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Description & Requirements
Maximus is currently hiring for Quality Control Analysts to join our Veterans Evaluation Services (VES) team.
This is a remote opportunity.
The Quality Control Analyst is responsible for reviewing Medical Disability Examination ("MDE") reports and Disability Benefits Questionnaires ("DBQs") generated by medical providers for veterans evaluated on behalf of the Department of Veterans Affairs (the "VA").
A Quality Control Analyst works closely with medical providers to ensure MDE reports and DBQs are consistent with the quality and timeliness requirements of the VA.
Essential Duties and Responsibilities:
- Review MDE (Medical Disability Examination) requests for consistency with the DBQ.
- Review MDE reports and DBQs (Disability Benefits Questionnaires) for completeness and typographical and grammatical correctness.
- Communicate with medical providers and facilitate any necessary corrections to MDE reports and DBQs prior to submission to the VA.
- Verify that any special requests or necessary second reviews have been completed, consistent with the VA's preferences.
- Ensure that all diagnostics requested by the medical provider have been completed, reviewed by the medical provider, and are submitted with the final report.
- Perform daily queue maintenance to ensure that every case assigned has updated notes and any needed action has been taken.
- Communicate with the Medical Advisory Board on cases that need additional review, may be outside the scope of the assigned medical provider's training or expertise, or has presented a problem/issue with the assigned medical provider.
- Consistently achieve weekly/monthly qualitative and quantitative goals set by management and VA.
- Must be willing and able to work the training schedule of 8:00 AM - 5:00 PM CT, Monday-Friday for 3-4 months with no absences required (this includes pre-planned vacations/trips/appointments etc.)
- Must be willing and able to work overtime as needed
Please note: With this position you have the option to have Maximus provide you with equipment to use, or you may use your own equipment.
Home Office Requirements Using Your Own Equipment
- Internet speed of 20mbps or higher required (you can test this by going to www.speedtest.net)
- Preferred Windows or Mac (no Chromebooks)
- OS for Windows - Windows 10 or newer
- OS for Mac - Big Sur (11.01.1+); Catalina (10.15), MacOS (up to 12.5) or newer
- Connectivity to the Internet via either Wi-Fi or Category 5 or 6 ethernet patch cable to the home router
- USB plug and play wired headset with a microphone and noise suppression
- Private work area and adequate power source
- A second monitor is highly recommended for most positions
- Must currently and permanently reside in the Continental US
Home Office Requirements Using Maximus Provided Equipment:
- Internet speed of 20mbps or higher required (you can test this by going to www.speedtest.net)
- Connectivity to the Internet via either Wi-Fi ...
....Read more...
Type: Permanent Location: Birmingham, US-AL
Salary / Rate: 21.64
Posted: 2024-10-17 08:52:49
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Description & Requirements
Maximus is currently hiring for Quality Control Analysts to join our Veterans Evaluation Services (VES) team.
This is a remote opportunity.
The Quality Control Analyst is responsible for reviewing Medical Disability Examination ("MDE") reports and Disability Benefits Questionnaires ("DBQs") generated by medical providers for veterans evaluated on behalf of the Department of Veterans Affairs (the "VA").
A Quality Control Analyst works closely with medical providers to ensure MDE reports and DBQs are consistent with the quality and timeliness requirements of the VA.
Essential Duties and Responsibilities:
- Review MDE (Medical Disability Examination) requests for consistency with the DBQ.
- Review MDE reports and DBQs (Disability Benefits Questionnaires) for completeness and typographical and grammatical correctness.
- Communicate with medical providers and facilitate any necessary corrections to MDE reports and DBQs prior to submission to the VA.
- Verify that any special requests or necessary second reviews have been completed, consistent with the VA's preferences.
- Ensure that all diagnostics requested by the medical provider have been completed, reviewed by the medical provider, and are submitted with the final report.
- Perform daily queue maintenance to ensure that every case assigned has updated notes and any needed action has been taken.
- Communicate with the Medical Advisory Board on cases that need additional review, may be outside the scope of the assigned medical provider's training or expertise, or has presented a problem/issue with the assigned medical provider.
- Consistently achieve weekly/monthly qualitative and quantitative goals set by management and VA.
- Must be willing and able to work the training schedule of 8:00 AM - 5:00 PM CT, Monday-Friday for 3-4 months with no absences required (this includes pre-planned vacations/trips/appointments etc.)
- Must be willing and able to work overtime as needed
Please note: With this position you have the option to have Maximus provide you with equipment to use, or you may use your own equipment.
Home Office Requirements Using Your Own Equipment
- Internet speed of 20mbps or higher required (you can test this by going to www.speedtest.net)
- Preferred Windows or Mac (no Chromebooks)
- OS for Windows - Windows 10 or newer
- OS for Mac - Big Sur (11.01.1+); Catalina (10.15), MacOS (up to 12.5) or newer
- Connectivity to the Internet via either Wi-Fi or Category 5 or 6 ethernet patch cable to the home router
- USB plug and play wired headset with a microphone and noise suppression
- Private work area and adequate power source
- A second monitor is highly recommended for most positions
- Must currently and permanently reside in the Continental US
Home Office Requirements Using Maximus Provided Equipment:
- Internet speed of 20mbps or higher required (you can test this by going to www.speedtest.net)
- Connectivity to the Internet via either Wi-Fi ...
....Read more...
Type: Permanent Location: Mobile, US-AL
Salary / Rate: 21.64
Posted: 2024-10-17 08:52:48
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Description & Requirements
Maximus is currently hiring for a Director - California Behavioral Health Investigations to join our State West team.
This is a remote opportunity.
The Director will oversee the CA Behavioral Health Investigations and CA Medical Survey contracts.
Essential Duties and Responsibilities:
- Act as the primary contact for the state client
- Ensure program operations are in compliance with all applicable requirements of the contract, as well as State and federal regulations.
- Ensure goals and objectives are established by Project Manager that support the overall Project strategies.
- Oversee all project administrative operations including budget, financial controls, and human resources.
- Plan, develop and schedule priorities for achieving operational and performance goals.
- Review management, productivity, and financial reports and studies to ensure program objectives are met.
- Participate in internal audits, research studies, forecasts, and modeling exercises to support Project direction and guidance.
- Manage operational managers, to include performance appraisals, mentoring, and professional/development guidance.
- Demonstrate a high level of dedication and proactive leadership in meeting corporate goals and program objectives.
- Perform other duties as assigned by management.
- Direct and control the activities of a broad functional area through several department managers within the company.
- Overall control of planning, staffing, budgeting, managing expense priorities; and recommend and implement changes to methods.
- Work on complex issues where analysis of situations or data requires an in-depth knowledge of the company.
- Participate in corporate development of methods, techniques and evaluation criteria for projects, programs, and people.
- Ensure budget and schedule meet corporate requirements.
- Regularly interact with executives and/or major customers.
- Interaction frequently involves special skills, such as negotiating with customers or management or attempting to influence senior level leaders regarding matters of significance to the organization.
- Report to Senior Director or VP level.
