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Search Results Page 9 of 22

Job Locations US-Remote
Requisition ID 2022-79346
Maximus is currently looking for a Remote Analyst - Info Sec . This position will assist in tracking the access management submissions to FSA for approval, identity, & clearance and access status undedr the Department of Education portfolio. 
Job Locations US-NY-New York
Requisition ID 2022-79523
About MaximusMaximus is a global organization that partners with national, state, and local governments to provide critical health and human services. With decades of experience designing, developing, and delivering innovative programs and comprehensive solutions, Maximus is driven by a mission to strengthen communities and improve the lives of the people we serve. About the PositionMaximus administers the Independent Practitioner Panel (IPP), which is currently looking for a Manager, Provider Relations.  The Manager, Provider Relations will be responsible for providing ongoing relationship management with Maximus Clinicians. The incumbent will develop a comprehensive knowledge of Maximus and Clinical practices to develop and manage an engagement and partnership strategy.  This will include assisting with the development and the training implementation of adequate provider education/training for IPP providers.  If you have experience working with providers and thriving in a remote environment this is the perfect position for you! In this position, you'll manage a team of Provider Relation Specialists that serve as the primary point of contact for IPP providers.  You will provide guidance and act as a conduit for all operational questions and issues.  You will effectively communicate and assist with provider outreach between the Medical Director and Clinical Manager to Clinicians.  You will manage with recruitment to fill gaps based on geographic and program needs in collaboration with our Vendor.  Must HavesThe successful incumbent must have a Bachelor's Degree from an accredited school or a combination of education and equivalent experience.  The incumbent will have any combination of over five (5) years of Health Plan Provider, recruiting, and/orvendor management experience.  The successful incumbent will also have at least three (3) years of managerial experience In addition to solid leadership skills, the Manager must display effective communication skills, both written and verbal, and proficient working knowledge of all Microsoft Office Suite programs.  Home Office Requirements- Cell Phone:  Candidates must have their own cell phone- Computer Equipment:  Will be provided company-issued computer equipment- Internet:  Reliable high-speed internet service with 100 Mbps download speed
Job Locations US-NY-Manhattan | US-NY-Brooklyn | US-NY-Bronx | US-NY-Staten Island | US-NY-Jamaica
Requisition ID 2022-79525
Maximus is currently hiring for Regional Nurse Managers to support the Conflict-Free Evaluation and Enrollment Center (CFEEC). The CFEEC serves the State of New York by conducting a UAS assessment to determine eligibility for community-based long-term services.  The Regional Nurse Manager will have the opportunity to lead and support a team of RNs who are on the frontline of ensuring that some of New York State’s most vulnerable populations receive relevant, timely and quality healthcare services.   *This position is remote and will support a regional area in New York State.  About the Conflict-Free Evaluation and Enrollment Center (CFEEC)The Conflict-Free Evaluation and Enrollment Center (CFEEC) serves the State of New York by conducting a UAS assessment to determine eligibility for community-based long-term services.  The outcome of the assessment informs whether the individual qualifies for in-home services. We are rapidly expanding and have numerous exciting opportunities across the state. About the PositionWe are currently hiring for Regional Nurse Managers. If you are a Registered Nurse looking to advance your career on a management track, this leadership position may be ideal for you. You’ll have the opportunity to lead and support a team of RNs who are on the frontline of ensuring that some of New York State’s most vulnerable populations receive relevant, timely and quality healthcare services. You’ll grow professionally as you deepen your leadership and management skills in a hands-on, collaborative, and dynamic work environment. *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-Remote
Requisition ID 2022-79482
****Senior Director - Capture position is fully remote, US**** MES (Medicaid Enterprise System) and/or MMIS experience preferred.Medicaid Claims or Medicaid Provider Enrollment experience preferred.
Job Locations US-Remote
Requisition ID 2022-79305
The Security Governance Analyst position is responsible for supporting internal, external, and client audits; assisting in developing and communication of security awareness programs; managing security risks within a GRC, and assessing risks associated with third parties.
