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Job Locations US-NY-New York
Requisition ID 2021-68457
About MaximusMaximus is a global organization that partners with national, state, and local governments to provide critical health and human services. With decades of experience designing, developing and delivering innovative programs and comprehensive solutions, Maximus is driven by a mission to strengthen communities and improve the lives of the people we serve. About New York Medicaid ChoiceNew York Medicaid Choice (NYMC) has served the State of New York and New York residents since 1998 by providing education, outreach and enrollment services to help residents with Medicaid select and enroll in a health plan of their choice.  We're proud that over the past twenty years NYMC has grown and expanded across the state.  To date, we have helped millions of New Yorkers access the health services that best fit their needs.  We're proud to meet our mission of Helping Government Serve the People through this program. About the PositionIf you're looking for more than a job and want to grow in the healthcare industry, then this is the position for you. We're hiring a Customer Service Representative II for Cattaraugus and Allegany Counties. We are looking for an individual who is passionate about helping their community, interested in learning, and taking part in public health services, and is growth-oriented. This position provides face-to-face, telephonic, and possibly virtual enrollment and outreach services to New York Medicaid recipients. This is a position with growth opportunity in a supportive work environment. If you thrive in an independent position where you can make a positive impact on the lives of others, then this is the place for you. This position is office-based in Cattaraugus and Allegany Counties Position Summary- Conducts face-to-face and/or virtual (telephonic) outreach and enrollment services, including education on managed care options and public health programs to clients at LDSS/HRA offices - Assists clients with the enrollment/disenrollment process- Interfaces with HRA or LDSS county staff and maintains professional and positive relationships with all HRA, LDSS staff, community groups, and clients- Conducts appointments to assist CYES Program eligible consumers complete their Medicaid application.- Conducts phone outreach to assist consumers with plan enrollment - May conducts shadowing / training activities with new hires- May receive, sort, and process enrollment/transfer and disenrollment forms- May review enrollment forms for accuracy and completeness- May be assigned one or more of the following processing tasks:- Data Entry/Data Entry QC- UAS- RL- Manual Notice production- Exemption and Exclusion- HPA/SPU- Certified Application Counselor (CAC)- Maintains updated knowledge of the New York Medicaid Choice Project- Raises issues of concern and/or problems to the Outreach operations Supervisor and/or ManagerWhat You'll Bring- Prior work experience in customer service, data entry and/or processing- Willingness to provide site coverage of neighboring sites is required; may be transferred to another site within the region- Proficiency in Microsoft Office applications as Excel, Power Point, and Word- Knowledge of population served- Positions outside of NYC require a vehicle, valid driver’s license and insurance- Must reside in State of New York
Job Locations US-NY-New York
Requisition ID 2021-68247
About MaximusMaximus is a global organization that partners with national, state, and local governments to provide critical health and human services. With decades of experience designing, developing and delivering innovative programs and comprehensive solutions, Maximus is driven by a mission to strengthen communities and improve the lives of the people we serve. About New York Medicaid ChoiceNew York Medicaid Choice (NYMC) has served the State of New York and New York residents since 1998 by providing education, outreach and enrollment services to help residents with Medicaid select and enroll in a health plan of their choice.  We're proud that over the past twenty years NYMC has grown and expanded across the state.  To date, we have helped millions of New Yorkers access the health services that best fit their needs.  We're proud to meet our mission of Helping Government Serve the People through this program. About the PositionIf you're looking for more than a job and want to grow in the healthcare industry, then this is the position for you. We're hiring a Customer Service Representative in Broome County.  