Magellan Health

Director of Eligibility & Encounters

United States
Full-time
Posted Nov 2, 2026

Skills

Agile
Communication
ITIL
Leadership
Project Management

Job description

This position is responsible for understanding our business and IT strategy and ensure that we have the skills and capabilities required to deliver on our business and technical commitments. Role will focus on continuous improvement within the area and lead IT analysis initiatives and special projects within their portfolio of applications. Establishes best practices for requirements gathering, analysis, design, testing and implementation. Partners with teams across the organization to identify business process improvements and translate them to systems improvement focusing on scale, efficiency, and automation. Own delivery, testing and validation, roll-out and training, triage and resolution of issues. Coach practitioner of scientific approaches such as Critical Thinking, Lean Management, ITIL, Design Thinking and structured systems analysis and design. Cultivates highly productive teams and develops a strong bench of IT Analysts. Highly analytical and strategic. Able to drive towards realization of business goals, resulting in world-class applications. Excellent communication skills with a proven ability to adapt message to both technical and business audiences. Highly collaborative with a `hands-on, roll-up the sleeves` and get work done attitude.

Establish, track, measure and refine metrics for key processes to deliver measurably differentiated business outcomes. Communicate across functions and act as a trusted advisor to business and technical teams. Foster user-centric design culture, values, and principles throughout the organization. Clarify design and team understanding of project’s vision and their role in its execution. Align design with the overall goals of the deliverable. Communicate the vision across the organization. Oversee and cultivate strong analysis, design and testing practices. Mentor and empower the IT Analysis team to deliver great products; inspire them to continuously improve their craft and capabilities.

•Partner with teams across the organization to identify business process improvements and translate them to systems improvement focusing on scale, efficiency, business system configuration and automation.

•Lead sessions to identify process inefficiencies and actively participate in their resolution.

•Gather business requirements and partner with teams to manage deliverables, testing and validation, roll-out and training, triage and resolution of issues.

•Utilize scientific approaches such as Critical Thinking, Lean Management, ITIL, Design Thinking and structured systems analysis and design.

•Establish best practices for requirements gathering and implementation.

•Establish, track, measure and refine metrics for key processes to deliver measurably differentiated business outcomes.

•Maintain data integrity across multiple systems and identify and resolve inconsistencies.

•Communicate across functions and act as a trusted advisor to business and technical teams.

•Foster user-centric design culture, values, and principles throughout the organization.

•Clarify design and team understanding of project’s vision and their role in its execution. Align design with the overall goals of the deliverable.

•Communicate the vision across the organization. Oversee and push strong analysis, design and testing methods and processes.

•Mentor and empower the IT Analysis team to deliver great products; inspire them to continuously improve their craft and capabilities.

•Hire, develop, grow, engage, motivate and manage managers and individual contributors

•Develop, mentor and coach the next generation of leaders.

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

•10+ years of related experience, including experience working with Agile and Lean methods. Experience moving across different departments within IT to gain a broader perspective of the business/industry.

•Demonstrated ability to collaborate across the organization, roll-up the sleeves and get work done.

•Ability to explain technical issues to both technical and business partners.

•Ability to solve difficult business problems.

•Excellent project management, interpersonal and organizational skills, with the ability to drive and implement ideas in a constantly changing environment.

•Experience leading technically-challenging, cross-functional projects from inception to implementation.

•Demonstrated ability build skills within the team.

•Evolving executive presence.

•Experience dealing with ambiguity, solve complex problems and scale effectively across a large organization and highly distributed team.

•Excellent communication skills with a proven ability to adapt your message to both technical and business audiences.

General Job Information

Title

Director of Eligibility & Encounters

Grade

Work Experience - Required

IT, Management/Leadership

Work Experience - Preferred

Education - Required

A Combination of Education and Work Experience May Be Considered., Bachelor's, Bachelor's - Computer and Information Science

Education - Preferred

License and Certifications - Required

License and Certifications - Preferred

Salary Range

Salary Minimum:

$127,295 Salary Maximum:

$229,105

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.