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Description & Requirements
Maximus is currently hiring for a Consultant - Medical (RN) Case Reviewer 2 to join our WCRC team.
This is a remote opportunity.
The Consultant will review WCMSA case submissions in support of the Workers' Compensation Review Contractor.
Essential Duties and Responsibilities:
- Review cases and summarize the facts of each case and assess issues involved in the case to certify or non-certify requested treatments.
- Provide written clinical rationales for CA Workers Compensation cases.
- Review, organize and identify all medical records provided for CA workers comp cases.
- Monitor timeliness of reviews to ensure applicable standards are met.
- Consistently meet production and quality standards.
- Perform special projects as assigned such as legal research, general medical research, etc.
- Work on special projects to improve CA IMR project or other special projects as assigned.
- Become a subject matter expert (SME) using job aides and learning tools.
- Review and evaluate proposed Medicare set-aside arrangements, including submitted medical records, to determine if the proposed settlement meets the threshold requirements established for beneficiaries and potential beneficiaries and adequately considers Medicare's interests as pertaining to future medical service needs of beneficiaries
- Ensure all basic documentation requirements are available or requested via development action prior to review by medical and pharmacy review personnel.
- Render medical/clinical determinations based on professional experience.
- Implement operating rules and CMS policy.
- Audit complex determinations for other clinical review programs utilizing medical records to ensure compliance with the organization's coding procedures and standards.
- Review cases and summarize the facts of each case and assess issues involved in the case to certify or non-certify requested treatments.
- Provide written clinical rationales for Workers Compensation cases.
- Review, organize and identify all medical records provided for workers comp cases.
- Monitor timeliness of reviews to ensure applicable standards are met.
- Consistently meet production and quality standards.
- Perform special projects as assigned such as legal research, general medical research, etc.
- Become a subject matter expert (SME) using job aides and learning tools.
- Work on special projects as assigned.
- Other duties as assigned by management.
Minimum Requirements
- Bachelor's degree with 3-5 years of experience consulting within designated function.
- Relevant professional experience can be considered in lieu of Bachelor's degree.
- Valid RN licensure required.
- Ability to commit to a two-week training period between the hours of 9:00am - 6:00pm EST Monday - Friday required.
- Flexibility in work hours, post-training, to include more than 40-hours a week based on business needs required.
- Possess ample medical knowledge and experience with medical terminology...
....Read more...
Type: Permanent Location: Phoenix, US-AZ
Salary / Rate: Not Specified
Posted: 2025-04-30 08:46:53
-
Description & Requirements
Maximus is currently hiring for a Consultant - Medical (RN) Case Reviewer 2 to join our WCRC team.
This is a remote opportunity.
The Consultant will review WCMSA case submissions in support of the Workers' Compensation Review Contractor.
Essential Duties and Responsibilities:
- Review cases and summarize the facts of each case and assess issues involved in the case to certify or non-certify requested treatments.
- Provide written clinical rationales for CA Workers Compensation cases.
- Review, organize and identify all medical records provided for CA workers comp cases.
- Monitor timeliness of reviews to ensure applicable standards are met.
- Consistently meet production and quality standards.
- Perform special projects as assigned such as legal research, general medical research, etc.
- Work on special projects to improve CA IMR project or other special projects as assigned.
- Become a subject matter expert (SME) using job aides and learning tools.
- Review and evaluate proposed Medicare set-aside arrangements, including submitted medical records, to determine if the proposed settlement meets the threshold requirements established for beneficiaries and potential beneficiaries and adequately considers Medicare's interests as pertaining to future medical service needs of beneficiaries
- Ensure all basic documentation requirements are available or requested via development action prior to review by medical and pharmacy review personnel.
- Render medical/clinical determinations based on professional experience.
- Implement operating rules and CMS policy.
- Audit complex determinations for other clinical review programs utilizing medical records to ensure compliance with the organization's coding procedures and standards.
- Review cases and summarize the facts of each case and assess issues involved in the case to certify or non-certify requested treatments.
- Provide written clinical rationales for Workers Compensation cases.
- Review, organize and identify all medical records provided for workers comp cases.
- Monitor timeliness of reviews to ensure applicable standards are met.
- Consistently meet production and quality standards.
- Perform special projects as assigned such as legal research, general medical research, etc.
- Become a subject matter expert (SME) using job aides and learning tools.
- Work on special projects as assigned.
- Other duties as assigned by management.
Minimum Requirements
- Bachelor's degree with 3-5 years of experience consulting within designated function.
- Relevant professional experience can be considered in lieu of Bachelor's degree.
- Valid RN licensure required.
- Ability to commit to a two-week training period between the hours of 9:00am - 6:00pm EST Monday - Friday required.
- Flexibility in work hours, post-training, to include more than 40-hours a week based on business needs required.
- Possess ample medical knowledge and experience with medical terminology...
....Read more...
Type: Permanent Location: Tucson, US-AZ
Salary / Rate: Not Specified
Posted: 2025-04-30 08:46:53
-
Description & Requirements
Maximus is currently hiring for a Consultant - Medical (RN) Case Reviewer 2 to join our WCRC team.
This is a remote opportunity.
The Consultant will review WCMSA case submissions in support of the Workers' Compensation Review Contractor.
Essential Duties and Responsibilities:
- Review cases and summarize the facts of each case and assess issues involved in the case to certify or non-certify requested treatments.
- Provide written clinical rationales for CA Workers Compensation cases.
- Review, organize and identify all medical records provided for CA workers comp cases.
- Monitor timeliness of reviews to ensure applicable standards are met.
- Consistently meet production and quality standards.
- Perform special projects as assigned such as legal research, general medical research, etc.
- Work on special projects to improve CA IMR project or other special projects as assigned.
- Become a subject matter expert (SME) using job aides and learning tools.
- Review and evaluate proposed Medicare set-aside arrangements, including submitted medical records, to determine if the proposed settlement meets the threshold requirements established for beneficiaries and potential beneficiaries and adequately considers Medicare's interests as pertaining to future medical service needs of beneficiaries
- Ensure all basic documentation requirements are available or requested via development action prior to review by medical and pharmacy review personnel.
- Render medical/clinical determinations based on professional experience.
- Implement operating rules and CMS policy.
- Audit complex determinations for other clinical review programs utilizing medical records to ensure compliance with the organization's coding procedures and standards.
- Review cases and summarize the facts of each case and assess issues involved in the case to certify or non-certify requested treatments.
- Provide written clinical rationales for Workers Compensation cases.
- Review, organize and identify all medical records provided for workers comp cases.
- Monitor timeliness of reviews to ensure applicable standards are met.
- Consistently meet production and quality standards.
- Perform special projects as assigned such as legal research, general medical research, etc.
- Become a subject matter expert (SME) using job aides and learning tools.
