-
Description & Requirements
We are looking for an experienced Benefits Specialist to support the administration of benefits.
Responsibilities include day-to-day benefits operations, vendor management, handling escalations, managing automated file feeds, and support for initiatives like Open Enrollment.
This is a remote, VA position that will require going into the Corporate Office in Tysons, VA 1 time per week.
Essential Duties and Responsibilities:
- Provide support in the administration of all benefit and retirement programs, including, but not limited to medical, dental, vision, PTO, life insurance, short and long-term disability, Service Contract Act (SCA) obligations and 401(k).
- Provide key support for the annual Open Enrollment projects, including presenting benefit plans and/or changes to employees.
- Manage limited scope projects with the best practices in project management and ability to meet deadlines with a high degree of accuracy.
- Collaborate with external vendors and consultants, as well as internal communications experts, to develop ongoing benefits communications that engage employees using various tools and modes of communication.
- Partner with the Maximus Wellness team to administer and maintain company wellness initiatives
- Provide support to maintenance of Summary Plan Descriptions, Plan Documents, Benefit Summaries and Summary of Benefits and Coverage (SBCs).
- Manage the benefits obligations related to the payroll transformation, ensuring proper representation and documentation of integrations and feeds to vendors/related systems.
- Manage the paid time off program, ensuring proper programing by liasing with HRIS and documenting the process.
- Updating the paid time off program (including sick leave) for state and local requirements as they change.
- Assist with preparation of reports and applications required by law to be filed with federal and state agencies (e.g., Form 5500, Non-Discrimination Testing, ACA reporting, etc.)
- Maintain awareness of changes to laws, regulations, and Executive Orders that might affect the Company's and Wage and Hour obligations, and assist with internal processes and change management, as needed.
- Prepare periodic reports for management.
Minimum Requirements
- Bachelor's degree in business or related field required.
- 3 years of benefit administration experience required.
- Experience with Wage and Hour regulations preferred.
- Strong project management & verbal communication skills.
- Must be well-organized and adaptable to situational changes.
- Must demonstrate strong analysis/problem solving skills.
- Attention to detail and accuracy are critical.
- Intermediate Excel skills required.
- Experience in handling benefits in high-volume employee populations: minimum of 10,000, preferably 25,000+.
- Vendor (TPA) management experience is required.
- Understanding of file feed data is required.
- Intermediate Microsoft Excell skills are essential, including the ability to...
....Read more...
Type: Permanent Location: Fort Smith, US-AR
Salary / Rate: Not Specified
Posted: 2025-04-22 08:29:48
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Description & Requirements
We are looking for an experienced Benefits Specialist to support the administration of benefits.
Responsibilities include day-to-day benefits operations, vendor management, handling escalations, managing automated file feeds, and support for initiatives like Open Enrollment.
This is a remote, VA position that will require going into the Corporate Office in Tysons, VA 1 time per week.
Essential Duties and Responsibilities:
- Provide support in the administration of all benefit and retirement programs, including, but not limited to medical, dental, vision, PTO, life insurance, short and long-term disability, Service Contract Act (SCA) obligations and 401(k).
- Provide key support for the annual Open Enrollment projects, including presenting benefit plans and/or changes to employees.
- Manage limited scope projects with the best practices in project management and ability to meet deadlines with a high degree of accuracy.
- Collaborate with external vendors and consultants, as well as internal communications experts, to develop ongoing benefits communications that engage employees using various tools and modes of communication.
- Partner with the Maximus Wellness team to administer and maintain company wellness initiatives
- Provide support to maintenance of Summary Plan Descriptions, Plan Documents, Benefit Summaries and Summary of Benefits and Coverage (SBCs).
- Manage the benefits obligations related to the payroll transformation, ensuring proper representation and documentation of integrations and feeds to vendors/related systems.
- Manage the paid time off program, ensuring proper programing by liasing with HRIS and documenting the process.
- Updating the paid time off program (including sick leave) for state and local requirements as they change.
- Assist with preparation of reports and applications required by law to be filed with federal and state agencies (e.g., Form 5500, Non-Discrimination Testing, ACA reporting, etc.)
- Maintain awareness of changes to laws, regulations, and Executive Orders that might affect the Company's and Wage and Hour obligations, and assist with internal processes and change management, as needed.
- Prepare periodic reports for management.
Minimum Requirements
- Bachelor's degree in business or related field required.
- 3 years of benefit administration experience required.
- Experience with Wage and Hour regulations preferred.
- Strong project management & verbal communication skills.
- Must be well-organized and adaptable to situational changes.
- Must demonstrate strong analysis/problem solving skills.
- Attention to detail and accuracy are critical.
- Intermediate Excel skills required.
- Experience in handling benefits in high-volume employee populations: minimum of 10,000, preferably 25,000+.
- Vendor (TPA) management experience is required.
- Understanding of file feed data is required.
- Intermediate Microsoft Excell skills are essential, including the ability to...
....Read more...
Type: Permanent Location: Tucson, US-AZ
Salary / Rate: Not Specified
Posted: 2025-04-22 08:29:47
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Description & Requirements
We are looking for an experienced Benefits Specialist to support the administration of benefits.
Responsibilities include day-to-day benefits operations, vendor management, handling escalations, managing automated file feeds, and support for initiatives like Open Enrollment.
This is a remote, VA position that will require going into the Corporate Office in Tysons, VA 1 time per week.
Essential Duties and Responsibilities:
- Provide support in the administration of all benefit and retirement programs, including, but not limited to medical, dental, vision, PTO, life insurance, short and long-term disability, Service Contract Act (SCA) obligations and 401(k).
- Provide key support for the annual Open Enrollment projects, including presenting benefit plans and/or changes to employees.
- Manage limited scope projects with the best practices in project management and ability to meet deadlines with a high degree of accuracy.
- Collaborate with external vendors and consultants, as well as internal communications experts, to develop ongoing benefits communications that engage employees using various tools and modes of communication.
- Partner with the Maximus Wellness team to administer and maintain company wellness initiatives
- Provide support to maintenance of Summary Plan Descriptions, Plan Documents, Benefit Summaries and Summary of Benefits and Coverage (SBCs).
- Manage the benefits obligations related to the payroll transformation, ensuring proper representation and documentation of integrations and feeds to vendors/related systems.
- Manage the paid time off program, ensuring proper programing by liasing with HRIS and documenting the process.
- Updating the paid time off program (including sick leave) for state and local requirements as they change.
- Assist with preparation of reports and applications required by law to be filed with federal and state agencies (e.g., Form 5500, Non-Discrimination Testing, ACA reporting, etc.)
- Maintain awareness of changes to laws, regulations, and Executive Orders that might affect the Company's and Wage and Hour obligations, and assist with internal processes and change management, as needed.
- Prepare periodic reports for management.
Minimum Requirements
- Bachelor's degree in business or related field required.
- 3 years of benefit administration experience required.
- Experience with Wage and Hour regulations preferred.
- Strong project management & verbal communication skills.
- Must be well-organized and adaptable to situational changes.
- Must demonstrate strong analysis/problem solving skills.
- Attention to detail and accuracy are critical.
- Intermediate Excel skills required.
- Experience in handling benefits in high-volume employee populations: minimum of 10,000, preferably 25,000+.
- Vendor (TPA) management experience is required.
- Understanding of file feed data is required.
- Intermediate Microsoft Excell skills are essential, including the ability to...
....Read more...
Type: Permanent Location: Mobile, US-AL
Salary / Rate: Not Specified
Posted: 2025-04-22 08:29:47
-
Description & Requirements
We are looking for an experienced Benefits Specialist to support the administration of benefits.
Responsibilities include day-to-day benefits operations, vendor management, handling escalations, managing automated file feeds, and support for initiatives like Open Enrollment.
