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JOB DESCRIPTION POSITION SUMMARY: The Business Analysis Manager’s primary function is to lead the team of Business Analysts responsible for reviewing, analyzing, and evaluating user requirements and system functionality in the implementation of a Provider Data Management System. Tasks will include managing requirements validation and requirements analysis, documenting processes, and validating system performance against requirements. The Business Analysis Manager needs to work directly with project management and executive client leadership while managing BA activities to the project schedule. Medicaid program experience is required. Provider Management knowledge is a plus. JOB RESPONSIBILITIES: - Managing team of business analysts in the implementation of a Provider Data Management System.- Working closely with project manager aligning analysis team activities with project plan.- Planning requirements validation and elaboration sessions.- Working directly with client leadership and subject matter experts.- Evaluating business processes, anticipating requirements, uncovering areas for improvement, and developing and implementing solutions.- Contribute expertise in provider services-related business functions, including advanced knowledge in the review and approval of provider eligibility- Lead/support requirements and design sessions- Analyze, document and clarify system business requirements- Create Functional Design Documents for system enhancements- Manage scope and implementation schedules for product releases- Maintain system documentation- Interact daily with state clients and internal customers regarding system status and day-to-day processing- Support user staff with analysis and resolution of issues- Analyze complex data and measure outcomes- Coordinate with technical staff to sufficiently understand technical requirements, specifications, and processes- Other duties as assigned by management EDUCATION AND EXPERIENCE REQUIREMENTS: - A minimum of a bachelor’s degree or four years related work experience - Four years of direct experience as a business analyst in design, development, testing, and implementation of software- Knowledge of Medicaid and provider enrollment business processes- Knowledge of system design and development process - Strong understanding of system testing metrics, best practices, and methodologies- Experience with EDI X12 transactions preferred (270 – Member Eligibility, 278 – Prior Authorization, and 837 – Claims Submission, 276/277 – Claims Adjudication)- Experience with Provider screening, certification, and credentialing activities and interfaces preferred- Experience working with State government clients in the Medicaid systems domain preferred- Strong interpersonal skills- Excellent organizational, interpersonal, verbal, and written communication skills- Ability to perform comfortably 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
Maximus is currently looking for a Senior Business Reporting Analyst to join the team. The Senior Business Reporting Analyst will be in charge of extracting, summarizing and combining data from various systems to create high level dashboards, reports and web applications while taking current business metrics and processes into account.
Maximus is currently hiring Customer Service Representatives to support the FSA. *Must live in Duval, Clay, Nassau, St. John's, Putnam, Baker, Clay, or Camden County **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.
Maximus is looking for a Human Resource Specialist. The HR Specialist will be responsible for providing human resources support including but not limited to company policies, recruiting, onboarding, providing employment law expertise, and solving employee relations problems such as investigations, mediations, progressive discipline, employment terminations, etc. This position will be providing on-site HR support to both our Maximus Brownsville and Pharr locations. (travel between both sites)
Every day, Customer Service Representatives (CSRs) at Maximus are entrusted to serve some of the most vulnerable communities by providing customer care to millions of Americans who need to maneuver through complex healthcare plans. During these uncertain times we ensure that we are delivering the best outcomes possible for our clients and customers - ensuring every action (via phone, webchat or email) is thoughtful, open, transparent, and done with integrity. To prepare you for this role, Maximus provides paid, comprehensive training which ensures our customer service representatives care for each caller with the highest levels of knowledge and professionalism. Please note this job posting is for upcoming classes in London, KY; targeted start date is discussed with recruiter. This is an onsite, regular PT position. Pay and Benefits:- Base rate $15.00/hr - $1,800+ in potential bonuses* - 401K with company match- Paid accrued Sick Leave and 11 paid holidays- Accrued PTO after 1 year of employment- Company paid, base employee Medical Coverage- Employee Assistance Program (EAP)- Employee Wellness and Discount Programs- Flexible scheduling options that meet lifestyle and family goals- A supportive environment with peers who share your passion for improving people’s lives- Career development and promotional opportunities- No cold calling, sales, or collection calls! *Eligibility requirements apply, ask your recruiter for more details