Minimum Requirements
- Bachelor's degree in relevant field of study and 10+ years of relevant professional experience required.
- 7-10 years' experience working across Quality Assurance, Grievances and Appeals, Access and Availability, and/or Utilization Management (referrals and authorizations) with commercial health plans
- Must be a Licensed Attorney
- Must be willing and able to work weekends and nights as program needs require
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
- Connectivity to the internet via either Wi-Fi or Category 5 or 6 ethernet patch cable to the home router
- Private work...
....Read more...
Type: Permanent Location: Morgantown, US-WV
Salary / Rate: 138350
Posted: 2024-10-17 08:52:47
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Description & Requirements
Maximus is currently hiring for a Director - California Behavioral Health Investigations to join our State West team.
This is a remote opportunity.
The Director will oversee the CA Behavioral Health Investigations and CA Medical Survey contracts.
Essential Duties and Responsibilities:
- Act as the primary contact for the state client
- Ensure program operations are in compliance with all applicable requirements of the contract, as well as State and federal regulations.
- Ensure goals and objectives are established by Project Manager that support the overall Project strategies.
- Oversee all project administrative operations including budget, financial controls, and human resources.
- Plan, develop and schedule priorities for achieving operational and performance goals.
- Review management, productivity, and financial reports and studies to ensure program objectives are met.
- Participate in internal audits, research studies, forecasts, and modeling exercises to support Project direction and guidance.
- Manage operational managers, to include performance appraisals, mentoring, and professional/development guidance.
- Demonstrate a high level of dedication and proactive leadership in meeting corporate goals and program objectives.
- Perform other duties as assigned by management.
- Direct and control the activities of a broad functional area through several department managers within the company.
- Overall control of planning, staffing, budgeting, managing expense priorities; and recommend and implement changes to methods.
- Work on complex issues where analysis of situations or data requires an in-depth knowledge of the company.
- Participate in corporate development of methods, techniques and evaluation criteria for projects, programs, and people.
- Ensure budget and schedule meet corporate requirements.
- Regularly interact with executives and/or major customers.
- Interaction frequently involves special skills, such as negotiating with customers or management or attempting to influence senior level leaders regarding matters of significance to the organization.
- Report to Senior Director or VP level.
Minimum Requirements
- Bachelor's degree in relevant field of study and 10+ years of relevant professional experience required.
- 7-10 years' experience working across Quality Assurance, Grievances and Appeals, Access and Availability, and/or Utilization Management (referrals and authorizations) with commercial health plans
- Must be a Licensed Attorney
- Must be willing and able to work weekends and nights as program needs require
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
- Connectivity to the internet via either Wi-Fi or Category 5 or 6 ethernet patch cable to the home router
- Private work...
....Read more...
Type: Permanent Location: Cheyenne, US-WY
Salary / Rate: 138350
Posted: 2024-10-17 08:52:47
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Description & Requirements
Maximus is currently hiring for a Director - California Behavioral Health Investigations to join our State West team.
This is a remote opportunity.
The Director will oversee the CA Behavioral Health Investigations and CA Medical Survey contracts.
Essential Duties and Responsibilities:
- Act as the primary contact for the state client
- Ensure program operations are in compliance with all applicable requirements of the contract, as well as State and federal regulations.
- Ensure goals and objectives are established by Project Manager that support the overall Project strategies.
- Oversee all project administrative operations including budget, financial controls, and human resources.
- Plan, develop and schedule priorities for achieving operational and performance goals.
- Review management, productivity, and financial reports and studies to ensure program objectives are met.
- Participate in internal audits, research studies, forecasts, and modeling exercises to support Project direction and guidance.
- Manage operational managers, to include performance appraisals, mentoring, and professional/development guidance.
- Demonstrate a high level of dedication and proactive leadership in meeting corporate goals and program objectives.
- Perform other duties as assigned by management.
- Direct and control the activities of a broad functional area through several department managers within the company.
- Overall control of planning, staffing, budgeting, managing expense priorities; and recommend and implement changes to methods.
- Work on complex issues where analysis of situations or data requires an in-depth knowledge of the company.
- Participate in corporate development of methods, techniques and evaluation criteria for projects, programs, and people.
- Ensure budget and schedule meet corporate requirements.
- Regularly interact with executives and/or major customers.
- Interaction frequently involves special skills, such as negotiating with customers or management or attempting to influence senior level leaders regarding matters of significance to the organization.
- Report to Senior Director or VP level.
Minimum Requirements
- Bachelor's degree in relevant field of study and 10+ years of relevant professional experience required.
- 7-10 years' experience working across Quality Assurance, Grievances and Appeals, Access and Availability, and/or Utilization Management (referrals and authorizations) with commercial health plans
- Must be a Licensed Attorney
- Must be willing and able to work weekends and nights as program needs require
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
- Connectivity to the internet via either Wi-Fi or Category 5 or 6 ethernet patch cable to the home router
- Private work...
....Read more...
Type: Permanent Location: Milwaukee, US-WI
Salary / Rate: 138350
Posted: 2024-10-17 08:52:46
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Description & Requirements
Maximus is currently hiring for a Director - California Behavioral Health Investigations to join our State West team.
This is a remote opportunity.
The Director will oversee the CA Behavioral Health Investigations and CA Medical Survey contracts.
Essential Duties and Responsibilities:
- Act as the primary contact for the state client
- Ensure program operations are in compliance with all applicable requirements of the contract, as well as State and federal regulations.
- Ensure goals and objectives are established by Project Manager that support the overall Project strategies.
- Oversee all project administrative operations including budget, financial controls, and human resources.
- Plan, develop and schedule priorities for achieving operational and performance goals.
- Review management, productivity, and financial reports and studies to ensure program objectives are met.
- Participate in internal audits, research studies, forecasts, and modeling exercises to support Project direction and guidance.
- Manage operational managers, to include performance appraisals, mentoring, and professional/development guidance.
- Demonstrate a high level of dedication and proactive leadership in meeting corporate goals and program objectives.
- Perform other duties as assigned by management.
- Direct and control the activities of a broad functional area through several department managers within the company.
- Overall control of planning, staffing, budgeting, managing expense priorities; and recommend and implement changes to methods.
- Work on complex issues where analysis of situations or data requires an in-depth knowledge of the company.
- Participate in corporate development of methods, techniques and evaluation criteria for projects, programs, and people.
- Ensure budget and schedule meet corporate requirements.
- Regularly interact with executives and/or major customers.
- Interaction frequently involves special skills, such as negotiating with customers or management or attempting to influence senior level leaders regarding matters of significance to the organization.
- Report to Senior Director or VP level.
Minimum Requirements
- Bachelor's degree in relevant field of study and 10+ years of relevant professional experience required.
- 7-10 years' experience working across Quality Assurance, Grievances and Appeals, Access and Availability, and/or Utilization Management (referrals and authorizations) with commercial health plans
- Must be a Licensed Attorney
- Must be willing and able to work weekends and nights as program needs require
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
- Connectivity to the internet via either Wi-Fi or Category 5 or 6 ethernet patch cable to the home router
- Private work...