This is a remote, VA position that will require going into the Corporate Office in Tysons, VA 1 time per week.
Essential Duties and Responsibilities:
- Provide support in the administration of all benefit and retirement programs, including, but not limited to medical, dental, vision, PTO, life insurance, short and long-term disability, Service Contract Act (SCA) obligations and 401(k).
- Provide key support for the annual Open Enrollment projects, including presenting benefit plans and/or changes to employees.
- Manage limited scope projects with the best practices in project management and ability to meet deadlines with a high degree of accuracy.
- Collaborate with external vendors and consultants, as well as internal communications experts, to develop ongoing benefits communications that engage employees using various tools and modes of communication.
- Partner with the Maximus Wellness team to administer and maintain company wellness initiatives
- Provide support to maintenance of Summary Plan Descriptions, Plan Documents, Benefit Summaries and Summary of Benefits and Coverage (SBCs).
- Manage the benefits obligations related to the payroll transformation, ensuring proper representation and documentation of integrations and feeds to vendors/related systems.
- Manage the paid time off program, ensuring proper programing by liasing with HRIS and documenting the process.
- Updating the paid time off program (including sick leave) for state and local requirements as they change.
- Assist with preparation of reports and applications required by law to be filed with federal and state agencies (e.g., Form 5500, Non-Discrimination Testing, ACA reporting, etc.)
- Maintain awareness of changes to laws, regulations, and Executive Orders that might affect the Company's and Wage and Hour obligations, and assist with internal processes and change management, as needed.
- Prepare periodic reports for management.
Minimum Requirements
- Bachelor's degree in business or related field required.
- 3 years of benefit administration experience required.
- Experience with Wage and Hour regulations preferred.
- Strong project management & verbal communication skills.
- Must be well-organized and adaptable to situational changes.
- Must demonstrate strong analysis/problem solving skills.
- Attention to detail and accuracy are critical.
- Intermediate Excel skills required.
- Experience in handling benefits in high-volume employee populations: minimum of 10,000, preferably 25,000+.
- Vendor (TPA) management experience is required.
- Understanding of file feed data is required.
- Intermediate Microsoft Excell skills are essential, including the ability to...
....Read more...
Type: Permanent Location: Los Angeles, US-CA
Salary / Rate: Not Specified
Posted: 2025-04-22 08:29:46
-
Description & Requirements
We are looking for an experienced Benefits Specialist to support the administration of benefits.
Responsibilities include day-to-day benefits operations, vendor management, handling escalations, managing automated file feeds, and support for initiatives like Open Enrollment.
This is a remote, VA position that will require going into the Corporate Office in Tysons, VA 1 time per week.
Essential Duties and Responsibilities:
- Provide support in the administration of all benefit and retirement programs, including, but not limited to medical, dental, vision, PTO, life insurance, short and long-term disability, Service Contract Act (SCA) obligations and 401(k).
- Provide key support for the annual Open Enrollment projects, including presenting benefit plans and/or changes to employees.
- Manage limited scope projects with the best practices in project management and ability to meet deadlines with a high degree of accuracy.
- Collaborate with external vendors and consultants, as well as internal communications experts, to develop ongoing benefits communications that engage employees using various tools and modes of communication.
- Partner with the Maximus Wellness team to administer and maintain company wellness initiatives
- Provide support to maintenance of Summary Plan Descriptions, Plan Documents, Benefit Summaries and Summary of Benefits and Coverage (SBCs).
- Manage the benefits obligations related to the payroll transformation, ensuring proper representation and documentation of integrations and feeds to vendors/related systems.
- Manage the paid time off program, ensuring proper programing by liasing with HRIS and documenting the process.
- Updating the paid time off program (including sick leave) for state and local requirements as they change.
- Assist with preparation of reports and applications required by law to be filed with federal and state agencies (e.g., Form 5500, Non-Discrimination Testing, ACA reporting, etc.)
- Maintain awareness of changes to laws, regulations, and Executive Orders that might affect the Company's and Wage and Hour obligations, and assist with internal processes and change management, as needed.
- Prepare periodic reports for management.
Minimum Requirements
- Bachelor's degree in business or related field required.
- 3 years of benefit administration experience required.
- Experience with Wage and Hour regulations preferred.
- Strong project management & verbal communication skills.
- Must be well-organized and adaptable to situational changes.
- Must demonstrate strong analysis/problem solving skills.
- Attention to detail and accuracy are critical.
- Intermediate Excel skills required.
- Experience in handling benefits in high-volume employee populations: minimum of 10,000, preferably 25,000+.
- Vendor (TPA) management experience is required.
- Understanding of file feed data is required.
- Intermediate Microsoft Excell skills are essential, including the ability to...
....Read more...
Type: Permanent Location: Little Rock, US-AR
Salary / Rate: Not Specified
Posted: 2025-04-22 08:29:46
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Description & Requirements
The Federal Operations Support Services (FOSS) Project Management Director (PMD) provides leadership, oversight, and competent management to design, develop, implement the project management capabilities across Maximus Federal.
The PMD will propose and create processes and procedures, policies and guidance materials, templates and tools, and expert consultation to support the mission of FOSS.
The PMD will oversee subordinates to further the goals of the Special Initiatives & Program Support Team.
The PMD will provide critical and strategic thought leadership to advance project management capabilities for the Federal Division.
Essential Duties and Responsibilities:
- Oversee multiple programs, projects, and their activities.
- Oversee and monitor the preparation and development of project related documents including plans, logs, and reports, etc.
- Manage program managers, project managers, and other resources.
- Ensure resources are available and channeled to produce the planned deliverables for each project on time and within the approved budget.
- Develop and manage a process by which all projects are reviewed to ensure deliverables are achieved.
- Responsible for ensuring adherence to the PMO methodology and processes.
- Establish departmental goals, monitor team performance, mentor, and develop team members.
- Develop and maintain constructive working relationships with vendors, agencies, and interested parties.
- Develop and deliver training specifically related to the project management discipline.
Job-Specific Essential Duties:
- Support the mission and objectives of FOSS.
- Provide support and expert counsel to Maximus programs on project management strategies, approaches (e.g., PMBOK and Agile), and techniques.
- Analyze and interpret existing project metrics and provide guidance on findings and recommendations.
- Design, develop, and implement project management standards, best practices, trainings, and related content.
- Ability to present to executive level leadership and challenge assumptions.
- Advise senior leadership on current project management approaches in industry.
- Demonstrate competence in program and project management delivery and control processes.
- Coach, mentor, motivate, and supervise performance management team members, contractors, and other matrixed personnel.
- Innovate and plan future project management capabilities to further Maximus' maturation process.
- Influence Program Management teams to follow the project management standards and best practices.
Job-Specific Minimum Requirements:
- Bachelor's degree from an accredited college or university; master's preferred.
- Minimum of ten+ years of professional work experience (required) with demonstrated increasing responsibilities preferred or substituted with demonstrated, proven senior-level competence and thought leadership.
- At least five years of experience in program or project work in the public sect...
....Read more...
Type: Permanent Location: Mclean, US-VA
Salary / Rate: Not Specified
Posted: 2025-04-22 08:29:45
-
Description & Requirements
We are looking for an experienced Benefits Specialist to support the administration of benefits.
Responsibilities include day-to-day benefits operations, vendor management, handling escalations, managing automated file feeds, and support for initiatives like Open Enrollment.
This is a remote, VA position that will require going into the Corporate Office in Tysons, VA 1 time per week.
Essential Duties and Responsibilities:
- Provide support in the administration of all benefit and retirement programs, including, but not limited to medical, dental, vision, PTO, life insurance, short and long-term disability, Service Contract Act (SCA) obligations and 401(k).
- Provide key support for the annual Open Enrollment projects, including presenting benefit plans and/or changes to employees.