Job Locations US-DC-Washington
Requisition ID 2022-79504
Needs to be in the DC Metro area. | | Maximus is seeking a senior program manager for the Homeland Security practice in Technology Strategy and Consulting practice. | | Responsibilities: | •Lead and develop Maximus talent | •Develop, plan and execute the annual performance management process | •Collaborate with Federal Leadership and help develop and grow the practice | •Drive program management on Federal consulting engagements | •Support success in other account teams by cross sharing required skillsets | •Develop client relationships with Federal Agency executives | •Build practice and personal expertise either through domain or technical mastery | •Lead and drive modernization programs of work | •Develop strategic account plans | | | Qualifications: | •Track record of high performance | •Innovative and creative problem solving | •Consultative mindset and ability to navigate ambiguity in complex environments | •Comfortable navigating ambiguity, adapting to emerging priorities and self-managing in a fast-paced and ever-changing environment | •Strategic thinker with strong project management, organization, analytical, critical-thinking and technical skills, good judgment and willingness to tackle both strategic priorities and operational processes | •Experience leading technology programs of work with DevSecOps, Cloud Management, custom software development | •Experience driving Agile methodologies | •Excellent communications skills | •Ability to promote inclusive involvement and foster innovation and creativity | •US Citizen, and can get security clearance | •Consulting experience of at least 10 years | •Bachelor’s Degree or higher
Job Locations US-TN-Dresden
Requisition ID 2022-78815
Job Locations US-MI-Livonia
Requisition ID 2022-79472
Job Locations US-OH-Columbus
Requisition ID 2022-79468
The Credentialing Supervisor is responsible for supervising credentialing operations while overseeing day-to-day activities of staff that process credentialing and re-credentialing applications for medical providers, ensuring applications are properly verified, and reviewing initial and re-credentialing documents to ensure required documents are in alignment with organizational policies and procedures.
Job Locations US-NC-Raleigh
Requisition ID 2022-79486
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 candidate must have be a Registered Nurse or Licensed Clinical Social Worker or equivalent (LMHC, etc.) licensed in North Carolina. | | 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 collaborating with physicians. Experience with both medical and behavioral health strongly desired. | | Professional training and/or certification in a formal quality program (e.g. Six Sigma, Baldrige, CQM) preferred. Knowledge of Medicaid programs strongly preferred. | | *Role pending award of the contract.
Job Locations US-TX-Arlington
Requisition ID 2022-79471
Position provides effective customer services via telephone and in person to clients and community members regarding the selection, enrollment, and eligibility requirements for various Texas Health and Social Services Programs by utilizing excellent, in-depth knowledge of enrollment requirements program information and polices. Identifies, develops, and builds relationships with community, state and faith based organizations to enhance presence in the community. | | • Conducts outreach including phone calls, home visits and community presentations in the field in accordance with project policy and procedures (70% of the time). Solely responsible for a specific geographic area and related tasks for that area. Travels independently using proper safety precautions. | • Conducts one-on-one and group outreach presentations to recipients and community members within a specific territory or initiative. Work environment varies and is mobile. | • Presents program education and enrollment options to recipients to encourage recipient action. Presents managed care options to recipients and assists them in using their health care and dental plans and community resources as needed. | • Identifies, develops, builds and maintains positive relationships with county staff, state agencies, and community/faith based groups to enhance presence in the community. | • Retrieves, researches, and analyzes data from multiple data bases to answer client concerns and Completes direct data entry into designated internal automated systems in accordance with EB Project policies and procedures. | • Identifies issues, problem solves and escalates unresolved issues and concerns to management immediately and regularly. | • Establishes and maintains knowledge of community and participates in community events, health fairs, and other activities as needed. | • Multi-tasks in several computer applications at once while holding conversation with client. Responsible for documenting activity in automated systems and reporting outcomes on a daily/ weekly basis. Responsible for ensuring confidentiality of client information. | • Uses customer services skills to adapt to situations and deal with clients face to face. | • Willingness to work a flexible schedule including weekends and evenings. | • Assists other Outreach Counselors and other team members with management and completion of daily duties to ensure compliance with contract standards and requirements. | - May be required to wear personal protective equipment (PPE) when having client in-person interaction for precautionary measures | - Provide customer service inbound support via telephone when needed to assist the EB Call Center department | • Performs other duties as may be assigned by management | Requirements: | - Required to drive within region assigned | - High School diploma, GED, or equivalent certification | - Bachelor’s degree in social work preferred. DSHS Community Health Worker certification preferred. | - Two years of human services experience or experiences dealing with the public. | - Proficient in Microsoft Office products. | - Knowledge of Excel required. | - Ability to work with customers in a caring and respectful manner and with due understanding of and consideration for | their unique circumstances. | - Excellent organizational, written, and verbal communication skills. | - Ability to perform comfortably in a fast-paced, deadline-oriented work environment. | - 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 often performed conducting home visits, presentations, and part in an office environment. | - Reliable transportation with proper insurance and Texas Driver’s License that meet the State of Texas requirements. | - Highly developed problem solving skills preferred. | - Demonstrated ability to build high performing teams preferred. | - Medicaid knowledge preferred | - Bilingual preferred
Job Locations US-Remote
Requisition ID 2022-79461
Quality Analysts (Medical) supporting the Veterans Evaluation Services (VES) administered by Maximus, make an impact everyday by reviewing Medical Disability Examination (“MDE”) reports and Disability Benefits Questionnaires (“DBQs”) generated by medical providers on Veterans evaluated on behalf of the Department of Veterans Affairs (the “VA”). The QA works closely with medical providers to ensure MDE reports and DBQs are consistent with the quality and timeliness requirements of the VA. To prepare you for this role, the VES provides paid, comprehensive training which ensures all new employees provide the highest levels of knowledge and professionalism.
