-
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 individual's needs for services and supports, eligibility, level of care or related outcome.
- Perform all job duties in compliance with Person First standards, HIPAA guidelines, and company confidentiality policies and procedures.
- Travel may be required based on program contract requirements.
- Performs other related duties as assigned.
- Preferred knowledge may include community support programs, long-term care assessment and level of care in medical, behavioral health or related programs.
- Knowledge and understanding of medical and/or behavioral health diagnoses and prescribed medications.
- Ability to collect data, define problems, establish facts, and draw valid conclusions.
- Conduct in-person onsite outreach interviews and transitional assessments using person-centered and motivational interviewing techniques
- Educate individuals about their rights, the Outreach & Assessment process, and what to expect in next steps
- Accurately document assessment findings, outcomes, and required data elements in program systems
- Maintain professionalism and strong customer service when working with individuals with complex medical, behavioral health, and social needs
- Perform all job duties in compliance with Person First standards, HIPAA guidelines, and Maximus confidentiality policies and procedures.
- Traveling as required based on program contract requirements.
- Perform other related duties as assigned.
Minimum Requirements
- Education and licensure requirements are based on program contract requirements and are outlined in job posting.
- High School Degree or equivalent required.
- Minimum 2 years of clinical experience required.
- Minimum 5 years' experience in medical, mental health, or combination of both fields.
-Minimum of 3 years of experience conducting medical and/or mental health assessments
One of the following:
- Master's degree in counseling, social work, psychology, or other highly related field with a minimum of five years' experience working with individuals in long-term care settings and/or mental health settings
- Willingness and ability to travel up to 85% within Northern Cook County and Lake County, Illinois.
Preferred knowledge includes:
- Familiarity with Medicaid, Long-term services and supports, or community-based programs
-Strong interviewing, documentation, and interpersonal skills
- Experience working with individuals with complex medical or behavioral health needs
- Ability to work independently in the field and manage a mobile schedule
Home Office Requirements:
- Maximus provides company-issued computer equipment.
- Reliable high-speed internet service (Minimum 20 Mbps download speeds/50 Mbps for shared internet connectivity, Minimum 5 Mbps upload speeds).
- Private and se...
....Read more...
Type: Permanent Location: Waukegan, US-IL
Salary / Rate: Not Specified
Posted: 2026-02-14 08:37:25
-
Create an outstanding customer experience through exceptional service.
Establish and maintain a safe and clean environment that encourages our customers to return.
Assist the department manager in reaching sales and profit goals established for the department and monitor all established quality assurance standards.
Embrace the Customer 1st strategy and encourage associates to deliver excellent customer service.
Demonstrate the company's core values of respect, honesty, integrity, diversity, inclusion and safety.Based in Salt Lake City, Utah, Smith's Food and Drug merged with The Kroger Company in 1998.
Today, we're proudly serving Smith's customers in over 140 stores throughout Utah, Nevada, New Mexico, Arizona, Montana, Idaho and Wyoming.
As part of the Kroger family of companies, we take pride in bringing diverse teams with a passion for food and people together with one common purpose: To Feed the Human Spirit.
With a history of innovation, we work tirelessly to create amazing experiences for our customers, communities AND each other, with food at the heart of it all.
Here, people matter.
That's why we strive to provide the ingredients you need to create your own recipe for success at work and in life.
We help feed your future by providing the value and care you need to grow.
If you're caring, purpose-driven and hungry to learn, your potential is unlimited.
Whether you're seeking a part-time position or a new career path, we've got a fresh opportunity for you.
Apply today to become part of our Smith's family!
What you'll receive from us:
The Kroger Family of Companies offers comprehensive benefits to support your Associate Well-Being, including Physical, Emotional, Financial and more.
We'll help you thrive, with access to:
* A wide range of healthcare coverage, including affordable, comprehensive medical, dental, vision and prescription coverage, through company plans or collective bargaining agreement plans.
* Flexible scheduling in full- and part-time roles with paid time off, including holiday and sick pay based on eligibility and length of service.
* Emotional and financial support with free counseling through our Employee Assistance Program and free, confidential financial tools and coaching with Goldman Sachs Ayco.
* Valuable associate discounts on purchases, including food, travel, technology and so much more.
* Up to $21,000 in tuition reimbursement over your career, through our industry-leading Continuing Education program.
* Vast potential for growth, through an abundance of industry-leading training programs and diverse career pathways.
For more information about benefits and eligibility, please visit our Benefits Page ! Minimum
- Ability to handle stressful situations
- Knowledge of basic math (counting, addition, and subtraction)
- Effective communication skills
Desired
- Any retail experience
- Second language (speaking, reading and/or writing)- Promote trust and respect among associates
- ...
....Read more...
Type: Permanent Location: Albuquerque, US-NM
Salary / Rate: Not Specified
Posted: 2026-02-14 08:37:21
-
Essential Duties and Responsibilities:
- Maintain updated knowledge of project and corporate policies and procedures as referenced in the employee manual and other desk procedures for the position
- Function as a Subject Matter Expert in one or more process areas.
- Analyze data submitted for Independent Medical Review.
- Collect and analyze incoming data and reports from treatment providers, facilities, participants, labs and health plans to input necessary information into the system.
- Respond to incoming calls from clients, health plans, providers and enrollees regarding case status, questions about the program, and the appeals process.
- Create arbitration cases in the system.
- Send requests for information to providers and health plans.
- Close arbitration cases in the system.
- Analyze data received from providers and health plans.
Minimum Requirements
- Associate degree with 2+ years' experience.
- Experience in lieu of an Associate degree (HS Diploma or GED and 4+ years of experience) also considered.
- Ability to manage multiple tasks efficiently and maintain accurate records.
- Excellent written and verbal communication skills to interact with healthcare providers and insurance companies.
- Ability to work across multiple platforms.
- Proficiency in Microsoft Office Suite (Word, Excel, Outlook, PowerPoint) and healthcare billing systems.
- Ability to successfully work in a fast-paced, deadline-driven environment.
- High level of accuracy in data entry and document management.
- Ability to work independently as a part of a team remotely.
- Experience with Salesforce platform preferred.
- Understanding of healthcare billing, CPT codes, and the No Surprises Act preferred.
- Experience with healthcare appeals and/or grievances preferred.
- Experience with retroactive claim review highly preferred.
- Familiarity with insurance documentation, explanation of benefits, and/or claim forms highly preferred.
- Ability to commit to a schedule of 8:00am - 5:30pm EST Monday - Friday required.
Please note: For this position Maximus will provide equipment to use.
Home Office Requirements:
- Internet speed of 25mbps or higher required / 50 Mpbs for shared internet connectivity (you can test this by going to www.speedtest.net)
- Minimum 5mpbs upload speed
- Connectivity to the internet via Category 5 or 6 ethernet patch cable to the home router
- Private and secure work area and adequate power source
-Must currently and permanently reside in the Continental US
EEO Statement
Maximus is an equal opportunity employer.
We evaluate qualified applicants without regard to race, color, religion, sex, age, national origin, disability, veteran status, genetic information and other legally protected characteristics.
Pay Transparency
Maximus compensation is based on various factors including but not limited to job location, a candidate's education, training, experience, expected quality and quantity of work, required travel (if...
....Read more...
Type: Permanent Location: Rock Springs, US-WY
Salary / Rate: Not Specified
Posted: 2026-02-14 08:37:20
-
Essential Duties and Responsibilities:
- Maintain updated knowledge of project and corporate policies and procedures as referenced in the employee manual and other desk procedures for the position
- Function as a Subject Matter Expert in one or more process areas.
- Analyze data submitted for Independent Medical Review.
- Collect and analyze incoming data and reports from treatment providers, facilities, participants, labs and health plans to input necessary information into the system.
- Respond to incoming calls from clients, health plans, providers and enrollees regarding case status, questions about the program, and the appeals process.
- Create arbitration cases in the system.
- Send requests for information to providers and health plans.
- Close arbitration cases in the system.