- Manage limited scope projects with the best practices in project management and ability to meet deadlines with a high degree of accuracy.
- Collaborate with external vendors and consultants, as well as internal communications experts, to develop ongoing benefits communications that engage employees using various tools and modes of communication.
- Partner with the Maximus Wellness team to administer and maintain company wellness initiatives
- Provide support to maintenance of Summary Plan Descriptions, Plan Documents, Benefit Summaries and Summary of Benefits and Coverage (SBCs).
- Manage the benefits obligations related to the payroll transformation, ensuring proper representation and documentation of integrations and feeds to vendors/related systems.
- Manage the paid time off program, ensuring proper programing by liasing with HRIS and documenting the process.
- Updating the paid time off program (including sick leave) for state and local requirements as they change.
- Assist with preparation of reports and applications required by law to be filed with federal and state agencies (e.g., Form 5500, Non-Discrimination Testing, ACA reporting, etc.)
- Maintain awareness of changes to laws, regulations, and Executive Orders that might affect the Company's and Wage and Hour obligations, and assist with internal processes and change management, as needed.
- Prepare periodic reports for management.
Minimum Requirements
- Bachelor's degree in business or related field required.
- 3 years of benefit administration experience required.
- Experience with Wage and Hour regulations preferred.
- Strong project management & verbal communication skills.
- Must be well-organized and adaptable to situational changes.
- Must demonstrate strong analysis/problem solving skills.
- Attention to detail and accuracy are critical.
- Intermediate Excel skills required.
- Experience in handling benefits in high-volume employee populations: minimum of 10,000, preferably 25,000+.
- Vendor (TPA) management experience is required.
- Understanding of file feed data is required.
- Intermediate Microsoft Excell skills are essential, including the ability to...
....Read more...
Type: Permanent Location: Birmingham, US-AL
Salary / Rate: Not Specified
Posted: 2025-04-22 08:29:44
-
Description & Requirements
We are looking for an experienced Benefits Specialist to support the administration of benefits.
Responsibilities include day-to-day benefits operations, vendor management, handling escalations, managing automated file feeds, and support for initiatives like Open Enrollment.
This is a remote, VA position that will require going into the Corporate Office in Tysons, VA 1 time per week.
Essential Duties and Responsibilities:
- Provide support in the administration of all benefit and retirement programs, including, but not limited to medical, dental, vision, PTO, life insurance, short and long-term disability, Service Contract Act (SCA) obligations and 401(k).
- Provide key support for the annual Open Enrollment projects, including presenting benefit plans and/or changes to employees.
- Manage limited scope projects with the best practices in project management and ability to meet deadlines with a high degree of accuracy.
- Collaborate with external vendors and consultants, as well as internal communications experts, to develop ongoing benefits communications that engage employees using various tools and modes of communication.
- Partner with the Maximus Wellness team to administer and maintain company wellness initiatives
- Provide support to maintenance of Summary Plan Descriptions, Plan Documents, Benefit Summaries and Summary of Benefits and Coverage (SBCs).
- Manage the benefits obligations related to the payroll transformation, ensuring proper representation and documentation of integrations and feeds to vendors/related systems.
- Manage the paid time off program, ensuring proper programing by liasing with HRIS and documenting the process.
- Updating the paid time off program (including sick leave) for state and local requirements as they change.
- Assist with preparation of reports and applications required by law to be filed with federal and state agencies (e.g., Form 5500, Non-Discrimination Testing, ACA reporting, etc.)
- Maintain awareness of changes to laws, regulations, and Executive Orders that might affect the Company's and Wage and Hour obligations, and assist with internal processes and change management, as needed.
- Prepare periodic reports for management.
Minimum Requirements
- Bachelor's degree in business or related field required.
- 3 years of benefit administration experience required.
- Experience with Wage and Hour regulations preferred.
- Strong project management & verbal communication skills.
- Must be well-organized and adaptable to situational changes.
- Must demonstrate strong analysis/problem solving skills.
- Attention to detail and accuracy are critical.
- Intermediate Excel skills required.
- Experience in handling benefits in high-volume employee populations: minimum of 10,000, preferably 25,000+.
- Vendor (TPA) management experience is required.
- Understanding of file feed data is required.
- Intermediate Microsoft Excell skills are essential, including the ability to...
....Read more...
Type: Permanent Location: Montgomery, US-AL
Salary / Rate: Not Specified
Posted: 2025-04-22 08:29:44
-
Perform general clean-up and stock work in the Meat department and provide customer service.
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
* Willing to work weekends and holidays.
* Demonstrates effective written and verbal communication skills that engage our customers and associates.
* Able to read shelf tags, signs, product labels, training materials, and bulletins.
* Ability to multi-task, set priorities, present information in a professional manner and work with all levels of the organization.
* Personal initiative and follow through to completion.
* Ability to work as part of a team in a fast-paced environment.
* Must be able to work with various cleaning solutions, safely use sharp tools, and carefully operate all production equipment.
De...
....Read more...
Type: Permanent Location: Troy, US-MI
Salary / Rate: Not Specified
Posted: 2025-04-22 08:29:43
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Description & Requirements
Maximus is currently hiring for a Supervisor to join our State Arbitration team.
This is a remote opportunity.
The Supervisor is responsible for overseeing and managing the staff involved in the IDRE program.
Additionally, they will be responsible for performing stability checks and back-end quality review.
Essential Duties and Responsibilities:
- Provide supervision and clinical oversight to team of direct reports.
- Discuss job performance concerns with direct reports to identify causes and issues and work closely with the HR department on resolving problems.
- Conduct case reviews and consultations as needed; identify need for escalation to management, physician or related disciplines
- Serve as subject matter expert on area of clinical knowledge including training and education
- On contract requiring assessments, may conduct assessments or field training of assessors as needed
- Instruct, demonstrate, observe skills and techniques of nursing staff and provide feedback to management.
.
- May attend client and stakeholder meetings
- Performs other related duties as assigned.
Required Skills/Abilities:
- Subject Matter knowledge in area of contract operations
- Ability to identify and prioritize tasks based on level of time sensitivity and/or potential health and safety concerns
- Supervise and manage the staff involved in the IDRE program.
- Ensure that all dispute cases are reviewed and processed in a timely and accurate manner.
- Collaborate with healthcare providers, health plans, and other stakeholders to facilitate the resolution of disputes.
- Maintain detailed records of all cases and ensure compliance with HIPAA and other regulatory requirements.
- Monitor and evaluate the performance of staff, providing feedback and coaching as needed.
- Stay informed about current trends and best practices in healthcare billing and dispute resolution.
Minimum Requirements
- Current Registered Nurse (RN) license valid in the state of practice is required-
-Bachelor's degree preferred, High School Degree or equivalent required
- Minimum of 2 years of nursing experience.
- Prior experience with clinical supervision or as a charge nurse preferred.
- Experience in healthcare billing, coding, or dispute resolution is highly preferred.
- Nursing experience in an ICU or ER setting preferred.
- Ability to commit to a training schedule between the hours of 8:00am - 5:00pm EST Monday - Friday required.
- Excellent communication and interpersonal skills.
- Ability to work independently and make informed decisions.
- Detail-oriented with strong organizational skills.
- Strong problem-solving skills and ability to handle high-pressure situations.
Please note: For this position Maximus will provide equipment to use.
Home Office Requirements:
- Internet speed of 20mbps or higher required / 50 Mpbs for shared internet connectivity (you can test this by going to www.speedtest.net)
- Minimum 5mpbs upload speed
-...
....Read more...
Type: Permanent Location: Morgantown, US-WV
Salary / Rate: Not Specified
Posted: 2025-04-22 08:29:42
-
Description & Requirements
Maximus is currently hiring for a Supervisor to join our State Arbitration team.
This is a remote opportunity.
