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Job Locations US-VA-Richmond
Requisition ID 2020-57771
The Business Analyst on site shall provide oversight of all information management systems, telephony systems, etc. and lead development and production of reports and coordination with VaMMIS, VaCMS and other State systems as applicable.
Job Locations US-VA-Reston
Requisition ID 2020-57977
The Threat and Vulnerability Management (TVM) Analyst participates in reducing the risk of computing assets through the identification and assessment of network and application security vulnerabilities. The Analyst is responsible for analysis of the data generated by the vulnerability management solutions, coordination of remediation with internal stakeholders through the enterprise, and completion of day to day tasks associated with vulnerability management program. Works in partnership with all departments to integrate security controls into a cohesive architecture that sufficiently mitigates risk to the company. Develops and maintains a portfolio of TVM standards and procedures. | | Essential Duties & Responsibilities: | •Schedule and perform regular scanning activities of both corporate and cloud environments to identify network, host, and application security vulnerabilities | •Review security vulnerabilities across a variety of technologies and environments to identify risks to computing assets | •Provide technical vulnerability analysis and remediation options | •Lead discussions with internal stakeholders to ensure remediation efforts adhere to corporate standards | •Identify attack surface reduction opportunities through vulnerability data analysis | •Maintain and compose operational process documentation regarding program execution | •Provide mentorship and training to junior members to the team on vulnerability analysis & risk ratings | •Performs other related duties as assigned. | | Requirements & Qualifications: | •Bachelor’s degree with 5 years of security or technology related experience, 7 years preferred | •Professional certifications, such as Security+, CEH, or CISSP, desirable | •Knowledge of IPv4 network architecture and core services | •Knowledge of web application development and architecture | •Knowledge of network security controls | •Knowledge of vulnerability management | •Experience with interactive and dynamic application security testing tools | •Experience with vulnerability management (VM) tools | •Familiarity with OWASP Top 10, WASC Threat Classification, and CVE | •Familiarity with NIST SP 800-53 | •Excellent analytical, decision-making, and problem-solving skills | •Must be able to multitask in a fast-paced environment with focus on timeliness, documentation, and communications with peers and business users alike | •Ability to communicate well, both verbally and in writing, to technical and non-technical audiences of various levels within Maximus or outside the organization (executives, auditors, clients, etc.) | •Results oriented, business focused, and successful at interfacing across multiple organizational units
Job Locations US-NY-New York
Requisition ID 2020-58023
The incumbent in this position supports business operations in state/federal policy analysis, requirements, impact and change analysis, business process modeling and redesign, knowledge management software systems and business intelligence. The incumbent also actively participates in overall strategic planning by linking project-specific activities with broader needs across the division and will interact routinely with all levels of operation and group management, infrastructure POCs, staff and customers.
Job Locations US-TN-Franklin
Requisition ID 2020-58024
This position is for a bid and any offer is dependent upon the award of the contract to Maximus. The project is located in Franklin, Tenn., however the position will be remote to begin due to the pandemic.
