MAXIMUS is a leading operator of government health and human services programs and has partnered with state, federal and local governments to provide critical, high quality health and human service programs to a diverse array of communities. Operating under MAXIMUS’s founding mission of Helping Government Serve the People® since 1975, MAXIMUS Federal Services is entirely focused on helping government agencies run programs cost-effectively and serve program constituents with improved outcomes. By being a responsible steward for government programs, we help the federal government deliver on its promises through our people, process and technology. Our focus is always on outcomes and results that connect citizens more effectively with government services.
*Role is contingent upon bid award*
REMOTE OPPORTUNITY - This role is primarily responsible for managing, overseeing, implementing and administering all grievance processes and requirements. When appropriate, participates in face-to-face meetings with appellants and fair hearings to clarify and support Serious Mental Illness determinations. Oversees reviews of all submitted appeals and completion of post-adjudication determination decision letters. Assists in legal analysis and provides coaching and procedural instructions for variety of staff as requested. Will also serve as the Policy Subject Matter Expert (SME) for all legal appeal and grievance related issues.
The Senior Consultant - Appeals will provide senior level analysis of processes, techniques and procedures of cases in applying experience to ensure the appropriate practical determination is reached.