The Supervisor is responsible for overseeing and managing the staff involved in the IDRE program.
Additionally, they will be responsible for performing stability checks and back-end quality review.
Essential Duties and Responsibilities:
- Provide supervision and clinical oversight to team of direct reports.
- Discuss job performance concerns with direct reports to identify causes and issues and work closely with the HR department on resolving problems.
- Conduct case reviews and consultations as needed; identify need for escalation to management, physician or related disciplines
- Serve as subject matter expert on area of clinical knowledge including training and education
- On contract requiring assessments, may conduct assessments or field training of assessors as needed
- Instruct, demonstrate, observe skills and techniques of nursing staff and provide feedback to management.
.
- May attend client and stakeholder meetings
- Performs other related duties as assigned.
Required Skills/Abilities:
- Subject Matter knowledge in area of contract operations
- Ability to identify and prioritize tasks based on level of time sensitivity and/or potential health and safety concerns
- Supervise and manage the staff involved in the IDRE program.
- Ensure that all dispute cases are reviewed and processed in a timely and accurate manner.
- Collaborate with healthcare providers, health plans, and other stakeholders to facilitate the resolution of disputes.
- Maintain detailed records of all cases and ensure compliance with HIPAA and other regulatory requirements.
- Monitor and evaluate the performance of staff, providing feedback and coaching as needed.
- Stay informed about current trends and best practices in healthcare billing and dispute resolution.
Minimum Requirements
- Current Registered Nurse (RN) license valid in the state of practice is required-
-Bachelor's degree preferred, High School Degree or equivalent required
- Minimum of 2 years of nursing experience.
- Prior experience with clinical supervision or as a charge nurse preferred.
- Experience in healthcare billing, coding, or dispute resolution is highly preferred.
- Nursing experience in an ICU or ER setting preferred.
- Ability to commit to a training schedule between the hours of 8:00am - 5:00pm EST Monday - Friday required.
- Excellent communication and interpersonal skills.
- Ability to work independently and make informed decisions.
- Detail-oriented with strong organizational skills.
- Strong problem-solving skills and ability to handle high-pressure situations.
Please note: For this position Maximus will provide equipment to use.
Home Office Requirements:
- Internet speed of 20mbps or higher required / 50 Mpbs for shared internet connectivity (you can test this by going to www.speedtest.net)
- Minimum 5mpbs upload speed
-...
....Read more...
Type: Permanent Location: Rock Springs, US-WY
Salary / Rate: Not Specified
Posted: 2025-04-22 08:29:41
-
Description & Requirements
Maximus is currently hiring for a Supervisor to join our State Arbitration team.
This is a remote opportunity.
The Supervisor is responsible for overseeing and managing the staff involved in the IDRE program.
Additionally, they will be responsible for performing stability checks and back-end quality review.
Essential Duties and Responsibilities:
- Provide supervision and clinical oversight to team of direct reports.
- Discuss job performance concerns with direct reports to identify causes and issues and work closely with the HR department on resolving problems.
- Conduct case reviews and consultations as needed; identify need for escalation to management, physician or related disciplines
- Serve as subject matter expert on area of clinical knowledge including training and education
- On contract requiring assessments, may conduct assessments or field training of assessors as needed
- Instruct, demonstrate, observe skills and techniques of nursing staff and provide feedback to management.
.
- May attend client and stakeholder meetings
- Performs other related duties as assigned.
Required Skills/Abilities:
- Subject Matter knowledge in area of contract operations
- Ability to identify and prioritize tasks based on level of time sensitivity and/or potential health and safety concerns
- Supervise and manage the staff involved in the IDRE program.
- Ensure that all dispute cases are reviewed and processed in a timely and accurate manner.
- Collaborate with healthcare providers, health plans, and other stakeholders to facilitate the resolution of disputes.
- Maintain detailed records of all cases and ensure compliance with HIPAA and other regulatory requirements.
- Monitor and evaluate the performance of staff, providing feedback and coaching as needed.
- Stay informed about current trends and best practices in healthcare billing and dispute resolution.
Minimum Requirements
- Current Registered Nurse (RN) license valid in the state of practice is required-
-Bachelor's degree preferred, High School Degree or equivalent required
- Minimum of 2 years of nursing experience.
- Prior experience with clinical supervision or as a charge nurse preferred.
- Experience in healthcare billing, coding, or dispute resolution is highly preferred.
- Nursing experience in an ICU or ER setting preferred.
- Ability to commit to a training schedule between the hours of 8:00am - 5:00pm EST Monday - Friday required.
- Excellent communication and interpersonal skills.
- Ability to work independently and make informed decisions.
- Detail-oriented with strong organizational skills.
- Strong problem-solving skills and ability to handle high-pressure situations.
Please note: For this position Maximus will provide equipment to use.
Home Office Requirements:
- Internet speed of 20mbps or higher required / 50 Mpbs for shared internet connectivity (you can test this by going to www.speedtest.net)
- Minimum 5mpbs upload speed
-...
....Read more...
Type: Permanent Location: Milwaukee, US-WI
Salary / Rate: Not Specified
Posted: 2025-04-22 08:29:41
-
Description & Requirements
Maximus is currently hiring for a Supervisor to join our State Arbitration team.
This is a remote opportunity.
The Supervisor is responsible for overseeing and managing the staff involved in the IDRE program.
Additionally, they will be responsible for performing stability checks and back-end quality review.
Essential Duties and Responsibilities:
- Provide supervision and clinical oversight to team of direct reports.
- Discuss job performance concerns with direct reports to identify causes and issues and work closely with the HR department on resolving problems.
- Conduct case reviews and consultations as needed; identify need for escalation to management, physician or related disciplines
- Serve as subject matter expert on area of clinical knowledge including training and education
- On contract requiring assessments, may conduct assessments or field training of assessors as needed
- Instruct, demonstrate, observe skills and techniques of nursing staff and provide feedback to management.
.
- May attend client and stakeholder meetings
- Performs other related duties as assigned.
Required Skills/Abilities:
- Subject Matter knowledge in area of contract operations
- Ability to identify and prioritize tasks based on level of time sensitivity and/or potential health and safety concerns
- Supervise and manage the staff involved in the IDRE program.
- Ensure that all dispute cases are reviewed and processed in a timely and accurate manner.
- Collaborate with healthcare providers, health plans, and other stakeholders to facilitate the resolution of disputes.
- Maintain detailed records of all cases and ensure compliance with HIPAA and other regulatory requirements.
- Monitor and evaluate the performance of staff, providing feedback and coaching as needed.
- Stay informed about current trends and best practices in healthcare billing and dispute resolution.
Minimum Requirements
- Current Registered Nurse (RN) license valid in the state of practice is required-
-Bachelor's degree preferred, High School Degree or equivalent required
- Minimum of 2 years of nursing experience.
- Prior experience with clinical supervision or as a charge nurse preferred.
- Experience in healthcare billing, coding, or dispute resolution is highly preferred.
- Nursing experience in an ICU or ER setting preferred.
- Ability to commit to a training schedule between the hours of 8:00am - 5:00pm EST Monday - Friday required.
- Excellent communication and interpersonal skills.
- Ability to work independently and make informed decisions.
- Detail-oriented with strong organizational skills.
- Strong problem-solving skills and ability to handle high-pressure situations.
Please note: For this position Maximus will provide equipment to use.
Home Office Requirements:
- Internet speed of 20mbps or higher required / 50 Mpbs for shared internet connectivity (you can test this by going to www.speedtest.net)
- Minimum 5mpbs upload speed
-...
....Read more...
Type: Permanent Location: Eau Claire, US-WI
Salary / Rate: Not Specified
Posted: 2025-04-22 08:29:40
-
Description & Requirements
Maximus is currently hiring for a Supervisor to join our State Arbitration team.