Job Locations US-NY-Jamaica
Requisition ID 2022-79463
-Assist with any unidentified payment issues and with any other issues, questions, or problems regarding invoicesPrepare, process and deliver invoices and payments timely following generally accepted principles and approved company guidelines. | -Perform research into any payment objections and present them to leadership for determination of actionable steps. | -Perform research into any returned mail and ensure that any correspondence is resent timely. | -Prepare and validates financial reports. | -Prepare and reconcile daily cash receipts from payment vendor to general ledger and research any discrepancies. | -Perform refund approval, rejection and void process. | -Perform research for unidentified payments in order for payment to be applied to the correct account. | -Maintain all payment or other transaction records. | -Perform data entry and input for the lock box operation. | -Perform comparisons between data presented in various forms and input information into the accounting system.
Job Locations US-WI-Milwaukee
Requisition ID 2022-79474
NO REMOTE. IN-OFFICE POSITION. MUST BE LOCAL TO MILWAUKEE
Job Locations US-WI-Milwaukee
Requisition ID 2022-79421
***Position is on site in Milwaukee, Wisconsin***
Job Locations US-KS-Lawrence
Requisition ID 2022-79333
Maximus is currently looking for a Call Center Supervisor at the Lawrence KS location. This position is responsible for providing front-line, first level supervision and leadership to customer service representatives  (CSRs) with the goal of meeting program objectives and customer service level agreements. This position will work on-site at the Lawrence Kansas Maximus site.
The Call Center Supervisor is responsible for providing front-line, first level supervision and leadership to customer service representatives (CSRs) with the goal of meeting program objectives and customer service level agreements.
Job Locations US-Remote
Requisition ID 2022-79456
Maximus is looking for a Senior Automation Tester to work remotely on a project supporting a large federal client. | | Working collaboratively with a development team and business experts, the Senior Automation Tester will design, build, and execute automated test scripts to help the organization determine if the system is functional as expected after software changes are made to the system. | | Primary Responsibilities: | •Build and/or maintain an automation framework that drives end-to-end test | •Analyze, design, and determine test cases with steps for automation | •Evaluate new test tools, technologies, and processes to improve test coverage, test efficiency, and lower defect rate | •Maintain a high automated test coverage for critical functionalities | •Report overall quality of the application under test to team periodically | | Required Skills: | •Ability to solve complex automated testing coding problems | •Software Test Automation Experience: 8 years | •Advanced Technical Competency with Selenium: 6 years | •Strong Knowledge in Python/Ruby/Java/Java Script: 3 years | •Advanced knowledge in XPath, CSS, and other locators | •Self-driven quick learner with attention to detail and quality | | Desired Skills: | •Experience with web services/REST API test automation | •Experience with CI/CD tools such as Jenkins | •Experience with version control tool such as Git | •Strong written and verbal communication skills | •Excellent analytical and problem-solving skills | •Basic knowledge in backed testing | | Education: | •Bachelor’s or associate degree in a Computer Science, Computer Programming, MIS or any related IT or Engineering field of study OR equivalent work experience | | Eligibility: Candidates possess U.S. Citizenship.
Job Locations US-TN-Knoxville
Requisition ID 2022-78523
-Provide case management services to an assigned case load of child support cases and apply knowledge of policies, procedures, and state and federal regulations to progress cases through the administrative and legal system. | -Establish and enforce child support orders. | -Conduct research to locate non-custodial parents. | -Research and review records to gather information vital to cases. | -Educate customers on the process and their options, and respond to customer inquiries. | -Verify existing data on an automated child support system.
Job Locations US-TN-Knoxville
Requisition ID 2022-78571
-Provide case management services to an assigned case load of child support cases and apply knowledge of policies, procedures, and state and federal regulations to progress cases through the administrative and legal system. | -Establish and enforce child support orders. | -Conduct research to locate non-custodial parents. | -Research and review records to gather information vital to cases. | -Educate customers on the process and their options, and respond to customer inquiries. | -Verify existing data on an automated child support system.
Job Locations US-TN-Knoxville
Requisition ID 2022-78661
-Provide case management services to an assigned case load of child support cases and apply knowledge of policies, procedures, and state and federal regulations to progress cases through the administrative and legal system. | -Establish and enforce child support orders. | -Conduct research to locate non-custodial parents. | -Research and review records to gather information vital to cases. | -Educate customers on the process and their options, and respond to customer inquiries. | -Verify existing data on an automated child support system.

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