-
Description & Requirements
Maximus is currently hiring for a Coordinator 2 - Appeals to join our QIC team.
This is a remote opportunity.
The Coordinator 2 is responsible for reviewing Medicare Part C appeals which includes researching rules and regulations, setting up medical reviews, writing decision letters, among other tasks.
This position will require a federal suitability clearance post-hire as mandated by the client.
This clearance is required in order to access client-specific systems as needed to complete the job duties.
Essential Duties and Responsibilities:
Function as a Subject Matter Expert in one or more process areas.
- Analyze data submitted for Independent Medical Review.
- Conduct fact finding and analyses on those cases deemed complex in nature or requiring adjudication; apply established procedures where the nature of the system, feasibility, computer equipment and reporting tools have not already been decided.
- Track and meet required deadlines for complex cases or other assigned tasks.
- Assist leadership through research of data and/or authoring reports.
- Analyze data using all applicable state law, state regulations, process documents, and other sources as defined by the client contract.
- Work independently on specific situations or on a team to resolve problems and deviations according to current established practices; and obtains advice where precedents are unclear or not available from the client.
- Answer and respond to phone calls/emails from participants in the Independent Medical Review process.
- Assist others or provide on-the-job training or act as a mentor to production staff.
Minimum Requirements
- High School Degree or equivalent required.
- 2-4 years of related professional experience required.
- Experience in a medical office and/or with medical insurance preferred.
- Ability to commit to a two (2) week training schedule of 8:30am - 5:00pm EST Monday - Friday required.
Please note: This position requires the use of your personal device for the duration of training.
After training, equipment will be provided.
Home Office Requirements:
- Internet speed of 25mbps or higher required / 50 Mpbs for shared internet connectivity (you can test this by going to www.speedtest.net)
- Minimum 5mpbs upload speed
- Connectivity to the internet via Category 5 or 6 ethernet patch cable to the home router
- Private and secure work area and adequate power source
- Must currently and permanently reside in the Continental US
EEO Statement
Maximus is an equal opportunity employer.
We evaluate qualified applicants without regard to race, color, religion, sex, age, national origin, disability, veteran status, genetic information and other legally protected characteristics.
Pay Transparency
Maximus compensation is based on various factors including but not limited to job location, a candidate's education, training, experience, expected quality and quantity of work, required travel (if any), external ...
....Read more...
Type: Permanent Location: Richmond, US-VA
Salary / Rate: Not Specified
Posted: 2026-01-14 07:44:21
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Description & Requirements
Maximus is currently hiring for a Coordinator 2 - Appeals to join our QIC team.
This is a remote opportunity.
The Coordinator 2 is responsible for reviewing Medicare Part C appeals which includes researching rules and regulations, setting up medical reviews, writing decision letters, among other tasks.
This position will require a federal suitability clearance post-hire as mandated by the client.
This clearance is required in order to access client-specific systems as needed to complete the job duties.
Essential Duties and Responsibilities:
Function as a Subject Matter Expert in one or more process areas.
- Analyze data submitted for Independent Medical Review.
- Conduct fact finding and analyses on those cases deemed complex in nature or requiring adjudication; apply established procedures where the nature of the system, feasibility, computer equipment and reporting tools have not already been decided.
- Track and meet required deadlines for complex cases or other assigned tasks.
- Assist leadership through research of data and/or authoring reports.
- Analyze data using all applicable state law, state regulations, process documents, and other sources as defined by the client contract.
- Work independently on specific situations or on a team to resolve problems and deviations according to current established practices; and obtains advice where precedents are unclear or not available from the client.
- Answer and respond to phone calls/emails from participants in the Independent Medical Review process.
- Assist others or provide on-the-job training or act as a mentor to production staff.
Minimum Requirements
- High School Degree or equivalent required.
- 2-4 years of related professional experience required.
- Experience in a medical office and/or with medical insurance preferred.
- Ability to commit to a two (2) week training schedule of 8:30am - 5:00pm EST Monday - Friday required.
Please note: This position requires the use of your personal device for the duration of training.
After training, equipment will be provided.
Home Office Requirements:
- Internet speed of 25mbps or higher required / 50 Mpbs for shared internet connectivity (you can test this by going to www.speedtest.net)
- Minimum 5mpbs upload speed
- Connectivity to the internet via Category 5 or 6 ethernet patch cable to the home router
- Private and secure work area and adequate power source
- Must currently and permanently reside in the Continental US
EEO Statement
Maximus is an equal opportunity employer.
