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Job Locations US-IL-Springfield
Requisition ID 2022-79599
Job Locations US-Remote
Requisition ID 2022-78381
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
Job Locations US-IN-Indianapolis
Requisition ID 2022-79574
This job is for an individual who is a self-starter, energetic and excited to work with the community to bring awareness to the program. It also requires patience, flexibility, and focus on deadlines and meeting metrics. | | This job is not for an individual who requires a ‘train-the-trainer environment’ or does not work well independently. | | JOB RESPONSIBILITIES: | | 1.Conduct outreach including outbound and inbound calls to the aging, blind, and/or disabled population in Indiana; | 2.Coordinate the outreach activities of the Outbound Call Team and report outcomes on an ongoing basis; | 3.Liaison with local Community Based Organizations and other area agencies who service the blind, aging, and/or disabled population in Indiana and function as the primary point of contact to these agencies; | 4.Develop and maintain positive relationships with community leaders, county staff, State agencies, and community groups to serve as a liaison with the various constituents; | 5.Conduct outreach presentations (program education and enrollment options) to recipients and community members as needed/requested; and | 6.Educate clients and staff to support initiatives. | | | Education & Experience Requirements: | | •High School diploma or equivalent required; | •Excellent written and verbal communication skills required; | •Ability to self-manage time, tasks, and teams required; | •Ability to perform comfortably in a fast-paced, deadline and detail-oriented work environment preferred; | •Two (2) years of experience in Call Center or a similar role for a health care-related organization preferred; | •Experience working with State of Indiana Family and Social Services Administration and/or Medicaid programs preferred; | •Ability to work as a team member as well as independently highly suggested; | •Proficient in MS Office products, specifically PowerPoint and Excel | •Demonstrates strong people skills; | •Ability to successfully execute many complex tasks simultaneously highly suggested;
Job Locations US-Remote
Requisition ID 2022-79536
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.
The 6 month time in position rule can be waived for CCO employees under the following circumstances : employees who were in an acting role and have returned to their home base position,  employees who are currently in an acting/limited-service role applying to the same role that is RFT,  employees who were unable to return to a home base position at the end of their acting role, or limited-service employees that are unable to secure a lateral or promotional position for continued employment at the end of their limited assignment.
Job Locations US-Remote
Requisition ID 2022-79577
The Project Manager is primarily responsible for daily management functions including developing and implementing strategic plans and objectives for the project. 
Job Locations US-NC-Raleigh
Requisition ID 2022-79487
Maximus’s Clinical Services Division performs a wide array of clinical assessment services for individuals with physical and/or mental disabilities seeking Medicaid-funded services and supports. The Program Manager reports to the Clinical Director. The Program Manager is accountable for the overall delivery of assessments serving children and adolescents with complex medical needs. The Program Manager drives operational excellence for their assigned contracts and will identify, manage, and execute process improvements that yield efficiencies and meet or exceed operational metrics. The Program Manager develops and promotes talent within their assigned contracts as well as drives employee satisfaction, retention and promotions. The Program Manager also leads special projects and initiatives as assigned by the Project Director. | | ESSENTIAL FUNCTIONS | 1. Manages day to day operations and performance of assigned contracts including P&L, quality and compliance with terms and conditions along with preparing and analyzing regular performance reports. | 2. Manages the customer relationship for assigned contracts ensuring effective and efficient communication along with addressing and resolving customer complaints. | 3. Provides leadership and direct supervision to assigned employees, including setting goals, monitoring work performance, coaching and evaluating results to ensure that objectives are met. | 4. Regularly interacts with senior management or executive levels on matters concerning assigned contracts. | 5. Participates in continual process improvement by monitoring, refining, and optimizing staffing, assignments, workflow and processes. | 6. Creates an effective work environment by involvement in developing and hiring superior talent and instilling a culture of accountability, measurability and discipline. | 7. Participates in developing, modifying and executing company policies that affect operations and may also have organization-wide effects. | 8. Works collaboratively and effectively with IT to ensure that product and service applications and technologies are optimized for assigned contract compliance, productivity, and quality performance. | 9. Performs other duties, as necessary. | ACCOUNTABILITY | • Maintains primary responsibility for ensuring customer satisfaction, resolving compliance issues, accountability for profit & loss and adherence to operational budgets with assigned contracts. | JOB REQUIREMENTS | Knowledge, Skills & Abilities | • Ability to lead and manage day to day operations and drive continuous improvement | • Strong outreach and stakeholder engagement skills | • Ability to work effectively in a “hands-on” management role, motivating staff through variety of communications vehicles | • Ability to document and re-engineer business processes | • Ability to create and direct a ‘daily management plan’ for all contracts | • Outstanding work ethic, integrity, and value system | • Excellent analytical and complex reasoning skills | • Ability to perform all job duties in compliance with Person First standards, HIPAA guidelines, and company confidentiality policies | • Ability to multitask effectively while performing job duties, including ability to prioritize tasks and ensuring all voice mail and email messages are returned within six business hours of receipt | • Strong organizational, supervisory and interpersonal skills | • Outstanding written and verbal communication skills | • Ability to interact professionally and collegially with referral sources (hospital & nursing home staff, physicians, social service workers, etc.), state contract officers, and coworkers | • Advanced skill with word processing, spreadsheet, presentation, and publishing software (Microsoft Word, Excel, PowerPoint, Publisher, and Visio strongly preferred) | | Credentials | The job requires a minimum of a Registered Nurse or Licensed Clinical Social Worker or equivalent with a valid, unrestricted North Carolina license. | | Experience: Minimum of 5 years of experience in community programs or acute/sub-acute settings servings serving children and youth with complex medical and behavioral health needs. Home health, hospital or rehabilitation experience strongly preferred. Experience with LTSS programs, Medicaid regulations and Fair Hearings preferred. | | *Role pending award of the contract.
