-
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: Houston, US-TX
Salary / Rate: Not Specified
Posted: 2025-04-22 08:29:32
-
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: St. George, US-UT
Salary / Rate: Not Specified
Posted: 2025-04-22 08:29:32
-
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: San Antonio, US-TX
Salary / Rate: Not Specified
Posted: 2025-04-22 08:29:31
-
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: Rapid City, US-SD
Salary / Rate: Not Specified
Posted: 2025-04-22 08:29:31
-
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: Sioux Falls, US-SD
Salary / Rate: Not Specified
Posted: 2025-04-22 08:29:30
-
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: Memphis, US-TN
Salary / Rate: Not Specified
Posted: 2025-04-22 08:29:29
-
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: Nashville, US-TN
Salary / Rate: Not Specified
Posted: 2025-04-22 08:29:29
-
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: Columbia, US-SC
Salary / Rate: Not Specified
Posted: 2025-04-22 08:29:28
-
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: Newport, US-RI
Salary / Rate: Not Specified
Posted: 2025-04-22 08:29:28
-
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: Pittsburgh, US-PA
Salary / Rate: Not Specified
Posted: 2025-04-22 08:29:27
-
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-SC
Salary / Rate: Not Specified
Posted: 2025-04-22 08:29:26
-
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: Providence, US-RI
Salary / Rate: Not Specified
Posted: 2025-04-22 08:29:26
-
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: Philadelphia, US-PA
Salary / Rate: Not Specified
Posted: 2025-04-22 08:29:25
-
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: Portland, US-OR
Salary / Rate: Not Specified
Posted: 2025-04-22 08:29:25
-
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: Tulsa, US-OK
Salary / Rate: Not Specified
Posted: 2025-04-22 08:29:24
-
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: Oklahoma City, US-OK
Salary / Rate: Not Specified
Posted: 2025-04-22 08:29:23
-
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: Eugene, US-OR
Salary / Rate: Not Specified
Posted: 2025-04-22 08:29:23
-
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: Cleveland, US-OH
Salary / Rate: Not Specified
Posted: 2025-04-22 08:29:22
-
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: Columbus, US-OH
Salary / Rate: Not Specified
Posted: 2025-04-22 08:29:21
-
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: Wilmington, US-NC
Salary / Rate: Not Specified
Posted: 2025-04-22 08:29:21
-
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: Minot, US-ND
Salary / Rate: Not Specified
Posted: 2025-04-22 08:29:20
-
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: Fargo, US-ND
Salary / Rate: Not Specified
Posted: 2025-04-22 08:29:19
-
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: Rochester, US-NY
Salary / Rate: Not Specified
Posted: 2025-04-22 08:29:18
-
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: Cincinnati, US-OH
Salary / Rate: Not Specified
Posted: 2025-04-22 08:29:16
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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: Charlotte, US-NC
Salary / Rate: Not Specified
Posted: 2025-04-22 08:29:14
