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Job Locations US-NY-New York
Requisition ID 2021-68480
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 known for strengthening communities and improving the lives of the people we serve. About the PositionMaximus administers the Independent Practitioner Panel, which completes assessment reviews and issues practitioner orders for New Yorkers who qualify for long-term in-home care.  This is an exciting new program that directly contributes to positive long-term outcomes for vulnerable populations in New York State. We are hiring a team of Quality Assurance Analysts.  Candidates will bring robust qualifications and a strong desire to contribute related  knowledge and expertise to a meaningful program. The team will be composed of Analysts responsible for reviewing assessments to ensure accuracy and consistency, and collaborating with other program staff. We are looking for team members with excellent communication skills and a detail-oriented mindset.  If this sounds like you, we're looking forward to meeting you! Position Responsibilities- Collaborate with the Quality Assurance Manager to develop an effective quality monitoring program - Provide QA training to the Independent Practitioners for quality actions to be incorporated into their daily practice- Collect data related to Practitioner Order and Care Plan Reviews- Examine cases at random for completeness, accuracy, and consistency- Examines data for outliers and researches such cases- Develops/completes reports that track and trend activities/outcomes - Acts as an advisor to program staff on all QA and Compliance issues related to the IPP programRequired Experience- Two (2) or more years practicing experience as a Registered NurseRequired Qualifications- RN licensure in NY State - Bachelor’s DegreePreferred Qualifications- Master’s degree in Nursing or Education- 2+ years’ work experience in training clinical staff, UAS audits, and/or experience in an ER or critical care setting.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-New York
Requisition ID 2021-70745
About MaximusMaximus is a global organization that partners with national, state, and local governments to provide critical health and human services. With decades of experience designing, developing, and delivering innovative programs and comprehensive solutions, Maximus is driven by a mission to strengthen communities and improve the lives of the people we serve. About New York Medicaid ChoiceMaximus New York is currently looking for an experienced Editor/Writer to support its New York Medicaid Choice (NYMC) project in New York, NY. NYMC was established in 1998 to support New Yorkers in selecting and enrolling in a health plan of their choice.  About the PositionThe Editor/Writer provides editing, writing, and production support for a high-volume, multi-track content development calendar with rigorous internal and client review and approval requirements. This is a great opportunity for someone with exceptional editorial skills who wants to grow in experience and responsibility within a terrific organization. The Editor/Writer is responsible for supporting the NYMC project with the creation of consumer-facing and internal content, including educational and procedural materials, letters, brochures, and newsletters. In this position, you will:- Deliver high-level editing and writing that meets the standards of clarity, organization, and impact of Maximus content.- Copyedit and proofread print and online content for style, grammar, punctuation, consistency, accuracy, and sensitivity.- Collaborate with communications staff to move content through multiple stages of editorial development, review/approval, and production.- Work closely with communications and program staff and outside vendors to provide quality assurance for NYMC content. What You'll BringThe ideal candidate will have:- 3-5 years of relevant experience- Superior writing, copyediting, and proofreading skills- Ability to successfully manage multiple projects and tasks concurrently within tight timeframes and with the utmost attention to detail- Facility editing both print and online content for maximum impact- Strong project management, time management, and problem-solving skills- Excellent organizational, interpersonal, and oral communication skills- A track record of performing well independently and as part of a team in a fast-paced, deadline-oriented environment Please submit a cover letter and writing along with your application. 
Job Locations US-NY-New York
Requisition ID 2021-67544
The Case Management Counselor is responsible for helping to ensure that the customer is able to access and receive program services.