Every day, bilingual Spanish Customer Service Representatives (CSRs) at Maximus are entrusted to serve some of the most vulnerable communities by providing customer care to millions of Americans who need to maneuver through complex healthcare plans. During these uncertain times we ensure that we are delivering the best outcomes possible for our clients and customers - ensuring every action (via phone, webchat or email) is thoughtful, open, transparent, and done with integrity. To prepare you for this role, Maximus provides paid, comprehensive training which ensures our customer service representatives care for each caller with the highest levels of knowledge and professionalism. Please note this job posting is for upcoming classes in Phoenix, AZ; targeted start date is discussed with recruiter. This is an onsite, regular FT 3rd shift - overnight position. Pay and Benefits:- Base rate $19.78/hr- 10% overnight shift differential when working between the hours of 7:00pm-5:00am- $1,800+ in potential bonuses* - 401K with company match- Paid accrued Sick Leave and 11 paid holidays- Accrued PTO after 1 year of employment- Company paid, base employee Medical Coverage- Employee Assistance Program (EAP)- Employee Wellness and Discount Programs- Flexible scheduling options that meet lifestyle and family goals- A supportive environment with peers who share your passion for improving people’s lives- Career development and promotional opportunities- No cold calling, sales, or collection calls! *Eligibility requirements apply, ask your recruiter for more details
Every day, bilingual Spanish Customer Service Representatives (CSRs) at Maximus are entrusted to serve some of the most vulnerable communities by providing customer care to millions of Americans who need to maneuver through complex healthcare plans. During these uncertain times we ensure that we are delivering the best outcomes possible for our clients and customers - ensuring every action (via phone, webchat or email) is thoughtful, open, transparent, and done with integrity. To prepare you for this role, Maximus provides paid, comprehensive training which ensures our customer service representatives care for each caller with the highest levels of knowledge and professionalism. Please note this job posting is for upcoming classes in Phoenix, AZ; targeted start date is discussed with recruiter. This is an onsite, regular FT position. Pay and Benefits:- Base rate $19.78/hr - $1,800+ in potential bonuses* - 401K with company match- Paid accrued Sick Leave and 11 paid holidays- Accrued PTO after 1 year of employment- Company paid, base employee Medical Coverage- Employee Assistance Program (EAP)- Employee Wellness and Discount Programs- Flexible scheduling options that meet lifestyle and family goals- A supportive environment with peers who share your passion for improving people’s lives- Career development and promotional opportunities- No cold calling, sales, or collection calls! *Eligibility requirements apply, ask your recruiter for more details
Every day, bilingual Spanish Customer Service Representatives (CSRs) at Maximus are entrusted to serve some of the most vulnerable communities by providing customer care to millions of Americans who need to maneuver through complex healthcare plans. During these uncertain times we ensure that we are delivering the best outcomes possible for our clients and customers - ensuring every action (via phone, webchat or email) is thoughtful, open, transparent, and done with integrity. To prepare you for this role, Maximus provides paid, comprehensive training which ensures our customer service representatives care for each caller with the highest levels of knowledge and professionalism. Please note this job posting is for upcoming classes in Phoenix, AZ; targeted start date is discussed with recruiter. This is an onsite, regular PT position. Pay and Benefits:- Base rate $19.78/hr - $1,800+ in potential bonuses* - 401K with company match- Paid accrued Sick Leave and 11 paid holidays- Accrued PTO after 1 year of employment- Company paid, base employee Medical Coverage- Employee Assistance Program (EAP)- Employee Wellness and Discount Programs- Flexible scheduling options that meet lifestyle and family goals- A supportive environment with peers who share your passion for improving people’s lives- Career development and promotional opportunities- No cold calling, sales, or collection calls! *Eligibility requirements apply, ask your recruiter for more details
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 Kent, WA. **Candidates must be willing to travel to provide support to other clinics within the region.