Job Locations US-VA-Falls Church
Requisition ID 2020-57948
Are you a Senior Proposal Writer who enjoys the challenge of writing proposals and working on a collaborative team? Are you looking for an opportunity to work with an established company that values its employee’s enthusiasm and technical contributions? Maximus has an exciting career opportunity for a Senior Proposal Writer position within the Proposal Operations Group. | The primary responsibility of the Senior Proposal Writer will be to work with the Proposal Manager, Business Development and Operations Personnel to plan and deliver major proposals to a wide range of Government clients at locations worldwide. This position is a highly visible role that works closely with senior leadership, capture personnel, and operations management to write, edit, review, and produce winning proposals typically valued between $20 Million and $1Billion. | We encourage you to apply for this opportunity. Maximus is dedicated to providing the atmosphere to allow individuals to grow their career. We offer an extremely varied and interesting diversity of clients and projects with an opportunity to learn new things every day. We’d love you to join our team of friendly, hard-working dedicated and collaborative professionals. Our ideal candidate is seeking challenging work and the opportunity to make a difference. | | Essential Duties & Responsibilities: | •Write responses to Requests for Proposals, Requests for Information, and other federal, state or international government requests | •Create compliant, compelling responses for assigned proposal sections/topics and create associated graphics, charts, tables, appendices and other information in support of proposal development | •Ensure win strategy, technical solution, win themes, discriminators, compliance, and clear understanding of the requirement are well-articulated and consistent throughout final proposal documents | •Analyze government solicitations, identify response requirements, and prepare unique, tailored, and detailed proposal responses in compliance with government agency requirements | •Write Management, Past Performance, Resumes and Plan RFP volumes | •Review and edit proposal responses for consistency, compliance, win theme incorporation, solution accuracy, and other elements during regular and core team review cycles to create the final proposal submission | •Research relevant corporate, project, client and industry statistics and data in support of creating proposal responses for all MAXIMUS lines of business, segments, and international entities | •Mentor junior writers on the team | •Manage activities of two or more sections | •Work on issues where analysis of situations or data requires an in-depth knowledge of company markets and strategic objectives. | •Remain current on all solicitation modifications/Q&As and communicate them to the team, | •Revise schedules, outlines, and compliance matrixes as necessary throughout proposal life cycle | •Coordinate with graphic designers to conceptualize, develop, and integrate compelling proposal graphics that convey concepts and proposed solutions to enhance proposal documents | •Collaborate with Capture Managers, Technical Leads/PMs, and SMEs as required | •Coordinate with creative services staff to conceptualize, develop, and integrate compelling proposal graphics that convey concepts and proposed solutions and enhance proposal documents | •Uses automated proposal collaboration and document management tools, including SharePoint | •Support other Proposal Operations activities as needed | Requirements & Qualifications: | •Ability to develop compelling themes, discriminators, and messaging to communicate and support value proposition | •Ability to guide and effectively influence with and without authority; strong interpersonal skills and the ability to interface with all levels of management, proposal teams, SMEs, peers, and teaming partners | •Ability to lead development of graphics that support win themes, solution, and key messaging | •Ability to create original content using interview and research techniques | •Ability to prioritize and write several projects simultaneously, to include hands-on and strategic support | •Ability to work to meet deadlines (work overtime as needed) | •Ability to work well independently or as part of a team | •Ability to work remotely and/or with geographically disparate teams | •High School degree or GED required and 15 years of relevant experience or; Bachelor’s Degree with at least 10 years’ proposal writing experience with at least 5 years’ Federal Government proposal management, support, and/or writing experience | •Experience implementing standard proposal processes or procedures | •Fluency with Microsoft Office (Word, Excel, PowerPoint, Outlook) and SharePoint | Preferred Qualifications | •Evidence of successful support to large competitive proposals with values more than $100m. Prior Volume Lead experience a plus. | •Experience leading teams of proposal writers and subject matter experts to deliver winning proposal content | •Candidate may be required to provide a portfolio of representative writing samples | •Candidate may be required to complete a timed writing and/or editing exercise during the interview process | •Formal proposal training and/or certifications (e.g., APMP) preferred
Job Locations US-PA-Harrisburg
Requisition ID 2020-57825
Job Locations US-TX-Brownsville
Requisition ID 2020-57879