Job Locations US-NY-New York
Requisition ID 2021-65371
About Maximus | Maximus 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. | | Job Overview | Maximus seeks an experienced leader and skilled operations strategist to oversee the Reporting & Analytics, Systems, Facilities and Project Management functions (Shared Services) for its Maximus Health East portfolio, which encompasses several clinical assessment and enrollment broker initiatives. Reporting to the VP of Projects/Programs Administration, the Senior Director is responsible for the execution and continuous improvement of shared services and project operations. This is an exceptional opportunity to partner with executive leadership to influence strategic business outcomes and drive excellence and innovation in business operations. | | Key Job Responsibilities | - Build and execute an operational strategy to deliver a superior client experience while creating capacity for business and people growth, development, continuous improvement, and project compliance with contract operational service level agreements | - Collaborate with Operations leadership, Shared Services and executive management to establish strategic plans, objectives, initiatives, and work plans | - Create, identify and implement innovative methodologies, techniques, process improvements, evaluation criteria, and corrective action plans to continually streamline and improve service delivery and project operations | - Implement and oversee regular changes and special projects with responsibility over all phases of assigned projects including planning, scope, communication, implementation, quality and timeline | - Work with project(s), department leads and executive management to develop, monitor and revise performance goals and objectives and process improvements and efficiencies are identified monitors achievement of those goals and objectives | | Qualifications | The successful candidate will bring a strong professional skillset to the position, including excellent communication and client management skills, will be a self-starter who is able to work and perform comfortably in a fast-paced dynamic environment managing multiple initiatives, and will possess initiative to produce and manage improvement initiatives. | | •6-8 years of Senior Management experience required | •Prior experience directing business transformation leading to operational efficiencies | •Professional experience in healthcare operations | •Experience leading digital initiatives in the healthcare marketplace | •Experience executing organizational change management programs that are strategically aligned with existing business processes/policies
Job Locations US-NY-New York
Requisition ID 2021-70198
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 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 PositionIf you're looking for more than a job and want to grow in the healthcare industry, then this is the position for you. We're hiring Bilingual Customer Service Representatives for our Call Center in New York, NY. We’re looking for individuals who are passionate about helping their community, interested in learning about and taking part in public health services, and are growth oriented. These are positions with growth opportunity in a supportive work environment. If you thrive in an independent position where you can make a positive impact on the lives of others, then this is the place for you.Position SummaryOur Client Service Representatives respond to the enrollment service calls, provide responses to questions, mails information in response to requests, and refers callers to the appropriate source for issue resolution. They also educate clients on managed care; assess client health care needs and assist clients in choosing a health plan.What You Will NeedPrior work experience in customer service, data entry, and/or processing; effective communication skills; ability to follow directions: ability to interact courteously and effectively with a variety of people; ability to handle pressure and perform multiple tasks. Must be able to (at minimum) type 35 WPM. Proficiency in Microsoft Office applications as Excel, PowerPoint, and Word. Bilingual Candidates (Russian, Chinese, Korean, Bengali, and Haitian Creole-speaking) preferred. 
Job Locations US-NY-New York
Requisition ID 2021-68751
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, which completes assessment reviews and issues practitioner orders for New Yorkers who qualify for long-term in-home care.  This is an exciting new program that directly contributes to positive long-term outcomes for vulnerable populations. We have numerous exciting opportunities for Clinical Educators. The successful candidates will be responsible for providing new hire and ongoing training to program staff. We're looking for people who are genuinely excited about educating and who are able to deliver training through a variety of platforms with energy and enthusiasm. You'll find that you are joining a hands-on, dynamic, and supportive organization where you’ll gain valuable training experience and grow as a healthcare educator.  We offer competitive benefits and growth opportunities in a supportive and collaborative work environment.  Take the next step in your career journey today and join our growing team!  