This is a remote opportunity.
The Supervisor is responsible for overseeing and managing the staff involved in the IDRE program.
Additionally, they will be responsible for performing stability checks and back-end quality review.
Essential Duties and Responsibilities:
- Provide supervision and clinical oversight to team of direct reports.
- Discuss job performance concerns with direct reports to identify causes and issues and work closely with the HR department on resolving problems.
- Conduct case reviews and consultations as needed; identify need for escalation to management, physician or related disciplines
- Serve as subject matter expert on area of clinical knowledge including training and education
- On contract requiring assessments, may conduct assessments or field training of assessors as needed
- Instruct, demonstrate, observe skills and techniques of nursing staff and provide feedback to management.
.
- May attend client and stakeholder meetings
- Performs other related duties as assigned.
Required Skills/Abilities:
- Subject Matter knowledge in area of contract operations
- Ability to identify and prioritize tasks based on level of time sensitivity and/or potential health and safety concerns
- Supervise and manage the staff involved in the IDRE program.
- Ensure that all dispute cases are reviewed and processed in a timely and accurate manner.
- Collaborate with healthcare providers, health plans, and other stakeholders to facilitate the resolution of disputes.
- Maintain detailed records of all cases and ensure compliance with HIPAA and other regulatory requirements.
- Monitor and evaluate the performance of staff, providing feedback and coaching as needed.
- Stay informed about current trends and best practices in healthcare billing and dispute resolution.
Minimum Requirements
- Current Registered Nurse (RN) license valid in the state of practice is required-
-Bachelor's degree preferred, High School Degree or equivalent required
- Minimum of 2 years of nursing experience.
- Prior experience with clinical supervision or as a charge nurse preferred.
- Experience in healthcare billing, coding, or dispute resolution is highly preferred.
- Nursing experience in an ICU or ER setting preferred.
- Ability to commit to a training schedule between the hours of 8:00am - 5:00pm EST Monday - Friday required.
- Excellent communication and interpersonal skills.
- Ability to work independently and make informed decisions.
- Detail-oriented with strong organizational skills.
- Strong problem-solving skills and ability to handle high-pressure situations.
Please note: For this position Maximus will provide equipment to use.
Home Office Requirements:
- Internet speed of 20mbps or higher required / 50 Mpbs for shared internet connectivity (you can test this by going to www.speedtest.net)
- Minimum 5mpbs upload speed
-...
....Read more...
Type: Permanent Location: Roanoke, US-VA
Salary / Rate: Not Specified
Posted: 2025-04-22 08:29:39
-
Description & Requirements
Maximus is currently hiring for a Supervisor to join our State Arbitration team.
This is a remote opportunity.
The Supervisor is responsible for overseeing and managing the staff involved in the IDRE program.
Additionally, they will be responsible for performing stability checks and back-end quality review.
Essential Duties and Responsibilities:
- Provide supervision and clinical oversight to team of direct reports.
- Discuss job performance concerns with direct reports to identify causes and issues and work closely with the HR department on resolving problems.
- Conduct case reviews and consultations as needed; identify need for escalation to management, physician or related disciplines
- Serve as subject matter expert on area of clinical knowledge including training and education
- On contract requiring assessments, may conduct assessments or field training of assessors as needed
- Instruct, demonstrate, observe skills and techniques of nursing staff and provide feedback to management.
.
- May attend client and stakeholder meetings
- Performs other related duties as assigned.
Required Skills/Abilities:
- Subject Matter knowledge in area of contract operations
- Ability to identify and prioritize tasks based on level of time sensitivity and/or potential health and safety concerns
- Supervise and manage the staff involved in the IDRE program.
- Ensure that all dispute cases are reviewed and processed in a timely and accurate manner.
- Collaborate with healthcare providers, health plans, and other stakeholders to facilitate the resolution of disputes.
- Maintain detailed records of all cases and ensure compliance with HIPAA and other regulatory requirements.
- Monitor and evaluate the performance of staff, providing feedback and coaching as needed.
- Stay informed about current trends and best practices in healthcare billing and dispute resolution.
Minimum Requirements
- Current Registered Nurse (RN) license valid in the state of practice is required-
-Bachelor's degree preferred, High School Degree or equivalent required
- Minimum of 2 years of nursing experience.
- Prior experience with clinical supervision or as a charge nurse preferred.
- Experience in healthcare billing, coding, or dispute resolution is highly preferred.
- Nursing experience in an ICU or ER setting preferred.
- Ability to commit to a training schedule between the hours of 8:00am - 5:00pm EST Monday - Friday required.
- Excellent communication and interpersonal skills.
- Ability to work independently and make informed decisions.
- Detail-oriented with strong organizational skills.
- Strong problem-solving skills and ability to handle high-pressure situations.
Please note: For this position Maximus will provide equipment to use.
Home Office Requirements:
- Internet speed of 20mbps or higher required / 50 Mpbs for shared internet connectivity (you can test this by going to www.speedtest.net)
- Minimum 5mpbs upload speed
-...
....Read more...
Type: Permanent Location: Cheyenne, US-WY
Salary / Rate: Not Specified
Posted: 2025-04-22 08:29:39
-
Description & Requirements
Maximus is currently hiring for a Supervisor to join our State Arbitration team.
This is a remote opportunity.
The Supervisor is responsible for overseeing and managing the staff involved in the IDRE program.
Additionally, they will be responsible for performing stability checks and back-end quality review.
Essential Duties and Responsibilities:
- Provide supervision and clinical oversight to team of direct reports.
- Discuss job performance concerns with direct reports to identify causes and issues and work closely with the HR department on resolving problems.
- Conduct case reviews and consultations as needed; identify need for escalation to management, physician or related disciplines
- Serve as subject matter expert on area of clinical knowledge including training and education
- On contract requiring assessments, may conduct assessments or field training of assessors as needed
- Instruct, demonstrate, observe skills and techniques of nursing staff and provide feedback to management.
.
- May attend client and stakeholder meetings
- Performs other related duties as assigned.
Required Skills/Abilities:
- Subject Matter knowledge in area of contract operations
- Ability to identify and prioritize tasks based on level of time sensitivity and/or potential health and safety concerns
- Supervise and manage the staff involved in the IDRE program.
- Ensure that all dispute cases are reviewed and processed in a timely and accurate manner.
- Collaborate with healthcare providers, health plans, and other stakeholders to facilitate the resolution of disputes.
- Maintain detailed records of all cases and ensure compliance with HIPAA and other regulatory requirements.
- Monitor and evaluate the performance of staff, providing feedback and coaching as needed.
- Stay informed about current trends and best practices in healthcare billing and dispute resolution.
Minimum Requirements
- Current Registered Nurse (RN) license valid in the state of practice is required-
-Bachelor's degree preferred, High School Degree or equivalent required
- Minimum of 2 years of nursing experience.
- Prior experience with clinical supervision or as a charge nurse preferred.
- Experience in healthcare billing, coding, or dispute resolution is highly preferred.
- Nursing experience in an ICU or ER setting preferred.
- Ability to commit to a training schedule between the hours of 8:00am - 5:00pm EST Monday - Friday required.
- Excellent communication and interpersonal skills.
- Ability to work independently and make informed decisions.
- Detail-oriented with strong organizational skills.
- Strong problem-solving skills and ability to handle high-pressure situations.
Please note: For this position Maximus will provide equipment to use.
Home Office Requirements:
- Internet speed of 20mbps or higher required / 50 Mpbs for shared internet connectivity (you can test this by going to www.speedtest.net)
- Minimum 5mpbs upload speed
-...
....Read more...
Type: Permanent Location: Seattle, US-WA
Salary / Rate: Not Specified
Posted: 2025-04-22 08:29:38
-
Description & Requirements
Maximus is currently hiring for a Supervisor to join our State Arbitration team.
