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Maximus is currently looking for a Clinical Review Lead Coordinator to join our team. The Lead Coordinator will be responsible for conducting SIS training, managing IRQ and department schedules, as well as ensure quality assessments and scheduling occurs. This is a hybrid remote opportunity with approximately 30% travel required to complete face to face assessments; must live in the state of Virginia. The remaining 70% of time will be worked from home. Why join Maximus?- Competitive Health Benefits- 401k with Company Match- Paid Time Off - Employee Assistance Program (EAP)- Career Development and Promotional opportunities
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 PositionWe're hiring a Supervisor – Outreach, Complaints Unitin Upstate, NY. 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 will be responsible for supervising the Complaint Unit, including all functions associated with Call Center Management and Complaint processing, along with monitoring the performance of assigned staff, providing feedback and education to staff to improve performance. This is a hybrid full-time position in Albany, NY. 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. Position Summary- Ensures Complaint Unit staff effectively responds to, investigate and track all written and verbal complaints and/or inquiries. - Ensures the Complaint Unit meets the established processing guidelines, protocols and contract requirements related to answering calls, complaint processing and the handling of PHI/PII. - Ensures the Complaint Unit uses sound and practical investigative techniques and knowledge to resolve complaints and inquiries- Responds to, investigates, resolves and tracks all written and verbal complaints and/or inquiries made by Medicaid and commercial managed care enrollees and providers to the State’s Managed Care Complaint Unit- Interfaces with and refer complaints and/or inquiries to the appropriate departments, agencies, advocates, and/or client representatives- Identifies and effectively communicates breakdowns in the complaint process and recommends solutions to the Field Operations Manager.- Ensure staff maintains updated knowledge of the project’s policies and knowledge of health plans.- Assist the Unit Manager to plan and implement assignments, establish work procedures, process guidelines and contract requirements related to complaint processing.- Provide daily direction and communication to Intake Unit staff so customer service calls and emails are answered in a timely, efficient and knowledgeable manner.- Assist with the intake, investigation resolution and tracking of all complaints and inquires assigned to the Bureau and ensure that all work produced by the Intake Unit is high quality and professional.- Review monthly unit productivity reports and work with staff as necessary- Maintains updated knowledge of managed care as it relates to Medicaid Managed Care, Managed Long Term Care, Child Health Plus, SNP, etc. - Work with the Unit Manager to help breakdown work assignments to develop and achieve training goals and work objectives.- Help employees develop a common understanding of their job and its relationship to the Unit’s mission.What You Bring1- 3 years supervisory experience in a health or social service field; knowledge of managed care as it relates to commercial, Medicaid Managed Care, Family Health Plus, Child Health Pus, Medicaid Advantage, HIV SNP, and Managed Long Term Care preferred; knowledge of medical terms and procedures; knowledge of the community to be served; Excellent people management skills; strong communication skills (written and oral); strong interpersonal and teamwork skills; strong organizational and time management skills; ability to perform comfortably in a fast-paced, deadline-oriented work environment; ability to manage multiple priorities / needs (multi-tasking ability); ability to work independently; proven ability to work effectively with community groups. Must reside in State of New York. Home Office Requirements:- Cell Phone: Candidates must have their own cell phone- Computer Equipment: Candidates must have their own Windows 10 PC or Laptop- Internet: Reliable high-speed internet service with 100 Mbps download speed
The Certified Rehabilitation Counselor will assist the clients in the WeCARE Program. Conducts a comprehensive Vocational assessment using TABE testing, structured interviews and other tools identified as necessary by the CRC. This is an ON SITE position in our Jamaica, Queens location.
Lead Human Resources team and individually contribute to business partnerships and full employment life cycle including the development and implementation of staffing, onboarding, individual and management development, performance management and organizational effectiveness, employee relations, compensation, reward and recognition, succession planning andregulatory compliance processes to attract, retain, develop and engage a talented and diverse workforce for organizational excellence.- Conduct organizational analysis and build business partnerships while managing team and contributing to the development and execution of HR and MAXIMUS talent management objectives. Collaborate with HR team on business initiatives and objectives including human resources and strategic planning.- Manage implementation and administration of HR processes including recruitment, selection, onboarding, orientation, performance management, employee relations, individual and leadership development, reward, recognition, compensation and benefits, health and safety, diversity, retention, succession planning and regulatory compliance.- Lead positive employee relations including high levels of employee engagement, development and recognition. Establish processes for issue identification and resolution.- Establish and measure HR metrics, analyze and make recommendations for process improvement. Lead change management initiatives. Proactively identify opportunities. Provide solutions to organizational challenges.- Collaborate, coach and counsel business partners and recommend interventions to meet and exceed organizational values and operating objectives.- Devise and implement retention strategy to meet the needs of the business. Partner with organizational leaders to identify and establish career path opportunities.- Drive regulatory compliance including USDOL, EEO and AAP requirements.- Continually improve individual competencies and subject matter expertise through professional development.- 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 managementEducation Required:- Bachelor’s degree from an accredited college or university or equivalent experience.- Preferred area of study in human resources or a related field. Background & Experience Required:- 5 years of related experience- 3 years of leadership/management experience- Demonstrated ability to handle employee relations at all levels of staff- Demonstrated ability to support large staff unit- Experience in a contact center environment preferred- PHR, SPHR, SHRM – CT PreferredSalary Range for this Position Starts at $74,000/year
Clinic Intake Specialists supporting the Veterans Evaluation Services (administered by Maximus) make an impact everyday by assisting providers and veterans on exam days in any manner needed. Primary responsibilities include general problem solving in a solutions-oriented manner for both providers and veterans as well as update case statuses as available. Candidates must possess the desire to assist our wounded veterans with a caring, positive, and patriotic attitude. To prepare you for this role, the VES provides paid, comprehensive training which ensures our specialists care for each Veteran with the highest levels of kindness, knowledge and professionalism. *Must live in or near Davenport, IA*Must be willing to travel to provide support to other clinics within the region
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 can reside in New York, or New Jersey but 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.#HighlightedJobs1122
IN OFFICE POSITION. MUST BE LOCAL TO MILWAUKEE
Maximus is currently looking for a Diagnostic Recruitment Manager to join our team in the Houston, TX area on a hybrid remote basis. The Diagnostic Recruitment Manager manages recruiting supervisors and administrators and oversees recruiting-related administrative tasks associated with the diagnostic recruiting team.