magellan Health Services, Inc. October 2007 - January 2008
Kelly Services August 2007 - October 2007
JP Work Solutions MRI Network August 2007 - October 2007
First Bank March 2005 - November 2006
May Merchandising Company September 2003 - March 2005
321 Studios December 2002 - July 2003
Facilities Management Services Group 1995 - 1999
Skills
Purchasing, Microsoft Office, Access, Customer Service, Budgets, Outlook, Administrative..., Team Building, Social Media, Process Scheduler, Human Resources, Teamwork, Training, Management, Leadership, Strategic Planning, Program Management, Public Relations, New Business Development, Inventory Management, Time Management, Event Planning, Payroll, Contract Negotiation, Facilities Management
Education
St. Louis Community College 1993 — 1995
AS, Interior Design
Magellan Health Services, Inc. April 2001 - Present
U.S. Senate 1990 - 2001
U.S. Department of Energy 1988 - 1990
NASA 1987 - 1988
WHS, Office of the Secretary of Defense 1983 - 1987
United Technologies 1978 - 1983
U.S. Army 1969 - 1978
Skills
Information Security..., Physical Security, Investigations, TSCM, Surveillance, Security, Information Security, Private Investigations, CISSP, Risk Analysis, Security Audits, Vulnerability Assessment, Crisis Management, Government, Penetration Testing, Computer Security, Executive Protection, Enforcement, Program Management, Business Continuity, Emergency Management, Risk Assessment, Leadership, Security+, Network Security, Security Management, Policy, Intrusion Detection, Risk Management, Security Awareness, Computer Forensics, Homeland Security, Information Assurance, Background Checks
Education
University of Maryland University College
BA, Computer Studies
University of Maryland University College
AA, Law Enforcement
University of Virginia
Certificate, Law Enforcement
FBI National Academy -146th
Restoration Hardware September 2009 - Present
Cosi, Inc. April 2004 - Present
The Paslin Company February 2014 - Present
Cosi, Inc. August 2014 - Present
Cosi, Inc. August 2011 - January 2012
Magellan Health Services, Inc. July 1999 - October 2008
Youth Services International March 1997 - March 1999
Miles & Stockbridge 1989 - 1997
Piper & Marbury 1986 - 1989
CareFirst BlueCross BlueShield 1980 - 1983
Skills
Financial Accounting, CPA, Mergers & Acquisitions, Financial Analysis, Financial Reporting, Due Diligence, Accounting, Managerial Finance, Financial Modeling, Strategic Planning, Auditing, Forecasting, Budgets, Start-ups, Income Statement, Business Strategy, Management Consulting, Process Improvement, Change Management, Risk Management
Education
University of Maryland School of Law 1983 — 1986
Juris Doctorate, Law
Villanova University 1973 — 1977
BS-Accounting, Accounting
Magellan Health Services, Inc. April 1999 - Present
Education
University of Delaware 1985 — 1989
Magellan Health Services August 2010 - Present
Magellan Health Services, Inc. July 2003 - September 2010
Magellan Health Services, Inc. September 2002 - July 2003
Magellan Health Services, Inc. d.b.a. Maryland Health Partners, LLC May 2001 - September 2002
CMG Health, Inc. 1999 - 2001
CMG Health 1997 - 1999
Skills
Fraud Investigations, Investigations, Fraud, Background Checks, Claims, Mental Health, Insurance, Insurance Claims, Behavioral Health, Private Investigations, Lean Sigma Green Belt, Accredited Healthcare..., Claim, Information Security, Six Sigma, Risk Management, Risk Assessment, Government, Physical Security, HIPAA, Policy, Analysis, Crisis Management, Medicare, Managed Care, Medicaid, Security Audits, Program Management, Security Management, Vulnerability Assessment, Process Improvement, Leadership, Training, Health Care Fraud, Management, Business Continuity, Business Continuity..., Business Impact Analysis, Computer Security, Healthcare, Information Security..., Case Managment, Fraud Detection
Education
Hood College
MS
University of Pittsburgh
BS
Neovia Integrated Insurance Services 2012 - 2014
HealthTrust Purchasing Group 2012 - 2012
N.E.W. Customer Service Companies, Inc 2010 - December 2011
Magellan Health Services, Inc. 2002 - 2010
United Healthcare 2000 - 2002
Radix Health Connection, LLC 1999 - 2000
NYLCARE HEALTH PLANS OF THE MID-ATLANTIC 1995 - 1998
Skills
Pricing, Health Insurance, Managed Care, Strategic Planning, Process Improvement, Employee Benefits, Insurance, Team Mentoring, Consulting, Medicare, Budgets, CRM, Cross-functional Team..., Executive Management, Financial Analysis, Forecasting, Leadership, Management, Medicaid, PPO, Strategy, Team Building, Vendor Management, Account Management