- Work on special projects as assigned.
- Other duties as assigned by management.
Minimum Requirements
- Bachelor's degree with 3-5 years of experience consulting within designated function.
- Relevant professional experience can be considered in lieu of Bachelor's degree.
- Valid RN licensure required.
- Ability to commit to a two-week training period between the hours of 9:00am - 6:00pm EST Monday - Friday required.
- Flexibility in work hours, post-training, to include more than 40-hours a week based on business needs required.
- Possess ample medical knowledge and experience with medical terminology...
....Read more...
Type: Permanent Location: Fort Smith, US-AR
Salary / Rate: Not Specified
Posted: 2025-04-30 08:46:52
-
Description & Requirements
Maximus is currently hiring for a Consultant - Medical (RN) Case Reviewer 2 to join our WCRC team.
This is a remote opportunity.
The Consultant will review WCMSA case submissions in support of the Workers' Compensation Review Contractor.
Essential Duties and Responsibilities:
- Review cases and summarize the facts of each case and assess issues involved in the case to certify or non-certify requested treatments.
- Provide written clinical rationales for CA Workers Compensation cases.
- Review, organize and identify all medical records provided for CA workers comp cases.
- Monitor timeliness of reviews to ensure applicable standards are met.
- Consistently meet production and quality standards.
- Perform special projects as assigned such as legal research, general medical research, etc.
- Work on special projects to improve CA IMR project or other special projects as assigned.
- Become a subject matter expert (SME) using job aides and learning tools.
- Review and evaluate proposed Medicare set-aside arrangements, including submitted medical records, to determine if the proposed settlement meets the threshold requirements established for beneficiaries and potential beneficiaries and adequately considers Medicare's interests as pertaining to future medical service needs of beneficiaries
- Ensure all basic documentation requirements are available or requested via development action prior to review by medical and pharmacy review personnel.
- Render medical/clinical determinations based on professional experience.
- Implement operating rules and CMS policy.
- Audit complex determinations for other clinical review programs utilizing medical records to ensure compliance with the organization's coding procedures and standards.
- Review cases and summarize the facts of each case and assess issues involved in the case to certify or non-certify requested treatments.
- Provide written clinical rationales for Workers Compensation cases.
- Review, organize and identify all medical records provided for workers comp cases.
- Monitor timeliness of reviews to ensure applicable standards are met.
- Consistently meet production and quality standards.
- Perform special projects as assigned such as legal research, general medical research, etc.
- Become a subject matter expert (SME) using job aides and learning tools.
- Work on special projects as assigned.
- Other duties as assigned by management.
Minimum Requirements
- Bachelor's degree with 3-5 years of experience consulting within designated function.
- Relevant professional experience can be considered in lieu of Bachelor's degree.
- Valid RN licensure required.
- Ability to commit to a two-week training period between the hours of 9:00am - 6:00pm EST Monday - Friday required.
- Flexibility in work hours, post-training, to include more than 40-hours a week based on business needs required.
- Possess ample medical knowledge and experience with medical terminology...
....Read more...
Type: Permanent Location: Little Rock, US-AR
Salary / Rate: Not Specified
Posted: 2025-04-30 08:46:51
-
Description & Requirements
Maximus is currently hiring for a Consultant - Medical (RN) Case Reviewer 2 to join our WCRC team.
This is a remote opportunity.
The Consultant will review WCMSA case submissions in support of the Workers' Compensation Review Contractor.
Essential Duties and Responsibilities:
- Review cases and summarize the facts of each case and assess issues involved in the case to certify or non-certify requested treatments.
- Provide written clinical rationales for CA Workers Compensation cases.
- Review, organize and identify all medical records provided for CA workers comp cases.
- Monitor timeliness of reviews to ensure applicable standards are met.
- Consistently meet production and quality standards.
- Perform special projects as assigned such as legal research, general medical research, etc.
- Work on special projects to improve CA IMR project or other special projects as assigned.
- Become a subject matter expert (SME) using job aides and learning tools.
- Review and evaluate proposed Medicare set-aside arrangements, including submitted medical records, to determine if the proposed settlement meets the threshold requirements established for beneficiaries and potential beneficiaries and adequately considers Medicare's interests as pertaining to future medical service needs of beneficiaries
- Ensure all basic documentation requirements are available or requested via development action prior to review by medical and pharmacy review personnel.
- Render medical/clinical determinations based on professional experience.
- Implement operating rules and CMS policy.
- Audit complex determinations for other clinical review programs utilizing medical records to ensure compliance with the organization's coding procedures and standards.
- Review cases and summarize the facts of each case and assess issues involved in the case to certify or non-certify requested treatments.
- Provide written clinical rationales for Workers Compensation cases.
- Review, organize and identify all medical records provided for workers comp cases.
- Monitor timeliness of reviews to ensure applicable standards are met.
- Consistently meet production and quality standards.
- Perform special projects as assigned such as legal research, general medical research, etc.
- Become a subject matter expert (SME) using job aides and learning tools.
- Work on special projects as assigned.
- Other duties as assigned by management.
Minimum Requirements
- Bachelor's degree with 3-5 years of experience consulting within designated function.
- Relevant professional experience can be considered in lieu of Bachelor's degree.
- Valid RN licensure required.
- Ability to commit to a two-week training period between the hours of 9:00am - 6:00pm EST Monday - Friday required.
- Flexibility in work hours, post-training, to include more than 40-hours a week based on business needs required.
- Possess ample medical knowledge and experience with medical terminology...
....Read more...
Type: Permanent Location: Birmingham, US-AL
Salary / Rate: Not Specified
Posted: 2025-04-30 08:46:50
-
Description & Requirements
Maximus is currently hiring for a Consultant - Medical (RN) Case Reviewer 2 to join our WCRC team.
This is a remote opportunity.
The Consultant will review WCMSA case submissions in support of the Workers' Compensation Review Contractor.
Essential Duties and Responsibilities:
- Review cases and summarize the facts of each case and assess issues involved in the case to certify or non-certify requested treatments.
- Provide written clinical rationales for CA Workers Compensation cases.
- Review, organize and identify all medical records provided for CA workers comp cases.
- Monitor timeliness of reviews to ensure applicable standards are met.
- Consistently meet production and quality standards.
- Perform special projects as assigned such as legal research, general medical research, etc.
- Work on special projects to improve CA IMR project or other special projects as assigned.
- Become a subject matter expert (SME) using job aides and learning tools.
- Review and evaluate proposed Medicare set-aside arrangements, including submitted medical records, to determine if the proposed settlement meets the threshold requirements established for beneficiaries and potential beneficiaries and adequately considers Medicare's interests as pertaining to future medical service needs of beneficiaries
- Ensure all basic documentation requirements are available or requested via development action prior to review by medical and pharmacy review personnel.