The Case Investigators will conduct epidemiological interview and elicit primary contacts from a confirmed COVID-19 positive individual not contacted by the County Health Department. Estimated time for a case investigation is maximum of 60 minutes. | | General Activities: Trace and monitor contacts of persons with confirmed COVID-19 infection. Provide surge support to Jefferson County health departments to investigate newly identified COVID-19. | | Conduct initial interview to identify: | a.Potential exposure of a long-term care, or other priority, facility (e.g. patient, healthcare provider, staff, visitor, etc.) | b.Other potential points of exposure | c.Identify close primary contacts | d.Contact exposed or potential contacts of confirmed cases and provide guidance for self-isolation and monitoring of symptoms | e.Provide locations and information for testing facilities | f.Collect other key data including: | i.Race/ethnicity | ii.COVID-19 symptoms | iii.Underlying Conditions | iv.Location | v.Willingness to support contact tracing using technology | | Essential Duties and Responsibilities: | •Call all newly diagnosed COVID-19 individuals. | •Communicate with cases in a professional and empathetic manner. | •Conduct epidemiological investigations and record all information into the approved system. | •Provide cases with approved information about Missouri COVID-19 prevention and care procedures, and if appropriate, link to care according to protocol. | •Case investigators will follow the procedures established by the Department | | Qualifications: | •Ability to exhibit a professional, positive attitude and work ethic | •Excellent interpersonal skills required and ability to interact professionally with culturally diverse individuals during a time of crisis and distress | •Experience with motivational interviewing and/or epidemiological investigations | •Ability to show empathy to distressed individuals | •College level, or equivalent required | •Excellent organizational and communication skills | •Ability to speak, read, and write English | •Second or multiple languages a plus, specifically Spanish | •Critical thinking and sound judgment required | •Ability to handle confidential information with discretion and professionalism | •Proficiency with computers and phone systems | | Education and Experience: | •Must have a High School Diploma and 4 years of experience in an outbound call center (Clinical experience preferred) | •Associates Degree preferred and two years of experience in an outbound clinical call center | | Physical Requirements / Working Environment: | •Prolonged periods of sitting at a desk and working on a computer. | •Works mainly in an office environment or remotely.
Job Locations US-TX-Brownsville
Requisition ID 2020-57821
The Operations Manager is responsible for providing oversight of operations by ensuring process and procedures are followed, , managing staff, daily operation activities, and planning the use of materials and human resources administrative services. Provides input to identify and implement innovative strategies to create operational efficiencies and processes for day-to-day Project functions. Ensures “best practices” are institutionalized to improve quality and overall delivery of present and future opportunities across the Project. Also responsible for performance management and reporting. | | Essential Job Duties: | •Oversee operations functions and staff on a daily basis to ensure that all contractual requirements for processing applications, invoices, adjustments and appeals are met | •Responsible for identifying and resolving issues, problems, and concerns with employees Ensure adequate staffing levels, staff training, and compliance to meet contractual requirements | •Receive assignments in the form of objectives and determine how to use resources to meet schedules and goals | •Provide assistance and updates to staff regarding the programs, policies, and procedures | •Recommend changes to policies and establishes procedures | •Develop unit goals and objectives, and monitor achievement of these goals | •Conduct ongoing audits and review reports to identify areas for improvement | •Interact with different levels of external and internal customers | •Complete reports and metrics for the project and the Customer | •Ensure the confidentiality and security of all information | •Participate in program special projects as required. | •Travel to contact center locations and customer sites may be required. | •Flexibility required to work holidays, weekends and /or weekends to meet training needs. | •Flexibility required to work a number of shifts, including 3rd , shift that could change weekly to meet the needs of the training program. | •Perform other duties as assigned by leadership | | Requirements: | •A Bachelor’s Degree from an accredited college or university; equivalent experience will be considered in lieu of degree | •At least three (3) to five (5) years of experience in operation management | •Ability to perform quantitative and qualitative analyses of existing business processes | •Ability to coach, develop and mentor team members | •Excellent organizational, written, and verbal communication skills | •Ability to perform comfortably in a fast-paced, deadline-oriented work environment | •Proficient in Microsoft Office products | •Ability to work as a team member, as well as independently | •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
Job Locations US-MO-Kansas City
Requisition ID 2020-57546
This is a BID requisition -contingent upon Maximus being awarded the MO Enrollment Broker contract.  This position shall be responsible for all activities including project planning, status reporting, risk and issue management, change control, project monitoring, document management, and project management performance metrics.