Every day, bilingual Spanish Customer Service Representatives (CSRs) at Maximus are entrusted to serve some of the most vulnerable communities by providing customer care to millions of Americans who need to maneuver through complex healthcare plans. During these uncertain times we ensure that we are delivering the best outcomes possible for our clients and customers - ensuring every action (via phone, webchat or email) is thoughtful, open, transparent, and done with integrity. To prepare you for this role, Maximus provides paid, comprehensive training which ensures our customer service representatives care for each caller with the highest levels of knowledge and professionalism. Please note this job posting is for upcoming classes in Brownsville, TX; targeted start date is discussed with recruiter. This is an onsite, regular PT position. Pay and Benefits:- Base rate $16.50/hr - $1,800+ in potential bonuses* - 401K with company match- Paid accrued Sick Leave and 11 paid holidays- Accrued PTO after 1 year of employment- Company paid, base employee Medical Coverage- Employee Assistance Program (EAP)- Employee Wellness and Discount Programs- Flexible scheduling options that meet lifestyle and family goals- A supportive environment with peers who share your passion for improving people’s lives- Career development and promotional opportunities- No cold calling, sales, or collection calls!*Eligibility requirements apply, ask your recruiter for more details
Maximus is currently looking for OPM Seasonal/Limited Services Customer Service Representative (s) II at the Lawrence, KS location. ) This position maintains mastery level knowledge of OPM program processes. CSRs demonstrate a commitment to incremental and continued performance improvement and respond to priority calls with knowledgeable responses. This position will report on site to our Lawrence Kansas Location.
Every day, Customer Service Representatives (CSRs) at Maximus are entrusted to serve some of the most vulnerable communities by providing customer care to millions of Americans who need to maneuver through complex healthcare plans. During these uncertain times we ensure that we are delivering the best outcomes possible for our clients and customers - ensuring every action (via phone, webchat or email) is thoughtful, open, transparent, and done with integrity. To prepare you for this role, Maximus provides paid, comprehensive training which ensures our customer service representatives care for each caller with the highest levels of knowledge and professionalism. Please note this job posting is for upcoming classes in Riverview, or Tampa FL; targeted start date is discussed with recruiter. This is an onsite, regular FT position. Pay and Benefits:- Base rate $17.00/hr - $1,800+ in potential bonuses* - 401K with company match- Paid accrued Sick Leave and 11 paid holidays- Accrued PTO after 1 year of employment- Company paid, base employee Medical Coverage- Employee Assistance Program (EAP)- Employee Wellness and Discount Programs- Flexible scheduling options that meet lifestyle and family goals- A supportive environment with peers who share your passion for improving people’s lives- Career development and promotional opportunities- No cold calling, sales, or collection calls!*Eligibility requirements apply, ask your recruiter for more details
Every day, bilingual Spanish Customer Service Representatives (CSRs) at Maximus are entrusted to serve some of the most vulnerable communities by providing customer care to millions of Americans who need to maneuver through complex healthcare plans. During these uncertain times we ensure that we are delivering the best outcomes possible for our clients and customers - ensuring every action (via phone, webchat or email) is thoughtful, open, transparent, and done with integrity. To prepare you for this role, Maximus provides paid, comprehensive training which ensures our customer service representatives care for each caller with the highest levels of knowledge and professionalism. Please note this job posting is for upcoming classes in Riverview, or Tampa FL; targeted start date is discussed with recruiter. This is an onsite, regular FT position. Pay and Benefits:- Base rate $18.70/hr - $1,800+ in potential bonuses* - 401K with company match- Paid accrued Sick Leave and 11 paid holidays- Accrued PTO after 1 year of employment- Company paid, base employee Medical Coverage- Employee Assistance Program (EAP)- Employee Wellness and Discount Programs- Flexible scheduling options that meet lifestyle and family goals- A supportive environment with peers who share your passion for improving people’s lives- Career development and promotional opportunities- No cold calling, sales, or collection calls!*Eligibility requirements apply, ask your recruiter for more details