- Render medical/clinical determinations based on professional experience.
- Implement operating rules and CMS policy.
- Audit complex determinations for other clinical review programs utilizing medical records to ensure compliance with the organization's coding procedures and standards.
- Review cases and summarize the facts of each case and assess issues involved in the case to certify or non-certify requested treatments.
- Provide written clinical rationales for Workers Compensation cases.
- Review, organize and identify all medical records provided for workers comp cases.
- Monitor timeliness of reviews to ensure applicable standards are met.
- Consistently meet production and quality standards.
- Perform special projects as assigned such as legal research, general medical research, etc.
- Become a subject matter expert (SME) using job aides and learning tools.
- Work on special projects as assigned.
- Other duties as assigned by management.
Minimum Requirements
- Bachelor's degree with 3-5 years of experience consulting within designated function.
- Relevant professional experience can be considered in lieu of Bachelor's degree.
- Valid RN licensure required.
- Ability to commit to a two-week training period between the hours of 9:00am - 6:00pm EST Monday - Friday required.
- Flexibility in work hours, post-training, to include more than 40-hours a week based on business needs required.
- Possess ample medical knowledge and experience with medical terminology...
....Read more...
Type: Permanent Location: Montgomery, US-AL
Salary / Rate: Not Specified
Posted: 2025-04-30 08:46:48
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Pharmacy Assistant
Contribute to our mission to improve Health and Wellness in your community.
Become a Rite Aid Pharmacy Assistant, today!
As a Pharmacy Assistant, you assist the Pharmacy Technician, Pharmacist, and Pharmacy Manager with serving customers and maintaining the Pharmacy department.
Your purpose is to provide excellent customer service to customers within the Pharmacy department.
Why you will THRIVE here:
You love to help people.
You have an innate need to find answers where they aren't obvious.
You have a way of making people feel comfortable.
You enjoy an organized environment.
You always remember details.
Your email and phone etiquette are top-notch.
Day-in-the-Life of a Pharmacy Technician in-Training:
* Enter sales into the cash register, process payments, and bag prescriptions.
* Manage the pharmacy will-call area, including placing and retrieving prescriptions for customers.
* Pull aged will-calls that are listed on your daily report.
* Take prescription information from customers.
* Answer the telephone in the Pharmacy department.
* Assist customers in the over-the-counter medication area of the retail store.
* Perform routine inventory control tasks and checks on quantities, quality, and availability against records.
* Follow a range of mandatory procedures and methods of work (including the use of personal protection equipment where relevant) to safeguard the environment and the wellbeing of yourself and others.
* Organize your work schedule to get the job done, coordinating with support services, and assigning short-term tasks to others if necessary.
* Cross-train to assist in other departments as needed.
Qualifications:
Must be at least 18 years of age.
Active Pharmacy Assistant License in good standing for the state in which one works required.
What's in it for you?
In an effort to improve and sustain the health and wellness of our employees, we offer competitive health plans, generous paid time off, 401K matching, and career growth opportunities! From the moment you join our team, we provide an environment that inspires and motivates you to work here and reach your full potential.
We support personal growth and celebrate achievements.
We dedicate ourselves to creating an experience for all our associates that is easy, exciting, and engaging.
Apply to become a Rite Aid Pharmacy Assistant and thrive with us today!
JR051273
....Read more...
Type: Permanent Location: Renton, US-WA
Salary / Rate: Not Specified
Posted: 2025-04-30 08:46:41
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Pharmacy Assistant
Contribute to our mission to improve Health and Wellness in your community.
Become a Rite Aid Pharmacy Assistant, today!
As a Pharmacy Assistant, you assist the Pharmacy Technician, Pharmacist, and Pharmacy Manager with serving customers and maintaining the Pharmacy department.
Your purpose is to provide excellent customer service to customers within the Pharmacy department.
Why you will THRIVE here:
You love to help people.
You have an innate need to find answers where they aren't obvious.
You have a way of making people feel comfortable.
You enjoy an organized environment.
You always remember details.
Your email and phone etiquette are top-notch.
Day-in-the-Life of a Pharmacy Technician in-Training:
* Enter sales into the cash register, process payments, and bag prescriptions.
* Manage the pharmacy will-call area, including placing and retrieving prescriptions for customers.
* Pull aged will-calls that are listed on your daily report.
* Take prescription information from customers.
* Answer the telephone in the Pharmacy department.
* Assist customers in the over-the-counter medication area of the retail store.
* Perform routine inventory control tasks and checks on quantities, quality, and availability against records.
* Follow a range of mandatory procedures and methods of work (including the use of personal protection equipment where relevant) to safeguard the environment and the wellbeing of yourself and others.
* Organize your work schedule to get the job done, coordinating with support services, and assigning short-term tasks to others if necessary.
* Cross-train to assist in other departments as needed.
Qualifications:
Must be at least 18 years of age.
Active Pharmacy Assistant License in good standing for the state in which one works required.
What's in it for you?
In an effort to improve and sustain the health and wellness of our employees, we offer competitive health plans, generous paid time off, 401K matching, and career growth opportunities! From the moment you join our team, we provide an environment that inspires and motivates you to work here and reach your full potential.
We support personal growth and celebrate achievements.
We dedicate ourselves to creating an experience for all our associates that is easy, exciting, and engaging.
Apply to become a Rite Aid Pharmacy Assistant and thrive with us today!
JR051272
....Read more...
Type: Permanent Location: Burien, US-WA
Salary / Rate: Not Specified
Posted: 2025-04-30 08:46:39
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Service Associate
Contribute to our mission to improve Health and Wellness in your community.
Become a Rite Aid Service Associate, today!
As a Service Associate, you are responsible for the day-to-day operations, care, and service provided to our customers & patients.
Your purpose is to help others achieve a higher level of well-being through thoughtful and attentive customer service.
Why you will THRIVE here:
You love to help people.
You enjoy jumping in and helping.
You are a natural leader.
You consistently exceed expectations.
You are excited to provide top-notch customer service.
You remember people and they remember you.
You easily turn customer complaints into compliments.
Day-in-the-Life of a Service Associate:
* Provide excellent customer service by assisting customers with their shopping needs, answering customer inquiries, and resolving customer complaints.
* Engage with customers in a friendly and efficient manner while completing customer transactions on the cash register.
* Maintain the cleanliness and organization of the store.
* Stock store shelves and endcaps with merchandise.
* Ensure the proper identification is produced when selling alcohol, tobacco, and lottery tickets, if applicable.
* Assist with the operation of the One-hour Photo department, if applicable.
* Build and maintain displays of merchandise and complete new plan-o-grams.
* Complete inventory counts and order merchandise based on the results.
* Put up signs that identify items on sale in weekly advertisements and take down this signage when the sale is over.
* Assist with price markdowns and changes for merchandise on the shelves.
