Responsible for the implementation and maintenance of member and provider correspondence. This includes collecting letter requirements from clients, reconciling them with State, Federal and Accreditation requirements. The Senior Correspondence Specialist is responsible for letter configuration (plan IDs, statuses, etc.), User Acceptance Testing (UAT), Managing Projects and Issue Resolution, as well as contributing to Process Improvement initiatives. The Senior Correspondence Specialist monitors production systems to ensure letter quality and timeliness standards are met. Develop and maintain documented standards for quality and ensure documentation correlates with letter functionality.
Communicates directly with clients and internal departments regarding correspondence needs and letter requirements.
Interacts with compliance regarding accreditation requirements for the member and provider letters.
Consults with Magellan legal counsel for review of state and federal communication requirements.
Develop and customize letter objects and configure the appropriate enclosure conditions to meet original requirements of the project.
Ensuring Branding, Formatting and other document attributes are consistent with requirements.
Work in conjunction with internal departments to develop new letter functionality as needed to meet internal or external letter requirements.
Troubleshoot, research and respond to inquiries regarding letter issues.
Partner with IT on the development of letters to ensure accurate production results, including QA testing.
Monitor the Letter Failure report and ensure timeliness and accuracy of letters.
Assist in tracking Letter quality issues.
Develop and maintain documented quality standards.
Participates in Client and Regulatory audits.
Telecommuting is allowed.
Internal Number: R00000028073
About Magellan Rx Management
Magellan Health is the leader in managing complex population health, concentrating on all areas across healthcare and pharmaceutical management.
At Magellan Health, 10,000 people wake up every day determined to help our members. We do this by connecting behavioral, physical, pharmacy and social needs into a complete picture of care that’s personalized, coordinated and cost-effective. By turning fragmented care into focused care, we empower 1 in 10 Americans to lead healthier, more vibrant lives.
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