We are looking for an individual who is passionate about helping their community, interested in learning and taking part in public health services and is growth-oriented.  This position provides face-to-face, telephonic, and possibly virtual enrollment and outreach services to New York Medicaid recipients. This is a position with growth opportunity in a supportive work environment.  If you thrive in an independent position where you can make a positive impact on the lives of others, then this is the place for you. This position is office-based in Broome County. Position Summary- Conducts face-to-face and/or virtual (telephonic) outreach and enrollment services, including education on managed care options and public health programs to clients at LDSS/HRA offices- Assist clients with the enrollment/disenrollment process - Interface with HRA or LDSS county staff and maintains professional and positive relationships with all HRA, LDSS staff, community groups, and clients - Conduct appointments to assist CYES Program eligible consumers complete their Medicaid application. - Conduct phone outreach to assist consumers with plan enrollment - Maintains updated knowledge of the New York Medicaid Choice Project  What You will Need- Prior work experience in customer service, data entry and/or processing- Willingness to provide site coverage of neighboring sites is required; may be transferred to another site within the region- Proficiency in Microsoft Office applications as Excel, Power Point, and Word- Knowledge of population served- Positions outside of NYC require a vehicle, valid driver’s license and insurance- Must reside in State of New York 
Job Locations US-NY-New York
Requisition ID 2022-71872
$1,500 Retention-Bonus(Eligibility after 120 days of employment) Pay rate: $17.00 Major Purpose: The Client Service Representative is responsible for answering all callers' general inquires related to Medicaid, Child Health Plus and the Marketplace. Duties and Responsibilities:- Answer incoming calls from consumers including the general public, prospective enrollees and people assisting enrollees or acting on their behalf in accordance with all performance standards, policy and procedures, and protocols.- Meet Quality Assurance (QA) and other key performance metrics. - Transfer/refer consumers to appropriate entities according to the established guidelines.- Facilitate the fulfillment of consumer requests for materials via mail, email, or download.- Responds to all inquiries consistent with confidentiality and privacy policies and refers callers to alternate sources when appropriate.- Track and document all inquiries using the applicable systems.- Escalate calls or issues to the appropriate designated staff for resolution as needed.- Facilitate translation services for non-English speaking callers according to procedures.- Attend meetings and trainings as requested and maintains up-to-date knowledge of all programs and systems.- Responsible for adhering to established safety standards.- Must be able to remain in a stationary position for an extended period of time- Occasionally lifts, carries, or otherwise moves items weighing up to 25 pounds- Work is constantly performed in an office environment- Performs other duties as assigned by management. Education Required: - High School Diploma or equivalent Background & Experience Required:- 0 – 1 years of experience- Strong data entry and telephone skills;- Previous experience with computers, phone systems, and headsets preferred; - Excellent organizational, interpersonal, written, and verbal communication skills;- Ability to perform comfortably in a fast-paced work environment;- Ability to successfully execute many complex tasks simultaneously;- Ability to work as a team member, as well as independently.- Previous experience in customer service preferred Please Refer to the Maximus New York Job Description Above
Job Locations US-NY-New York | US-NY-Bronx | US-NY-Brooklyn | US-NY-Jamaica | US-NY-Staten Island | US-NY-Rochester | US-NY-Buffalo
Requisition ID 2021-71232
Maximus is currently seeking Sr. Clinical Operations Managers to support the Independent Practitioner Panel, which completes assessment reviews and issues practitioner orders for New Yorkers who qualify for long-term in-home care. The Clinical Operations Managers oversee their respective units of Nurse Practitioner and Physician Assistant staff. About the PositionMaximus administers the Independent Practitioner Panel, which completes assessment reviews and issues practitioner orders for New Yorkers who qualify for long-term in-home care.  This is an exciting new program that directly contributes to positive long-term outcomes for vulnerable populations in New York State.