Qualifications:
Must be at least 16 years old.
What's in it for you?
In an effort to improve and sustain the health and wellness of our employees, we offer competitive health plans, generous paid time off, 401K matching, and career growth opportunities! From the moment you join our team, we provide an environment that inspires and motivates you to work here and reach your full potential.
We support personal growth and celebrate achievements.
We dedicate ourselves to creating an experience for all our associates that is easy, exciting, and engaging.
Apply to become a Rite Aid Service Associate and thrive with us today!
JR051258
....Read more...
Type: Permanent Location: Anacortes, US-WA
Salary / Rate: Not Specified
Posted: 2025-04-30 08:46:34
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Lead Service Associate
Contribute to our mission to improve Health and Wellness in your community.
Become a Rite Aid Lead Service Associate, today!
As a Lead Service Associate, you will supervise Store Associates while assisting in daily store operations.
Your purpose is to provide direction where needed and be an ongoing example of superior customer service.
Why you will THRIVE here:
You love to help people.
You are a natural leader who builds solid professional relationships.
You enjoy jumping in and being the hero.
You consistently exceed people's expectations.
You are passionate about providing top-notch customer service.
You have a keen sense of optimizing processes.
Day-in-the-Life of a Lead Service Associate:
* Supervise and help Store Associates with daily operational tasks.
* Assist customers with their shopping needs and transactions.
* Tend to merchandising tasks via plan-o-gram.
* Perform proper receiving and stocking procedures.
* Count and reconcile cash register drawers.
* Prepare deposits and order change from the bank.
* Ensure store inventory is regularly inspected, removed, or rotated according to the Product Freshness Review Schedule.
* Maintain a safe, clean, and pleasing environment for customers and associates.
* Design a monthly schedule and assign work to foster an efficient and effective workflow.
Education and/or Experience:
* H.S.
Diploma or General Education Degree (GED) required.
* At least one (1) year of experience in retail, food service, restaurant, or customer service industry, preferably at a supervisor level.
What's in it for you?
In an effort to improve and sustain the health and wellness of our employees, we offer competitive health plans, generous paid time off, 401K matching, and career growth opportunities! From the moment you join our team, we will provide an environment that inspires and motivates you to choose to work here so you can reach your full potential.
We support personal growth and achievements.
We dedicate ourselves to creating an experience for all our associates that is easy, exciting, and engaging.
Apply to become a Rite Aid Lead Service Associate and thrive with us today!
JR051242
....Read more...
Type: Permanent Location: Bakersfield, US-CA
Salary / Rate: Not Specified
Posted: 2025-04-30 08:45:28
-
Lead Service Associate
Contribute to our mission to improve Health and Wellness in your community.
Become a Rite Aid Lead Service Associate, today!
As a Lead Service Associate, you will supervise Store Associates while assisting in daily store operations.
Your purpose is to provide direction where needed and be an ongoing example of superior customer service.
Why you will THRIVE here:
You love to help people.
You are a natural leader who builds solid professional relationships.
You enjoy jumping in and being the hero.
You consistently exceed people's expectations.
You are passionate about providing top-notch customer service.
You have a keen sense of optimizing processes.
Day-in-the-Life of a Lead Service Associate:
* Supervise and help Store Associates with daily operational tasks.
* Assist customers with their shopping needs and transactions.
* Tend to merchandising tasks via plan-o-gram.
* Perform proper receiving and stocking procedures.
* Count and reconcile cash register drawers.
* Prepare deposits and order change from the bank.
* Ensure store inventory is regularly inspected, removed, or rotated according to the Product Freshness Review Schedule.
* Maintain a safe, clean, and pleasing environment for customers and associates.
* Design a monthly schedule and assign work to foster an efficient and effective workflow.
Education and/or Experience:
* H.S.
Diploma or General Education Degree (GED) required.
* At least one (1) year of experience in retail, food service, restaurant, or customer service industry, preferably at a supervisor level.
What's in it for you?
In an effort to improve and sustain the health and wellness of our employees, we offer competitive health plans, generous paid time off, 401K matching, and career growth opportunities! From the moment you join our team, we will provide an environment that inspires and motivates you to choose to work here so you can reach your full potential.
We support personal growth and achievements.
We dedicate ourselves to creating an experience for all our associates that is easy, exciting, and engaging.
Apply to become a Rite Aid Lead Service Associate and thrive with us today!
JR051246
....Read more...
Type: Permanent Location: Grants Pass, US-OR
Salary / Rate: Not Specified
Posted: 2025-04-30 08:45:27
-
Description & Requirements
Maximus is hiring a dedicated Case Manager to join our team on-site in Milwaukee, WI! This full-time role supports the Wisconsin FoodShare Employment and Training (FSET) program, helping participants achieve their career and educational goals.
As a Case Manager, you'll play a pivotal role in providing one-on-one guidance, building individualized plans, and connecting individuals to valuable resources to promote self-sufficiency.
If you're passionate about empowering others and thrive in a collaborative environment, this is your chance to make a meaningful impact in the Milwaukee community while growing your career with Maximus!
Passing an assessment is a prerequisite for this position.
Why Maximus?
- • Competitive Compensation - Quarterly bonuses based on performance included!
- • Comprehensive Insurance Coverage - Choose from various plans, including Medical, Dental, Vision, Prescription, and partially funded HSA.
Additionally, enjoy Life insurance benefits and discounts on Auto, Home, Renter's, and Pet insurance.
- • Future Planning - Prepare for retirement with our 401K Retirement Savings plan and Company Matching.
- • Paid Time Off Package - Enjoy PTO, Holidays, and sick leave, along with Short- and Long-Term Disability coverage.
- • Holistic Wellness Support - Access resources for physical, emotional, and financial wellness through our Employee Assistance Program (EAP).
- • Recognition Platform - Acknowledge and appreciate outstanding employee contributions.
- • Tuition Reimbursement - Invest in your ongoing education and development.
- • Employee Perks and Discounts - Additional benefits and discounts exclusively for employees.
- • Maximus Wellness Program and Resources - Access a range of wellness programs and resources tailored to your needs.
- • Professional Development Opportunities - Participate in training programs, workshops, and conferences.
Essential Duties and Responsibilities:
- Cultivate and nurture professional relationships with customers, continuously monitoring their engagement and progress within the program.
- Regularly collaborate with customers to set and accomplish program goals, ensuring ongoing eligibility and program service maintenance.
- Demonstrate extensive program knowledge, guiding customers through various stages of the application process, from enrollment to benefit and service allocation.
- Assist customers in accessing essential services aligned with program objectives, including educational or vocational training, medical care, childcare, transportation, mental health resources, legal assistance, and other pertinent needs.
- Conduct follow-ups with customers to address needs, resolve concerns, and ensure their requirements are met satisfactorily.