- Analyze data received from providers and health plans.
Minimum Requirements
- Associate degree with 2+ years' experience.
- Experience in lieu of an Associate degree (HS Diploma or GED and 4+ years of experience) also considered.
- Ability to manage multiple tasks efficiently and maintain accurate records.
- Excellent written and verbal communication skills to interact with healthcare providers and insurance companies.
- Ability to work across multiple platforms.
- Proficiency in Microsoft Office Suite (Word, Excel, Outlook, PowerPoint) and healthcare billing systems.
- Ability to successfully work in a fast-paced, deadline-driven environment.
- High level of accuracy in data entry and document management.
- Ability to work independently as a part of a team remotely.
- Experience with Salesforce platform preferred.
- Understanding of healthcare billing, CPT codes, and the No Surprises Act preferred.
- Experience with healthcare appeals and/or grievances preferred.
- Experience with retroactive claim review highly preferred.
- Familiarity with insurance documentation, explanation of benefits, and/or claim forms highly preferred.
- Ability to commit to a schedule of 8:00am - 5:30pm EST Monday - Friday required.
Please note: For this position Maximus will provide equipment to use.
Home Office Requirements:
- Internet speed of 25mbps or higher required / 50 Mpbs for shared internet connectivity (you can test this by going to www.speedtest.net)
- Minimum 5mpbs upload speed
- Connectivity to the internet via Category 5 or 6 ethernet patch cable to the home router
- Private and secure work area and adequate power source
-Must currently and permanently reside in the Continental US
EEO Statement
Maximus is an equal opportunity employer.
We evaluate qualified applicants without regard to race, color, religion, sex, age, national origin, disability, veteran status, genetic information and other legally protected characteristics.
Pay Transparency
Maximus compensation is based on various factors including but not limited to job location, a candidate's education, training, experience, expected quality and quantity of work, required travel (if...
....Read more...
Type: Permanent Location: Milwaukee, US-WI
Salary / Rate: Not Specified
Posted: 2026-02-14 08:37:19
-
Essential Duties and Responsibilities:
- Maintain updated knowledge of project and corporate policies and procedures as referenced in the employee manual and other desk procedures for the position
- Function as a Subject Matter Expert in one or more process areas.
- Analyze data submitted for Independent Medical Review.
- Collect and analyze incoming data and reports from treatment providers, facilities, participants, labs and health plans to input necessary information into the system.
- Respond to incoming calls from clients, health plans, providers and enrollees regarding case status, questions about the program, and the appeals process.
- Create arbitration cases in the system.
- Send requests for information to providers and health plans.
- Close arbitration cases in the system.
- Analyze data received from providers and health plans.
Minimum Requirements
- Associate degree with 2+ years' experience.
- Experience in lieu of an Associate degree (HS Diploma or GED and 4+ years of experience) also considered.
- Ability to manage multiple tasks efficiently and maintain accurate records.
- Excellent written and verbal communication skills to interact with healthcare providers and insurance companies.
- Ability to work across multiple platforms.
- Proficiency in Microsoft Office Suite (Word, Excel, Outlook, PowerPoint) and healthcare billing systems.
- Ability to successfully work in a fast-paced, deadline-driven environment.
- High level of accuracy in data entry and document management.
- Ability to work independently as a part of a team remotely.
- Experience with Salesforce platform preferred.
- Understanding of healthcare billing, CPT codes, and the No Surprises Act preferred.
- Experience with healthcare appeals and/or grievances preferred.
- Experience with retroactive claim review highly preferred.
- Familiarity with insurance documentation, explanation of benefits, and/or claim forms highly preferred.
- Ability to commit to a schedule of 8:00am - 5:30pm EST Monday - Friday required.
Please note: For this position Maximus will provide equipment to use.
Home Office Requirements:
- Internet speed of 25mbps or higher required / 50 Mpbs for shared internet connectivity (you can test this by going to www.speedtest.net)
- Minimum 5mpbs upload speed
- Connectivity to the internet via Category 5 or 6 ethernet patch cable to the home router
- Private and secure work area and adequate power source
-Must currently and permanently reside in the Continental US
EEO Statement
Maximus is an equal opportunity employer.
We evaluate qualified applicants without regard to race, color, religion, sex, age, national origin, disability, veteran status, genetic information and other legally protected characteristics.
Pay Transparency
Maximus compensation is based on various factors including but not limited to job location, a candidate's education, training, experience, expected quality and quantity of work, required travel (if...
....Read more...
Type: Permanent Location: Eau Claire, US-WI
Salary / Rate: Not Specified
Posted: 2026-02-14 08:37:19
-
Essential Duties and Responsibilities:
- Maintain updated knowledge of project and corporate policies and procedures as referenced in the employee manual and other desk procedures for the position
- Function as a Subject Matter Expert in one or more process areas.
- Analyze data submitted for Independent Medical Review.
- Collect and analyze incoming data and reports from treatment providers, facilities, participants, labs and health plans to input necessary information into the system.
- Respond to incoming calls from clients, health plans, providers and enrollees regarding case status, questions about the program, and the appeals process.
- Create arbitration cases in the system.
- Send requests for information to providers and health plans.
- Close arbitration cases in the system.
- Analyze data received from providers and health plans.
Minimum Requirements
- Associate degree with 2+ years' experience.
- Experience in lieu of an Associate degree (HS Diploma or GED and 4+ years of experience) also considered.
- Ability to manage multiple tasks efficiently and maintain accurate records.
- Excellent written and verbal communication skills to interact with healthcare providers and insurance companies.
- Ability to work across multiple platforms.
- Proficiency in Microsoft Office Suite (Word, Excel, Outlook, PowerPoint) and healthcare billing systems.
- Ability to successfully work in a fast-paced, deadline-driven environment.
- High level of accuracy in data entry and document management.
- Ability to work independently as a part of a team remotely.
- Experience with Salesforce platform preferred.
- Understanding of healthcare billing, CPT codes, and the No Surprises Act preferred.
- Experience with healthcare appeals and/or grievances preferred.
- Experience with retroactive claim review highly preferred.
- Familiarity with insurance documentation, explanation of benefits, and/or claim forms highly preferred.
- Ability to commit to a schedule of 8:00am - 5:30pm EST Monday - Friday required.
Please note: For this position Maximus will provide equipment to use.
Home Office Requirements:
- Internet speed of 25mbps or higher required / 50 Mpbs for shared internet connectivity (you can test this by going to www.speedtest.net)
- Minimum 5mpbs upload speed
- Connectivity to the internet via Category 5 or 6 ethernet patch cable to the home router
- Private and secure work area and adequate power source
-Must currently and permanently reside in the Continental US
EEO Statement
Maximus is an equal opportunity employer.
We evaluate qualified applicants without regard to race, color, religion, sex, age, national origin, disability, veteran status, genetic information and other legally protected characteristics.
Pay Transparency
Maximus compensation is based on various factors including but not limited to job location, a candidate's education, training, experience, expected quality and quantity of work, required travel (if...
....Read more...
Type: Permanent Location: Cheyenne, US-WY
Salary / Rate: Not Specified
Posted: 2026-02-14 08:37:18
-
Essential Duties and Responsibilities:
- Maintain updated knowledge of project and corporate policies and procedures as referenced in the employee manual and other desk procedures for the position
- Function as a Subject Matter Expert in one or more process areas.
- Analyze data submitted for Independent Medical Review.
- Collect and analyze incoming data and reports from treatment providers, facilities, participants, labs and health plans to input necessary information into the system.
- Respond to incoming calls from clients, health plans, providers and enrollees regarding case status, questions about the program, and the appeals process.
- Create arbitration cases in the system.
- Send requests for information to providers and health plans.
- Close arbitration cases in the system.
- Analyze data received from providers and health plans.
Minimum Requirements
- Associate degree with 2+ years' experience.
- Experience in lieu of an Associate degree (HS Diploma or GED and 4+ years of experience) also considered.
- Ability to manage multiple tasks efficiently and maintain accurate records.