Job Locations US-NY-New York
Requisition ID 2021-69662
We have an exciting opportunity for a Training Coordinator in Conflict-Free Evaluation and Enrollment Center Expansion (CFEEC/IA) Project.This position will provide support to the CFEEC/IA Project in NYC.  This is an office-based position that is temporarily remote.This position reports to the Supervisor – Training, CFEEC/IA.Position Summary- Designs, develops and implements training materials- Develops training schedules (in coordination with other managers and WFM staff) based on the evaluation of the need for new staff and subcontractor personnel- Facilitates and delivers classroom-style training on an initial and ongoing basis- Ensures that program staff are provided with updated knowledge of the Medicaid Community Based Long-Term Care Programs, community resources, and options for clients- Conducts role-playing activities to develop interpersonal skills (e.g., teamwork and conflict management)- Communicates operating policies and procedures that are in compliance with the contractual agreement- Assesses the impact of each training course on staff performance and contributes to training material development and updatesWhat You'll Need- At least 2 years of Call Center Operations or Training experience - Ability to comfortably and intuitively navigate current and new methods of technology to collaborate with colleagues and deliver training- Knowledge of principles and methods for curriculum and training design, teaching and instruction for individuals and groups, and the measurement of training effects- Ability to speak effectively in interpersonal situations and before groups of people- Ability to motivate and inspire audience to engage in subject material- Advanced level skills in Microsoft Office (Power Point, Excel, Word, and Outlook)Preferred Experience- 1 year of direct training experience in a human services environment and/or with instructional design and development- 1 year of CFEEC Project Experience- Hands on experience with e-learning platforms- Direct experience utilizing Zoom and/or Microsoft Teams for training
Job Locations US-NY-New York
Requisition ID 2021-71023
$1,500 Retention Bonus(Eligibility after 120 days of employment) Pay and Benefits:- $19.00/hr bilingual Mandarin or Cantonese and English- $20.00/hr trilingual Mandarin and Cantonese and English- $1,500 Retention Bonus (eligible after 120 days of employment)- Quarterly Bonus Opportunity up to 5% of your Quarterly earnings- Paid training and benefits (including Paid Time Off)- A variety of weekday and weekend shifts that meet lifestyle and family goals- Supportive work environment- Many opportunities for promotion and career advancement - No cold calling, sales or collection calls!Major Purpose:The Bilingual Customer Service Representative is responsible for answering inquiries from Marketplace individual consumers including but not limited to general information as well as assisting individuals and families in applying for health care coverage through the Marketplace.  Duties / Responsibilities:- Answer incoming calls from consumers including the general public, prospective enrollees and people assisting enrollees or acting on their behalf in accordance with all performance standards, policy and procedures, and protocols.- Process new applications for health care coverage via the telephone including building tax household, household income, eligibility determinations, interpreting determinations made by the Marketplace, and enrollment into health plans.- Process life event changes, demographic updates, disenrollment requests, and special enrollment periods as requested.- Transfer/refer consumers to appropriate entities according to the established guidelines.- Perform co-browse interactions with consumers seeking assistance with the application process via the NYSOH, as necessary- Facilitate the fulfillment of caller requests for materials via mail, email, or download.- Respond to all inquiries consistent with confidentiality and privacy policies and refers callers to alternate sources when appropriate.- Escalate calls or issues to the appropriate designated staff for resolution as needed.- Track and document all inquiries using the applicable systems.- Facilitate translation services for non-English speaking callers according to procedures.- Attends meetings and trainings as requested and maintains up-to-date knowledge of all programs and systems.- Meet Quality Assurance (QA) and other key performance metrics. - Responsible for adhering to established safety standards.- Must be able to remain in a stationary position for an extended period of time- Occasionally lifts, carries, or otherwise moves items weighing up to 25 pounds- Work is constantly performed in an office environment Education Required: - High School Diploma or equivalent  Background & Experience Required:- 0 to 1 years of experience- Strong data entry and telephone skills;- Excellent organizational, interpersonal, written, and verbal communication skills;- Ability to perform comfortably in a fast-paced work environment;- Ability to successfully execute many complex tasks simultaneously;- Ability to work as a team member, as well as independently.- Previous experience with computers, phone systems, and headsets preferred;- Previous experience in customer service preferred- Must reside in State of New YorkPlease Refer to the New York Maximus Job Description Above 
Job Locations US-NY-New York
Requisition ID 2021-71024