- Collaborate with team members to provide expertise and support in resolving participant issues effectively.
- Maintain accurate and timely case documentation for all customer interactions, ensuring co...
....Read more...
Type: Permanent Location: Milwaukee, US-WI
Salary / Rate: Not Specified
Posted: 2025-04-30 08:45:26
-
Lead Service Associate
Contribute to our mission to improve Health and Wellness in your community.
Become a Rite Aid Lead Service Associate, today!
As a Lead Service Associate, you will supervise Store Associates while assisting in daily store operations.
Your purpose is to provide direction where needed and be an ongoing example of superior customer service.
Why you will THRIVE here:
You love to help people.
You are a natural leader who builds solid professional relationships.
You enjoy jumping in and being the hero.
You consistently exceed people's expectations.
You are passionate about providing top-notch customer service.
You have a keen sense of optimizing processes.
Day-in-the-Life of a Lead Service Associate:
* Supervise and help Store Associates with daily operational tasks.
* Assist customers with their shopping needs and transactions.
* Tend to merchandising tasks via plan-o-gram.
* Perform proper receiving and stocking procedures.
* Count and reconcile cash register drawers.
* Prepare deposits and order change from the bank.
* Ensure store inventory is regularly inspected, removed, or rotated according to the Product Freshness Review Schedule.
* Maintain a safe, clean, and pleasing environment for customers and associates.
* Design a monthly schedule and assign work to foster an efficient and effective workflow.
Education and/or Experience:
* H.S.
Diploma or General Education Degree (GED) required.
* At least one (1) year of experience in retail, food service, restaurant, or customer service industry, preferably at a supervisor level.
What's in it for you?
In an effort to improve and sustain the health and wellness of our employees, we offer competitive health plans, generous paid time off, 401K matching, and career growth opportunities! From the moment you join our team, we will provide an environment that inspires and motivates you to choose to work here so you can reach your full potential.
We support personal growth and achievements.
We dedicate ourselves to creating an experience for all our associates that is easy, exciting, and engaging.
Apply to become a Rite Aid Lead Service Associate and thrive with us today!
JR051266
....Read more...
Type: Permanent Location: Pacific Grove, US-CA
Salary / Rate: Not Specified
Posted: 2025-04-30 08:45:26
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Description & Requirements
Maximus is thrilled to offer an exciting opportunity for a Remote Customer Service Representative (CSR) to join our Kansas team.
In this role, you'll provide vital support to the Kansas Child Support program.
As a CSR, you'll handle calls related to child support cases, with a focus on First Call Resolution.
You'll take necessary actions to move cases forward, such as setting tasks for internal teams, issuing paperwork, and managing each call with care and accuracy.
If you're organized, compassionate, and thrive in a fast-paced environment, this role is for you!
This is a fully remote, full-time position with a schedule of Monday through Friday, 9:30 AM to 6:00 PM.
To qualify, candidates must reside in the state of Kansas.
Why Join Maximus?
- • Competitive Compensation - Quarterly bonuses based on performance included!
- • Comprehensive Insurance Coverage - Choose from various plans, including Medical, Dental, Vision, Prescription, and partially funded HSA.
Additionally, enjoy Life insurance benefits and discounts on Auto, Home, Renter's, and Pet insurance.
- • Future Planning - Prepare for retirement with our 401K Retirement Savings plan and Company Matching.
- • Paid Time Off Package - Enjoy PTO, Holidays, and sick leave,
- • Holistic Wellness Support - Access resources for physical, emotional, and financial wellness through our Employee Assistance Program.
- • Recognition Platform - Acknowledge and appreciate outstanding employee contributions.
- • Tuition Reimbursement - Invest in your ongoing education and development.
- • Employee Perks and Discounts - Additional benefits and discounts exclusively for employees.
- • Maximus Wellness Program and Resources - Access a range of wellness programs and resources tailored to your needs.
- • Professional Development Opportunities- Participate in training programs, workshops, and conferences.
Essential Duties and Responsibilities:
- Answer incoming calls from consumers including the general public, prospective enrollees and people assisting enrollees or acting on their behalf in accordance with all performance standards, policy and procedures, and protocols including but not limited to the confidentiality and privacy policies.
- Track and document all inquiries using the applicable systems.
- Complete associated tasks according to the established guidelines.
- Meet Quality Assurance (QA) and other key performance metrics.
- Facilitate the fulfillment of caller requests for materials via mail, email, or download.
- Transfer/refer consumers to appropriate entities according to the established guidelines.
- Escalate calls or issues to the appropriate designated staff for resolution as needed.
- Facilitate translation services for non-English speaking callers according to procedures.
- Attend meetings and trainings as requested and maintain up-to-date knowledge of all programs and systems.
Minimum Requirements
- High school diploma or GED...
....Read more...
Type: Permanent Location: Wichita, US-KS
Salary / Rate: Not Specified
Posted: 2025-04-30 08:45:25
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Lead Service Associate
Contribute to our mission to improve Health and Wellness in your community.
Become a Rite Aid Lead Service Associate, today!
As a Lead Service Associate, you will supervise Store Associates while assisting in daily store operations.
Your purpose is to provide direction where needed and be an ongoing example of superior customer service.
Why you will THRIVE here:
You love to help people.
You are a natural leader who builds solid professional relationships.
You enjoy jumping in and being the hero.
You consistently exceed people's expectations.
You are passionate about providing top-notch customer service.
You have a keen sense of optimizing processes.
Day-in-the-Life of a Lead Service Associate:
* Supervise and help Store Associates with daily operational tasks.
* Assist customers with their shopping needs and transactions.
* Tend to merchandising tasks via plan-o-gram.
* Perform proper receiving and stocking procedures.
* Count and reconcile cash register drawers.
* Prepare deposits and order change from the bank.
* Ensure store inventory is regularly inspected, removed, or rotated according to the Product Freshness Review Schedule.
* Maintain a safe, clean, and pleasing environment for customers and associates.
* Design a monthly schedule and assign work to foster an efficient and effective workflow.
Education and/or Experience:
* H.S.
Diploma or General Education Degree (GED) required.
* At least one (1) year of experience in retail, food service, restaurant, or customer service industry, preferably at a supervisor level.
What's in it for you?
In an effort to improve and sustain the health and wellness of our employees, we offer competitive health plans, generous paid time off, 401K matching, and career growth opportunities! From the moment you join our team, we will provide an environment that inspires and motivates you to choose to work here so you can reach your full potential.
We support personal growth and achievements.
We dedicate ourselves to creating an experience for all our associates that is easy, exciting, and engaging.
Apply to become a Rite Aid Lead Service Associate and thrive with us today!
JR051214
....Read more...
Type: Permanent Location: Colonie, US-NY
Salary / Rate: Not Specified
Posted: 2025-04-30 08:45:24
-
Lead Service Associate
Contribute to our mission to improve Health and Wellness in your community.