Job Locations US-Remote
Requisition ID 2022-76636
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.
Job Locations US-TX-Pharr | US-TX-Brownsville
Requisition ID 2022-79570
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)
Job Locations US-KY-London | US-Corbin | US-Manchester | US-Williamsburg | US-Somerset
Requisition ID 2022-77176
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 
Job Locations US-Remote
Requisition ID 2022-76095
What You Will Do: | We are searching for a Software Developer with C++, SQL and Python to support the National Center for Biotechnology Information (NCBI) is part of the National Library of Medicine (NLM) at the National Institutes of Health (NIH) in North Bethesda, MD. NCBI is the world’s premier biomedical center hosting over six million daily users that seek research, clinical, genetic, and other information that directly impacts biomedical research and public health – at NCBI you can help accelerate cures for diseases by driving new life sciences discoveries, ranging from medical health (viruses and pandemics, genetic diseases, cancer) to public health (food safety monitoring, antimicrobial resistance, viral outbreaks), to basic research topics in computational biology, bioinformatics and microbial diversity. NCBI’s wide range of applications, platforms (Node, Python, Django, C++ etc) and environments (petabytes of big data, machine learning, multiple clouds) serve more users than almost any other US Government Agency according to https://analytics.usa.gov/. This work can be done remotely. | | Job Responsibilities: | •Responsible for the development, implementation, testing, and continued maintenance of NCBI platforms such as the Assembly and Foreign Contamination databases and websites. | •Work with a diverse team of scientists, bioinformaticians, developers and product professionals to build and improve robust, flexible solutions serving databases, APIs, websites and service. | •Replace legacy software. Focus on back end development. | •Learn new technologies, keep up with the internal systems, and share your knowledge with the team. | | Required Skills: | •Proficiency in C++, SQL, Python and/or JavaScript and familiarity with their associated ecosystems | •3+ years of experience developing large databases or working in a distributed computing environment | •Programming experience in a Linux environment | •Experience with relational databases, Microsoft SQL or similar relational database design and optimization | •Ability to work with common structured documents (at least one of XML, JSON) | •Scan objects for malware, bugs, vulnerabilities, and apply fixes | •Understanding of network data protocols | •Experience with shell scripting | | Desired Skills: | •Experience working with genetic and biological data | •Experience using web services and RESTful APIs | •Experience with BASH, csh and/or Perl scripting language | •Experience with CI/CD pipelines, unit tests, integration and regression testing | •Knowledge of agile software development techniques and practices | •Experience with Docker or other containerization mechanisms | •Experience with Cloud technologies a strong plus | | Minimum Education Required: | •Bachelor’s Degree | | Other Requirements: | Due to our contractual requirements and federal orders, including an Executive Order from the White House and an emergency regulation from the Centers for Medicare & Medicaid Services (CMS), the position for which you are applying requires that you provide proof of your vaccination status. If you are unable to receive the COVID-19 vaccine for medical reasons or because of a sincerely held religious belief, you may request an exemption from the vaccination requirement which shall be reviewed after the submission of requested documentation. If an accommodation is granted, the conditions may include weekly testing and masking. All Maximus employees also agree to follow any additional health and safety mitigation policies that may be required in the workplace.
Job Locations US-WI-Milwaukee
Requisition ID 2022-79358
The Case Management Counselor is responsible for helping to ensure that the customer is able to access and receive program services.
Job Locations US-AZ-Phoenix | US-Surprise | US-Mesa | US-Buckeye | US-Avondale
Requisition ID 2022-79433
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
Job Locations US-AZ-Phoenix | US-Surprise | US-Mesa | US-Buckeye | US-Avondale
Requisition ID 2022-79422
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
Job Locations US-AZ-Phoenix | US-Surprise | US-Mesa | US-Buckeye | US-Avondale
Requisition ID 2022-79432
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
Job Locations US-WA-Kent
Requisition ID 2022-79541
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.   
Assist providers and veterans on exam days in any manner needed. General problem solving in a solutions- oriented manner for both providers and veterans. Update case statuses as available. Must possess the desire to assist our wounded veterans with a caring, positive, and patriotic attitude.
Job Locations US-NC-Raleigh
Requisition ID 2022-79507
Job Locations US-TX-Brownsville | US-TX-Harlingen
Requisition ID 2022-78321
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
Job Locations US-KS-Lawrence
Requisition ID 2022-79332
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.
The OPM Customer Service Representative II CSR) is responsible for delivering general OPM healthcare enrollment information to callers. The Customer Service Representatives use basic office equipment and technology such as soft telephones, email, chat and web browsers to perform their duties. The processes that the Customer Service Representatives must follow are well defined and documented in training and work instructions. | The Customer Service Representative II reports directly to the Customer Service Supervisor. This is a level responsible for disseminating general OPM Healthcare enrollment information and assisting CSR I with their questions and providing the location of reference material. Enrolling callers into their healthcare plan of their choice, providing the location of healthcare plan information, referral to other agencies, enrollment guidelines and a general OPM health care background will be the focus with callers. The Customer Service Representative II when unsure how to respond to the caller will consult a Customer Service Supervisor.
Job Locations US-FL-Riverview | US-FL-Tampa | US-Brandon | US-FL-Plant City | US-Ruskin
Requisition ID 2022-79324
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
Job Locations US-FL-Riverview | US-FL-Tampa | US-Brandon | US-FL-Plant City | US-Ruskin
Requisition ID 2022-79326
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

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