- Excellent written and verbal communication skills to interact with healthcare providers and insurance companies.
- Ability to work across multiple platforms.
- Proficiency in Microsoft Office Suite (Word, Excel, Outlook, PowerPoint) and healthcare billing systems.
- Ability to successfully work in a fast-paced, deadline-driven environment.
- High level of accuracy in data entry and document management.
- Ability to work independently as a part of a team remotely.
- Experience with Salesforce platform preferred.
- Understanding of healthcare billing, CPT codes, and the No Surprises Act preferred.
- Experience with healthcare appeals and/or grievances preferred.
- Experience with retroactive claim review highly preferred.
- Familiarity with insurance documentation, explanation of benefits, and/or claim forms highly preferred.
- Ability to commit to a schedule of 8:00am - 5:30pm EST Monday - Friday required.
Please note: For this position Maximus will provide equipment to use.
Home Office Requirements:
- Internet speed of 25mbps or higher required / 50 Mpbs for shared internet connectivity (you can test this by going to www.speedtest.net)
- Minimum 5mpbs upload speed
- Connectivity to the internet via Category 5 or 6 ethernet patch cable to the home router
- Private and secure work area and adequate power source
-Must currently and permanently reside in the Continental US
EEO Statement
Maximus is an equal opportunity employer.
We evaluate qualified applicants without regard to race, color, religion, sex, age, national origin, disability, veteran status, genetic information and other legally protected characteristics.
Pay Transparency
Maximus compensation is based on various factors including but not limited to job location, a candidate's education, training, experience, expected quality and quantity of work, required travel (if...
....Read more...
Type: Permanent Location: Morgantown, US-WV
Salary / Rate: Not Specified
Posted: 2026-02-14 08:37:17
-
Essential Duties and Responsibilities:
- Maintain updated knowledge of project and corporate policies and procedures as referenced in the employee manual and other desk procedures for the position
- Function as a Subject Matter Expert in one or more process areas.
- Analyze data submitted for Independent Medical Review.
- Collect and analyze incoming data and reports from treatment providers, facilities, participants, labs and health plans to input necessary information into the system.
- Respond to incoming calls from clients, health plans, providers and enrollees regarding case status, questions about the program, and the appeals process.
- Create arbitration cases in the system.
- Send requests for information to providers and health plans.
- Close arbitration cases in the system.
- Analyze data received from providers and health plans.
Minimum Requirements
- Associate degree with 2+ years' experience.
- Experience in lieu of an Associate degree (HS Diploma or GED and 4+ years of experience) also considered.
- Ability to manage multiple tasks efficiently and maintain accurate records.
- Excellent written and verbal communication skills to interact with healthcare providers and insurance companies.
- Ability to work across multiple platforms.
- Proficiency in Microsoft Office Suite (Word, Excel, Outlook, PowerPoint) and healthcare billing systems.
- Ability to successfully work in a fast-paced, deadline-driven environment.
- High level of accuracy in data entry and document management.
- Ability to work independently as a part of a team remotely.
- Experience with Salesforce platform preferred.
- Understanding of healthcare billing, CPT codes, and the No Surprises Act preferred.
- Experience with healthcare appeals and/or grievances preferred.
- Experience with retroactive claim review highly preferred.
- Familiarity with insurance documentation, explanation of benefits, and/or claim forms highly preferred.
- Ability to commit to a schedule of 8:00am - 5:30pm EST Monday - Friday required.
Please note: For this position Maximus will provide equipment to use.
Home Office Requirements:
- Internet speed of 25mbps or higher required / 50 Mpbs for shared internet connectivity (you can test this by going to www.speedtest.net)
- Minimum 5mpbs upload speed
- Connectivity to the internet via Category 5 or 6 ethernet patch cable to the home router
- Private and secure work area and adequate power source
-Must currently and permanently reside in the Continental US
EEO Statement
Maximus is an equal opportunity employer.
We evaluate qualified applicants without regard to race, color, religion, sex, age, national origin, disability, veteran status, genetic information and other legally protected characteristics.
Pay Transparency
Maximus compensation is based on various factors including but not limited to job location, a candidate's education, training, experience, expected quality and quantity of work, required travel (if...
....Read more...
Type: Permanent Location: Charleston, US-WV
Salary / Rate: Not Specified
Posted: 2026-02-14 08:37:16
-
Essential Duties and Responsibilities:
- Maintain updated knowledge of project and corporate policies and procedures as referenced in the employee manual and other desk procedures for the position
- Function as a Subject Matter Expert in one or more process areas.
- Analyze data submitted for Independent Medical Review.
- Collect and analyze incoming data and reports from treatment providers, facilities, participants, labs and health plans to input necessary information into the system.
- Respond to incoming calls from clients, health plans, providers and enrollees regarding case status, questions about the program, and the appeals process.
- Create arbitration cases in the system.
- Send requests for information to providers and health plans.
- Close arbitration cases in the system.
- Analyze data received from providers and health plans.
Minimum Requirements
- Associate degree with 2+ years' experience.
- Experience in lieu of an Associate degree (HS Diploma or GED and 4+ years of experience) also considered.
- Ability to manage multiple tasks efficiently and maintain accurate records.
- Excellent written and verbal communication skills to interact with healthcare providers and insurance companies.
- Ability to work across multiple platforms.
- Proficiency in Microsoft Office Suite (Word, Excel, Outlook, PowerPoint) and healthcare billing systems.
- Ability to successfully work in a fast-paced, deadline-driven environment.
- High level of accuracy in data entry and document management.
- Ability to work independently as a part of a team remotely.
- Experience with Salesforce platform preferred.
- Understanding of healthcare billing, CPT codes, and the No Surprises Act preferred.
- Experience with healthcare appeals and/or grievances preferred.
- Experience with retroactive claim review highly preferred.
- Familiarity with insurance documentation, explanation of benefits, and/or claim forms highly preferred.
- Ability to commit to a schedule of 8:00am - 5:30pm EST Monday - Friday required.
Please note: For this position Maximus will provide equipment to use.
Home Office Requirements:
- Internet speed of 25mbps or higher required / 50 Mpbs for shared internet connectivity (you can test this by going to www.speedtest.net)
- Minimum 5mpbs upload speed
- Connectivity to the internet via Category 5 or 6 ethernet patch cable to the home router
- Private and secure work area and adequate power source
-Must currently and permanently reside in the Continental US
EEO Statement
Maximus is an equal opportunity employer.
We evaluate qualified applicants without regard to race, color, religion, sex, age, national origin, disability, veteran status, genetic information and other legally protected characteristics.
Pay Transparency
Maximus compensation is based on various factors including but not limited to job location, a candidate's education, training, experience, expected quality and quantity of work, required travel (if...
....Read more...
Type: Permanent Location: Seattle, US-WA
Salary / Rate: Not Specified
Posted: 2026-02-14 08:37:15
-
Complete a 12-week program designed to provide overview of store operations, marketing, merchandising, purchasing, supply chain management, financial analysis and human resources.
The internship also offers job shadowing with store management, a designated retail project and the experience of working as part of an effective team.
Demonstrate the company's core values of respect, honesty, integrity, diversity, inclusion and safety.From one tiny Cincinnati grocery store more than a century ago, we've grown into what today is the nation's largest grocer with nearly 2,800 stores in 35 states operating under 28 different names.
As America's grocer, we take pride in bringing diverse teams with a passion for food and people together with one common purpose: To Feed the Human Spirit.
With a history of innovation, we work tirelessly to create amazing experiences for our customers, communities AND each other, with food at the heart of it all.
Here, people matter.
That's why we strive to provide the ingredients you need to create your own recipe for success at work and in life.
We help feed your future by providing the value and care you need to grow.
If you're caring, purpose-driven and hungry to learn, your potential is unlimited.
Whether you're seeking a part-time position or a new career path, we've got a fresh opportunity for you.
Apply today to become part of our Kroger family!