Become a Rite Aid Lead Service Associate, today!
As a Lead Service Associate, you will supervise Store Associates while assisting in daily store operations.
Your purpose is to provide direction where needed and be an ongoing example of superior customer service.
Why you will THRIVE here:
You love to help people.
You are a natural leader who builds solid professional relationships.
You enjoy jumping in and being the hero.
You consistently exceed people's expectations.
You are passionate about providing top-notch customer service.
You have a keen sense of optimizing processes.
Day-in-the-Life of a Lead Service Associate:
* Supervise and help Store Associates with daily operational tasks.
* Assist customers with their shopping needs and transactions.
* Tend to merchandising tasks via plan-o-gram.
* Perform proper receiving and stocking procedures.
* Count and reconcile cash register drawers.
* Prepare deposits and order change from the bank.
* Ensure store inventory is regularly inspected, removed, or rotated according to the Product Freshness Review Schedule.
* Maintain a safe, clean, and pleasing environment for customers and associates.
* Design a monthly schedule and assign work to foster an efficient and effective workflow.
Education and/or Experience:
* H.S.
Diploma or General Education Degree (GED) required.
* At least one (1) year of experience in retail, food service, restaurant, or customer service industry, preferably at a supervisor level.
What's in it for you?
In an effort to improve and sustain the health and wellness of our employees, we offer competitive health plans, generous paid time off, 401K matching, and career growth opportunities! From the moment you join our team, we will provide an environment that inspires and motivates you to choose to work here so you can reach your full potential.
We support personal growth and achievements.
We dedicate ourselves to creating an experience for all our associates that is easy, exciting, and engaging.
Apply to become a Rite Aid Lead Service Associate and thrive with us today!
JR051255
....Read more...
Type: Permanent Location: Ridgecrest, US-CA
Salary / Rate: Not Specified
Posted: 2025-04-30 08:45:23
-
Pharmacy Technician\Technician in Training
Contribute to our mission to improve Health and Wellness in your community.
Become a Rite Aid Pharmacy Technician today!
As a Pharmacy Technician in Training, you receive free training with our exclusive Rite Aid Pharmacy Technician Training & Certification Program.
Your purpose is to successfully complete the program and continue working as a Rite Aid Pharmacy Technician.
Click here to check out our Pharmacy Technician Video!
Why you will THRIVE here:
You love to help people.
You care about the Health and Wellness of your community.
You have an innate need to find answers where they aren't obvious.
You have a way of making people feel comfortable.
You enjoy an organized environment.
You always remember details.
Your email and phone etiquette are top-notch.
Day-in-the-Life of a Pharmacy Technician in-Training:
* Enter prescription information including but not limited to: patient searches, prescriber searches, drug selection, prescription interpretation, insurance billing, and basic documentation.
* Accept customer and prescription information required to process new and refill prescriptions, including refill authorization from doctor offices.
* Retrieve medication from inventory.
* Create prescription labels and put them on prescription containers.
* Place medication into prescription containers.
* Complete paperwork related to filling prescriptions and input customer and prescription data into the computer.
* Assist with maintaining the Pharmacy department by keeping it clean and in order.
* Assist in inventory management processes including order review, inventory returns, restocking shelves, and physical inventory preparation.
* Administer Rite Aid programs including FlavoRx, Living More, etc.
Taking care of patients is not a 9-5 job.
Our Pharmacy Technicians come into this role knowing that they will be working weekdays, weekends, evening shifts, and some holidays.
Because we work as a team, we all work together to be reasonably flexible to make all of our schedules work.
It is because of the friendly, team-oriented, and welcoming attitude of our Pharmacy Technicians that make Rite Aid the pharmacy of choice for our customers and patients and for our employees.
Qualifications:
H.S.
Diploma or General Education Degree (GED) required.
What's in it for you?
In an effort to improve and sustain the health and wellness of our employees, we offer competitive health plans, generous paid time off, 401K matching, and career growth opportunities! From the moment you join our team, we provide an environment that inspires and motivates you to work here and reach your full potential.
We support personal growth and celebrate achievements.
We dedicate ourselves to creating an experience for all our associates that is easy, exciting, and engaging.
Apply to become a Rite Aid Pharmacy Technician/Technician Trainee and thrive with us today!
JR048864
....Read more...
Type: Permanent Location: Tyrone, US-PA
Salary / Rate: Not Specified
Posted: 2025-04-30 08:45:21
-
Lead Service Associate
Contribute to our mission to improve Health and Wellness in your community.
Become a Rite Aid Lead Service Associate, today!
As a Lead Service Associate, you will supervise Store Associates while assisting in daily store operations.
Your purpose is to provide direction where needed and be an ongoing example of superior customer service.
Why you will THRIVE here:
You love to help people.
You are a natural leader who builds solid professional relationships.
You enjoy jumping in and being the hero.
You consistently exceed people's expectations.
You are passionate about providing top-notch customer service.
You have a keen sense of optimizing processes.
Day-in-the-Life of a Lead Service Associate:
* Supervise and help Store Associates with daily operational tasks.
* Assist customers with their shopping needs and transactions.
* Tend to merchandising tasks via plan-o-gram.
* Perform proper receiving and stocking procedures.
* Count and reconcile cash register drawers.
* Prepare deposits and order change from the bank.
* Ensure store inventory is regularly inspected, removed, or rotated according to the Product Freshness Review Schedule.
* Maintain a safe, clean, and pleasing environment for customers and associates.
* Design a monthly schedule and assign work to foster an efficient and effective workflow.
Education and/or Experience:
* H.S.
Diploma or General Education Degree (GED) required.
* At least one (1) year of experience in retail, food service, restaurant, or customer service industry, preferably at a supervisor level.
What's in it for you?
In an effort to improve and sustain the health and wellness of our employees, we offer competitive health plans, generous paid time off, 401K matching, and career growth opportunities! From the moment you join our team, we will provide an environment that inspires and motivates you to choose to work here so you can reach your full potential.
We support personal growth and achievements.
We dedicate ourselves to creating an experience for all our associates that is easy, exciting, and engaging.
Apply to become a Rite Aid Lead Service Associate and thrive with us today!
JR051259
....Read more...
Type: Permanent Location: Ridgefield, US-CT
Salary / Rate: Not Specified
Posted: 2025-04-30 08:45:19
-
Lead Service Associate
Contribute to our mission to improve Health and Wellness in your community.
Become a Rite Aid Lead Service Associate, today!
As a Lead Service Associate, you will supervise Store Associates while assisting in daily store operations.
Your purpose is to provide direction where needed and be an ongoing example of superior customer service.
Why you will THRIVE here:
You love to help people.
You are a natural leader who builds solid professional relationships.