Position Responsibilities- Create and develop a training curriculum and training materials based on proven adult learning techniques including ADDIE, Rapid Course Development, and Adult Learning Theory- Create and develop training scenarios and update comprehensive training environment data resources to ensure that systems training mimics the production environment systems tools used by employees on a daily basis- Work extensively with business partners and SMEs to perform needs analysis, develop learning objectives and design deliverables that meet learner and stakeholder needs and organizational quality standards develop qualitative and quantitative assessment tools to measure learner requirements, competencies, and organizational quality standards- Teach instructional programs in accordance with training or other course requirements and organize materials to be presented- Develop assessments to measure and assess the effectiveness of the curriculum and learner performance in the workplace, integrate results into new and existing course curriculum- Review, evaluate, and modify existing and proposed curriculums and recommend changes to policies and procedures as applicableRequired Experience- 2+ years formalized training or preceptor experience in a professional work environment- Experience designing remote learningRequired Qualifications- Bachelor’s DegreePreferred Qualifications- Master’s degree in Nursing, Education, Social Work/Mental Health- 2+ years’ work experience in training clinical staff, in a remote environment 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-New York
Requisition ID 2021-70051
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 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 hiring for Quality Assurance Specialists!  As a member of the CFEEC QA team, you'll bring robust qualifications and a strong desire to contribute your knowledge and expertise to a meaningful program.  The Department is composed of small teams of QA Nurse Specialists, each led by a supportive Supervisor.  Specialists are on the front line of ensuring consistent and accurate assessment results by reviewing assessments and communicating with Nurse Assessors.  We're looking for team members with great attention to detail and strong communication skills.  If this sounds like you, we're looking forward to meeting you! Position Responsibilities- Collect data related to assessments and assessment outcomes- Examine cases at random for completeness, accuracy, and consistency- Examines data for outliers and researches such cases- Analyze UAS recommended scores in relation to Nurse Assessor determinations- Develops/completes reports that track and trend activities/outcomes- Acts as an advisor to UAS staff on all QA and Compliance issues related to the UAS project.- Attend Fair Hearing cases and prepare case packets, as requiredRequired Experience:- 2+ years RN experience in-home care, medical, surgical, geriatric, LTC and/or ambulatory care- Prior experience using the UAS-NY Community assessment toolRequired Qualifications- Bachelor’s Degree- RN licensure in NY StateHome 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 speedWork LocationWork location is remote.
Job Locations US-NY-New York
Requisition ID 2021-68007
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 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 great opportunities across the state! About the PositionWe have numerous exciting opportunities for Clinical Educators. The successful candidate(s) will be responsible for providing new hire and ongoing training to program staff. We're looking for people who are genuinely excited about educating and who can deliver training through a variety of platforms with energy and enthusiasm. You'll find that you are joining a hands-on, dynamic, and supportive organization where you’ll gain valuable training experience and grow as a healthcare educator.  We offer competitive benefits and growth opportunities in a supportive and collaborative work environment.  Take the next step in your career journey today and join our growing team! Position Responsibilities- Create and develop training curriculum and training materials based on proven adult learning techniques including ADDIE, Rapid Course Development, and Adult Learning Theory- Create and develop training scenarios and updates comprehensive training environment data resources to ensure that systems training mimics the production environment systems tools used by employees on a daily basis- Work extensively with business partners and SMEs to perform needs analysis, develop learning objectives and design deliverables that meet learner and stakeholder needs and organizational quality standards develop qualitative and quantitative assessment tools to measure learner requirements, competencies, and organizational quality standards- Teach instructional programs in accordance with training or other course requirements and organize materials to be presented- Develop assessments to measure and assess the effectiveness of the curriculum and learner performance in the workplace, integrate results into new and existing course curriculumReview, evaluate, and modify existing and proposed curriculums and recommend changes to policies and procedures as applicableRequired Qualifications- 2+ years RN experience in-home care, medical, surgical, geriatric, LTC and/or ambulatory care- Prior experience using the UAS-NY Community assessment tool- Formalized training or preceptor experience in a professional work environment- Experience designing remote learning- RN licensure in NY State - Bachelor’s DegreePreferred Qualifications:- Master’s degree in Nursing or Education- 2+ years’ work experience in training clinical staff, UAS audits, and/or experience in an ER or critical care setting.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 speedWork LocationWork location is remote.