This is a remote opportunity.
The Supervisor is responsible for overseeing and managing the staff involved in the IDRE program.
Additionally, they will be responsible for performing stability checks and back-end quality review.
Essential Duties and Responsibilities:
- Provide supervision and clinical oversight to team of direct reports.
- Discuss job performance concerns with direct reports to identify causes and issues and work closely with the HR department on resolving problems.
- Conduct case reviews and consultations as needed; identify need for escalation to management, physician or related disciplines
- Serve as subject matter expert on area of clinical knowledge including training and education
- On contract requiring assessments, may conduct assessments or field training of assessors as needed
- Instruct, demonstrate, observe skills and techniques of nursing staff and provide feedback to management.
.
- May attend client and stakeholder meetings
- Performs other related duties as assigned.
Required Skills/Abilities:
- Subject Matter knowledge in area of contract operations
- Ability to identify and prioritize tasks based on level of time sensitivity and/or potential health and safety concerns
- Supervise and manage the staff involved in the IDRE program.
- Ensure that all dispute cases are reviewed and processed in a timely and accurate manner.
- Collaborate with healthcare providers, health plans, and other stakeholders to facilitate the resolution of disputes.
- Maintain detailed records of all cases and ensure compliance with HIPAA and other regulatory requirements.
- Monitor and evaluate the performance of staff, providing feedback and coaching as needed.
- Stay informed about current trends and best practices in healthcare billing and dispute resolution.
Minimum Requirements
- Current Registered Nurse (RN) license valid in the state of practice is required-
-Bachelor's degree preferred, High School Degree or equivalent required
- Minimum of 2 years of nursing experience.
- Prior experience with clinical supervision or as a charge nurse preferred.
- Experience in healthcare billing, coding, or dispute resolution is highly preferred.
- Nursing experience in an ICU or ER setting preferred.
- Ability to commit to a training schedule between the hours of 8:00am - 5:00pm EST Monday - Friday required.
- Excellent communication and interpersonal skills.
- Ability to work independently and make informed decisions.
- Detail-oriented with strong organizational skills.
- Strong problem-solving skills and ability to handle high-pressure situations.
Please note: For this position Maximus will provide equipment to use.
Home Office Requirements:
- Internet speed of 20mbps or higher required / 50 Mpbs for shared internet connectivity (you can test this by going to www.speedtest.net)
- Minimum 5mpbs upload speed
-...
....Read more...
Type: Permanent Location: Tysons, US-VA
Salary / Rate: Not Specified
Posted: 2025-04-22 08:29:38
-
Description & Requirements
Maximus is currently hiring for a Supervisor to join our State Arbitration team.
This is a remote opportunity.
The Supervisor is responsible for overseeing and managing the staff involved in the IDRE program.
Additionally, they will be responsible for performing stability checks and back-end quality review.
Essential Duties and Responsibilities:
- Provide supervision and clinical oversight to team of direct reports.
- Discuss job performance concerns with direct reports to identify causes and issues and work closely with the HR department on resolving problems.
- Conduct case reviews and consultations as needed; identify need for escalation to management, physician or related disciplines
- Serve as subject matter expert on area of clinical knowledge including training and education
- On contract requiring assessments, may conduct assessments or field training of assessors as needed
- Instruct, demonstrate, observe skills and techniques of nursing staff and provide feedback to management.
.
- May attend client and stakeholder meetings
- Performs other related duties as assigned.
Required Skills/Abilities:
- Subject Matter knowledge in area of contract operations
- Ability to identify and prioritize tasks based on level of time sensitivity and/or potential health and safety concerns
- Supervise and manage the staff involved in the IDRE program.
- Ensure that all dispute cases are reviewed and processed in a timely and accurate manner.
- Collaborate with healthcare providers, health plans, and other stakeholders to facilitate the resolution of disputes.
- Maintain detailed records of all cases and ensure compliance with HIPAA and other regulatory requirements.
- Monitor and evaluate the performance of staff, providing feedback and coaching as needed.
- Stay informed about current trends and best practices in healthcare billing and dispute resolution.
Minimum Requirements
- Current Registered Nurse (RN) license valid in the state of practice is required-
-Bachelor's degree preferred, High School Degree or equivalent required
- Minimum of 2 years of nursing experience.
- Prior experience with clinical supervision or as a charge nurse preferred.
- Experience in healthcare billing, coding, or dispute resolution is highly preferred.
- Nursing experience in an ICU or ER setting preferred.
- Ability to commit to a training schedule between the hours of 8:00am - 5:00pm EST Monday - Friday required.
- Excellent communication and interpersonal skills.
- Ability to work independently and make informed decisions.
- Detail-oriented with strong organizational skills.
- Strong problem-solving skills and ability to handle high-pressure situations.
Please note: For this position Maximus will provide equipment to use.
Home Office Requirements:
- Internet speed of 20mbps or higher required / 50 Mpbs for shared internet connectivity (you can test this by going to www.speedtest.net)
- Minimum 5mpbs upload speed
-...
....Read more...
Type: Permanent Location: Spokane, US-WA
Salary / Rate: Not Specified
Posted: 2025-04-22 08:29:37
-
Description & Requirements
Maximus is currently hiring for a Supervisor to join our State Arbitration team.
This is a remote opportunity.
The Supervisor is responsible for overseeing and managing the staff involved in the IDRE program.
Additionally, they will be responsible for performing stability checks and back-end quality review.
Essential Duties and Responsibilities:
- Provide supervision and clinical oversight to team of direct reports.
- Discuss job performance concerns with direct reports to identify causes and issues and work closely with the HR department on resolving problems.
- Conduct case reviews and consultations as needed; identify need for escalation to management, physician or related disciplines
- Serve as subject matter expert on area of clinical knowledge including training and education
- On contract requiring assessments, may conduct assessments or field training of assessors as needed
- Instruct, demonstrate, observe skills and techniques of nursing staff and provide feedback to management.
.
- May attend client and stakeholder meetings
- Performs other related duties as assigned.
Required Skills/Abilities:
- Subject Matter knowledge in area of contract operations
- Ability to identify and prioritize tasks based on level of time sensitivity and/or potential health and safety concerns
- Supervise and manage the staff involved in the IDRE program.
- Ensure that all dispute cases are reviewed and processed in a timely and accurate manner.
- Collaborate with healthcare providers, health plans, and other stakeholders to facilitate the resolution of disputes.
- Maintain detailed records of all cases and ensure compliance with HIPAA and other regulatory requirements.
- Monitor and evaluate the performance of staff, providing feedback and coaching as needed.
- Stay informed about current trends and best practices in healthcare billing and dispute resolution.
Minimum Requirements
- Current Registered Nurse (RN) license valid in the state of practice is required-
-Bachelor's degree preferred, High School Degree or equivalent required
- Minimum of 2 years of nursing experience.
- Prior experience with clinical supervision or as a charge nurse preferred.
- Experience in healthcare billing, coding, or dispute resolution is highly preferred.
- Nursing experience in an ICU or ER setting preferred.
- Ability to commit to a training schedule between the hours of 8:00am - 5:00pm EST Monday - Friday required.
- Excellent communication and interpersonal skills.
- Ability to work independently and make informed decisions.
- Detail-oriented with strong organizational skills.
- Strong problem-solving skills and ability to handle high-pressure situations.
Please note: For this position Maximus will provide equipment to use.
Home Office Requirements:
- Internet speed of 20mbps or higher required / 50 Mpbs for shared internet connectivity (you can test this by going to www.speedtest.net)
- Minimum 5mpbs upload speed
-...
....Read more...
Type: Permanent Location: Richmond, US-VA
Salary / Rate: Not Specified
Posted: 2025-04-22 08:29:37
-
Description & Requirements
Maximus is currently hiring for a Supervisor to join our State Arbitration team.