....Read more...
Type: Permanent Location: Eau Claire, US-WI
Salary / Rate: 138350
Posted: 2024-10-17 08:52:45
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Description & Requirements
Maximus is currently hiring for a Director - California Behavioral Health Investigations to join our State West team.
This is a remote opportunity.
The Director will oversee the CA Behavioral Health Investigations and CA Medical Survey contracts.
Essential Duties and Responsibilities:
- Act as the primary contact for the state client
- Ensure program operations are in compliance with all applicable requirements of the contract, as well as State and federal regulations.
- Ensure goals and objectives are established by Project Manager that support the overall Project strategies.
- Oversee all project administrative operations including budget, financial controls, and human resources.
- Plan, develop and schedule priorities for achieving operational and performance goals.
- Review management, productivity, and financial reports and studies to ensure program objectives are met.
- Participate in internal audits, research studies, forecasts, and modeling exercises to support Project direction and guidance.
- Manage operational managers, to include performance appraisals, mentoring, and professional/development guidance.
- Demonstrate a high level of dedication and proactive leadership in meeting corporate goals and program objectives.
- Perform other duties as assigned by management.
- Direct and control the activities of a broad functional area through several department managers within the company.
- Overall control of planning, staffing, budgeting, managing expense priorities; and recommend and implement changes to methods.
- Work on complex issues where analysis of situations or data requires an in-depth knowledge of the company.
- Participate in corporate development of methods, techniques and evaluation criteria for projects, programs, and people.
- Ensure budget and schedule meet corporate requirements.
- Regularly interact with executives and/or major customers.
- Interaction frequently involves special skills, such as negotiating with customers or management or attempting to influence senior level leaders regarding matters of significance to the organization.
- Report to Senior Director or VP level.
Minimum Requirements
- Bachelor's degree in relevant field of study and 10+ years of relevant professional experience required.
- 7-10 years' experience working across Quality Assurance, Grievances and Appeals, Access and Availability, and/or Utilization Management (referrals and authorizations) with commercial health plans
- Must be a Licensed Attorney
- Must be willing and able to work weekends and nights as program needs require
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
- Connectivity to the internet via either Wi-Fi or Category 5 or 6 ethernet patch cable to the home router
- Private work...
....Read more...
Type: Permanent Location: Seattle, US-WA
Salary / Rate: 138350
Posted: 2024-10-17 08:52:43
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Description & Requirements
Maximus is currently hiring for a Director - California Behavioral Health Investigations to join our State West team.
This is a remote opportunity.
The Director will oversee the CA Behavioral Health Investigations and CA Medical Survey contracts.
Essential Duties and Responsibilities:
- Act as the primary contact for the state client
- Ensure program operations are in compliance with all applicable requirements of the contract, as well as State and federal regulations.
- Ensure goals and objectives are established by Project Manager that support the overall Project strategies.
- Oversee all project administrative operations including budget, financial controls, and human resources.
- Plan, develop and schedule priorities for achieving operational and performance goals.
- Review management, productivity, and financial reports and studies to ensure program objectives are met.
- Participate in internal audits, research studies, forecasts, and modeling exercises to support Project direction and guidance.
- Manage operational managers, to include performance appraisals, mentoring, and professional/development guidance.
- Demonstrate a high level of dedication and proactive leadership in meeting corporate goals and program objectives.
- Perform other duties as assigned by management.
- Direct and control the activities of a broad functional area through several department managers within the company.
- Overall control of planning, staffing, budgeting, managing expense priorities; and recommend and implement changes to methods.
- Work on complex issues where analysis of situations or data requires an in-depth knowledge of the company.
- Participate in corporate development of methods, techniques and evaluation criteria for projects, programs, and people.
- Ensure budget and schedule meet corporate requirements.
- Regularly interact with executives and/or major customers.
- Interaction frequently involves special skills, such as negotiating with customers or management or attempting to influence senior level leaders regarding matters of significance to the organization.
- Report to Senior Director or VP level.
Minimum Requirements
- Bachelor's degree in relevant field of study and 10+ years of relevant professional experience required.
- 7-10 years' experience working across Quality Assurance, Grievances and Appeals, Access and Availability, and/or Utilization Management (referrals and authorizations) with commercial health plans
- Must be a Licensed Attorney
- Must be willing and able to work weekends and nights as program needs require
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
- Connectivity to the internet via either Wi-Fi or Category 5 or 6 ethernet patch cable to the home router
- Private work...
....Read more...
Type: Permanent Location: Rock Springs, US-WY
Salary / Rate: 138350
Posted: 2024-10-17 08:52:43
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Description & Requirements
Maximus is currently hiring for a Director - California Behavioral Health Investigations to join our State West team.
This is a remote opportunity.
The Director will oversee the CA Behavioral Health Investigations and CA Medical Survey contracts.
Essential Duties and Responsibilities:
- Act as the primary contact for the state client
- Ensure program operations are in compliance with all applicable requirements of the contract, as well as State and federal regulations.
- Ensure goals and objectives are established by Project Manager that support the overall Project strategies.
- Oversee all project administrative operations including budget, financial controls, and human resources.
- Plan, develop and schedule priorities for achieving operational and performance goals.
- Review management, productivity, and financial reports and studies to ensure program objectives are met.
- Participate in internal audits, research studies, forecasts, and modeling exercises to support Project direction and guidance.
- Manage operational managers, to include performance appraisals, mentoring, and professional/development guidance.
- Demonstrate a high level of dedication and proactive leadership in meeting corporate goals and program objectives.
- Perform other duties as assigned by management.
- Direct and control the activities of a broad functional area through several department managers within the company.
- Overall control of planning, staffing, budgeting, managing expense priorities; and recommend and implement changes to methods.
- Work on complex issues where analysis of situations or data requires an in-depth knowledge of the company.
- Participate in corporate development of methods, techniques and evaluation criteria for projects, programs, and people.
- Ensure budget and schedule meet corporate requirements.
- Regularly interact with executives and/or major customers.
- Interaction frequently involves special skills, such as negotiating with customers or management or attempting to influence senior level leaders regarding matters of significance to the organization.
- Report to Senior Director or VP level.
Minimum Requirements
- Bachelor's degree in relevant field of study and 10+ years of relevant professional experience required.
- 7-10 years' experience working across Quality Assurance, Grievances and Appeals, Access and Availability, and/or Utilization Management (referrals and authorizations) with commercial health plans
- Must be a Licensed Attorney
- Must be willing and able to work weekends and nights as program needs require
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
- Connectivity to the internet via either Wi-Fi or Category 5 or 6 ethernet patch cable to the home router
- Private work...
....Read more...
Type: Permanent Location: Spokane, US-WA
Salary / Rate: 138350
Posted: 2024-10-17 08:52:42
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Description & Requirements
Maximus is currently hiring for a Director - California Behavioral Health Investigations to join our State West team.
This is a remote opportunity.