Job Locations US-NY-New York
Requisition ID 2021-62118
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 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 for Regional Nurse Managers (and other positions!) across the state. About the PositionIf you are passionate about providing outstanding home assessment services to vulnerable populations and meet position qualifications, then we are excited to meet you!  We offer competitive benefits and the opportunity to grow your leadership skills in a supportive and collaborative work environment.  Take the next step in your career journey today and join our growing team! Position Responsibilities- Oversees the training and development of Nurse Evaluators.- Supervises the Nurse Evaluators in a designated region to assure quality, productivity, and timeliness of work completion.- Monitor the activities, schedules, productivity, and assessment results of an assigned group of Nurse Evaluators.- Reviews clinical documentation for completeness, accuracy and consistency for an assigned group of Nurse Evaluators.- Collects QA information from assigned Nurse Evaluators.- Disseminates policy, protocol change, and ensures implementation across the team.- Conducts scheduled and random assessment supervision visits to ensure customer satisfaction through the observation of the Nurse Evaluator’s interaction and communication with consumers as well as the application of the UAS-NY assessment tool.Required Experience- 4+ years RN experience in home care, medical, surgical, geriatric, LTC and/or ambulatory care- Prior experience using the UAS-NY Community assessment toolRequired Qualifications- RN licensure in NY State - Bachelors’ Degree in a health, social services, or communicationsPreferred Experience- Minimum of 1 year of supervisory experience in a clinical setting- MA degree in a health, social services, or communications field required.Home Office Requirements:Cell Phone:  Candidates must have their own cell phoneComputer Equipment:  Will be provided company-issued computer equipmentInternet:  Reliable high-speed internet service with 100 Mbps download speed
•Supervises the nurse assessors in a designated region | •Responsible for the training and development of Nurse Assessors | •Monitor the activities, schedules, productivity and assessment results of an assigned group of Nurse Assessors | •Reviews clinical documentation including pending denials for each regional Nurse Assessor in real-time | •Collect QA information from assigned nurse assessors | •Disseminate policy, protocol change, and ensure implementation | •Lead regular team meetings and act as the point-person for the region of Nurse Assessors | •Conducts scheduled and random post-assessment home visits to ensure customer satisfaction | •Promotes project image and goals through public speaking engagements and local professional presentations | •Meets all standards established for this position as outlined in the corresponding annual performance criteria and bonus template for this position | •Performs other duties as may be assigned by the Nurse Director | | Required EducationBA degree in a health, social services, or communications field required | Preferred EducationMA degree in a health, social services, or communications field required. RN licensure required | | Required Experience4+ years RN experience in medical / surgical / geriatric / LTC / ambulatory care; Minimum of five years of experience working in community settings involving health and human services; experience working with constituent groups | Preferred Experience | | Required SkillsComputer literacy; highly developed written and oral communication skills; strong interpersonal skills; ability to work in a stressful and changing environment; and proven ability to work with community groups | Preferred SkillsKnowledge of long term care services and programs | | Bilingual Preferred – Spanish, Russian, Haitian-Creole, Chinese | OtherWillingness to travel required; NY State Driver’s License required; vehicle may be required, depending on region
Job Locations US-NY-New York
Requisition ID 2021-69136
About Maximus Maximus is a global organization that partners with national, state, and local governments to provide critical health and human services. With decades of experience designing, developing and delivering innovative programs and comprehensive solutions, Maximus is driven by a mission to strengthen communities and improve the lives of the people we serve. About New York Medicaid Choice New York Medicaid Choice (NYMC) has served the State of New York and New York residents since 1998 by providing education, outreach and enrollment services to help residents with Medicaid select and enroll in a health plan of their choice.  We're proud that over the past twenty years NYMC has grown and expanded across the state.  To date, we have helped millions of New Yorkers access the health services that best fit their needs.  