The Project Manager is responsible for the execution of the overall operation of the assigned project(s), overall performance to contract requirements, and MAXIMUS quality and performance. The Project Manager will oversee all contract administrative functions including budget, financial controls and human resources. | | | Responsibilities: | •Establishes and maintains relationships with representatives of client agencies, stakeholders, and community organizations to promote and develop MAXIMUS services | •Represents MAXIMUS and the project in external meetings and forums | •Develops and maintains comprehensive knowledge of programs, MAXIMUS services, and project operations | •Oversees the development of proposals and pricing for amendments and new work | •Identifies new business opportunities | •Ensures project compliance with all applicable corporate, contract, state and federal requirements and regulations | •Provides executive management of the project's financial plan and forecast | •Develops performance goals and objectives for direct reports and monitors the achievement of those goals | •Other duties as may be assigned by corporate management | | Minimum Requirements: | - Bachelor degree or equivalent combination of education, technical training or work experience considered in lieu of degree. PMP Certification, strongly preferred. | - Minimum 3 years of management experience, 5 years of related experience. | - Able to manage large-scale operations, including single or multiple sites. | - Proven ability with operational analyses, processes and performance indicators. | - Capable of performing comfortably in a fast- paced, deadline-oriented work environment. | - Strong client management skills. | - Able to successfully execute many complex tasks simultaneously. | - Excellent organization, written and verbal communication skills. | - Capable of working as a team member as well as independently.
Job Locations US-NC-Raleigh
Requisition ID 2020-57447
SUMMARY | The Medical Director supports projects within Maximus’s Clinical Services Division, which performs a wide array of clinical assessment services for individuals with physical and/or mental disabilities seeking Medicaid-funded services and supports. The Medical Director serves as the project’s chief medical expert. The Medical Director provides consultation and training to project leadership and Registered Nurse (RN) reviewers to ensure all clinical reviews adhere to standards set forth in law and regulation and expectations set by the client and executive leadership. The Medical Director reports to the Project Director. | ESSENTIAL FUNCTIONS | 1.Provide consultation as needed to clinical review teams regarding complex cases, as well as mediation and appeals cases. | 2.Direct quality assurance oversight of nurse and physician work products. | 3.Provide advice and counsel to the client as directed. | 4.Drive innovative solutions to include automation to ensure cutting edge strategies & implementation of best practices within our industry. | 5.Direct the development of training materials for nurses and physicians. | 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 demonstrate not less than two years' experience in a management role with oversight of quality assurance or medical management functions, including disability review/evaluation and evidence-based medicine research or application. | •Ability to work effectively in a “hands-on” management role, motivating staff through variety of communications vehicles to include remote working when necessary. | •Assist program staff in consistent interpretation of relevant all federal and state-specific criteria and guidelines | •Direct and control the activities of a broad functional area through several department managers within the company. | •Has overall control of planning, recommending and implementing changes to methodology and standards for performance. | •Work on complex issues where analysis of situations or data is utilized to accurately drive performance decisions and/or company NC business trajectory. | •Participate in corporate development of methods, techniques and evaluation criteria for projects, programs, and people. | •Regularly interact with executives and/or major customers. | •Excellent organizational, interpersonal, written, and verbal communication skills. | •Ability to successfully execute many complex tasks simultaneously. | Education | Doctorate of Medicine, board-certified and licensed to practice medicine in North Carolina and meet stringent credentialing standards. Expertise in North Carolina Medicaid and standards of care strongly preferred. | Experience | The job requires seven (7) years of experience managing operations, preferably in Medicaid-funded healthcare program, mental health, or a related field.