You enjoy jumping in and being the hero.
You consistently exceed people's expectations.
You are passionate about providing top-notch customer service.
You have a keen sense of optimizing processes.
Day-in-the-Life of a Lead Service Associate:
* Supervise and help Store Associates with daily operational tasks.
* Assist customers with their shopping needs and transactions.
* Tend to merchandising tasks via plan-o-gram.
* Perform proper receiving and stocking procedures.
* Count and reconcile cash register drawers.
* Prepare deposits and order change from the bank.
* Ensure store inventory is regularly inspected, removed, or rotated according to the Product Freshness Review Schedule.
* Maintain a safe, clean, and pleasing environment for customers and associates.
* Design a monthly schedule and assign work to foster an efficient and effective workflow.
Education and/or Experience:
* H.S.
Diploma or General Education Degree (GED) required.
* At least one (1) year of experience in retail, food service, restaurant, or customer service industry, preferably at a supervisor level.
What's in it for you?
In an effort to improve and sustain the health and wellness of our employees, we offer competitive health plans, generous paid time off, 401K matching, and career growth opportunities! From the moment you join our team, we will provide an environment that inspires and motivates you to choose to work here so you can reach your full potential.
We support personal growth and achievements.
We dedicate ourselves to creating an experience for all our associates that is easy, exciting, and engaging.
Apply to become a Rite Aid Lead Service Associate and thrive with us today!
JR051276
....Read more...
Type: Permanent Location: Port Orchard, US-WA
Salary / Rate: Not Specified
Posted: 2025-04-30 08:45:19
-
Pharmacy Technician\Technician in Training
Contribute to our mission to improve Health and Wellness in your community.
Become a Rite Aid Pharmacy Technician today!
As a Pharmacy Technician in Training, you receive free training with our exclusive Rite Aid Pharmacy Technician Training & Certification Program.
Your purpose is to successfully complete the program and continue working as a Rite Aid Pharmacy Technician.
Click here to check out our Pharmacy Technician Video!
Why you will THRIVE here:
You love to help people.
You care about the Health and Wellness of your community.
You have an innate need to find answers where they aren't obvious.
You have a way of making people feel comfortable.
You enjoy an organized environment.
You always remember details.
Your email and phone etiquette are top-notch.
Day-in-the-Life of a Pharmacy Technician in-Training:
* Enter prescription information including but not limited to: patient searches, prescriber searches, drug selection, prescription interpretation, insurance billing, and basic documentation.
* Accept customer and prescription information required to process new and refill prescriptions, including refill authorization from doctor offices.
* Retrieve medication from inventory.
* Create prescription labels and put them on prescription containers.
* Place medication into prescription containers.
* Complete paperwork related to filling prescriptions and input customer and prescription data into the computer.
* Assist with maintaining the Pharmacy department by keeping it clean and in order.
* Assist in inventory management processes including order review, inventory returns, restocking shelves, and physical inventory preparation.
* Administer Rite Aid programs including FlavoRx, Living More, etc.
Taking care of patients is not a 9-5 job.
Our Pharmacy Technicians come into this role knowing that they will be working weekdays, weekends, evening shifts, and some holidays.
Because we work as a team, we all work together to be reasonably flexible to make all of our schedules work.
It is because of the friendly, team-oriented, and welcoming attitude of our Pharmacy Technicians that make Rite Aid the pharmacy of choice for our customers and patients and for our employees.
Qualifications:
H.S.
Diploma or General Education Degree (GED) required.
What's in it for you?
In an effort to improve and sustain the health and wellness of our employees, we offer competitive health plans, generous paid time off, 401K matching, and career growth opportunities! From the moment you join our team, we provide an environment that inspires and motivates you to work here and reach your full potential.
We support personal growth and celebrate achievements.
We dedicate ourselves to creating an experience for all our associates that is easy, exciting, and engaging.
Apply to become a Rite Aid Pharmacy Technician/Technician Trainee and thrive with us today!
JR050145
....Read more...
Type: Permanent Location: Hanover, US-PA
Salary / Rate: Not Specified
Posted: 2025-04-30 08:44:39
-
Create an outstanding customer experience through exceptional service.
Establish and maintain a safe, clean environment that encourages our customers to return.
Achieve sales and profit goals established for the department and control all established quality assurance standards.
Monitor all functions, duties and activities related to the Bakery department.
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
- Excellent oral/written communication skills
- Current food handlers permit once employed
- Ability to handle stressful situations
- Knowledge of basic math (counting, addition, subtraction)
Desired
- High School Diploma or GED
- Any bakery/retail experience
- Any management experience
- Second language (speaking, reading and/or writing)- Promote trust and respect among associates,...
....Read more...
Type: Permanent Location: Hampton, US-VA
Salary / Rate: Not Specified
Posted: 2025-04-30 08:44:24
-
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.Based in Wisconsin, Pick ‘N Save merged with The Kroger Company in 2015.
Today, we're proudly serving Pick ‘N Serve customers in 89 stores throughout the state.
As part of the Kroger family of companies, we take pride in bringing diverse teams with a passion for food and people together with one common purpose: To Feed the Human Spirit.
With a history of innovation, we work tirelessly to create amazing experiences for our customers, communities AND each other, with food at the heart of it all.
Here, people matter.
That's why we strive to provide the ingredients you need to create your own recipe for success at work and in life.
We help feed your future by providing the value and care you need to grow.
If you're caring, purpose-driven and hungry to learn, your potential is unlimited.
Whether you're seeking a part-time position or a new career path, we've got a fresh opportunity for you.
Apply today to become part of our Pick ‘N Save family!
If you are in need of reasonable accommodation to complete a job application or to otherwise participate in the application or pre-hiring process, please call 844-849-7136 or contact the location's management.
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 completi...
....Read more...
Type: Permanent Location: Plymouth, US-WI
Salary / Rate: Not Specified
Posted: 2025-04-30 08:44:22
-
Description & Requirements
Maximus is currently hiring for Consultant - Medical to join our team.
This is a remote opportunity and contingent upon award of contract.
The Consultant will be responsible for providing independent medical reviews for prior authorization requests for relating to Workers' Compensation benefits (WC), Disability benefits (DB), Paid Family Leave (PFL) benefits, Volunteer Firefighters' benefits, and Volunteer Ambulance Workers' benefits.
*
*
*Please note that this position is contingent upon contract award
*
*
*
Essential Duties and Responsibilities:
- Review cases and summarize the facts of each case and assess issues involved in the case to certify or non-certify requested treatments.
- Provide written clinical rationales for CA Workers Compensation cases.
- Review, organize and identify all medical records provided for CA workers comp cases.
- Monitor timeliness of reviews to ensure applicable standards are met.
- Consistently meet production and quality standards.
- Perform special projects as assigned such as legal research, general medical research, etc.