The Director will oversee the CA Behavioral Health Investigations and CA Medical Survey contracts.
Essential Duties and Responsibilities:
- Act as the primary contact for the state client
- Ensure program operations are in compliance with all applicable requirements of the contract, as well as State and federal regulations.
- Ensure goals and objectives are established by Project Manager that support the overall Project strategies.
- Oversee all project administrative operations including budget, financial controls, and human resources.
- Plan, develop and schedule priorities for achieving operational and performance goals.
- Review management, productivity, and financial reports and studies to ensure program objectives are met.
- Participate in internal audits, research studies, forecasts, and modeling exercises to support Project direction and guidance.
- Manage operational managers, to include performance appraisals, mentoring, and professional/development guidance.
- Demonstrate a high level of dedication and proactive leadership in meeting corporate goals and program objectives.
- Perform other duties as assigned by management.
- Direct and control the activities of a broad functional area through several department managers within the company.
- Overall control of planning, staffing, budgeting, managing expense priorities; and recommend and implement changes to methods.
- Work on complex issues where analysis of situations or data requires an in-depth knowledge of the company.
- Participate in corporate development of methods, techniques and evaluation criteria for projects, programs, and people.
- Ensure budget and schedule meet corporate requirements.
- Regularly interact with executives and/or major customers.
- Interaction frequently involves special skills, such as negotiating with customers or management or attempting to influence senior level leaders regarding matters of significance to the organization.
- Report to Senior Director or VP level.
Minimum Requirements
- Bachelor's degree in relevant field of study and 10+ years of relevant professional experience required.
- 7-10 years' experience working across Quality Assurance, Grievances and Appeals, Access and Availability, and/or Utilization Management (referrals and authorizations) with commercial health plans
- Must be a Licensed Attorney
- Must be willing and able to work weekends and nights as program needs require
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
- Connectivity to the internet via either Wi-Fi or Category 5 or 6 ethernet patch cable to the home router
- Private work...
....Read more...
Type: Permanent Location: Charleston, US-WV
Salary / Rate: 138350
Posted: 2024-10-17 08:52:41
-
Description & Requirements
Maximus is currently hiring for a Director - California Behavioral Health Investigations to join our State West team.
This is a remote opportunity.
The Director will oversee the CA Behavioral Health Investigations and CA Medical Survey contracts.
Essential Duties and Responsibilities:
- Act as the primary contact for the state client
- Ensure program operations are in compliance with all applicable requirements of the contract, as well as State and federal regulations.
- Ensure goals and objectives are established by Project Manager that support the overall Project strategies.
- Oversee all project administrative operations including budget, financial controls, and human resources.
- Plan, develop and schedule priorities for achieving operational and performance goals.
- Review management, productivity, and financial reports and studies to ensure program objectives are met.
- Participate in internal audits, research studies, forecasts, and modeling exercises to support Project direction and guidance.
- Manage operational managers, to include performance appraisals, mentoring, and professional/development guidance.
- Demonstrate a high level of dedication and proactive leadership in meeting corporate goals and program objectives.
- Perform other duties as assigned by management.
- Direct and control the activities of a broad functional area through several department managers within the company.
- Overall control of planning, staffing, budgeting, managing expense priorities; and recommend and implement changes to methods.
- Work on complex issues where analysis of situations or data requires an in-depth knowledge of the company.
- Participate in corporate development of methods, techniques and evaluation criteria for projects, programs, and people.
- Ensure budget and schedule meet corporate requirements.
- Regularly interact with executives and/or major customers.
- Interaction frequently involves special skills, such as negotiating with customers or management or attempting to influence senior level leaders regarding matters of significance to the organization.
- Report to Senior Director or VP level.
Minimum Requirements
- Bachelor's degree in relevant field of study and 10+ years of relevant professional experience required.
- 7-10 years' experience working across Quality Assurance, Grievances and Appeals, Access and Availability, and/or Utilization Management (referrals and authorizations) with commercial health plans
- Must be a Licensed Attorney
- Must be willing and able to work weekends and nights as program needs require
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
- Connectivity to the internet via either Wi-Fi or Category 5 or 6 ethernet patch cable to the home router
- Private work...
....Read more...
Type: Permanent Location: Burlington, US-VT
Salary / Rate: 138350
Posted: 2024-10-17 08:52:41
-
Description & Requirements
Maximus is currently hiring for a Director - California Behavioral Health Investigations to join our State West team.
This is a remote opportunity.
The Director will oversee the CA Behavioral Health Investigations and CA Medical Survey contracts.
Essential Duties and Responsibilities:
- Act as the primary contact for the state client
- Ensure program operations are in compliance with all applicable requirements of the contract, as well as State and federal regulations.
- Ensure goals and objectives are established by Project Manager that support the overall Project strategies.
- Oversee all project administrative operations including budget, financial controls, and human resources.
- Plan, develop and schedule priorities for achieving operational and performance goals.
- Review management, productivity, and financial reports and studies to ensure program objectives are met.
- Participate in internal audits, research studies, forecasts, and modeling exercises to support Project direction and guidance.
- Manage operational managers, to include performance appraisals, mentoring, and professional/development guidance.
- Demonstrate a high level of dedication and proactive leadership in meeting corporate goals and program objectives.
- Perform other duties as assigned by management.
- Direct and control the activities of a broad functional area through several department managers within the company.
- Overall control of planning, staffing, budgeting, managing expense priorities; and recommend and implement changes to methods.
- Work on complex issues where analysis of situations or data requires an in-depth knowledge of the company.
- Participate in corporate development of methods, techniques and evaluation criteria for projects, programs, and people.
- Ensure budget and schedule meet corporate requirements.
- Regularly interact with executives and/or major customers.
- Interaction frequently involves special skills, such as negotiating with customers or management or attempting to influence senior level leaders regarding matters of significance to the organization.
- Report to Senior Director or VP level.
Minimum Requirements
- Bachelor's degree in relevant field of study and 10+ years of relevant professional experience required.
- 7-10 years' experience working across Quality Assurance, Grievances and Appeals, Access and Availability, and/or Utilization Management (referrals and authorizations) with commercial health plans
- Must be a Licensed Attorney
- Must be willing and able to work weekends and nights as program needs require
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
- Connectivity to the internet via either Wi-Fi or Category 5 or 6 ethernet patch cable to the home router
- Private work...
....Read more...
Type: Permanent Location: Lubbock, US-TX
Salary / Rate: 138350
Posted: 2024-10-17 08:52:40
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Description & Requirements
Maximus is currently hiring for a Director - California Behavioral Health Investigations to join our State West team.
This is a remote opportunity.
The Director will oversee the CA Behavioral Health Investigations and CA Medical Survey contracts.
Essential Duties and Responsibilities:
- Act as the primary contact for the state client
- Ensure program operations are in compliance with all applicable requirements of the contract, as well as State and federal regulations.
- Ensure goals and objectives are established by Project Manager that support the overall Project strategies.
- Oversee all project administrative operations including budget, financial controls, and human resources.
- Plan, develop and schedule priorities for achieving operational and performance goals.