$1,500 Retention Bonus(Eligibility after 120 days of employment) Pay and Benefits:- $18.00/hr Bilingual Spanish and English- $18.00/hr Bilingual Haitian Creole and English- $19.00/hr Bilingual Russian and English- $1,500 Retention Bonus (eligible after 120 days of employment)- Quarterly Bonus Opportunity up to 5% of your Quarterly earnings- Paid training and benefits (including Paid Time Off)- A variety of weekday and weekend shifts that meet lifestyle and family goals- Supportive work environment- Many opportunities for promotion and career advancement - No cold calling, sales or collection calls! Major Purpose:The Bilingual Customer Service Representative is responsible for answering inquiries from Marketplace individual consumers including but not limited to general information as well as assisting individuals and families in applying for health care coverage through the Marketplace.  Duties / Responsibilities:- Answer incoming calls from consumers including the general public, prospective enrollees and people assisting enrollees or acting on their behalf in accordance with all performance standards, policy and procedures, and protocols.- Process new applications for health care coverage via the telephone including building tax household, household income, eligibility determinations, interpreting determinations made by the Marketplace, and enrollment into health plans.- Process life event changes, demographic updates, disenrollment requests, and special enrollment periods as requested.- Transfer/refer consumers to appropriate entities according to the established guidelines.- Perform co-browse interactions with consumers seeking assistance with the application process via the NYSOH, as necessary- Facilitate the fulfillment of caller requests for materials via mail, email, or download.- Respond to all inquiries consistent with confidentiality and privacy policies and refers callers to alternate sources when appropriate.- Escalate calls or issues to the appropriate designated staff for resolution as needed.- Track and document all inquiries using the applicable systems.- Facilitate translation services for non-English speaking callers according to procedures.- Attends meetings and trainings as requested and maintains up-to-date knowledge of all programs and systems.- Meet Quality Assurance (QA) and other key performance metrics. - Responsible for adhering to established safety standards.- Must be able to remain in a stationary position for an extended period of time- Occasionally lifts, carries, or otherwise moves items weighing up to 25 pounds- Work is constantly performed in an office environment Education Required: - High School Diploma or equivalent  Background & Experience Required:- 0 to 1 years of experience- Strong data entry and telephone skills;- Excellent organizational, interpersonal, written, and verbal communication skills;- Ability to perform comfortably in a fast-paced work environment;- Ability to successfully execute many complex tasks simultaneously;- Ability to work as a team member, as well as independently.- Previous experience with computers, phone systems, and headsets preferred;- Previous experience in customer service preferred- Must reside in State of New York Please Refer to the Maximus New York Job Description Above
Job Locations US-NY-New York | US-NY-Bronx | US-NY-Brooklyn | US-NY-Jamaica | US-NY-Staten Island | US-NY-Rochester | US-NY-Buffalo
Requisition ID 2021-71227
Maximus is currently seeking a Clinical Operations Manager to support the Independent Practitioner Panel, which completes assessment reviews and issues practitioner orders for New Yorkers who qualify for long-term in-home care.  The Clinical Operations Manager will lead and support medical professionals who ensure that some of New York State’s most vulnerable populations receive relevant, timely and quality healthcare services.  *This position is remote and will support a regional area in New York State. About the PositionMaximus administers the Independent Practitioner Panel, which completes assessment reviews and issues practitioner orders for New Yorkers who qualify for long-term in-home care.  This is an exciting new program that directly contributes to positive long-term outcomes for vulnerable populations in New York State. *As a large employer and Federal contractor, Maximus is subject to various vaccine mandates across our lines of business. Maximus is committed to complying with any applicable vaccine mandates. The specific vaccine requirements for this position will be outlined throughout the selection process. Individuals who believe they may qualify for a medical or religious accommodation will have the opportunity to apply for an accommodation following an offer of employment.
Job Locations US-NY-New York
Requisition ID 2022-71864
$1,500 Retention-Bonus(Eligibility after 120 days of employment) Pay rate: $17.50 Major Purpose: The Bilingual Spanish Client Service Representative is responsible for answering all callers' general inquires related to Medicaid, Child Health Plus and the Marketplace. Duties and Responsibilities:- Answer incoming calls from consumers including the general public, prospective enrollees and people assisting enrollees or acting on their behalf in accordance with all performance standards, policy and procedures, and protocols.- Meet Quality Assurance (QA) and other key performance metrics. - Transfer/refer consumers to appropriate entities according to the established guidelines.- Facilitate the fulfillment of consumer requests for materials via mail, email, or download.- Responds to all inquiries consistent with confidentiality and privacy policies and refers callers to alternate sources when appropriate.