Job Locations US-NC-Raleigh
Requisition ID 2020-57448
The Clinical Director oversees quality functions in Maximus’s Clinical Services Division, which performs a wide array of clinical assessment services for individuals with physical and/or mental disabilities seeking Medicaid-funded services and supports. The incumbent provides management and execution of key quality, technical, and operational processes to support program and technical operations. This role is based in Raleigh, NC; however, due to precautions related to COVID-19, this position may be temporarily remote. | | | ESSENTIAL FUNCTIONS | 1.Directs clinical operations of the company, ensuring compliance with standards. Holds formal and informal meetings and discussions with employees to offer clinical support and ensure clinical compliance in all areas of operations. Ensures clinical standards are incorporated into all project plans. Informs the Project Director about new and ongoing clinical issues. Communicates clinical updates throughout the company. | 2.Directs the management of the company Quality Improvement Plan (QIP) with the Quality Improvement Manager, ensuring compliance with standards and meeting customer expectations. Develops and monitors QIP processes and informs Project Direction about quality performance issues. | 3.Leads investigations of all clinical concerns, including formal complaints and quality of care concerns, through careful analysis of documentation and discussions with associated employees, customers, and/or stakeholders. Ensures complaints investigation and quality of care concern processes are followed and recommends course(s) of action to Project Director. | 4.Responsible for the delivery of a wide range of complete strategic program and/or business process analytics for the project. Analyzes trends and creates solutions to ensure that customer service needs are met, and the program remains in compliance. Collects reportable data and completes any reporting needs for the project. | 5.Directs the management of the quality of the program with the Project Director, ensuring compliance with standards and meeting customer expectations. Develops and monitors quality processes and informs Program Director about quality performance issues. | 6.Translates reportable data into information, interprets data, and understands the implications of data to the business. Provides recommendations to management, create and implements strategies to ensure that productivity goals are met while containing costs for the program. | 7.Documents program issues and performance measures for management review, and provides information to assist in the feedback and formal education process of employees. Develop processes to build operational policies, procedures, and/or user guides for the project. | 8.Address exceptional issues related to quality, service and compliance of the project. Analyzes operational processes, including reviewing, creating, and improving policies, procedures, systems, forms, and reports. Analyzes existing forms and methods to promote effective operations through standardization, improvement, simplification, discontinuance or other methods. | 9.Responsible for working with the IT Vendor to develop improved systems to ensure effective program operations. | 10.Performs other duties, as necessary or assigned by the Project Director. | | ACCOUNTABILITY | •Accountable for meeting all established quality and data analysis goals for the project | | JOB REQUIREMENTS | Knowledge, Skills & Abilities | •Ability to lead and drive continuous quality improvement | •Ability to work effectively in a “hands-on” management role | •Outstanding work ethic, integrity, and value system | •Excellent clinical process skills | •Ability to perform all job duties in compliance with Person First standards, HIPAA guidelines, and company confidentiality policies | •Ability to analyze large and varied sets of data and draw meaningful conclusions | •Ability to multitask effectively while performing job duties, including ability to prioritize tasks and ensuring all voice mail and email messages are returned expeditiously | •Excellent organizational skills | •Excellent negotiation and interpersonal skills, including ability to use effective diplomacy in dealing with senior business leaders and other business parties | •Ability to work independently with minimal day-to-day supervision | •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) | | Education | Eligible candidates must have a Bachelor’s degree in a health and human services discipline and be a Registered Nurse or Licensed Clinical Social Worker, licensed in North Carolina. Doctorate of Nursing Practice specializing in geriatrics or adult home health is preferred. | | Experience | The job requires at least five (5) years of experience working in a clinical medical capacity, knowledge of hospital and home health care, including experience managing and/or collaborating with physicians and statistical experience associated with sampling strategies, trending and analysis, and implementation of feedback strategies. Professional training and/or certification in a formal quality program (e.g. Six Sigma, Baldrige, CQM) preferred. Knowledge of Medicaid programs strongly preferred.