This is a remote opportunity.
The Supervisor is responsible for overseeing and managing the staff involved in the IDRE program.
Additionally, they will be responsible for performing stability checks and back-end quality review.
Essential Duties and Responsibilities:
- Provide supervision and clinical oversight to team of direct reports.
- Discuss job performance concerns with direct reports to identify causes and issues and work closely with the HR department on resolving problems.
- Conduct case reviews and consultations as needed; identify need for escalation to management, physician or related disciplines
- Serve as subject matter expert on area of clinical knowledge including training and education
- On contract requiring assessments, may conduct assessments or field training of assessors as needed
- Instruct, demonstrate, observe skills and techniques of nursing staff and provide feedback to management.
.
- May attend client and stakeholder meetings
- Performs other related duties as assigned.
Required Skills/Abilities:
- Subject Matter knowledge in area of contract operations
- Ability to identify and prioritize tasks based on level of time sensitivity and/or potential health and safety concerns
- Supervise and manage the staff involved in the IDRE program.
- Ensure that all dispute cases are reviewed and processed in a timely and accurate manner.
- Collaborate with healthcare providers, health plans, and other stakeholders to facilitate the resolution of disputes.
- Maintain detailed records of all cases and ensure compliance with HIPAA and other regulatory requirements.
- Monitor and evaluate the performance of staff, providing feedback and coaching as needed.
- Stay informed about current trends and best practices in healthcare billing and dispute resolution.
Minimum Requirements
- Current Registered Nurse (RN) license valid in the state of practice is required-
-Bachelor's degree preferred, High School Degree or equivalent required
- Minimum of 2 years of nursing experience.
- Prior experience with clinical supervision or as a charge nurse preferred.
- Experience in healthcare billing, coding, or dispute resolution is highly preferred.
- Nursing experience in an ICU or ER setting preferred.
- Ability to commit to a training schedule between the hours of 8:00am - 5:00pm EST Monday - Friday required.
- Excellent communication and interpersonal skills.
- Ability to work independently and make informed decisions.
- Detail-oriented with strong organizational skills.
- Strong problem-solving skills and ability to handle high-pressure situations.
Please note: For this position Maximus will provide equipment to use.
Home Office Requirements:
- Internet speed of 20mbps or higher required / 50 Mpbs for shared internet connectivity (you can test this by going to www.speedtest.net)
- Minimum 5mpbs upload speed
-...
....Read more...
Type: Permanent Location: Charleston, US-WV
Salary / Rate: Not Specified
Posted: 2025-04-22 08:29:36
-
Description & Requirements
Maximus is currently hiring for a Supervisor to join our State Arbitration team.
This is a remote opportunity.
The Supervisor is responsible for overseeing and managing the staff involved in the IDRE program.
Additionally, they will be responsible for performing stability checks and back-end quality review.
Essential Duties and Responsibilities:
- Provide supervision and clinical oversight to team of direct reports.
- Discuss job performance concerns with direct reports to identify causes and issues and work closely with the HR department on resolving problems.
- Conduct case reviews and consultations as needed; identify need for escalation to management, physician or related disciplines
- Serve as subject matter expert on area of clinical knowledge including training and education
- On contract requiring assessments, may conduct assessments or field training of assessors as needed
- Instruct, demonstrate, observe skills and techniques of nursing staff and provide feedback to management.
.
- May attend client and stakeholder meetings
- Performs other related duties as assigned.
Required Skills/Abilities:
- Subject Matter knowledge in area of contract operations
- Ability to identify and prioritize tasks based on level of time sensitivity and/or potential health and safety concerns
- Supervise and manage the staff involved in the IDRE program.
- Ensure that all dispute cases are reviewed and processed in a timely and accurate manner.
- Collaborate with healthcare providers, health plans, and other stakeholders to facilitate the resolution of disputes.
- Maintain detailed records of all cases and ensure compliance with HIPAA and other regulatory requirements.
- Monitor and evaluate the performance of staff, providing feedback and coaching as needed.
- Stay informed about current trends and best practices in healthcare billing and dispute resolution.
Minimum Requirements
- Current Registered Nurse (RN) license valid in the state of practice is required-
-Bachelor's degree preferred, High School Degree or equivalent required
- Minimum of 2 years of nursing experience.
- Prior experience with clinical supervision or as a charge nurse preferred.
- Experience in healthcare billing, coding, or dispute resolution is highly preferred.
- Nursing experience in an ICU or ER setting preferred.
- Ability to commit to a training schedule between the hours of 8:00am - 5:00pm EST Monday - Friday required.
- Excellent communication and interpersonal skills.
- Ability to work independently and make informed decisions.
- Detail-oriented with strong organizational skills.
- Strong problem-solving skills and ability to handle high-pressure situations.
Please note: For this position Maximus will provide equipment to use.
Home Office Requirements:
- Internet speed of 20mbps or higher required / 50 Mpbs for shared internet connectivity (you can test this by going to www.speedtest.net)
- Minimum 5mpbs upload speed
-...
....Read more...
Type: Permanent Location: Lubbock, US-TX
Salary / Rate: Not Specified
Posted: 2025-04-22 08:29:35
-
Description & Requirements
Maximus is currently hiring for a Supervisor to join our State Arbitration team.
This is a remote opportunity.
The Supervisor is responsible for overseeing and managing the staff involved in the IDRE program.
Additionally, they will be responsible for performing stability checks and back-end quality review.
Essential Duties and Responsibilities:
- Provide supervision and clinical oversight to team of direct reports.
- Discuss job performance concerns with direct reports to identify causes and issues and work closely with the HR department on resolving problems.
- Conduct case reviews and consultations as needed; identify need for escalation to management, physician or related disciplines
- Serve as subject matter expert on area of clinical knowledge including training and education
- On contract requiring assessments, may conduct assessments or field training of assessors as needed
- Instruct, demonstrate, observe skills and techniques of nursing staff and provide feedback to management.
.
- May attend client and stakeholder meetings
- Performs other related duties as assigned.
Required Skills/Abilities:
- Subject Matter knowledge in area of contract operations
- Ability to identify and prioritize tasks based on level of time sensitivity and/or potential health and safety concerns
- Supervise and manage the staff involved in the IDRE program.
- Ensure that all dispute cases are reviewed and processed in a timely and accurate manner.
- Collaborate with healthcare providers, health plans, and other stakeholders to facilitate the resolution of disputes.
- Maintain detailed records of all cases and ensure compliance with HIPAA and other regulatory requirements.
- Monitor and evaluate the performance of staff, providing feedback and coaching as needed.
- Stay informed about current trends and best practices in healthcare billing and dispute resolution.
Minimum Requirements
- Current Registered Nurse (RN) license valid in the state of practice is required-
-Bachelor's degree preferred, High School Degree or equivalent required
- Minimum of 2 years of nursing experience.
- Prior experience with clinical supervision or as a charge nurse preferred.
- Experience in healthcare billing, coding, or dispute resolution is highly preferred.
- Nursing experience in an ICU or ER setting preferred.
- Ability to commit to a training schedule between the hours of 8:00am - 5:00pm EST Monday - Friday required.
- Excellent communication and interpersonal skills.
- Ability to work independently and make informed decisions.
- Detail-oriented with strong organizational skills.
- Strong problem-solving skills and ability to handle high-pressure situations.
Please note: For this position Maximus will provide equipment to use.
Home Office Requirements:
- Internet speed of 20mbps or higher required / 50 Mpbs for shared internet connectivity (you can test this by going to www.speedtest.net)
- Minimum 5mpbs upload speed
-...
....Read more...
Type: Permanent Location: Bennington, US-VT
Salary / Rate: Not Specified
Posted: 2025-04-22 08:29:35
-
Description & Requirements
Maximus is currently hiring for a Supervisor to join our State Arbitration team.