What you'll receive from us:
The Kroger Family of Companies offers comprehensive benefits to support your Associate Well-Being, including Physical, Emotional, Financial and more.
We'll help you thrive, with access to:
* A wide range of healthcare coverage, including affordable, comprehensive medical, dental, vision and prescription coverage, through company plans or collective bargaining agreement plans.
* Flexible scheduling in full- and part-time roles with paid time off, including holiday and sick pay based on eligibility and length of service.
* Emotional and financial support with free counseling through our Employee Assistance Program and free, confidential financial tools and coaching with Goldman Sachs Ayco.
* Valuable associate discounts on purchases, including food, travel, technology and so much more.
* Up to $21,000 in tuition reimbursement over your career, through our industry-leading Continuing Education program.
* Vast potential for growth, through an abundance of industry-leading training programs and diverse career pathways.
For more information about benefits and eligibility, please visit our Benefits Page ! Minimum
* Enrolled in an accredited college or university.
* Excellent oral and written communication skills.
* Ability to navigate change and respond to challenges with a positive demeanor.
* Demonstrate initiative and to work independently, as well as collaboratively, in a team environment.
* Commitment to providing superior customer service.
Desired
* Involvement in leadership and com...
....Read more...
Type: Permanent Location: Alpharetta, US-GA
Salary / Rate: Not Specified
Posted: 2026-02-14 08:37:15
-
Essential Duties and Responsibilities:
- Maintain updated knowledge of project and corporate policies and procedures as referenced in the employee manual and other desk procedures for the position
- Function as a Subject Matter Expert in one or more process areas.
- Analyze data submitted for Independent Medical Review.
- Collect and analyze incoming data and reports from treatment providers, facilities, participants, labs and health plans to input necessary information into the system.
- Respond to incoming calls from clients, health plans, providers and enrollees regarding case status, questions about the program, and the appeals process.
- Create arbitration cases in the system.
- Send requests for information to providers and health plans.
- Close arbitration cases in the system.
- Analyze data received from providers and health plans.
Minimum Requirements
- Associate degree with 2+ years' experience.
- Experience in lieu of an Associate degree (HS Diploma or GED and 4+ years of experience) also considered.
- Ability to manage multiple tasks efficiently and maintain accurate records.
- Excellent written and verbal communication skills to interact with healthcare providers and insurance companies.
- Ability to work across multiple platforms.
- Proficiency in Microsoft Office Suite (Word, Excel, Outlook, PowerPoint) and healthcare billing systems.
- Ability to successfully work in a fast-paced, deadline-driven environment.
- High level of accuracy in data entry and document management.
- Ability to work independently as a part of a team remotely.
- Experience with Salesforce platform preferred.
- Understanding of healthcare billing, CPT codes, and the No Surprises Act preferred.
- Experience with healthcare appeals and/or grievances preferred.
- Experience with retroactive claim review highly preferred.
- Familiarity with insurance documentation, explanation of benefits, and/or claim forms highly preferred.
- Ability to commit to a schedule of 8:00am - 5:30pm EST Monday - Friday required.
Please note: For this position Maximus will provide equipment to use.
Home Office Requirements:
- Internet speed of 25mbps or higher required / 50 Mpbs for shared internet connectivity (you can test this by going to www.speedtest.net)
- Minimum 5mpbs upload speed
- Connectivity to the internet via Category 5 or 6 ethernet patch cable to the home router
- Private and secure work area and adequate power source
-Must currently and permanently reside in the Continental US
EEO Statement
Maximus is an equal opportunity employer.
We evaluate qualified applicants without regard to race, color, religion, sex, age, national origin, disability, veteran status, genetic information and other legally protected characteristics.
Pay Transparency
Maximus compensation is based on various factors including but not limited to job location, a candidate's education, training, experience, expected quality and quantity of work, required travel (if...
....Read more...
Type: Permanent Location: Richmond, US-VA
Salary / Rate: Not Specified
Posted: 2026-02-14 08:37:14
-
Essential Duties and Responsibilities:
- Maintain updated knowledge of project and corporate policies and procedures as referenced in the employee manual and other desk procedures for the position
- Function as a Subject Matter Expert in one or more process areas.
- Analyze data submitted for Independent Medical Review.
- Collect and analyze incoming data and reports from treatment providers, facilities, participants, labs and health plans to input necessary information into the system.
- Respond to incoming calls from clients, health plans, providers and enrollees regarding case status, questions about the program, and the appeals process.
- Create arbitration cases in the system.
- Send requests for information to providers and health plans.
- Close arbitration cases in the system.
- Analyze data received from providers and health plans.
Minimum Requirements
- Associate degree with 2+ years' experience.
- Experience in lieu of an Associate degree (HS Diploma or GED and 4+ years of experience) also considered.
- Ability to manage multiple tasks efficiently and maintain accurate records.
- Excellent written and verbal communication skills to interact with healthcare providers and insurance companies.
- Ability to work across multiple platforms.
- Proficiency in Microsoft Office Suite (Word, Excel, Outlook, PowerPoint) and healthcare billing systems.
- Ability to successfully work in a fast-paced, deadline-driven environment.
- High level of accuracy in data entry and document management.
- Ability to work independently as a part of a team remotely.
- Experience with Salesforce platform preferred.
- Understanding of healthcare billing, CPT codes, and the No Surprises Act preferred.
- Experience with healthcare appeals and/or grievances preferred.
- Experience with retroactive claim review highly preferred.
- Familiarity with insurance documentation, explanation of benefits, and/or claim forms highly preferred.
- Ability to commit to a schedule of 8:00am - 5:30pm EST Monday - Friday required.
Please note: For this position Maximus will provide equipment to use.
Home Office Requirements:
- Internet speed of 25mbps or higher required / 50 Mpbs for shared internet connectivity (you can test this by going to www.speedtest.net)
- Minimum 5mpbs upload speed
- Connectivity to the internet via Category 5 or 6 ethernet patch cable to the home router
- Private and secure work area and adequate power source
-Must currently and permanently reside in the Continental US
EEO Statement
Maximus is an equal opportunity employer.
We evaluate qualified applicants without regard to race, color, religion, sex, age, national origin, disability, veteran status, genetic information and other legally protected characteristics.
Pay Transparency
Maximus compensation is based on various factors including but not limited to job location, a candidate's education, training, experience, expected quality and quantity of work, required travel (if...
....Read more...
Type: Permanent Location: Roanoke, US-VA
Salary / Rate: Not Specified
Posted: 2026-02-14 08:37:13
-
Essential Duties and Responsibilities:
- Maintain updated knowledge of project and corporate policies and procedures as referenced in the employee manual and other desk procedures for the position
- Function as a Subject Matter Expert in one or more process areas.
- Analyze data submitted for Independent Medical Review.
- Collect and analyze incoming data and reports from treatment providers, facilities, participants, labs and health plans to input necessary information into the system.
- Respond to incoming calls from clients, health plans, providers and enrollees regarding case status, questions about the program, and the appeals process.
- Create arbitration cases in the system.
- Send requests for information to providers and health plans.
- Close arbitration cases in the system.
- Analyze data received from providers and health plans.
Minimum Requirements
- Associate degree with 2+ years' experience.
- Experience in lieu of an Associate degree (HS Diploma or GED and 4+ years of experience) also considered.
- Ability to manage multiple tasks efficiently and maintain accurate records.
- Excellent written and verbal communication skills to interact with healthcare providers and insurance companies.
- Ability to work across multiple platforms.
- Proficiency in Microsoft Office Suite (Word, Excel, Outlook, PowerPoint) and healthcare billing systems.
- Ability to successfully work in a fast-paced, deadline-driven environment.
- High level of accuracy in data entry and document management.
- Ability to work independently as a part of a team remotely.
- Experience with Salesforce platform preferred.
- Understanding of healthcare billing, CPT codes, and the No Surprises Act preferred.
- Experience with healthcare appeals and/or grievances preferred.
- Experience with retroactive claim review highly preferred.