We're proud to meet our mission of Helping Government Serve the People through this program. About the Position If you're looking for more than a job and want to grow in the healthcare industry, then this is the position for you. We're hiring a Customer Service Representative II for Canandaigua County. We are looking for an individual who is passionate about helping their community, interested in learning, and taking part in public health services, and is growth-oriented. This position provides face-to-face, telephonic, and possibly virtual enrollment and outreach services to New York Medicaid recipients. This is a position with growth opportunity in a supportive work environment. If you thrive in an independent position where you can make a positive impact on the lives of others, then this is the place for you. This position is office-based in Canandaigua County. Position Summary - Conducts face-to-face and/or virtual (telephonic) outreach and enrollment services, including education on managed care options and public health programs to clients at LDSS/HRA offices - Assists clients with the enrollment/disenrollment process- Interfaces with HRA or LDSS county staff and maintains professional and positive relationships with all HRA, LDSS staff, community groups, and clients- Conducts appointments to assist CYES Program eligible consumers complete their Medicaid application.- Conducts phone outreach to assist consumers with plan enrollment - May conducts shadowing / training activities with new hires- May receive, sort, and process enrollment/transfer and disenrollment forms- May review enrollment forms for accuracy and completeness- May be assigned one or more of the following processing tasks:- Data Entry/Data Entry QC- UAS- RL- Manual Notice production- Exemption and Exclusion- HPA/SPU- Certified Application Counselor (CAC)- Maintains updated knowledge of the New York Medicaid Choice Project- Raises issues of concern and/or problems to the Outreach operations Supervisor and/or ManagerMust Have:- Prior work experience in customer service, data entry and/or processing- Willingness to provide site coverage of neighboring sites is required; may be transferred to another site within the region- Proficiency in Microsoft Office applications as Excel, Power Point, and Word- Knowledge of population served- Must have own vehicle, valid driver’s license and insurance- Must reside in State of New York
Job Locations US-NY-New York
Requisition ID 2021-67146
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 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 for Regional Nurse Managers (and other positions!) across the state. About the PositionIf you are passionate about providing outstanding home assessment services to vulnerable populations and meet position qualifications, then we are excited to meet you!  We offer competitive benefits and the opportunity to grow your leadership skills in a supportive and collaborative work environment.  Take the next step in your career journey today and join our growing team! Position Responsibilities- Oversees the training and development of Nurse Evaluators.- Supervises the Nurse Evaluators in a designated region to assure quality, productivity, and timeliness of work completion.- Monitor the activities, schedules, productivity, and assessment results of an assigned group of Nurse Evaluators.- Reviews clinical documentation for completeness, accuracy and consistency for an assigned group of Nurse Evaluators.- Collects QA information from assigned Nurse Evaluators.- Disseminates policy, protocol change, and ensures implementation across the team.- Conducts scheduled and random assessment supervision visits to ensure customer satisfaction through the observation of the Nurse Evaluator’s interaction and communication with consumers as well as the application of the UAS-NY assessment tool.Required Experience- 4+ years RN experience in home care, medical, surgical, geriatric, LTC and/or ambulatory care- Prior experience using the UAS-NY Community assessment toolRequired Qualifications- RN licensure in NY State - Bachelors’ Degree in a health, social services, or communicationsPreferred Experience- Minimum of 1 year of supervisory experience in a clinical setting- MA degree in a health, social services, or communications field required.Home Office RequirementsCell Phone:  Candidates must have their own cell phoneComputer Equipment:  Will be provided company-issued computer equipmentInternet:  Reliable high-speed internet service with 100 Mbps download speed
1. Supervises the Nurse Evaluators in a designated region to assure quality, productivity, and timeliness of work completion. | 2. Oversees the training and development of Nurse Evaluators. | 3. Monitor the activities, schedules, productivity, and assessment results of an assigned group of Nurse Evaluators. | 4.Reviews clinical documentation for completeness, accuracy and consistency for an assigned group of Nurse Evaluators. | 5. Collects QA information from assigned Nurse Evaluators. | 6. Disseminates policy, protocol change, and ensures implementation across the team. | 7. Leads regular team meetings and acts as the point-person for the region of Nurse Evaluators. | 8. Conducts scheduled and random assessment supervision visits to ensure customer satisfaction through the observation of the Nurse Evaluator’s interaction and communication with consumers as well as the application of the UAS-NY assessment tool. | 9. Promotes project image and goals through public speaking engagements and local professional presentations | 10. Meets all standards established for this position as outlined in the corresponding annual performance criteria and bonus template for this position | 11. Performs other duties as may be assigned by the Nurse Director
