Position Summary: The Appeals & Grievances (A&G) unit manages Healthfirst member complaints, grievances and appeals that are presented by the member or provider pertaining to the authorization of or delivery of clinical and non-clinical services. A&G
Position is Remote (USA or Canada) No agencies please About Maximus Maximus (https://www.maximustribe.com/) is a mission-driven consumer performance medicine telehealth company that provides men and women with content, community, and clinical support to optimize their health, wellness, and
Bilingual Customer Service Rep - Remote (Must Live Near McAllen, TX) Maximus is currently seeking Bilingual Spanish Customer Service Representatives to support the Federal Emergency Management Agency (FEMA). FEMAs mission is to help people before, during, and
Bilingual Mandarin or Cantonese Customer Service Representative Essential Duties and Responsibilities: Answer incoming calls from consumers including the general public, prospective enrollees and people assisting enrollees or acting on their behalf in accordance with all performance
Job Developer Maximus is hiring a Job Developer to connect individuals with meaningful, career-focused employment opportunities. In this role, you will serve as a key liaison between employers, community partners, and program participantsbuilding strong partnerships that align
RN Clinical Assessor - (Hybrid Remote - Cumberland County, Maine) Essential Duties and Responsibilities: Responsible for completing medical and/or behavioral health assessments within contract requirements Conducts on-site, video call and/or telephonic assessments to determine an individuals
Bilingual Customer Service Rep - Remote (Must live near McAllen, TX) Maximus is currently seeking Bilingual Spanish Customer Service Representatives to support the Federal Emergency Management Agency (FEMA). FEMAs mission is to help people before, during, and
Intelligent Automation Lead Conduct design sessions with customers to identify requirements. Partner with customers to identify a minimum viable product, which represents the smallest product increment that still delivers value, and prioritize remaining product backlog items
Marketing Creative Director Position is Remote (US or Canada) No agencies please Maximus is a mission-driven consumer performance medicine telehealth company that provides men and women with content, community, and clinical support to optimize their health, wellness,
Principal Specialist - Employee Relations The Principal Specialist-Employee Relations plays a key role in supporting the centralized Employee Relations function by helping to increase team capability, strengthening quality and compliance and leading sensitive, high-risk investigations. This
Junior Cost Analyst Perform cost allocation and cost of service studies for state and local governments. Support projects/initiatives by analyzing costs, processes and procedures for government agencies. Gather necessary client financial information, analyze accounts, and prepare
RN Clinical Assessor - (Hybrid Remote - Waldo/Kennebec County, Maine) Essential Duties and Responsibilities: - Responsible for completing medical and/or behavioral health assessments within contract requirements - Conducts on-site, video call and/or telephonic assessments to determine
RN Clinical Assessor - (Hybrid Remote - Westbrook, Maine) Essential Duties and Responsibilities: - Responsible for completing medical and/or behavioral health assessments within contract requirements - Conducts on-site, video call and/or telephonic assessments to determine an
Customer Service Rep - Remote (Must live near McAllen, TX) Maximus is currently seeking Customer Service Representatives to support the Federal Emergency Management Agency (FEMA). FEMAs mission is to help people before, during, and after disasters. In
Bilingual Spanish Customer Service Representative Essential Duties and Responsibilities: Answer incoming calls from consumers including the general public, prospective enrollees and people assisting enrollees or acting on their behalf in accordance with all performance standards, policy
Essential Duties and Responsibilities: - Supervise the workforce management team and workflow to support management in all aspects of the workforce function within the project. - Create and maintain workforce monitoring schedules for team members to
Maximus is seeking a Registered Nurse, Clinical Assessor to join our growing team. As a Nurse Assessor, you will conduct person-centered assessments in accordance with contract directives, company processes, and contract requirements. You’ll evaluate individuals in their
Essential Duties and Responsibilities: - Works on assignments that are routine in nature, with responsibilities easily learned on the job. - Monitor call volume and staffing data to ensure workers are performing in accordance with established
Essential Duties and Responsibilities: - Provides customer service for basic and routine inquiries and problems via multiple possible channels (i.e. telephone, emails, web chats, or written letters). - Calls are predominantly routine, but may require deviation
Essential Duties and Responsibilities: - Responsible for completing medical and/or behavioral health assessments within contract requirements - Conducts on-site, video call and/or telephonic assessments to determine an individuals needs for services and supports, eligibility, level of