- Familiarity with insurance documentation, explanation of benefits, and/or claim forms highly preferred.
- Ability to commit to a schedule of 8:00am - 5:30pm EST Monday - Friday required.
Please note: For this position Maximus will provide equipment to use.
Home Office Requirements:
- Internet speed of 25mbps or higher required / 50 Mpbs for shared internet connectivity (you can test this by going to www.speedtest.net)
- Minimum 5mpbs upload speed
- Connectivity to the internet via Category 5 or 6 ethernet patch cable to the home router
- Private and secure work area and adequate power source
-Must currently and permanently reside in the Continental US
EEO Statement
Maximus is an equal opportunity employer.
We evaluate qualified applicants without regard to race, color, religion, sex, age, national origin, disability, veteran status, genetic information and other legally protected characteristics.
Pay Transparency
Maximus compensation is based on various factors including but not limited to job location, a candidate's education, training, experience, expected quality and quantity of work, required travel (if...
....Read more...
Type: Permanent Location: Bennington, US-VT
Salary / Rate: Not Specified
Posted: 2026-02-14 08:37:13
-
Essential Duties and Responsibilities:
- Maintain updated knowledge of project and corporate policies and procedures as referenced in the employee manual and other desk procedures for the position
- Function as a Subject Matter Expert in one or more process areas.
- Analyze data submitted for Independent Medical Review.
- Collect and analyze incoming data and reports from treatment providers, facilities, participants, labs and health plans to input necessary information into the system.
- Respond to incoming calls from clients, health plans, providers and enrollees regarding case status, questions about the program, and the appeals process.
- Create arbitration cases in the system.
- Send requests for information to providers and health plans.
- Close arbitration cases in the system.
- Analyze data received from providers and health plans.
Minimum Requirements
- Associate degree with 2+ years' experience.
- Experience in lieu of an Associate degree (HS Diploma or GED and 4+ years of experience) also considered.
- Ability to manage multiple tasks efficiently and maintain accurate records.
- Excellent written and verbal communication skills to interact with healthcare providers and insurance companies.
- Ability to work across multiple platforms.
- Proficiency in Microsoft Office Suite (Word, Excel, Outlook, PowerPoint) and healthcare billing systems.
- Ability to successfully work in a fast-paced, deadline-driven environment.
- High level of accuracy in data entry and document management.
- Ability to work independently as a part of a team remotely.
- Experience with Salesforce platform preferred.
- Understanding of healthcare billing, CPT codes, and the No Surprises Act preferred.
- Experience with healthcare appeals and/or grievances preferred.
- Experience with retroactive claim review highly preferred.
- Familiarity with insurance documentation, explanation of benefits, and/or claim forms highly preferred.
- Ability to commit to a schedule of 8:00am - 5:30pm EST Monday - Friday required.
Please note: For this position Maximus will provide equipment to use.
Home Office Requirements:
- Internet speed of 25mbps or higher required / 50 Mpbs for shared internet connectivity (you can test this by going to www.speedtest.net)
- Minimum 5mpbs upload speed
- Connectivity to the internet via Category 5 or 6 ethernet patch cable to the home router
- Private and secure work area and adequate power source
-Must currently and permanently reside in the Continental US
EEO Statement
Maximus is an equal opportunity employer.
We evaluate qualified applicants without regard to race, color, religion, sex, age, national origin, disability, veteran status, genetic information and other legally protected characteristics.
Pay Transparency
Maximus compensation is based on various factors including but not limited to job location, a candidate's education, training, experience, expected quality and quantity of work, required travel (if...
....Read more...
Type: Permanent Location: Tysons, US-VA
Salary / Rate: Not Specified
Posted: 2026-02-14 08:37:12
-
Essential Duties and Responsibilities:
- Maintain updated knowledge of project and corporate policies and procedures as referenced in the employee manual and other desk procedures for the position
- Function as a Subject Matter Expert in one or more process areas.
- Analyze data submitted for Independent Medical Review.
- Collect and analyze incoming data and reports from treatment providers, facilities, participants, labs and health plans to input necessary information into the system.
- Respond to incoming calls from clients, health plans, providers and enrollees regarding case status, questions about the program, and the appeals process.
- Create arbitration cases in the system.
- Send requests for information to providers and health plans.
- Close arbitration cases in the system.
- Analyze data received from providers and health plans.
Minimum Requirements
- Associate degree with 2+ years' experience.
- Experience in lieu of an Associate degree (HS Diploma or GED and 4+ years of experience) also considered.
- Ability to manage multiple tasks efficiently and maintain accurate records.
- Excellent written and verbal communication skills to interact with healthcare providers and insurance companies.
- Ability to work across multiple platforms.
- Proficiency in Microsoft Office Suite (Word, Excel, Outlook, PowerPoint) and healthcare billing systems.
- Ability to successfully work in a fast-paced, deadline-driven environment.
- High level of accuracy in data entry and document management.
- Ability to work independently as a part of a team remotely.
- Experience with Salesforce platform preferred.
- Understanding of healthcare billing, CPT codes, and the No Surprises Act preferred.
- Experience with healthcare appeals and/or grievances preferred.
- Experience with retroactive claim review highly preferred.
- Familiarity with insurance documentation, explanation of benefits, and/or claim forms highly preferred.
- Ability to commit to a schedule of 8:00am - 5:30pm EST Monday - Friday required.
Please note: For this position Maximus will provide equipment to use.
Home Office Requirements:
- Internet speed of 25mbps or higher required / 50 Mpbs for shared internet connectivity (you can test this by going to www.speedtest.net)
- Minimum 5mpbs upload speed
- Connectivity to the internet via Category 5 or 6 ethernet patch cable to the home router
- Private and secure work area and adequate power source
-Must currently and permanently reside in the Continental US
EEO Statement
Maximus is an equal opportunity employer.
We evaluate qualified applicants without regard to race, color, religion, sex, age, national origin, disability, veteran status, genetic information and other legally protected characteristics.
Pay Transparency
Maximus compensation is based on various factors including but not limited to job location, a candidate's education, training, experience, expected quality and quantity of work, required travel (if...
....Read more...
Type: Permanent Location: Spokane, US-WA
Salary / Rate: Not Specified
Posted: 2026-02-14 08:37:11
-
Essential Duties and Responsibilities:
- Maintain updated knowledge of project and corporate policies and procedures as referenced in the employee manual and other desk procedures for the position
- Function as a Subject Matter Expert in one or more process areas.
- Analyze data submitted for Independent Medical Review.
- Collect and analyze incoming data and reports from treatment providers, facilities, participants, labs and health plans to input necessary information into the system.
- Respond to incoming calls from clients, health plans, providers and enrollees regarding case status, questions about the program, and the appeals process.
- Create arbitration cases in the system.
- Send requests for information to providers and health plans.
- Close arbitration cases in the system.
- Analyze data received from providers and health plans.
Minimum Requirements
- Associate degree with 2+ years' experience.
- Experience in lieu of an Associate degree (HS Diploma or GED and 4+ years of experience) also considered.
- Ability to manage multiple tasks efficiently and maintain accurate records.
- Excellent written and verbal communication skills to interact with healthcare providers and insurance companies.
- Ability to work across multiple platforms.
- Proficiency in Microsoft Office Suite (Word, Excel, Outlook, PowerPoint) and healthcare billing systems.
- Ability to successfully work in a fast-paced, deadline-driven environment.
- High level of accuracy in data entry and document management.
- Ability to work independently as a part of a team remotely.
- Experience with Salesforce platform preferred.
- Understanding of healthcare billing, CPT codes, and the No Surprises Act preferred.
- Experience with healthcare appeals and/or grievances preferred.
- Experience with retroactive claim review highly preferred.
- Familiarity with insurance documentation, explanation of benefits, and/or claim forms highly preferred.
- Ability to commit to a schedule of 8:00am - 5:30pm EST Monday - Friday required.
Please note: For this position Maximus will provide equipment to use.