- Review management, productivity, and financial reports and studies to ensure program objectives are met.
- Participate in internal audits, research studies, forecasts, and modeling exercises to support Project direction and guidance.
- Manage operational managers, to include performance appraisals, mentoring, and professional/development guidance.
- Demonstrate a high level of dedication and proactive leadership in meeting corporate goals and program objectives.
- Perform other duties as assigned by management.
- Direct and control the activities of a broad functional area through several department managers within the company.
- Overall control of planning, staffing, budgeting, managing expense priorities; and recommend and implement changes to methods.
- Work on complex issues where analysis of situations or data requires an in-depth knowledge of the company.
- Participate in corporate development of methods, techniques and evaluation criteria for projects, programs, and people.
- Ensure budget and schedule meet corporate requirements.
- Regularly interact with executives and/or major customers.
- Interaction frequently involves special skills, such as negotiating with customers or management or attempting to influence senior level leaders regarding matters of significance to the organization.
- Report to Senior Director or VP level.
Minimum Requirements
- Bachelor's degree in relevant field of study and 10+ years of relevant professional experience required.
- 7-10 years' experience working across Quality Assurance, Grievances and Appeals, Access and Availability, and/or Utilization Management (referrals and authorizations) with commercial health plans
- Must be a Licensed Attorney
- Must be willing and able to work weekends and nights as program needs require
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
- Connectivity to the internet via either Wi-Fi or Category 5 or 6 ethernet patch cable to the home router
- Private work...
....Read more...
Type: Permanent Location: Bennington, US-VT
Salary / Rate: 138350
Posted: 2024-10-17 08:52:39
-
Description & Requirements
Maximus is currently hiring for a Director - California Behavioral Health Investigations to join our State West team.
This is a remote opportunity.
The Director will oversee the CA Behavioral Health Investigations and CA Medical Survey contracts.
Essential Duties and Responsibilities:
- Act as the primary contact for the state client
- Ensure program operations are in compliance with all applicable requirements of the contract, as well as State and federal regulations.
- Ensure goals and objectives are established by Project Manager that support the overall Project strategies.
- Oversee all project administrative operations including budget, financial controls, and human resources.
- Plan, develop and schedule priorities for achieving operational and performance goals.
- Review management, productivity, and financial reports and studies to ensure program objectives are met.
- Participate in internal audits, research studies, forecasts, and modeling exercises to support Project direction and guidance.
- Manage operational managers, to include performance appraisals, mentoring, and professional/development guidance.
- Demonstrate a high level of dedication and proactive leadership in meeting corporate goals and program objectives.
- Perform other duties as assigned by management.
- Direct and control the activities of a broad functional area through several department managers within the company.
- Overall control of planning, staffing, budgeting, managing expense priorities; and recommend and implement changes to methods.
- Work on complex issues where analysis of situations or data requires an in-depth knowledge of the company.
- Participate in corporate development of methods, techniques and evaluation criteria for projects, programs, and people.
- Ensure budget and schedule meet corporate requirements.
- Regularly interact with executives and/or major customers.
- Interaction frequently involves special skills, such as negotiating with customers or management or attempting to influence senior level leaders regarding matters of significance to the organization.
- Report to Senior Director or VP level.
Minimum Requirements
- Bachelor's degree in relevant field of study and 10+ years of relevant professional experience required.
- 7-10 years' experience working across Quality Assurance, Grievances and Appeals, Access and Availability, and/or Utilization Management (referrals and authorizations) with commercial health plans
- Must be a Licensed Attorney
- Must be willing and able to work weekends and nights as program needs require
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
- Connectivity to the internet via either Wi-Fi or Category 5 or 6 ethernet patch cable to the home router
- Private work...
....Read more...
Type: Permanent Location: Roanoke, US-VA
Salary / Rate: 138350
Posted: 2024-10-17 08:52:39
-
Description & Requirements
Maximus is currently hiring for a Director - California Behavioral Health Investigations to join our State West team.
This is a remote opportunity.
The Director will oversee the CA Behavioral Health Investigations and CA Medical Survey contracts.
Essential Duties and Responsibilities:
- Act as the primary contact for the state client
- Ensure program operations are in compliance with all applicable requirements of the contract, as well as State and federal regulations.
- Ensure goals and objectives are established by Project Manager that support the overall Project strategies.
- Oversee all project administrative operations including budget, financial controls, and human resources.
- Plan, develop and schedule priorities for achieving operational and performance goals.
- Review management, productivity, and financial reports and studies to ensure program objectives are met.
- Participate in internal audits, research studies, forecasts, and modeling exercises to support Project direction and guidance.
- Manage operational managers, to include performance appraisals, mentoring, and professional/development guidance.
- Demonstrate a high level of dedication and proactive leadership in meeting corporate goals and program objectives.
- Perform other duties as assigned by management.
- Direct and control the activities of a broad functional area through several department managers within the company.
- Overall control of planning, staffing, budgeting, managing expense priorities; and recommend and implement changes to methods.
- Work on complex issues where analysis of situations or data requires an in-depth knowledge of the company.
- Participate in corporate development of methods, techniques and evaluation criteria for projects, programs, and people.
- Ensure budget and schedule meet corporate requirements.
- Regularly interact with executives and/or major customers.
- Interaction frequently involves special skills, such as negotiating with customers or management or attempting to influence senior level leaders regarding matters of significance to the organization.
- Report to Senior Director or VP level.
Minimum Requirements
- Bachelor's degree in relevant field of study and 10+ years of relevant professional experience required.
- 7-10 years' experience working across Quality Assurance, Grievances and Appeals, Access and Availability, and/or Utilization Management (referrals and authorizations) with commercial health plans
- Must be a Licensed Attorney
- Must be willing and able to work weekends and nights as program needs require
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
- Connectivity to the internet via either Wi-Fi or Category 5 or 6 ethernet patch cable to the home router
- Private work...
....Read more...
Type: Permanent Location: Richmond, US-VA
Salary / Rate: 138350
Posted: 2024-10-17 08:52:38
-
Description & Requirements
Maximus is currently hiring for a Director - California Behavioral Health Investigations to join our State West team.
This is a remote opportunity.
The Director will oversee the CA Behavioral Health Investigations and CA Medical Survey contracts.
Essential Duties and Responsibilities:
- Act as the primary contact for the state client
- Ensure program operations are in compliance with all applicable requirements of the contract, as well as State and federal regulations.
- Ensure goals and objectives are established by Project Manager that support the overall Project strategies.
- Oversee all project administrative operations including budget, financial controls, and human resources.
- Plan, develop and schedule priorities for achieving operational and performance goals.
- Review management, productivity, and financial reports and studies to ensure program objectives are met.
- Participate in internal audits, research studies, forecasts, and modeling exercises to support Project direction and guidance.
- Manage operational managers, to include performance appraisals, mentoring, and professional/development guidance.
- Demonstrate a high level of dedication and proactive leadership in meeting corporate goals and program objectives.
- Perform other duties as assigned by management.