- Track and document all inquiries using the applicable systems.- Escalate calls or issues to the appropriate designated staff for resolution as needed.- Facilitate translation services for non-English speaking callers according to procedures.- Attend meetings and trainings as requested and maintains up-to-date knowledge of all programs and systems.- Responsible for adhering to established safety standards.- Must be able to remain in a stationary position for an extended period of time- Occasionally lifts, carries, or otherwise moves items weighing up to 25 pounds- Work is constantly performed in an office environment- Performs other duties as assigned by management. Education Required: - High School Diploma or equivalent Background & Experience Required:- 0 – 1 years of experience- Strong data entry and telephone skills;- Previous experience with computers, phone systems, and headsets preferred; - Excellent organizational, interpersonal, written, and verbal communication skills;- Ability to perform comfortably in a fast-paced work environment;- Ability to successfully execute many complex tasks simultaneously;- Ability to work as a team member, as well as independently.- Previous experience in customer service preferred Please Refer to the Maximus New York Job Description Above
Job Locations US-NY-New York
Requisition ID 2021-71849
Job Locations US-NY-New York
Requisition ID 2021-69709
About MaximusMaximus is a global organization that partners with national, state, and local governments to provide critical health and human services. With decades of experience designing, developing, and delivering innovative programs and comprehensive solutions, Maximus is driven by a mission to strengthen communities and improve the lives of the people we serve. About the PositionMaximus administers the Independent Practitioner Panel (IPP), which is currently looking for a Provider Relations Specialist.  The Provider Relations Specialist will be responsible for providing ongoing relationship management with Maximus Clinicians. The incumbent will develop a comprehensive knowledge of MAXIMUS and Clinical practices to develop and manage an engagement and partnership strategy.  This will include assisting with the development and the training implementation of adequate provider education/training for IPP providers.  If you have experience working with providers and thriving in a remote environment this is the perfect position for you! In this position, you'll be the primary contact for IPP/IRP providers in collaboration with our internal Operational Support Unit (OSU), providing them with technical assistance and support for operational issues.  You will also collaborate with the Operation Support Unit (OSU) to address clinical issues and concerns.  You will effectively communicate and assist with provider outreach between the Medical Director and Clinical Manager to Clinicians.  You will assist with recruitment to fill gaps based on geographic and program needs in collaboration with our Vendor.  Must HavesThe successful incumbent must have a Bachelor's Degree from an accredited school or a combination of education and equivalent experience.  The incumbent will have any combination of over three (3) years of Health Plan Provider or recruiting and vendor management experience.  The successful incumbent will have knowledge of online recruiting tools and strategies.  Proficient knowledge and capable of navigating multiple systems.  Well-developed and professional interpersonal skills and the ability to interact effectively with people at all organizational levels. The Specialist must display strong communication skills, both written and verbal, and a proficient working knowledge of Microsoft Office Suite programs. Knowledge of CRM is preferred. Home Office Requirements- Cell Phone:  Candidates must have their own cell phone- Computer Equipment:  Will be provided company-issued computer equipment- Internet:  Reliable high-speed internet service with 100 Mbps download speed
Job Locations US-NY-New York | US-NY-Brooklyn | US-NY-Bronx | US-NY-Staten Island | US-NY-Jamaica | US-IN-Rochester | US-NY-Buffalo
Requisition ID 2021-71231
Maximus is currently hiring for a Sr. Nurse Manager to support the Conflict-Free Evaluation and Enrollment Center (CFEEC). The CFEEC serves the State of New York by conducting a UAS assessment to determine eligibility for community-based long-term services.  The Sr. Nurse Manager will lead and support a team of Nurse Managers, use their leadership skills to support large and diverse teams and make a difference in the lives of the New Yorkers we serve. About the Conflict-Free Evaluation and Enrollment Center (CFEEC)The Conflict-Free Evaluation and Enrollment Center (CFEEC) serves the State of New York by conducting a UAS assessment to determine eligibility for community-based long-term services.  The outcome of the assessment informs whether the individual qualifies for in-home services. We are rapidly expanding and have numerous exciting opportunities across the state! *As a large employer and Federal contractor, Maximus is subject to various vaccine mandates across our lines of business. Maximus is committed to complying with any applicable vaccine mandates. The specific vaccine requirements for this position will be outlined throughout the selection process. Individuals who believe they may qualify for a medical or religious accommodation will have the opportunity to apply for an accommodation following an offer of employment.