Job Locations US-NC-Raleigh
Requisition ID 2020-57446
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 Project Director. The Program Manager is accountable for the overall delivery of volume, quality and service level performance targets within the North Carolina Preadmission Screening and Resident Review (PASRR) contract, along with developing and monitoring their operational budgets. 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 project management skills and/or aptitude | •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) | | Education | The job requires a Bachelor’s degree, Master’s degree, or completion of an accredited nursing program. Completion of an accredited MBA program and/or PMP certification is preferred. | | Experience | The job requires five (5) years of experience managing operations, preferably in Medicaid-funded healthcare program, mental health, or a related field.
Job Locations US-NC-Raleigh
Requisition ID 2020-57443
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 is accountable for the overall delivery of volume, quality and service level performance targets within the North Carolina Personal Care Services (PCS) contract, along with developing and monitoring their operational budgets. 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 reports to the Project Director and 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 project management skills and/or aptitude | •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) | | Education | The job requires a Registered Nurse licensed in North Carolina. PMP certification is preferred. | | Experience | The job requires at least five (5) years of experience managing operations, preferably in Medicaid-funded healthcare programs, mental health, or a related field.
Job Locations US-NC-Raleigh
Requisition ID 2020-57444
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 Project Director. The Program Manager is accountable for the overall delivery of volume, quality and service level performance targets within the North Carolina Community Alternatives Program for Disabled Adults (CAP/DA) scope, along with developing and monitoring their operational budgets. 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 project management skills and/or aptitude | •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) | | Education | The job requires a Bachelor’s degree; completion of an accredited MBA program and/or PMP certification, or Registered Nurse licensed in North Carolina preferred. | | Experience | The job requires five (5) years of experience managing operations, preferably in Medicaid-funded healthcare programs, mental health, or a related field.
Job Locations US-NC-Raleigh
Requisition ID 2020-57445
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 Project Director. The Program Manager is accountable for the overall delivery of volume, quality and service level performance targets within the North Carolina Community Alternatives Program for Children (CAP/C) scope, along with developing and monitoring their operational budgets. 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 project management skills and/or aptitude | •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) | | Education | The job requires a Bachelor’s degree; completion of an accredited MBA program and/or PMP certification, or Registered Nurse licensed in North Carolina preferred. | | Experience | The job requires five (5) years of experience managing operations, preferably in Medicaid-funded healthcare programs, mental health, or a related field.
Job Locations US-NC-Raleigh
Requisition ID 2020-57441
The Project Director reports to the Senior Operations Director and has direct profit and loss responsibility for a portfolio of assigned contracts which includes varying lines of Ascend business. The Project Director is accountable for the overall delivery of volume, quality and service level performance targets within their portfolio and plays a key role in facilitating resource sharing within and between portfolios to efficiently meet changes in demand. The Project Director collaborates closely as a key stakeholder of Information Technology and as a key representative of Ascend clients in the areas of application design, development, deployment and maintenance. A proven leader, he or she accomplishes results by effectively managing costs, employees, customer relationships, clinical and administrative workflows, customer support and the implementation of new contracts in the portfolio. At the senior level, the Project Director uses their leadership expertise to supervise and mentor managers under their supervision and other managers in similar roles. The Program Director also leads special projects and initiatives as assigned by the Vice President. This role is based in Raleigh, NC; however, due to precautions related to COVID-19, this position may be temporarily remote. | | ESSENTIAL FUNCTIONS | 1.Manages overall operations and performance of assigned contracts including P&L, quality and compliance with all terms and conditions along with preparing and analyzing regular performance reports. | 2.Manages all aspects of 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.Manages continual process