Job Locations US-NY-New York
Requisition ID 2021-69658
Job Locations US-NY-New York
Requisition ID 2021-69709
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 Provider Relations Specialist.  The Provider Relations Specialist 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 be the primary contact for IPP/IRP providers in collaboration with our internal Operational Support Unit (OSU), providing them with technical assistance and support for operational issues.  You will also collaborate with the Operation Support Unit (OSU) to address clinical issues and concerns.  You will effectively communicate and assist with provider outreach between the Medical Director and Clinical Manager to Clinicians.  You will assist 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 three (3) years of Health Plan Provider or recruiting and vendor management experience.  The successful incumbent will have knowledge of online recruiting tools and strategies.  Proficient knowledge and capable of navigating multiple systems.  Well-developed and professional interpersonal skills and the ability to interact effectively with people at all organizational levels. The Specialist must display strong communication skills, both written and verbal, and a proficient working knowledge of Microsoft Office Suite programs. Knowledge of CRM is preferred. 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-New York
Requisition ID 2021-69592
Maximus 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 known for strengthening communities and improving the lives of the people we serve. | | These positions will report to the HR Department, which provides Shared Services support to several Maximus programs. You will be joining an agile and flexible team that supports six Maximus Health East programs, focusing on enrollment and health assessment services. These positions will specifically provide support to the New York Independent Assessor (NYIA) program, which was established for New York State Medicaid consumers who want to receive community-based long-term care services and supports. | | The Clinical HR Associate Specialists will have a primary focus on providing recruiting and onboarding services. The position also supports training, special projects and employee relations activities for assigned program(s). This is an exciting opportunity for an HR professional looking for the next step in their career. If your experience aligns with the required skills and experience and you enjoy working in a collaborative, fast-paced and dynamic environment, then we can't wait to meet you! | | | Must have: | High School Diploma with 4 or more years of directly related Human Resources experience | ---or--- | Bachelor’s Degree with 2 or more years of directly related Human Resources experience | | | Nice to have | Bachelor’s Degree or higher in the Human Resources or Healthcare Administration fields; experience supporting clinical recruiting, provider relations
Job Locations US-NY-New York
Requisition ID 2021-68749
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 Independent Practitioner Panel (IPP)Maximus administers the Independent Practitioner Panel (IPP), which is currently looking for a Credentialing Coordinator.  The Credentialing Coordinator will be responsible for the credentialing and recredentialing process of the clinical staff.  This will include verification of all necessary provider licenses and credential information.  If you are interested in expanding your knowledge of credentialing process, this is the position for you! About the PositionYou will collect all the necessary credentials of incoming providers and perform primary source verifications of all provider credentials, which include licensure, DEA, NPDB, certifications, and additional verifications as required.  You will communicate proactively with candidates and staff and guide them through the credentialing process.  You will maintain necessary records and documentation required for provider credentialing and re-credentialing.   Must HavesThe successful incumbent must have a High School Degree or equivalent with at least one (1) year of experience in Credentialing and Recredentialing functions.  The incumbent will have knowledge of and implementation of NCQA standards for preparation of physician files.  Well-developed and professional interpersonal skills are desired, as well as the ability to interact effectively with people at all organizational levels. The Coordinator must display strong communication skills, both written and verbal. Knowledge of CAQH is preferred. 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
The Coordinator - Credentialing performs duties associated with the credentialing and recredentialing program for clinical staff, including verification of all necessary provider licenses and credentials information.