Home Office Requirements:
- Internet speed of 25mbps or higher required / 50 Mpbs for shared internet connectivity (you can test this by going to www.speedtest.net)
- Minimum 5mpbs upload speed
- Connectivity to the internet via Category 5 or 6 ethernet patch cable to the home router
- Private and secure work area and adequate power source
-Must currently and permanently reside in the Continental US
EEO Statement
Maximus is an equal opportunity employer.
We evaluate qualified applicants without regard to race, color, religion, sex, age, national origin, disability, veteran status, genetic information and other legally protected characteristics.
Pay Transparency
Maximus compensation is based on various factors including but not limited to job location, a candidate's education, training, experience, expected quality and quantity of work, required travel (if...
....Read more...
Type: Permanent Location: Salt Lake City, US-UT
Salary / Rate: Not Specified
Posted: 2026-02-14 08:37:11
-
Essential Duties and Responsibilities:
- Maintain updated knowledge of project and corporate policies and procedures as referenced in the employee manual and other desk procedures for the position
- Function as a Subject Matter Expert in one or more process areas.
- Analyze data submitted for Independent Medical Review.
- Collect and analyze incoming data and reports from treatment providers, facilities, participants, labs and health plans to input necessary information into the system.
- Respond to incoming calls from clients, health plans, providers and enrollees regarding case status, questions about the program, and the appeals process.
- Create arbitration cases in the system.
- Send requests for information to providers and health plans.
- Close arbitration cases in the system.
- Analyze data received from providers and health plans.
Minimum Requirements
- Associate degree with 2+ years' experience.
- Experience in lieu of an Associate degree (HS Diploma or GED and 4+ years of experience) also considered.
- Ability to manage multiple tasks efficiently and maintain accurate records.
- Excellent written and verbal communication skills to interact with healthcare providers and insurance companies.
- Ability to work across multiple platforms.
- Proficiency in Microsoft Office Suite (Word, Excel, Outlook, PowerPoint) and healthcare billing systems.
- Ability to successfully work in a fast-paced, deadline-driven environment.
- High level of accuracy in data entry and document management.
- Ability to work independently as a part of a team remotely.
- Experience with Salesforce platform preferred.
- Understanding of healthcare billing, CPT codes, and the No Surprises Act preferred.
- Experience with healthcare appeals and/or grievances preferred.
- Experience with retroactive claim review highly preferred.
- Familiarity with insurance documentation, explanation of benefits, and/or claim forms highly preferred.
- Ability to commit to a schedule of 8:00am - 5:30pm EST Monday - Friday required.
Please note: For this position Maximus will provide equipment to use.
Home Office Requirements:
- Internet speed of 25mbps or higher required / 50 Mpbs for shared internet connectivity (you can test this by going to www.speedtest.net)
- Minimum 5mpbs upload speed
- Connectivity to the internet via Category 5 or 6 ethernet patch cable to the home router
- Private and secure work area and adequate power source
-Must currently and permanently reside in the Continental US
EEO Statement
Maximus is an equal opportunity employer.
We evaluate qualified applicants without regard to race, color, religion, sex, age, national origin, disability, veteran status, genetic information and other legally protected characteristics.
Pay Transparency
Maximus compensation is based on various factors including but not limited to job location, a candidate's education, training, experience, expected quality and quantity of work, required travel (if...
....Read more...
Type: Permanent Location: Lubbock, US-TX
Salary / Rate: Not Specified
Posted: 2026-02-14 08:37:10
-
Essential Duties and Responsibilities:
- Maintain updated knowledge of project and corporate policies and procedures as referenced in the employee manual and other desk procedures for the position
- Function as a Subject Matter Expert in one or more process areas.
- Analyze data submitted for Independent Medical Review.
- Collect and analyze incoming data and reports from treatment providers, facilities, participants, labs and health plans to input necessary information into the system.
- Respond to incoming calls from clients, health plans, providers and enrollees regarding case status, questions about the program, and the appeals process.
- Create arbitration cases in the system.
- Send requests for information to providers and health plans.
- Close arbitration cases in the system.
- Analyze data received from providers and health plans.
Minimum Requirements
- Associate degree with 2+ years' experience.
- Experience in lieu of an Associate degree (HS Diploma or GED and 4+ years of experience) also considered.
- Ability to manage multiple tasks efficiently and maintain accurate records.
- Excellent written and verbal communication skills to interact with healthcare providers and insurance companies.
- Ability to work across multiple platforms.
- Proficiency in Microsoft Office Suite (Word, Excel, Outlook, PowerPoint) and healthcare billing systems.
- Ability to successfully work in a fast-paced, deadline-driven environment.
- High level of accuracy in data entry and document management.
- Ability to work independently as a part of a team remotely.
- Experience with Salesforce platform preferred.
- Understanding of healthcare billing, CPT codes, and the No Surprises Act preferred.
- Experience with healthcare appeals and/or grievances preferred.
- Experience with retroactive claim review highly preferred.
- Familiarity with insurance documentation, explanation of benefits, and/or claim forms highly preferred.
- Ability to commit to a schedule of 8:00am - 5:30pm EST Monday - Friday required.
Please note: For this position Maximus will provide equipment to use.
Home Office Requirements:
- Internet speed of 25mbps or higher required / 50 Mpbs for shared internet connectivity (you can test this by going to www.speedtest.net)
- Minimum 5mpbs upload speed
- Connectivity to the internet via Category 5 or 6 ethernet patch cable to the home router
- Private and secure work area and adequate power source
-Must currently and permanently reside in the Continental US
EEO Statement
Maximus is an equal opportunity employer.
We evaluate qualified applicants without regard to race, color, religion, sex, age, national origin, disability, veteran status, genetic information and other legally protected characteristics.
Pay Transparency
Maximus compensation is based on various factors including but not limited to job location, a candidate's education, training, experience, expected quality and quantity of work, required travel (if...
....Read more...
Type: Permanent Location: Dallas, US-TX
Salary / Rate: Not Specified
Posted: 2026-02-14 08:37:09
-
Essential Duties and Responsibilities:
- Maintain updated knowledge of project and corporate policies and procedures as referenced in the employee manual and other desk procedures for the position
- Function as a Subject Matter Expert in one or more process areas.
- Analyze data submitted for Independent Medical Review.
- Collect and analyze incoming data and reports from treatment providers, facilities, participants, labs and health plans to input necessary information into the system.
- Respond to incoming calls from clients, health plans, providers and enrollees regarding case status, questions about the program, and the appeals process.
- Create arbitration cases in the system.
- Send requests for information to providers and health plans.
- Close arbitration cases in the system.
- Analyze data received from providers and health plans.
Minimum Requirements
- Associate degree with 2+ years' experience.
- Experience in lieu of an Associate degree (HS Diploma or GED and 4+ years of experience) also considered.
- Ability to manage multiple tasks efficiently and maintain accurate records.
- Excellent written and verbal communication skills to interact with healthcare providers and insurance companies.
- Ability to work across multiple platforms.
- Proficiency in Microsoft Office Suite (Word, Excel, Outlook, PowerPoint) and healthcare billing systems.
- Ability to successfully work in a fast-paced, deadline-driven environment.
- High level of accuracy in data entry and document management.
- Ability to work independently as a part of a team remotely.
- Experience with Salesforce platform preferred.
- Understanding of healthcare billing, CPT codes, and the No Surprises Act preferred.
- Experience with healthcare appeals and/or grievances preferred.
- Experience with retroactive claim review highly preferred.
- Familiarity with insurance documentation, explanation of benefits, and/or claim forms highly preferred.
- Ability to commit to a schedule of 8:00am - 5:30pm EST Monday - Friday required.
Please note: For this position Maximus will provide equipment to use.
Home Office Requirements:
- Internet speed of 25mbps or higher required / 50 Mpbs for shared internet connectivity (you can test this by going to www.speedtest.net)
- Minimum 5mpbs upload speed
- Connectivity to the internet via Category 5 or 6 ethernet patch cable to the home router
- Private and secure work area and adequate power source
-Must currently and permanently reside in the Continental US
EEO Statement
Maximus is an equal opportunity employer.