improvement by monitoring, refining, and optimizing workflow and processes with the goal of continuously improving overall effectiveness (efficiency, productivity, and quality). | 5.Creates an entrepreneurial work environment by involvement in developing and hiring superior talent and instilling a culture of accountability, measurability, and discipline without undue bureaucracy. | 6.Interprets policies, procedures, and goals of the company for subordinates. | 7.Participates in the development and monitoring of the operational budget related to assigned contracts. | 8.Works collaboratively and effectively with IT to ensure that product and service applications and technologies are optimized for contract compliance, productivity, and quality performance. | 9.Performs other duties, as necessary. | ACCOUNTABILITY | •Maintains primary responsibility for ensuring customer satisfaction, resolving compliance issues, and accountability for profit & loss with assigned contracts and lines of business. | •Acts as the primary point of contact for state officials and other outside contacts for the assigned contract. | | JOB REQUIREMENTS | Knowledge, Skills & Abilities | •Ability to lead and manage complex operations and drive continuous improvement | •Ability to work effectively in a “hands-on” management role | •Outstanding work ethic, integrity, and value system | •Excellent analytical and complex reasoning skills | •Ability to effectively formulate and execute detailed operational programs and plans | •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 | •Excellent organizational skills | •Ability to work independently with minimal day-to-day supervision | •Outstanding supervisory skills | •Outstanding written and verbal communication skills | •Outstanding interpersonal skills, including ability to use effective diplomacy in dealing with senior business leaders and other business parties | •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) | | Education | The job requires a Bachelor’s degree, Master’s degree, or completion of an accredited nursing program, as well as current licensure (as applicable), depending upon the requirements of the contract. Completion of an accredited MBA program is desirable. | | Experience | The job requires at least five (5) years of experience managing operations, preferably in healthcare, mental health, or a related field. Successful completion of an accredited MBA program is preferred.
Job Locations US-NC-Raleigh
Requisition ID 2020-57442
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 incumbent provides oversight of a regional network of field clinical assessors. The RN Regional Supervisor is responsible for quality assurance of clinical assessors and monitoring key quality and operational processes to ensure fidelity to assessment protocol and consistent assessment reliability and validity among and across assessors. | | ESSENTIAL FUNCTIONS | 1.Manages of the quality of regional field clinical assessors, including inter-rater reliability (IRR) activity, monitoring quality trends among assessors, and other quality activities as appropriate. | 2.Ensures assessor compliance with assessment protocols, performance standards, and meeting all customer expectations for quality. Monitors quality processes and informs Program Manager about quality performance issues. | 3.Documents quality issues and performance measures for management review, and provides information to assist in the feedback and formal education process of employees. Develop processes to build operational policies, procedures, and/or user guides for the project. | 4.Address exceptional issues related to quality, service and compliance of the project. Analyzes operational processes, including reviewing, creating, and improving policies, procedures, systems, forms, and reports. Analyzes existing forms and methods to promote effective operations through standardization, improvement, simplification, discontinuance or other methods. | 5.Responsible for working with the Program Manager to develop strategies to prevent drift and maintain adherence to quality expectations to ensure effective program operations. | 6.Performs other duties, as necessary or assigned by the Program Manager. | | JOB REQUIREMENTS | Knowledge, Skills & Abilities | •Ability to lead and drive continuous quality improvement | •Ability to work effectively manage a remote team | •Outstanding work ethic, integrity, and value system | •Excellent clinical process 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 expeditiously | •Excellent organizational skills | •Excellent negotiation and interpersonal skills, including ability to use effective diplomacy in dealing with senior business leaders and other business parties | •Ability to work independently with minimal day-to-day supervision | •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) | | Education | The job requires a Registered Nurse licensed in North Carolina; specialty in geriatrics or adult home health is preferred. | | Experience | The job requires a at least three (3) years of experience in clinical medical settings, hospital and home health experience, including experience managing and/or collaborating with clinical professionals.