- Work on special projects to improve CA IMR project or other special projects as assigned.
- Become a subject matter expert (SME) using job aides and learning tools.
- Review and provide independent medical reviews for prior authorization requests for relating to Workers' Compensation benefits (WC), Disability benefits (DB), Paid Family Leave (PFL) benefits, Volunteer Firefighters' benefits, and Volunteer Ambulance Workers' benefits.
- Evaluate Level 3 prior authorization requests (PARs) for medical services and goods including but not limited to all PAR types (Medication, Confirmation, Variance, Special Services, Durable Medical Equipment), all New York State Workers' Compensation Medical Treatment Guidelines and Drug Formulary criteria for all medical services, medications, medical devices contemplated therein, or requests for variances for medical treatment not addressed or recommended.
- Ensure all basic documentation requirements are available or requested via development action prior to review by medical and pharmacy review personnel.
- Render medical/clinical determinations based on professional experience that is clear, professional and grammatically correct.
- Ability to perform comfortably in a fast-paced, production and deadline-oriented work environment.
- Provide written clinical rationales for Workers Compensation cases.
- Review, organize and identify all medical records provided for prior authorization requests (PAR) for assigned workers comp cases.
- Monitor timeliness of reviews to ensure applicable standards are met.
- Consistently meet production and quality standards.
- Perform special projects as assigned such as clinical research, general medical research, etc.
- Become a subject matter expert (SME) using job aides and learning tools.
- Work on special projects as assigned.
- Other duties as assigned by management.
Minimum Requir...
....Read more...
Type: Permanent Location: Cheyenne, US-WY
Salary / Rate: Not Specified
Posted: 2025-04-30 08:43:56
-
Description & Requirements
Maximus is currently hiring for Consultant - Medical to join our team.
This is a remote opportunity and contingent upon award of contract.
The Consultant will be responsible for providing independent medical reviews for prior authorization requests for relating to Workers' Compensation benefits (WC), Disability benefits (DB), Paid Family Leave (PFL) benefits, Volunteer Firefighters' benefits, and Volunteer Ambulance Workers' benefits.
*
*
*Please note that this position is contingent upon contract award
*
*
*
Essential Duties and Responsibilities:
- Review cases and summarize the facts of each case and assess issues involved in the case to certify or non-certify requested treatments.
- Provide written clinical rationales for CA Workers Compensation cases.
- Review, organize and identify all medical records provided for CA workers comp cases.
- Monitor timeliness of reviews to ensure applicable standards are met.
- Consistently meet production and quality standards.
- Perform special projects as assigned such as legal research, general medical research, etc.
- Work on special projects to improve CA IMR project or other special projects as assigned.
- Become a subject matter expert (SME) using job aides and learning tools.
- Review and provide independent medical reviews for prior authorization requests for relating to Workers' Compensation benefits (WC), Disability benefits (DB), Paid Family Leave (PFL) benefits, Volunteer Firefighters' benefits, and Volunteer Ambulance Workers' benefits.
- Evaluate Level 3 prior authorization requests (PARs) for medical services and goods including but not limited to all PAR types (Medication, Confirmation, Variance, Special Services, Durable Medical Equipment), all New York State Workers' Compensation Medical Treatment Guidelines and Drug Formulary criteria for all medical services, medications, medical devices contemplated therein, or requests for variances for medical treatment not addressed or recommended.
- Ensure all basic documentation requirements are available or requested via development action prior to review by medical and pharmacy review personnel.
- Render medical/clinical determinations based on professional experience that is clear, professional and grammatically correct.
- Ability to perform comfortably in a fast-paced, production and deadline-oriented work environment.
- Provide written clinical rationales for Workers Compensation cases.
- Review, organize and identify all medical records provided for prior authorization requests (PAR) for assigned workers comp cases.
- Monitor timeliness of reviews to ensure applicable standards are met.
- Consistently meet production and quality standards.
- Perform special projects as assigned such as clinical research, general medical research, etc.
- Become a subject matter expert (SME) using job aides and learning tools.
- Work on special projects as assigned.
- Other duties as assigned by management.
Minimum Requir...
....Read more...
Type: Permanent Location: Morgantown, US-WV
Salary / Rate: Not Specified
Posted: 2025-04-30 08:43:55
-
Description & Requirements
Maximus is currently hiring for Consultant - Medical to join our team.
This is a remote opportunity and contingent upon award of contract.
The Consultant will be responsible for providing independent medical reviews for prior authorization requests for relating to Workers' Compensation benefits (WC), Disability benefits (DB), Paid Family Leave (PFL) benefits, Volunteer Firefighters' benefits, and Volunteer Ambulance Workers' benefits.
*
*
*Please note that this position is contingent upon contract award
*
*
*
Essential Duties and Responsibilities:
- Review cases and summarize the facts of each case and assess issues involved in the case to certify or non-certify requested treatments.
- Provide written clinical rationales for CA Workers Compensation cases.
- Review, organize and identify all medical records provided for CA workers comp cases.
- Monitor timeliness of reviews to ensure applicable standards are met.
- Consistently meet production and quality standards.
- Perform special projects as assigned such as legal research, general medical research, etc.
- Work on special projects to improve CA IMR project or other special projects as assigned.
- Become a subject matter expert (SME) using job aides and learning tools.
- Review and provide independent medical reviews for prior authorization requests for relating to Workers' Compensation benefits (WC), Disability benefits (DB), Paid Family Leave (PFL) benefits, Volunteer Firefighters' benefits, and Volunteer Ambulance Workers' benefits.
- Evaluate Level 3 prior authorization requests (PARs) for medical services and goods including but not limited to all PAR types (Medication, Confirmation, Variance, Special Services, Durable Medical Equipment), all New York State Workers' Compensation Medical Treatment Guidelines and Drug Formulary criteria for all medical services, medications, medical devices contemplated therein, or requests for variances for medical treatment not addressed or recommended.
- Ensure all basic documentation requirements are available or requested via development action prior to review by medical and pharmacy review personnel.
- Render medical/clinical determinations based on professional experience that is clear, professional and grammatically correct.
- Ability to perform comfortably in a fast-paced, production and deadline-oriented work environment.
- Provide written clinical rationales for Workers Compensation cases.
- Review, organize and identify all medical records provided for prior authorization requests (PAR) for assigned workers comp cases.
- Monitor timeliness of reviews to ensure applicable standards are met.
- Consistently meet production and quality standards.
- Perform special projects as assigned such as clinical research, general medical research, etc.
- Become a subject matter expert (SME) using job aides and learning tools.
- Work on special projects as assigned.
- Other duties as assigned by management.
Minimum Requir...
....Read more...
Type: Permanent Location: Rock Springs, US-WY
Salary / Rate: Not Specified
Posted: 2025-04-30 08:43:55