- Direct and control the activities of a broad functional area through several department managers within the company.
- Overall control of planning, staffing, budgeting, managing expense priorities; and recommend and implement changes to methods.
- Work on complex issues where analysis of situations or data requires an in-depth knowledge of the company.
- Participate in corporate development of methods, techniques and evaluation criteria for projects, programs, and people.
- Ensure budget and schedule meet corporate requirements.
- Regularly interact with executives and/or major customers.
- Interaction frequently involves special skills, such as negotiating with customers or management or attempting to influence senior level leaders regarding matters of significance to the organization.
- Report to Senior Director or VP level.
Minimum Requirements
- Bachelor's degree in relevant field of study and 10+ years of relevant professional experience required.
- 7-10 years' experience working across Quality Assurance, Grievances and Appeals, Access and Availability, and/or Utilization Management (referrals and authorizations) with commercial health plans
- Must be a Licensed Attorney
- Must be willing and able to work weekends and nights as program needs require
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
- Connectivity to the internet via either Wi-Fi or Category 5 or 6 ethernet patch cable to the home router
- Private work...
....Read more...
Type: Permanent Location: Salt Lake City, US-UT
Salary / Rate: 138350
Posted: 2024-10-17 08:52:38
-
Description & Requirements
Maximus is currently hiring for a Director - California Behavioral Health Investigations to join our State West team.
This is a remote opportunity.
The Director will oversee the CA Behavioral Health Investigations and CA Medical Survey contracts.
Essential Duties and Responsibilities:
- Act as the primary contact for the state client
- Ensure program operations are in compliance with all applicable requirements of the contract, as well as State and federal regulations.
- Ensure goals and objectives are established by Project Manager that support the overall Project strategies.
- Oversee all project administrative operations including budget, financial controls, and human resources.
- Plan, develop and schedule priorities for achieving operational and performance goals.
- Review management, productivity, and financial reports and studies to ensure program objectives are met.
- Participate in internal audits, research studies, forecasts, and modeling exercises to support Project direction and guidance.
- Manage operational managers, to include performance appraisals, mentoring, and professional/development guidance.
- Demonstrate a high level of dedication and proactive leadership in meeting corporate goals and program objectives.
- Perform other duties as assigned by management.
- Direct and control the activities of a broad functional area through several department managers within the company.
- Overall control of planning, staffing, budgeting, managing expense priorities; and recommend and implement changes to methods.
- Work on complex issues where analysis of situations or data requires an in-depth knowledge of the company.
- Participate in corporate development of methods, techniques and evaluation criteria for projects, programs, and people.
- Ensure budget and schedule meet corporate requirements.
- Regularly interact with executives and/or major customers.
- Interaction frequently involves special skills, such as negotiating with customers or management or attempting to influence senior level leaders regarding matters of significance to the organization.
- Report to Senior Director or VP level.
Minimum Requirements
- Bachelor's degree in relevant field of study and 10+ years of relevant professional experience required.
- 7-10 years' experience working across Quality Assurance, Grievances and Appeals, Access and Availability, and/or Utilization Management (referrals and authorizations) with commercial health plans
- Must be a Licensed Attorney
- Must be willing and able to work weekends and nights as program needs require
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
- Connectivity to the internet via either Wi-Fi or Category 5 or 6 ethernet patch cable to the home router
- Private work...
....Read more...
Type: Permanent Location: Tysons, US-VA
Salary / Rate: 138350
Posted: 2024-10-17 08:52:37
-
Description & Requirements
Maximus is currently hiring for a Director - California Behavioral Health Investigations to join our State West team.
This is a remote opportunity.
The Director will oversee the CA Behavioral Health Investigations and CA Medical Survey contracts.
Essential Duties and Responsibilities:
- Act as the primary contact for the state client
- Ensure program operations are in compliance with all applicable requirements of the contract, as well as State and federal regulations.
- Ensure goals and objectives are established by Project Manager that support the overall Project strategies.
- Oversee all project administrative operations including budget, financial controls, and human resources.
- Plan, develop and schedule priorities for achieving operational and performance goals.
- Review management, productivity, and financial reports and studies to ensure program objectives are met.
- Participate in internal audits, research studies, forecasts, and modeling exercises to support Project direction and guidance.
- Manage operational managers, to include performance appraisals, mentoring, and professional/development guidance.
- Demonstrate a high level of dedication and proactive leadership in meeting corporate goals and program objectives.
- Perform other duties as assigned by management.
- Direct and control the activities of a broad functional area through several department managers within the company.
- Overall control of planning, staffing, budgeting, managing expense priorities; and recommend and implement changes to methods.
- Work on complex issues where analysis of situations or data requires an in-depth knowledge of the company.
- Participate in corporate development of methods, techniques and evaluation criteria for projects, programs, and people.
- Ensure budget and schedule meet corporate requirements.
- Regularly interact with executives and/or major customers.
- Interaction frequently involves special skills, such as negotiating with customers or management or attempting to influence senior level leaders regarding matters of significance to the organization.
- Report to Senior Director or VP level.
Minimum Requirements
- Bachelor's degree in relevant field of study and 10+ years of relevant professional experience required.
- 7-10 years' experience working across Quality Assurance, Grievances and Appeals, Access and Availability, and/or Utilization Management (referrals and authorizations) with commercial health plans
- Must be a Licensed Attorney
- Must be willing and able to work weekends and nights as program needs require
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
- Connectivity to the internet via either Wi-Fi or Category 5 or 6 ethernet patch cable to the home router
- Private work...
....Read more...
Type: Permanent Location: St. George, US-UT
Salary / Rate: 138350
Posted: 2024-10-17 08:52:36
-
Description & Requirements
Maximus is currently hiring for a Director - California Behavioral Health Investigations to join our State West team.
This is a remote opportunity.
The Director will oversee the CA Behavioral Health Investigations and CA Medical Survey contracts.
Essential Duties and Responsibilities:
- Act as the primary contact for the state client
- Ensure program operations are in compliance with all applicable requirements of the contract, as well as State and federal regulations.
- Ensure goals and objectives are established by Project Manager that support the overall Project strategies.
- Oversee all project administrative operations including budget, financial controls, and human resources.
- Plan, develop and schedule priorities for achieving operational and performance goals.
- Review management, productivity, and financial reports and studies to ensure program objectives are met.
- Participate in internal audits, research studies, forecasts, and modeling exercises to support Project direction and guidance.
- Manage operational managers, to include performance appraisals, mentoring, and professional/development guidance.
- Demonstrate a high level of dedication and proactive leadership in meeting corporate goals and program objectives.
- Perform other duties as assigned by management.
- Direct and control the activities of a broad functional area through several department managers within the company.
- Overall control of planning, staffing, budgeting, managing expense priorities; and recommend and implement changes to methods.
- Work on complex issues where analysis of situations or data requires an in-depth knowledge of the company.
- Participate in corporate development of methods, techniques and evaluation criteria for projects, programs, and people.
- Ensure budget and schedule meet corporate requirements.
- Regularly interact with executives and/or major customers.