Job Locations US-NC-Raleigh
Requisition ID 2020-57439
The Customer Support Center Manager is responsible for coordinating processes by formulating policies, managing staff, daily operations, and planning the use of materials and human resources administrative services. This position reports to the Program Director. This role is based in Raleigh, NC; however, due to precautions related to COVID-19, this position may be temporarily remote. | | | ESSENTIAL FUNCTIONS | 1.Oversee customer support center and mailroom functions and staff on a daily basis to ensure that excellent customer service is provided to customers and stakeholders | 2.Responsible for identifying and resolving issues, problems, and concerns with employees and client | 3.Ensure adequate staffing levels, staff training, and compliance to meet contractual requirements | 4.Receive assignments in the form of objectives and determine how to use resources to meet schedules and goals | 5.Provide assistance and updates to staff regarding the programs, policies, and procedures | 6.Recommend changes to policies and establishes procedures | 7.Develop individual and team goals and objectives, and monitor achievement of these goals | 8.Conduct ongoing audits and review reports to identify areas for improvement | 9.Interact with varying levels of external and internal customers | 10.Complete reports and metrics for the project and corporate office | 11.Ensure the confidentiality and security of all information | 12.Perform other duties, as necessary or assigned by the Program Director | | ACCOUNTABILITY | •Accountable for meeting all established customer support center goals for the project | | JOB REQUIREMENTS | Knowledge, Skills & Abilities | •Ability to lead and drive effective customer support center operations | •Ability to work effectively in a “hands-on” management role | •Ability to work effectively in a deadline-driven environment | •Outstanding work ethic, integrity, and value system | •Excellent written and verbal communication 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 expeditiously | •Excellent organizational skills | •Excellent negotiation and interpersonal skills, including ability to use effective diplomacy in dealing with senior business leaders and other business parties | •Ability to work independently with minimal day-to-day supervision | •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) | | Education | The job requires successful completion of a Bachelor’s degree from an accredited college or university. Directly related work experience can be substituted for the required college degree on a year-for-year basis. | Experience | The job requires at least three (3) years of experience in call center or similar operations. Experience in managing a large-volume Call Center for a healthcare-related or Medicaid program preferred.
Job Locations US-NC-Raleigh
Requisition ID 2020-57440
Job Locations US-NC-Raleigh
Requisition ID 2020-57437
The Scheduler schedules field assessments for contract services and enters referral data into the database system, ensuring quality levels meet contract and company standards. The Scheduler also monitors Assessor onboarding and performance, offering appropriate feedback to management. | | ESSENTIAL FUNCTIONS: | •Enters referral data into the assigned database system. | •Schedules field assessments with Assessors and respondents. | •Collaborates regularly with coworkers, peer reviewers, physicians, and healthcare administrative staff. | •Responds to all inquiries consistent with confidentiality and privacy policies and refers callers to alternate sources when appropriate. | •Utilizes systems and technology to document and manage each individual call. | •Manages and routes incoming faxes and email. | •Manage print fulfillment of all required notifications. | •Attends and participates in scheduled contract, committee, and all-staff meetings | •Completes other job duties as assigned or necessary. | JOB REQUIREMENTS | Knowledge, Skills & Abilities | •Perform all job duties in compliance with Person First standards, HIPAA guidelines, and company confidentiality policies and procedures | •Excellent data entry and telephonic skills | •Experience with computers, phone systems, and headsets | •Ability to perform comfortably in a fast-paced, deadline-oriented work environment | •Ability to multitask effectively while performing job duties, including ability to prioritize tasks and ensuring all voice mail and email messages are returned within contract standards | •Ability to work independently with minimal day-to-day supervision | •Excellent written and verbal communication skills | •Excellent interpersonal skills | •Ability to interact professionally and collegially with referral sources (hospital & nursing home staff, physicians, social service workers, etc.), state contract officers, and coworkers | •Ability to define problems, collect data, establish facts, and draw valid conclusions | •Intermediate skill with word processing and spreadsheet software (Microsoft Word and Excel preferred) | Education | The job requires a high school diploma or equivalent. | | Experience | The job requires at least one (1) year of experience in customer service role, preferably in a health and human services call center setting. Telephonic customer service experience preferred.

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