Job Locations US-NY-New York | US-NY-Brooklyn | US-NY-Bronx | US-NY-Staten Island | US-NY-Jamaica | US-NY-Rochester | US-NY-Buffalo
Requisition ID 2021-71229
Maximus is currently seeking Quality Assurance Analysts to support the Independent Practitioner Panel, which completes assessment reviews and issues practitioner orders for New Yorkers who qualify for long-term in-home care.  The Analyst is responsible for reviewing assessments to ensure accuracy and consistency and collaborating with other program staff.   About the PositionMaximus administers the Independent Practitioner Panel, which completes assessment reviews and issues practitioner orders for New Yorkers who qualify for long-term in-home care.  This is an exciting new program that directly contributes to positive long-term outcomes for vulnerable populations in New York State. *As a large employer and Federal contractor, Maximus is subject to various vaccine mandates across our lines of business. Maximus is committed to complying with any applicable vaccine mandates. The specific vaccine requirements for this position will be outlined throughout the selection process. Individuals who believe they may qualify for a medical or religious accommodation will have the opportunity to apply for an accommodation following an offer of employment.
Job Locations US-NY-New York
Requisition ID 2021-71187
About MaximusMaximus is a global organization that partners with national, state and local governments to provide critical health and human services. With decades of experience designing, developing, and delivering innovative programs and comprehensive solutions, Maximus is driven by a mission to strengthen communities and improve the lives of the people we serve. About the ProgramMaximus administers the Independent Practitioner Panel (IPP) program. The purpose of the IPP is to complete assessment reviews and issues practitioner orders for New Yorkers who qualify for long-term in-home care. This is an exciting new program that directly contributes to positive long-term outcomes for vulnerable populations in New York State. Job OverviewIPP is adding five new positions to the Operations Support Department. We’re looking for enthusiastic and engaged Operations Coordinators to join the program. In this position, you’ll be working on a supportive team to manage and maintain Practitioner appointments and workflows.  The Coordinator ensures that a Practitioner is assigned to the right case at the right time and helps remediate when changes need to happen.  Additionally, the Coordinator provides administrative support for case documentation. We’re seeking individuals who are people-oriented with great customer service skills, efficient work practices, and strong attention to detail.  If you love organizing and are interested in developing a career in the health services industry, then this is the organization for you.  We're looking forward to meeting you! Must HavesYou’ll need to have a High School Diploma or equivalent with at least two (2) years’ work experience.  You’ll bring great interpersonal skills to the team, as well as demonstrate the communication skills to interact effectively with people at all levels of the organization and outside the program. You are someone who is adaptable, able to work independently and eager to grow your career.
Job Locations US-NY-New York | US-NY-Bronx | US-NY-Brooklyn | US-NY-Jamaica | US-NY-Staten Island | US-NY-Rochester | US-NY-Buffalo
Requisition ID 2021-71226
Maximus is currently seeking a Nurse Supervisor to provide outstanding home assessment services to vulnerable populations and meet position qualifications to support the Conflict-Free Evaluation and Enrollment Center (CFEEC). The CFEEC serves the State of New York by conducting a UAS assessment to determine eligibility for community-based long-term services.  In this role, the nurse will have the opportunity to conduct home assessments and develop leadership skills by supporting the Regional Nurse Manager and a team of Nurse Assessors.   *This position is remote and will support a regional area in New York State. The position requires attending and conducting assessments in consumer homes or through a telehealth modality. About the Conflict-Free Evaluation and Enrollment Center (CFEEC)The Conflict Free Evaluation and Enrollment Center (CFEEC) serves the State of New York by conducting a UAS assessment to determine eligibility for community based long-term services.  The outcome of the assessment informs whether the individual qualifies for in-home services. We are rapidly expanding and have numerous exciting opportunities for Team Leads (and other positions!) across the state. About the PositionIf you are passionate about providing outstanding home assessment services to vulnerable populations and meet position qualifications, then we are excited to meet you!  In this role, you’ll have the opportunity to conduct home assessments and develop leadership skills by supporting the Regional Nurse Manager and a team of Nurse Assessors. We offer competitive benefits and the opportunity to grow in a supportive and collaborative work environment.  Take the next step in your career journey today and join our growing team! *As a large employer and Federal contractor, Maximus is subject to various vaccine mandates across our lines of business. Maximus is committed to complying with any applicable vaccine mandates. The specific vaccine requirements for this position will be outlined throughout the selection process. Individuals who believe they may qualify for a medical or religious accommodation will have the opportunity to apply for an accommodation following an offer of employment.