- Interaction frequently involves special skills, such as negotiating with customers or management or attempting to influence senior level leaders regarding matters of significance to the organization.
- Report to Senior Director or VP level.
Minimum Requirements
- Bachelor's degree in relevant field of study and 10+ years of relevant professional experience required.
- 7-10 years' experience working across Quality Assurance, Grievances and Appeals, Access and Availability, and/or Utilization Management (referrals and authorizations) with commercial health plans
- Must be a Licensed Attorney
- Must be willing and able to work weekends and nights as program needs require
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
- Connectivity to the internet via either Wi-Fi or Category 5 or 6 ethernet patch cable to the home router
- Private work...
....Read more...
Type: Permanent Location: Houston, US-TX
Salary / Rate: 138350
Posted: 2024-10-17 08:52:36
-
Description & Requirements
Maximus is currently hiring for a Director - California Behavioral Health Investigations to join our State West team.
This is a remote opportunity.
The Director will oversee the CA Behavioral Health Investigations and CA Medical Survey contracts.
Essential Duties and Responsibilities:
- Act as the primary contact for the state client
- Ensure program operations are in compliance with all applicable requirements of the contract, as well as State and federal regulations.
- Ensure goals and objectives are established by Project Manager that support the overall Project strategies.
- Oversee all project administrative operations including budget, financial controls, and human resources.
- Plan, develop and schedule priorities for achieving operational and performance goals.
- Review management, productivity, and financial reports and studies to ensure program objectives are met.
- Participate in internal audits, research studies, forecasts, and modeling exercises to support Project direction and guidance.
- Manage operational managers, to include performance appraisals, mentoring, and professional/development guidance.
- Demonstrate a high level of dedication and proactive leadership in meeting corporate goals and program objectives.
- Perform other duties as assigned by management.
- Direct and control the activities of a broad functional area through several department managers within the company.
- Overall control of planning, staffing, budgeting, managing expense priorities; and recommend and implement changes to methods.
- Work on complex issues where analysis of situations or data requires an in-depth knowledge of the company.
- Participate in corporate development of methods, techniques and evaluation criteria for projects, programs, and people.
- Ensure budget and schedule meet corporate requirements.
- Regularly interact with executives and/or major customers.
- Interaction frequently involves special skills, such as negotiating with customers or management or attempting to influence senior level leaders regarding matters of significance to the organization.
- Report to Senior Director or VP level.
Minimum Requirements
- Bachelor's degree in relevant field of study and 10+ years of relevant professional experience required.
- 7-10 years' experience working across Quality Assurance, Grievances and Appeals, Access and Availability, and/or Utilization Management (referrals and authorizations) with commercial health plans
- Must be a Licensed Attorney
- Must be willing and able to work weekends and nights as program needs require
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
- Connectivity to the internet via either Wi-Fi or Category 5 or 6 ethernet patch cable to the home router
- Private work...
....Read more...
Type: Permanent Location: Memphis, US-TN
Salary / Rate: 138350
Posted: 2024-10-17 08:52:35
-
Description & Requirements
Maximus is currently hiring for a Director - California Behavioral Health Investigations to join our State West team.
This is a remote opportunity.
The Director will oversee the CA Behavioral Health Investigations and CA Medical Survey contracts.
Essential Duties and Responsibilities:
- Act as the primary contact for the state client
- Ensure program operations are in compliance with all applicable requirements of the contract, as well as State and federal regulations.
- Ensure goals and objectives are established by Project Manager that support the overall Project strategies.
- Oversee all project administrative operations including budget, financial controls, and human resources.
- Plan, develop and schedule priorities for achieving operational and performance goals.
- Review management, productivity, and financial reports and studies to ensure program objectives are met.
- Participate in internal audits, research studies, forecasts, and modeling exercises to support Project direction and guidance.
- Manage operational managers, to include performance appraisals, mentoring, and professional/development guidance.
- Demonstrate a high level of dedication and proactive leadership in meeting corporate goals and program objectives.
- Perform other duties as assigned by management.
- Direct and control the activities of a broad functional area through several department managers within the company.
- Overall control of planning, staffing, budgeting, managing expense priorities; and recommend and implement changes to methods.
- Work on complex issues where analysis of situations or data requires an in-depth knowledge of the company.
- Participate in corporate development of methods, techniques and evaluation criteria for projects, programs, and people.
- Ensure budget and schedule meet corporate requirements.
- Regularly interact with executives and/or major customers.
- Interaction frequently involves special skills, such as negotiating with customers or management or attempting to influence senior level leaders regarding matters of significance to the organization.
- Report to Senior Director or VP level.
Minimum Requirements
- Bachelor's degree in relevant field of study and 10+ years of relevant professional experience required.
- 7-10 years' experience working across Quality Assurance, Grievances and Appeals, Access and Availability, and/or Utilization Management (referrals and authorizations) with commercial health plans
- Must be a Licensed Attorney
- Must be willing and able to work weekends and nights as program needs require
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
- Connectivity to the internet via either Wi-Fi or Category 5 or 6 ethernet patch cable to the home router
- Private work...
....Read more...
Type: Permanent Location: San Antonio, US-TX
Salary / Rate: 138350
Posted: 2024-10-17 08:52:34
-
Description & Requirements
Maximus is currently hiring for a Director - California Behavioral Health Investigations to join our State West team.
This is a remote opportunity.
The Director will oversee the CA Behavioral Health Investigations and CA Medical Survey contracts.
Essential Duties and Responsibilities:
- Act as the primary contact for the state client
- Ensure program operations are in compliance with all applicable requirements of the contract, as well as State and federal regulations.
- Ensure goals and objectives are established by Project Manager that support the overall Project strategies.
- Oversee all project administrative operations including budget, financial controls, and human resources.
- Plan, develop and schedule priorities for achieving operational and performance goals.
- Review management, productivity, and financial reports and studies to ensure program objectives are met.
- Participate in internal audits, research studies, forecasts, and modeling exercises to support Project direction and guidance.
- Manage operational managers, to include performance appraisals, mentoring, and professional/development guidance.
- Demonstrate a high level of dedication and proactive leadership in meeting corporate goals and program objectives.
- Perform other duties as assigned by management.
- Direct and control the activities of a broad functional area through several department managers within the company.
- Overall control of planning, staffing, budgeting, managing expense priorities; and recommend and implement changes to methods.
- Work on complex issues where analysis of situations or data requires an in-depth knowledge of the company.
- Participate in corporate development of methods, techniques and evaluation criteria for projects, programs, and people.
- Ensure budget and schedule meet corporate requirements.
- Regularly interact with executives and/or major customers.
- Interaction frequently involves special skills, such as negotiating with customers or management or attempting to influence senior level leaders regarding matters of significance to the organization.
- Report to Senior Director or VP level.
Minimum Requirements
- Bachelor's degree in relevant field of study and 10+ years of relevant professional experience required.