Education
Carleton College
BA, Economics, Math
Superior Vision Services May 2015 - Present
Johns Hopkins HealthCare March 2006 - May 2015
St. Agnes Hospital January 2004 - March 2006
Mamsi, Inc January 2003 - January 2004
Antek Healthware, Inc January 2002 - January 2003
Magellan Health Services, Inc January 2000 - January 2001
Magellan HealthCare, Inc. January 1998 - January 2000
Magellan Healthcare, Inc. January 1994 - January 1997
CareFirst Blue Cross/Blue Shield January 1991 - January 1994
Skills
HIPAA, Healthcare, Healthcare Management, Process Improvement, Healthcare Information..., Software Documentation, Data Warehousing, Access, Quality Assurance, Analysis, Project Management, Data Analysis, Leadership, Management, Business Analysis
Education
University of Massachusetts 1981 — 1986
Bachelor of Science
University of Massachusetts, Amherst 1981 — 1986
Bachelor of Science (B.S.), Family and Community Services
Kindred Healthcare Houston, Texas 2009 - Present
Triumph Healthcare 2007 - 2009
Kindred Healthcare Inc. 1998 - 2007
Magellan Health Services Inc. 1996 - 1998
Group Practice Affiliates, Inc. 1995 - 1996
Green Spring Health Services, Inc., 1994 - 1995
Tenet Healthcare Corporation 1990 - 1994
Jefferson Hospital 1988 - 1990
Healthstar Corporation 1983 - 1987
Medical Care America Inc. 1982 - 1983
Education
Tulane University 1977 — 1977
M. H. A., Public Health and Tropical Medicine
Boston University 1971 — 1975
B.A, Political Science
Magellan Health Services, Inc. October 2012 - Present
Skills
Proofreading, Copy Editing, Non-fiction, Fiction, Freelance Writing, Feature Articles, Copywriting, Short Stories, Journalism, Fiction Writing, Creative Writing, Editing, Storytelling, Editorial, Nonprofits
Education
Newman University 2004 — 2006
Social Work
Wichita State University 1992 — 2002
Bachelor of Arts, Social Work, Magna Cum Laude
Inovalon February 2015 - Present
Magellan Health Services, Inc. September 2005 - Present
Magellan Health Services 2005 - Present
Skills
Managed Care, Strategic Planning, Team Building, Process Improvement, Healthcare, Leadership, Program Management, Strategy
Education
Penn State University
MEd, Family and Consumer Sciences/Human Sciences
University of Massachusetts, Amherst
Bachelor of Science (B.S.), Human Development and Family Studies, General
Impact Learning, Inc. May 2008 - Present
Management Concepts June 2007 - November 2007
MAGELLAN HEALTH SERVICES, INC 2004 - 2007
Black & Decker 2002 - 2004
ALLEGIS GROUP, INC 1997 - 2002
Skills
Instructional Design, E-learning, Blended Learning, Adult Education, Needs Analysis, E-Learning, Instructor-led Training, ADDIE, Training, Distance Learning, Learning Management..., Program Management, Organizational...
Education
University of Maryland Baltimore County 1998 — 2002
Master of Arts, Instructional Systems Design - Training Systems
William & Mary 1991 — 1993
Bachelor of Arts, History
None Freelance professionalSenior Proposal WriterMagellan Helath Services, Inc.December 1997 - April 2013
Magellan Health Services, Inc. December 1997 - April 2013
Morgan State University June 1993 - June 1997
IBM Corporation June 1969 - March 1992
Skills
Proposal Writing, Managed Care, Healthcare, Pharmacy Benefit..., Behavioral Health, Program Development, Leadership, Strategic Planning, Clinical Research, Training, Process Improvement, Public Speaking
Education
Morgan State University 1965 — 1969
BA, Sociology
Agave Health, Inc. October 2014 - Present
Magellan Health Services, Inc 2014 - 2014
OputmHealth New Mexico, Inc. March 2011 - May 2013
Molina Healthcare 2013 - 2013
Mesa Mental Health October 2009 - January 2011
FIRE SPIRIT SEMINARS December 2002 - December 2010
Value Options New Mexico March 2006 - June 2009
Skills
Health Insurance, Managed Care, Utilization Management, Medicaid, Healthcare, Nursing, HMO, Provider Relations, Medicare, Software Documentation, HIPAA, Claim, Healthcare Management, Disease Management, Case Management, Behavioral Health, Elder Care, Medicaid Managed Care, Utilization Review, Medicare Part D, NCQA, Hospitals, Healthcare Industry, Inpatient, ICD-9, Home Care, Patient Advocacy, Medical Records, Physicians, Medical Coding, Crisis Intervention
Education
Antioch University New England
Master of Arts (M.A.), Counseling Psychology
Hartwick College
Bachelor of Arts (B.A.), Political Science