Job Locations US-NY-New York | US-NY-Brooklyn | US-NY-Jamaica Queens | US-NY-Bronx | US-NY-Rochester | US-NY-Staten Island | US-NY-Buffalo
Requisition ID 2021-71230
Maximus is currently hiring for RN Quality Assurance Specialists to support the Conflict-Free Evaluation and Enrollment Center (CFEEC). The CFEEC serves the State of New York by conducting a UAS assessment to determine eligibility for community-based long-term services.  The Quality Assurance Specialist will bring robust qualifications and a strong desire to contribute their knowledge and expertise to a meaningful program.  Specialists are on the front line of ensuring consistent and accurate assessment results by reviewing assessments and communicating with Nurse Assessors. About the Conflict-Free Evaluation and Enrollment Center (CFEEC)The Conflict-Free Evaluation and Enrollment Center (CFEEC) serves the State of New York by conducting a UAS assessment to determine eligibility for community-based long-term services. The outcome of the assessment informs whether the individual qualifies for in-home services. We are rapidly expanding and have numerous exciting opportunities across the state! About the PositionWe are hiring for Quality Assurance Specialists!  As a member of the CFEEC QA team, you'll bring robust qualifications and a strong desire to contribute your knowledge and expertise to a meaningful program.  The Department is composed of small teams of QA Nurse Specialists, each led by a supportive Supervisor.  Specialists are on the front line of ensuring consistent and accurate assessment results by reviewing assessments and communicating with Nurse Assessors.  We're looking for team members with great attention to detail and strong communication skills.  If this sounds like you, we're looking forward to meeting you!  *As a large employer and Federal contractor, Maximus is subject to various vaccine mandates across our lines of business. Maximus is committed to complying with any applicable vaccine mandates. The specific vaccine requirements for this position will be outlined throughout the selection process. Individuals who believe they may qualify for a medical or religious accommodation will have the opportunity to apply for an accommodation following an offer of employment.
Job Locations US-NY-New York
Requisition ID 2021-71148
Job Responsibilities: | | •Build and maintain executive dashboards reporting on key metrics for the | Project VP and other business units | •Support new BI reporting functionality as well as support the development | and improvement of new reporting | •Interface with Project Directors to understand data needs and help build | visualizations using the internal data warehouse | •Analyze data sets using statistical techniques and effectively | communicate trends and patterns that enhance the opportunities to the | business | •Storytelling - Translate data and analysis into a story to help drive decisions | across the organization | •Generate weekly and monthly reports with market trends past and present | •Design new data collection models to better collect information | •Utilize Power BI, PL/SQL Developer and other systems applications for | dashboard report development | | Position Requirements: | | •3 years of experience in data warehousing, data modeling, querying data | for analysis and building visualizations using Power BI | •Strong working knowledge of SQL, Microsoft PowerPoint and Microsoft | Excel | •Excellent verbal and presentation skills | •Strong analytical skills | •Ability to draw from numerical grounding to build data solutions that can | drive powerful insights | •Exceptional communication skills as well as the ability to simplify complex | information for internal stakeholders | •Time management skills to ensure deadlines are consistently achieved
Job Locations US-NY-New York
Requisition ID 2021-71146
This Reporting Analyst is responsible for designing, creating, analyzing, building, and distributing reports based on data collected in order to provide information regarding project performance and compliance. | | JOB RESPONSIBILITIES | | 1.Create and develop routine and ad-hoc reports utilizing Access and PL-SQL | 2.Work with departments and senior management to assess and evaluate reporting needs. | 3.Develop written reports and summaries of reports for internal and external sources. | 4.Assess reporting results through data investigation, analysis, and evaluation | 5.Ensure that reports support the overall scope of organization's business objectives | 6.Utilizes Crystal Reports, PL/SQL Developer and other systems applications for report development. | 7.Maintain data integrity and ongoing quality control of delivered reports | 8.Demonstrates excellent customer service skills when interacting both internally and externally | 9.Performs other duties as assigned by Management. | | Required Experience: | - Minimum 2 years of experience utilizing database software to manipulate data, generate reports and analyze data | - Minimum 2 years of experience using PL-SQL query generation and other report writing software such as Crystal Reports, Access or similar products | | Preferred Experience: | - Experience in the human, health, and/or managed care fields doing statistical analysis, trending, tracking and reporting of focused populations both on a routine and ad hoc basis | | Required Skills: | Strong analytical skills; excellent verbal and written communication skills, as well as interpersonal skills which are necessary to work in a team environment; working knowledge of and the ability to efficiently operate all applicable computer software applications such as Outlook, Word, Excel, PowerPoint, Visio, Oracle and Access; excellent organizational skills; ability to perform in a fast-paced, deadline – oriented work environment; ability to successfully execute many complex tasks simultaneously; ability to work as a team member, as well as independently.