Job Locations US-NY-New York
Requisition ID 2021-65548
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 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 for Team Leads (and other positions!) across the state. About the PositionIf you are passionate about providing outstanding home assessment services to vulnerable populations and meet position qualifications, then we are excited to meet you!  In this role, you’ll have the opportunity to conduct home assessments and develop leadership skills by supporting the Regional Nurse Manager and a team of Nurse Assessors. We offer competitive benefits and the opportunity to grow in a supportive and collaborative work environment.  Take the next step in your career journey today and join our growing team! Position Responsibilities- Perform initial in-home evaluations of patients that includes evaluation of health status, strengths, care needs, and preferences utilizing the UAS-NY assessment tool- Establishes and maintains positive relationships with consumers, caregivers, and facility staff- Maintains updated knowledge of the UAS-NY Assessment process- Review consumer medical documentation and/or health referral forms, as relevant to the case- Enter evaluation data into electronic evaluation form and transmit, as required - Document any concerns, conflicting information, other issues that surface during the evaluation process - Emphasize continuity of care, thus reducing or eliminating fragmentation, duplication, and gaps in the treatment plan - Initiate communication between the Call Center and eligible consumers for enrollment into a managed care health plan- Facilitate and support new IA Nurse Evaluators to meet the essential functions of the Nurse Evaluator position- Conducts IA appointment visits with new Nurse Evaluators to provide demonstration and education- Instructs, demonstrates, observes assessment skills and techniques and provides feedback to the Regional Nurse ManagerRequired Experience- 2+ years RN experience without UAS or 1 year of RN experience with UAS in-home careRequired Qualifications- RN licensure in NY State - Graduate of an accredited nursing programHome 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 speedWork LocationThis position will support a regional area in New York State. Work location is hybrid (partially from a hom office and partially attending and conducting assessments in consumer homes or through a telehealth modality). 
Job Locations US-NY-New York
Requisition ID 2021-61538
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 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 have an exciting opportunity for Content Development Specialist. The successful candidate will be responsible for creating content to live on digital training platforms. We’re looking for a candidate who is tech savvy and has the ability to make static information come to life.   You'll find that you are joining a hands-on, dynamic and supportive organization where you’ll gain valuable training experience and grow as a healthcare educator.  We offer competitive benefits and growth opportunity in a supportive and collaborative work environment.  Take the next step in your career journey today and join our growing team! Position Responsibilities- Designs and develops e-learning and blended learning content and ensure future accessibility of training materials.- Supports the design, deployment, and on-going maintenance of the Learning Management System. - Monitors content for consistency, accuracy, clarity, ease-of-navigation and evolving best practices for user experience and interface. - Designs, and develops ongoing training materials for system enhancements, releases, clinical initiatives, and workflows.- Consults with internal stakeholders to identify new requirements and strategies - Captures and diagrams workflow processes - Adjusts throughout the project to ensure the successful attainment of the learning and training objectivesRequired Experience:- 2+ years training experience- Prior experience using the UAS-NY Community assessment tool- Experience designing remote learningRequired Qualifications:- Bachelor’s DegreeHome 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-New York
Requisition ID 2021-68873
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 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 great opportunities across the state! About the PositionWe have numerous exciting opportunities for Quality Assurance Nurses. The successful candidate(s) will be responsible for reviewing assessments to ensure accuracy and consistency.  We're looking for people who are detail oriented and have excellent communication skills. We offer competitive benefits and growth opportunities in a supportive and collaborative work environment.  Take the next step in your career journey today and join our growing team! Position Responsibilities- Collect data related to assessments and assessment outcomes- Examine cases at random for completeness, accuracy and consistency- Examines data for outliers and researches such cases- Analyze UAS recommended scores in relation to Nurse Assessor determinations- Develops / completes reports that track and trend activities / outcomes- Acts as an advisor to UAS staff on all QA and Compliance issues related to the UAS project.- Attend Fair Hearing cases and prepare case packets, as requiredRequired Experience:- 2+ years RN experience in home care, medical, surgical, geriatric, LTC and/or ambulatory care- Prior experience using the UAS-NY Community assessment toolRequired Qualifications:- RN licensure in NY State - Bachelor’s Degree  
Required Education: New York State RN License and Bachelor’s Degree required | | Required Experience2+ years RN experience in medical / surgical / geriatric / LTC / ambulatory care | Preferred Experience2+ years previous work experience in Quality and Risk Management in a hospital setting conducting peer reviews | | JOB RESPONSIBILITIES | | 1.Collaborate with the Nurse Director to develop an effective quality monitoring program | 2.Provide QA training to the Nurse Assessors, RN Monitors, and the QA staff in order that quality actions are incorporated into their daily practice | 3.Collect data related to assessments and assessment outcomes | 4.Examine cases at random for completeness, accuracy and consistency | 5.Examines data for outliers and researches such cases | 6.Analyze UAS recommended scores in relation to Nurse Assessor determinations | 7.Develops / completes reports that track and trend activities / outcomes | 8.Acts as an advisor to UAS staff on all QA and Compliance issues related to the UAS project. | 9.Attend Fair Hearing cases and prepare case packets, as required | 10.Frequent travel is required | 11.Meets all standards established for this position as outlined in the corresponding annual performance criteria and bonus template for this position | 12.Performs other duties as may be assigned by the Nurse Director.