This is a remote opportunity.
The Supervisor is responsible for overseeing and managing the staff involved in the IDRE program.
Additionally, they will be responsible for performing stability checks and back-end quality review.
Essential Duties and Responsibilities:
- Provide supervision and clinical oversight to team of direct reports.
- Discuss job performance concerns with direct reports to identify causes and issues and work closely with the HR department on resolving problems.
- Conduct case reviews and consultations as needed; identify need for escalation to management, physician or related disciplines
- Serve as subject matter expert on area of clinical knowledge including training and education
- On contract requiring assessments, may conduct assessments or field training of assessors as needed
- Instruct, demonstrate, observe skills and techniques of nursing staff and provide feedback to management.
.
- May attend client and stakeholder meetings
- Performs other related duties as assigned.
Required Skills/Abilities:
- Subject Matter knowledge in area of contract operations
- Ability to identify and prioritize tasks based on level of time sensitivity and/or potential health and safety concerns
- Supervise and manage the staff involved in the IDRE program.
- Ensure that all dispute cases are reviewed and processed in a timely and accurate manner.
- Collaborate with healthcare providers, health plans, and other stakeholders to facilitate the resolution of disputes.
- Maintain detailed records of all cases and ensure compliance with HIPAA and other regulatory requirements.
- Monitor and evaluate the performance of staff, providing feedback and coaching as needed.
- Stay informed about current trends and best practices in healthcare billing and dispute resolution.
Minimum Requirements
- Current Registered Nurse (RN) license valid in the state of practice is required-
-Bachelor's degree preferred, High School Degree or equivalent required
- Minimum of 2 years of nursing experience.
- Prior experience with clinical supervision or as a charge nurse preferred.
- Experience in healthcare billing, coding, or dispute resolution is highly preferred.
- Nursing experience in an ICU or ER setting preferred.
- Ability to commit to a training schedule between the hours of 8:00am - 5:00pm EST Monday - Friday required.
- Excellent communication and interpersonal skills.
- Ability to work independently and make informed decisions.
- Detail-oriented with strong organizational skills.
- Strong problem-solving skills and ability to handle high-pressure situations.
Please note: For this position Maximus will provide equipment to use.
Home Office Requirements:
- Internet speed of 20mbps or higher required / 50 Mpbs for shared internet connectivity (you can test this by going to www.speedtest.net)
- Minimum 5mpbs upload speed
-...
....Read more...
Type: Permanent Location: Burlington, US-VT
Salary / Rate: Not Specified
Posted: 2025-04-22 08:29:34
-
Description & Requirements
Maximus is currently hiring for a Supervisor to join our State Arbitration team.
This is a remote opportunity.
The Supervisor is responsible for overseeing and managing the staff involved in the IDRE program.
Additionally, they will be responsible for performing stability checks and back-end quality review.
Essential Duties and Responsibilities:
- Provide supervision and clinical oversight to team of direct reports.
- Discuss job performance concerns with direct reports to identify causes and issues and work closely with the HR department on resolving problems.
- Conduct case reviews and consultations as needed; identify need for escalation to management, physician or related disciplines
- Serve as subject matter expert on area of clinical knowledge including training and education
- On contract requiring assessments, may conduct assessments or field training of assessors as needed
- Instruct, demonstrate, observe skills and techniques of nursing staff and provide feedback to management.
.
- May attend client and stakeholder meetings
- Performs other related duties as assigned.
Required Skills/Abilities:
- Subject Matter knowledge in area of contract operations
- Ability to identify and prioritize tasks based on level of time sensitivity and/or potential health and safety concerns
- Supervise and manage the staff involved in the IDRE program.
- Ensure that all dispute cases are reviewed and processed in a timely and accurate manner.
- Collaborate with healthcare providers, health plans, and other stakeholders to facilitate the resolution of disputes.
- Maintain detailed records of all cases and ensure compliance with HIPAA and other regulatory requirements.
- Monitor and evaluate the performance of staff, providing feedback and coaching as needed.
- Stay informed about current trends and best practices in healthcare billing and dispute resolution.
Minimum Requirements
- Current Registered Nurse (RN) license valid in the state of practice is required-
-Bachelor's degree preferred, High School Degree or equivalent required
- Minimum of 2 years of nursing experience.
- Prior experience with clinical supervision or as a charge nurse preferred.
- Experience in healthcare billing, coding, or dispute resolution is highly preferred.
- Nursing experience in an ICU or ER setting preferred.
- Ability to commit to a training schedule between the hours of 8:00am - 5:00pm EST Monday - Friday required.
- Excellent communication and interpersonal skills.
- Ability to work independently and make informed decisions.
- Detail-oriented with strong organizational skills.
- Strong problem-solving skills and ability to handle high-pressure situations.
Please note: For this position Maximus will provide equipment to use.
Home Office Requirements:
- Internet speed of 20mbps or higher required / 50 Mpbs for shared internet connectivity (you can test this by going to www.speedtest.net)
- Minimum 5mpbs upload speed
-...
....Read more...
Type: Permanent Location: Salt Lake City, US-UT
Salary / Rate: Not Specified
Posted: 2025-04-22 08:29:34
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Description & Requirements
Maximus is currently hiring for a Supervisor to join our State Arbitration team.
This is a remote opportunity.
The Supervisor is responsible for overseeing and managing the staff involved in the IDRE program.
Additionally, they will be responsible for performing stability checks and back-end quality review.
Essential Duties and Responsibilities:
- Provide supervision and clinical oversight to team of direct reports.
- Discuss job performance concerns with direct reports to identify causes and issues and work closely with the HR department on resolving problems.
- Conduct case reviews and consultations as needed; identify need for escalation to management, physician or related disciplines
- Serve as subject matter expert on area of clinical knowledge including training and education
- On contract requiring assessments, may conduct assessments or field training of assessors as needed
- Instruct, demonstrate, observe skills and techniques of nursing staff and provide feedback to management.
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- May attend client and stakeholder meetings
- Performs other related duties as assigned.
Required Skills/Abilities:
- Subject Matter knowledge in area of contract operations
- Ability to identify and prioritize tasks based on level of time sensitivity and/or potential health and safety concerns
- Supervise and manage the staff involved in the IDRE program.
- Ensure that all dispute cases are reviewed and processed in a timely and accurate manner.
- Collaborate with healthcare providers, health plans, and other stakeholders to facilitate the resolution of disputes.
- Maintain detailed records of all cases and ensure compliance with HIPAA and other regulatory requirements.
- Monitor and evaluate the performance of staff, providing feedback and coaching as needed.
- Stay informed about current trends and best practices in healthcare billing and dispute resolution.
Minimum Requirements
- Current Registered Nurse (RN) license valid in the state of practice is required-
-Bachelor's degree preferred, High School Degree or equivalent required
- Minimum of 2 years of nursing experience.
- Prior experience with clinical supervision or as a charge nurse preferred.
- Experience in healthcare billing, coding, or dispute resolution is highly preferred.
- Nursing experience in an ICU or ER setting preferred.
- Ability to commit to a training schedule between the hours of 8:00am - 5:00pm EST Monday - Friday required.
- Excellent communication and interpersonal skills.
- Ability to work independently and make informed decisions.
- Detail-oriented with strong organizational skills.
- Strong problem-solving skills and ability to handle high-pressure situations.
Please note: For this position Maximus will provide equipment to use.
Home Office Requirements:
- Internet speed of 20mbps or higher required / 50 Mpbs for shared internet connectivity (you can test this by going to www.speedtest.net)
- Minimum 5mpbs upload speed
-...
....Read more...
Type: Permanent Location: Dallas, US-TX
Salary / Rate: Not Specified
Posted: 2025-04-22 08:29:33