Job Locations US-NY-New York
Requisition ID 2021-70923
About MaximusMaximus is a global organization that partners with national, state, and local governments to provide critical health and human services. With decades of experience designing, developing and delivering innovative programs and comprehensive solutions, Maximus is driven by a mission to strengthen communities and improve the lives of the people we serve. About the Independent Practitioner Panel (IPP)Maximus administers the Independent Practitioner Panel (IPP), which is currently looking for a Credentialing Coordinator.  The Credentialing Coordinator will be responsible for the credentialing and recredentialing process of the clinical staff.  This will include verification of all necessary provider licenses and credential information.  If you are interested in expanding your knowledge of credentialing process, this is the position for you! About the PositionYou will collect all the necessary credentials of incoming providers and perform primary source verifications of all provider credentials, which include licensure, DEA, NPDB, certifications, and additional verifications as required.  You will communicate proactively with candidates and staff and guide them through the credentialing process.  You will maintain necessary records and documentation required for provider credentialing and re-credentialing.   Must HavesThe successful incumbent must have a High School Degree or equivalent with at least one (1) year of experience in Credentialing and Recredentialing functions.  The incumbent will have knowledge of and implementation of NCQA standards for preparation of physician files.  Well-developed and professional interpersonal skills are desired, as well as the ability to interact effectively with people at all organizational levels. The Coordinator must display strong communication skills, both written and verbal. Knowledge of CAQH is preferred. Home Office Requirements:- Cell Phone:  Candidates must have their own cell phone- Computer Equipment:  Will be provided company-issued computer equipment- Internet:  Reliable high-speed internet service with 100 Mbps download speed
The Coordinator - Credentialing performs duties associated with the credentialing and recredentialing program for clinical staff, including verification of all necessary provider licenses and credentials information.
Job Locations US-NY-New York
Requisition ID 2021-70745
About MaximusMaximus is a global organization that partners with national, state, and local governments to provide critical health and human services. With decades of experience designing, developing, and delivering innovative programs and comprehensive solutions, Maximus is driven by a mission to strengthen communities and improve the lives of the people we serve. About New York Medicaid ChoiceMaximus New York is currently looking for an experienced Editor/Writer to support its New York Medicaid Choice (NYMC) project in New York, NY. NYMC was established in 1998 to support New Yorkers in selecting and enrolling in a health plan of their choice.  About the PositionThe Editor/Writer provides editing, writing, and production support for a high-volume, multi-track content development calendar with rigorous internal and client review and approval requirements. This is a great opportunity for someone with exceptional editorial skills who wants to grow in experience and responsibility within a terrific organization. The Editor/Writer is responsible for supporting the NYMC project with the creation of consumer-facing and internal content, including educational and procedural materials, letters, brochures, and newsletters. In this position, you will:- Deliver high-level editing and writing that meets the standards of clarity, organization, and impact of Maximus content.- Copyedit and proofread print and online content for style, grammar, punctuation, consistency, accuracy, and sensitivity.- Collaborate with communications staff to move content through multiple stages of editorial development, review/approval, and production.- Work closely with communications and program staff and outside vendors to provide quality assurance for NYMC content. What You'll BringThe ideal candidate will have:- 3-5 years of relevant experience- Superior writing, copyediting, and proofreading skills- Ability to successfully manage multiple projects and tasks concurrently within tight timeframes and with the utmost attention to detail- Facility editing both print and online content for maximum impact- Strong project management, time management, and problem-solving skills- Excellent organizational, interpersonal, and oral communication skills- A track record of performing well independently and as part of a team in a fast-paced, deadline-oriented environment Please submit a cover letter and writing along with your application. 

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