Job Locations US-NY-New York
Requisition ID 2021-68512
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 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. If you have a passion for bringing together and leading winning teams, then we're looking forward to meeting you! Position Responsibilities- Oversees the training and development of Nurse Evaluators.- Supervises the Nurse Evaluators in a designated region to assure quality, productivity, and timeliness of work completion- Monitor the activities, schedules, productivity, and assessment results of an assigned group of Nurse Evaluators- Reviews clinical documentation for completeness, accuracy and consistency for an assigned group of Nurse Evaluators- Collects QA information from assigned Nurse Evaluators- Disseminates policy, protocol change, and ensures implementation across the team- Conducts scheduled and random assessment supervision visits to ensure customer satisfaction through the observation of the Nurse Evaluator’s interaction and communication with consumers as well as the application of the UAS-NY assessment toolRequired Qualifications- 4+ years RN experience in-home care, medical, surgical, geriatric, LTC and/or ambulatory care- Prior experience using the UAS-NY Community assessment tool- RN licensure in NY State - Bachelors’ Degree in a health, social services, or communicationsPreferred Qualifications- Minimum of 1 year of supervisory experience in a clinical setting- MA degree in a health, social services, or communications field requiredHome 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 speedWork LocationThis position will support a regional area in New York State. Work location is remote.  Incumbents work primarily from a home office with some onsite supervision appointments at the consumer's residence.
Job Locations US-NY-New York
Requisition ID 2021-68919
This Reporting Analyst is responsible for designing, creating, analyzing, building, and distributing reports based on data collected in order to provide information regarding project performance and compliance. | | Required Education: | Bachelor’s degree is required in business, education, computer science, statistics, health, social services, or related field | | Preferred Education: | Master’s degree is preferred | | Required Experience: | - Minimum 2 years of experience utilizing database software to manipulate data, generate reports and analyze data | - Minimum 2 years of experience using PL-SQL query generation and other report writing software such as Crystal Reports, Access or similar products | | Preferred Experience: | - Experience in the human, health, and/or managed care fields doing statistical analysis, trending, tracking and reporting of focused populations both on a routine and ad hoc basis | | Required Skills: | Strong analytical skills; excellent verbal and written communication skills, as well as interpersonal skills which are necessary to work in a team environment; working knowledge of and the ability to efficiently operate all applicable computer software applications such as Outlook, Word, Excel, PowerPoint, Visio, Oracle and Access; excellent organizational skills; ability to perform 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. | | Bilingual Preferred, but not required | | JOB RESPONSIBILITIES | | 1.Create and develop routine and ad-hoc reports utilizing Access and PL-SQL | 2.Work with departments and senior management to assess and evaluate reporting needs. | 3.Develop written reports and summaries of reports for internal and external sources. | 4.Assess reporting results through data investigation, analysis, and evaluation | 5.Ensure that reports support the overall scope of organization's business objectives | 6.Utilizes Crystal Reports, PL/SQL Developer and other systems applications for report development. | 7.Maintain data integrity and ongoing quality control of delivered reports | 8.Demonstrates excellent customer service skills when interacting both internally and externally | 9.Performs other duties as assigned by Management.

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