We evaluate qualified applicants without regard to race, color, religion, sex, age, national origin, disability, veteran status, genetic information and other legally protected characteristics.
Pay Transparency
Maximus compensation is based on various factors including but not limited to job location, a candidate's education, training, experience, expected quality and quantity of work, required travel (if...
....Read more...
Type: Permanent Location: St. George, US-UT
Salary / Rate: Not Specified
Posted: 2026-02-14 08:37:09
-
Essential Duties and Responsibilities:
- Maintain updated knowledge of project and corporate policies and procedures as referenced in the employee manual and other desk procedures for the position
- Function as a Subject Matter Expert in one or more process areas.
- Analyze data submitted for Independent Medical Review.
- Collect and analyze incoming data and reports from treatment providers, facilities, participants, labs and health plans to input necessary information into the system.
- Respond to incoming calls from clients, health plans, providers and enrollees regarding case status, questions about the program, and the appeals process.
- Create arbitration cases in the system.
- Send requests for information to providers and health plans.
- Close arbitration cases in the system.
- Analyze data received from providers and health plans.
Minimum Requirements
- Associate degree with 2+ years' experience.
- Experience in lieu of an Associate degree (HS Diploma or GED and 4+ years of experience) also considered.
- Ability to manage multiple tasks efficiently and maintain accurate records.
- Excellent written and verbal communication skills to interact with healthcare providers and insurance companies.
- Ability to work across multiple platforms.
- Proficiency in Microsoft Office Suite (Word, Excel, Outlook, PowerPoint) and healthcare billing systems.
- Ability to successfully work in a fast-paced, deadline-driven environment.
- High level of accuracy in data entry and document management.
- Ability to work independently as a part of a team remotely.
- Experience with Salesforce platform preferred.
- Understanding of healthcare billing, CPT codes, and the No Surprises Act preferred.
- Experience with healthcare appeals and/or grievances preferred.
- Experience with retroactive claim review highly preferred.
- Familiarity with insurance documentation, explanation of benefits, and/or claim forms highly preferred.
- Ability to commit to a schedule of 8:00am - 5:30pm EST Monday - Friday required.
Please note: For this position Maximus will provide equipment to use.
Home Office Requirements:
- Internet speed of 25mbps or higher required / 50 Mpbs for shared internet connectivity (you can test this by going to www.speedtest.net)
- Minimum 5mpbs upload speed
- Connectivity to the internet via Category 5 or 6 ethernet patch cable to the home router
- Private and secure work area and adequate power source
-Must currently and permanently reside in the Continental US
EEO Statement
Maximus is an equal opportunity employer.
We evaluate qualified applicants without regard to race, color, religion, sex, age, national origin, disability, veteran status, genetic information and other legally protected characteristics.
Pay Transparency
Maximus compensation is based on various factors including but not limited to job location, a candidate's education, training, experience, expected quality and quantity of work, required travel (if...
....Read more...
Type: Permanent Location: Burlington, US-VT
Salary / Rate: Not Specified
Posted: 2026-02-14 08:37:08
-
Essential Duties and Responsibilities:
- Maintain updated knowledge of project and corporate policies and procedures as referenced in the employee manual and other desk procedures for the position
- Function as a Subject Matter Expert in one or more process areas.
- Analyze data submitted for Independent Medical Review.
- Collect and analyze incoming data and reports from treatment providers, facilities, participants, labs and health plans to input necessary information into the system.
- Respond to incoming calls from clients, health plans, providers and enrollees regarding case status, questions about the program, and the appeals process.
- Create arbitration cases in the system.
- Send requests for information to providers and health plans.
- Close arbitration cases in the system.
- Analyze data received from providers and health plans.
Minimum Requirements
- Associate degree with 2+ years' experience.
- Experience in lieu of an Associate degree (HS Diploma or GED and 4+ years of experience) also considered.
- Ability to manage multiple tasks efficiently and maintain accurate records.
- Excellent written and verbal communication skills to interact with healthcare providers and insurance companies.
- Ability to work across multiple platforms.
- Proficiency in Microsoft Office Suite (Word, Excel, Outlook, PowerPoint) and healthcare billing systems.
- Ability to successfully work in a fast-paced, deadline-driven environment.
- High level of accuracy in data entry and document management.
- Ability to work independently as a part of a team remotely.
- Experience with Salesforce platform preferred.
- Understanding of healthcare billing, CPT codes, and the No Surprises Act preferred.
- Experience with healthcare appeals and/or grievances preferred.
- Experience with retroactive claim review highly preferred.
- Familiarity with insurance documentation, explanation of benefits, and/or claim forms highly preferred.
- Ability to commit to a schedule of 8:00am - 5:30pm EST Monday - Friday required.
Please note: For this position Maximus will provide equipment to use.
Home Office Requirements:
- Internet speed of 25mbps or higher required / 50 Mpbs for shared internet connectivity (you can test this by going to www.speedtest.net)
- Minimum 5mpbs upload speed
- Connectivity to the internet via Category 5 or 6 ethernet patch cable to the home router
- Private and secure work area and adequate power source
-Must currently and permanently reside in the Continental US
EEO Statement
Maximus is an equal opportunity employer.
We evaluate qualified applicants without regard to race, color, religion, sex, age, national origin, disability, veteran status, genetic information and other legally protected characteristics.
Pay Transparency
Maximus compensation is based on various factors including but not limited to job location, a candidate's education, training, experience, expected quality and quantity of work, required travel (if...
....Read more...
Type: Permanent Location: Rapid City, US-SD
Salary / Rate: Not Specified
Posted: 2026-02-14 08:37:07
-
Essential Duties and Responsibilities:
- Maintain updated knowledge of project and corporate policies and procedures as referenced in the employee manual and other desk procedures for the position
- Function as a Subject Matter Expert in one or more process areas.
- Analyze data submitted for Independent Medical Review.
- Collect and analyze incoming data and reports from treatment providers, facilities, participants, labs and health plans to input necessary information into the system.
- Respond to incoming calls from clients, health plans, providers and enrollees regarding case status, questions about the program, and the appeals process.
- Create arbitration cases in the system.
- Send requests for information to providers and health plans.
- Close arbitration cases in the system.
- Analyze data received from providers and health plans.
Minimum Requirements
- Associate degree with 2+ years' experience.
- Experience in lieu of an Associate degree (HS Diploma or GED and 4+ years of experience) also considered.
- Ability to manage multiple tasks efficiently and maintain accurate records.
- Excellent written and verbal communication skills to interact with healthcare providers and insurance companies.
- Ability to work across multiple platforms.
- Proficiency in Microsoft Office Suite (Word, Excel, Outlook, PowerPoint) and healthcare billing systems.
- Ability to successfully work in a fast-paced, deadline-driven environment.
- High level of accuracy in data entry and document management.
- Ability to work independently as a part of a team remotely.
- Experience with Salesforce platform preferred.
- Understanding of healthcare billing, CPT codes, and the No Surprises Act preferred.
- Experience with healthcare appeals and/or grievances preferred.
- Experience with retroactive claim review highly preferred.
- Familiarity with insurance documentation, explanation of benefits, and/or claim forms highly preferred.
- Ability to commit to a schedule of 8:00am - 5:30pm EST Monday - Friday required.
Please note: For this position Maximus will provide equipment to use.
Home Office Requirements:
- Internet speed of 25mbps or higher required / 50 Mpbs for shared internet connectivity (you can test this by going to www.speedtest.net)
- Minimum 5mpbs upload speed
- Connectivity to the internet via Category 5 or 6 ethernet patch cable to the home router
- Private and secure work area and adequate power source
-Must currently and permanently reside in the Continental US
EEO Statement
Maximus is an equal opportunity employer.
We evaluate qualified applicants without regard to race, color, religion, sex, age, national origin, disability, veteran status, genetic information and other legally protected characteristics.