- 7-10 years' experience working across Quality Assurance, Grievances and Appeals, Access and Availability, and/or Utilization Management (referrals and authorizations) with commercial health plans
- Must be a Licensed Attorney
- Must be willing and able to work weekends and nights as program needs require
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
- Connectivity to the internet via either Wi-Fi or Category 5 or 6 ethernet patch cable to the home router
- Private work...
....Read more...
Type: Permanent Location: Columbia, US-SC
Salary / Rate: 138350
Posted: 2024-10-17 08:52:34
-
Description & Requirements
Maximus is currently hiring for a Director - California Behavioral Health Investigations to join our State West team.
This is a remote opportunity.
The Director will oversee the CA Behavioral Health Investigations and CA Medical Survey contracts.
Essential Duties and Responsibilities:
- Act as the primary contact for the state client
- Ensure program operations are in compliance with all applicable requirements of the contract, as well as State and federal regulations.
- Ensure goals and objectives are established by Project Manager that support the overall Project strategies.
- Oversee all project administrative operations including budget, financial controls, and human resources.
- Plan, develop and schedule priorities for achieving operational and performance goals.
- Review management, productivity, and financial reports and studies to ensure program objectives are met.
- Participate in internal audits, research studies, forecasts, and modeling exercises to support Project direction and guidance.
- Manage operational managers, to include performance appraisals, mentoring, and professional/development guidance.
- Demonstrate a high level of dedication and proactive leadership in meeting corporate goals and program objectives.
- Perform other duties as assigned by management.
- Direct and control the activities of a broad functional area through several department managers within the company.
- Overall control of planning, staffing, budgeting, managing expense priorities; and recommend and implement changes to methods.
- Work on complex issues where analysis of situations or data requires an in-depth knowledge of the company.
- Participate in corporate development of methods, techniques and evaluation criteria for projects, programs, and people.
- Ensure budget and schedule meet corporate requirements.
- Regularly interact with executives and/or major customers.
- Interaction frequently involves special skills, such as negotiating with customers or management or attempting to influence senior level leaders regarding matters of significance to the organization.
- Report to Senior Director or VP level.
Minimum Requirements
- Bachelor's degree in relevant field of study and 10+ years of relevant professional experience required.
- 7-10 years' experience working across Quality Assurance, Grievances and Appeals, Access and Availability, and/or Utilization Management (referrals and authorizations) with commercial health plans
- Must be a Licensed Attorney
- Must be willing and able to work weekends and nights as program needs require
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
- Connectivity to the internet via either Wi-Fi or Category 5 or 6 ethernet patch cable to the home router
- Private work...
....Read more...
Type: Permanent Location: Dallas, US-TX
Salary / Rate: 138350
Posted: 2024-10-17 08:52:33
-
Description & Requirements
Maximus is currently hiring for a Director - California Behavioral Health Investigations to join our State West team.
This is a remote opportunity.
The Director will oversee the CA Behavioral Health Investigations and CA Medical Survey contracts.
Essential Duties and Responsibilities:
- Act as the primary contact for the state client
- Ensure program operations are in compliance with all applicable requirements of the contract, as well as State and federal regulations.
- Ensure goals and objectives are established by Project Manager that support the overall Project strategies.
- Oversee all project administrative operations including budget, financial controls, and human resources.
- Plan, develop and schedule priorities for achieving operational and performance goals.
- Review management, productivity, and financial reports and studies to ensure program objectives are met.
- Participate in internal audits, research studies, forecasts, and modeling exercises to support Project direction and guidance.
- Manage operational managers, to include performance appraisals, mentoring, and professional/development guidance.
- Demonstrate a high level of dedication and proactive leadership in meeting corporate goals and program objectives.
- Perform other duties as assigned by management.
- Direct and control the activities of a broad functional area through several department managers within the company.
- Overall control of planning, staffing, budgeting, managing expense priorities; and recommend and implement changes to methods.
- Work on complex issues where analysis of situations or data requires an in-depth knowledge of the company.
- Participate in corporate development of methods, techniques and evaluation criteria for projects, programs, and people.
- Ensure budget and schedule meet corporate requirements.
- Regularly interact with executives and/or major customers.
- Interaction frequently involves special skills, such as negotiating with customers or management or attempting to influence senior level leaders regarding matters of significance to the organization.
- Report to Senior Director or VP level.
Minimum Requirements
- Bachelor's degree in relevant field of study and 10+ years of relevant professional experience required.
- 7-10 years' experience working across Quality Assurance, Grievances and Appeals, Access and Availability, and/or Utilization Management (referrals and authorizations) with commercial health plans
- Must be a Licensed Attorney
- Must be willing and able to work weekends and nights as program needs require
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
- Connectivity to the internet via either Wi-Fi or Category 5 or 6 ethernet patch cable to the home router
- Private work...
....Read more...
Type: Permanent Location: Sioux Falls, US-SD
Salary / Rate: 138350
Posted: 2024-10-17 08:52:33
-
Description & Requirements
Maximus is currently hiring for a Director - California Behavioral Health Investigations to join our State West team.
This is a remote opportunity.
The Director will oversee the CA Behavioral Health Investigations and CA Medical Survey contracts.
Essential Duties and Responsibilities:
- Act as the primary contact for the state client
- Ensure program operations are in compliance with all applicable requirements of the contract, as well as State and federal regulations.
- Ensure goals and objectives are established by Project Manager that support the overall Project strategies.
- Oversee all project administrative operations including budget, financial controls, and human resources.
- Plan, develop and schedule priorities for achieving operational and performance goals.
- Review management, productivity, and financial reports and studies to ensure program objectives are met.
- Participate in internal audits, research studies, forecasts, and modeling exercises to support Project direction and guidance.
- Manage operational managers, to include performance appraisals, mentoring, and professional/development guidance.
- Demonstrate a high level of dedication and proactive leadership in meeting corporate goals and program objectives.
- Perform other duties as assigned by management.
- Direct and control the activities of a broad functional area through several department managers within the company.
- Overall control of planning, staffing, budgeting, managing expense priorities; and recommend and implement changes to methods.
- Work on complex issues where analysis of situations or data requires an in-depth knowledge of the company.
- Participate in corporate development of methods, techniques and evaluation criteria for projects, programs, and people.
- Ensure budget and schedule meet corporate requirements.
- Regularly interact with executives and/or major customers.
- Interaction frequently involves special skills, such as negotiating with customers or management or attempting to influence senior level leaders regarding matters of significance to the organization.
- Report to Senior Director or VP level.
Minimum Requirements
- Bachelor's degree in relevant field of study and 10+ years of relevant professional experience required.
- 7-10 years' experience working across Quality Assurance, Grievances and Appeals, Access and Availability, and/or Utilization Management (referrals and authorizations) with commercial health plans
- Must be a Licensed Attorney
- Must be willing and able to work weekends and nights as program needs require
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
- Connectivity to the internet via either Wi-Fi or Category 5 or 6 ethernet patch cable to the home router
- Private work...
....Read more...
Type: Permanent Location: Rapid City, US-SD
Salary / Rate: 138350
Posted: 2024-10-17 08:52:32