Pay Transparency
Maximus compensation is based on various factors including but not limited to job location, a candidate's education, training, experience, expected quality and quantity of work, required travel (if...
....Read more...
Type: Permanent Location: San Antonio, US-TX
Salary / Rate: Not Specified
Posted: 2026-02-14 08:37:07
-
Essential Duties and Responsibilities:
- Maintain updated knowledge of project and corporate policies and procedures as referenced in the employee manual and other desk procedures for the position
- Function as a Subject Matter Expert in one or more process areas.
- Analyze data submitted for Independent Medical Review.
- Collect and analyze incoming data and reports from treatment providers, facilities, participants, labs and health plans to input necessary information into the system.
- Respond to incoming calls from clients, health plans, providers and enrollees regarding case status, questions about the program, and the appeals process.
- Create arbitration cases in the system.
- Send requests for information to providers and health plans.
- Close arbitration cases in the system.
- Analyze data received from providers and health plans.
Minimum Requirements
- Associate degree with 2+ years' experience.
- Experience in lieu of an Associate degree (HS Diploma or GED and 4+ years of experience) also considered.
- Ability to manage multiple tasks efficiently and maintain accurate records.
- Excellent written and verbal communication skills to interact with healthcare providers and insurance companies.
- Ability to work across multiple platforms.
- Proficiency in Microsoft Office Suite (Word, Excel, Outlook, PowerPoint) and healthcare billing systems.
- Ability to successfully work in a fast-paced, deadline-driven environment.
- High level of accuracy in data entry and document management.
- Ability to work independently as a part of a team remotely.
- Experience with Salesforce platform preferred.
- Understanding of healthcare billing, CPT codes, and the No Surprises Act preferred.
- Experience with healthcare appeals and/or grievances preferred.
- Experience with retroactive claim review highly preferred.
- Familiarity with insurance documentation, explanation of benefits, and/or claim forms highly preferred.
- Ability to commit to a schedule of 8:00am - 5:30pm EST Monday - Friday required.
Please note: For this position Maximus will provide equipment to use.
Home Office Requirements:
- Internet speed of 25mbps or higher required / 50 Mpbs for shared internet connectivity (you can test this by going to www.speedtest.net)
- Minimum 5mpbs upload speed
- Connectivity to the internet via Category 5 or 6 ethernet patch cable to the home router
- Private and secure work area and adequate power source
-Must currently and permanently reside in the Continental US
EEO Statement
Maximus is an equal opportunity employer.
We evaluate qualified applicants without regard to race, color, religion, sex, age, national origin, disability, veteran status, genetic information and other legally protected characteristics.
Pay Transparency
Maximus compensation is based on various factors including but not limited to job location, a candidate's education, training, experience, expected quality and quantity of work, required travel (if...
....Read more...
Type: Permanent Location: Memphis, US-TN
Salary / Rate: Not Specified
Posted: 2026-02-14 08:37:04
-
Essential Duties and Responsibilities:
- Maintain updated knowledge of project and corporate policies and procedures as referenced in the employee manual and other desk procedures for the position
- Function as a Subject Matter Expert in one or more process areas.
- Analyze data submitted for Independent Medical Review.
- Collect and analyze incoming data and reports from treatment providers, facilities, participants, labs and health plans to input necessary information into the system.
- Respond to incoming calls from clients, health plans, providers and enrollees regarding case status, questions about the program, and the appeals process.
- Create arbitration cases in the system.
- Send requests for information to providers and health plans.
- Close arbitration cases in the system.
- Analyze data received from providers and health plans.
Minimum Requirements
- Associate degree with 2+ years' experience.
- Experience in lieu of an Associate degree (HS Diploma or GED and 4+ years of experience) also considered.
- Ability to manage multiple tasks efficiently and maintain accurate records.
- Excellent written and verbal communication skills to interact with healthcare providers and insurance companies.
- Ability to work across multiple platforms.
- Proficiency in Microsoft Office Suite (Word, Excel, Outlook, PowerPoint) and healthcare billing systems.
- Ability to successfully work in a fast-paced, deadline-driven environment.
- High level of accuracy in data entry and document management.
- Ability to work independently as a part of a team remotely.
- Experience with Salesforce platform preferred.
- Understanding of healthcare billing, CPT codes, and the No Surprises Act preferred.
- Experience with healthcare appeals and/or grievances preferred.
- Experience with retroactive claim review highly preferred.
- Familiarity with insurance documentation, explanation of benefits, and/or claim forms highly preferred.
- Ability to commit to a schedule of 8:00am - 5:30pm EST Monday - Friday required.
Please note: For this position Maximus will provide equipment to use.
Home Office Requirements:
- Internet speed of 25mbps or higher required / 50 Mpbs for shared internet connectivity (you can test this by going to www.speedtest.net)
- Minimum 5mpbs upload speed
- Connectivity to the internet via Category 5 or 6 ethernet patch cable to the home router
- Private and secure work area and adequate power source
-Must currently and permanently reside in the Continental US
EEO Statement
Maximus is an equal opportunity employer.
We evaluate qualified applicants without regard to race, color, religion, sex, age, national origin, disability, veteran status, genetic information and other legally protected characteristics.
Pay Transparency
Maximus compensation is based on various factors including but not limited to job location, a candidate's education, training, experience, expected quality and quantity of work, required travel (if...
....Read more...
Type: Permanent Location: Nashville, US-TN
Salary / Rate: Not Specified
Posted: 2026-02-14 08:37:02
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Essential Duties and Responsibilities:
- Maintain updated knowledge of project and corporate policies and procedures as referenced in the employee manual and other desk procedures for the position
- Function as a Subject Matter Expert in one or more process areas.
- Analyze data submitted for Independent Medical Review.
- Collect and analyze incoming data and reports from treatment providers, facilities, participants, labs and health plans to input necessary information into the system.
- Respond to incoming calls from clients, health plans, providers and enrollees regarding case status, questions about the program, and the appeals process.
- Create arbitration cases in the system.
- Send requests for information to providers and health plans.
- Close arbitration cases in the system.
- Analyze data received from providers and health plans.
Minimum Requirements
- Associate degree with 2+ years' experience.
- Experience in lieu of an Associate degree (HS Diploma or GED and 4+ years of experience) also considered.
- Ability to manage multiple tasks efficiently and maintain accurate records.
- Excellent written and verbal communication skills to interact with healthcare providers and insurance companies.
- Ability to work across multiple platforms.
- Proficiency in Microsoft Office Suite (Word, Excel, Outlook, PowerPoint) and healthcare billing systems.
- Ability to successfully work in a fast-paced, deadline-driven environment.
- High level of accuracy in data entry and document management.
- Ability to work independently as a part of a team remotely.
- Experience with Salesforce platform preferred.
- Understanding of healthcare billing, CPT codes, and the No Surprises Act preferred.
- Experience with healthcare appeals and/or grievances preferred.
- Experience with retroactive claim review highly preferred.
- Familiarity with insurance documentation, explanation of benefits, and/or claim forms highly preferred.
- Ability to commit to a schedule of 8:00am - 5:30pm EST Monday - Friday required.
Please note: For this position Maximus will provide equipment to use.
Home Office Requirements:
- Internet speed of 25mbps or higher required / 50 Mpbs for shared internet connectivity (you can test this by going to www.speedtest.net)
- Minimum 5mpbs upload speed
- Connectivity to the internet via Category 5 or 6 ethernet patch cable to the home router
- Private and secure work area and adequate power source
-Must currently and permanently reside in the Continental US
EEO Statement
Maximus is an equal opportunity employer.
We evaluate qualified applicants without regard to race, color, religion, sex, age, national origin, disability, veteran status, genetic information and other legally protected characteristics.
Pay Transparency
Maximus compensation is based on various factors including but not limited to job location, a candidate's education, training, experience, expected quality and quantity of work, required travel (if...
....Read more...
Type: Permanent Location: Columbia, US-SC
Salary / Rate: Not Specified
Posted: 2026-02-14 08:37:01