We evaluate qualified applicants without regard to race, color, religion, sex, age, national origin, disability, veteran status, genetic information and other legally protected characteristics.
Pay Transparency
Maximus compensation is based on various factors including but not limited to job location, a candidate's education, training, experience, expected quality and quantity of work, required travel (if any), external ...
....Read more...
Type: Permanent Location: Burlington, US-VT
Salary / Rate: Not Specified
Posted: 2026-01-14 07:44:19
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Description & Requirements
Maximus is currently hiring for a Coordinator 2 - Appeals to join our QIC team.
This is a remote opportunity.
The Coordinator 2 is responsible for reviewing Medicare Part C appeals which includes researching rules and regulations, setting up medical reviews, writing decision letters, among other tasks.
This position will require a federal suitability clearance post-hire as mandated by the client.
This clearance is required in order to access client-specific systems as needed to complete the job duties.
Essential Duties and Responsibilities:
Function as a Subject Matter Expert in one or more process areas.
- Analyze data submitted for Independent Medical Review.
- Conduct fact finding and analyses on those cases deemed complex in nature or requiring adjudication; apply established procedures where the nature of the system, feasibility, computer equipment and reporting tools have not already been decided.
- Track and meet required deadlines for complex cases or other assigned tasks.
- Assist leadership through research of data and/or authoring reports.
- Analyze data using all applicable state law, state regulations, process documents, and other sources as defined by the client contract.
- Work independently on specific situations or on a team to resolve problems and deviations according to current established practices; and obtains advice where precedents are unclear or not available from the client.
- Answer and respond to phone calls/emails from participants in the Independent Medical Review process.
- Assist others or provide on-the-job training or act as a mentor to production staff.
Minimum Requirements
- High School Degree or equivalent required.
- 2-4 years of related professional experience required.
- Experience in a medical office and/or with medical insurance preferred.
- Ability to commit to a two (2) week training schedule of 8:30am - 5:00pm EST Monday - Friday required.
Please note: This position requires the use of your personal device for the duration of training.
After training, equipment will be provided.
Home Office Requirements:
- Internet speed of 25mbps or higher required / 50 Mpbs for shared internet connectivity (you can test this by going to www.speedtest.net)
- Minimum 5mpbs upload speed
- Connectivity to the internet via Category 5 or 6 ethernet patch cable to the home router
- Private and secure work area and adequate power source
- Must currently and permanently reside in the Continental US
EEO Statement
Maximus is an equal opportunity employer.
We evaluate qualified applicants without regard to race, color, religion, sex, age, national origin, disability, veteran status, genetic information and other legally protected characteristics.
Pay Transparency
Maximus compensation is based on various factors including but not limited to job location, a candidate's education, training, experience, expected quality and quantity of work, required travel (if any), external ...
....Read more...
Type: Permanent Location: Salt Lake City, US-UT
Salary / Rate: Not Specified
Posted: 2026-01-14 07:44:19
-
Description & Requirements
Maximus is currently hiring for a Coordinator 2 - Appeals to join our QIC team.
This is a remote opportunity.
The Coordinator 2 is responsible for reviewing Medicare Part C appeals which includes researching rules and regulations, setting up medical reviews, writing decision letters, among other tasks.
This position will require a federal suitability clearance post-hire as mandated by the client.
This clearance is required in order to access client-specific systems as needed to complete the job duties.
Essential Duties and Responsibilities:
Function as a Subject Matter Expert in one or more process areas.
- Analyze data submitted for Independent Medical Review.
- Conduct fact finding and analyses on those cases deemed complex in nature or requiring adjudication; apply established procedures where the nature of the system, feasibility, computer equipment and reporting tools have not already been decided.
- Track and meet required deadlines for complex cases or other assigned tasks.
- Assist leadership through research of data and/or authoring reports.
- Analyze data using all applicable state law, state regulations, process documents, and other sources as defined by the client contract.
- Work independently on specific situations or on a team to resolve problems and deviations according to current established practices; and obtains advice where precedents are unclear or not available from the client.
- Answer and respond to phone calls/emails from participants in the Independent Medical Review process.
- Assist others or provide on-the-job training or act as a mentor to production staff.
Minimum Requirements
- High School Degree or equivalent required.
- 2-4 years of related professional experience required.
- Experience in a medical office and/or with medical insurance preferred.
- Ability to commit to a two (2) week training schedule of 8:30am - 5:00pm EST Monday - Friday required.
Please note: This position requires the use of your personal device for the duration of training.
After training, equipment will be provided.
Home Office Requirements:
- Internet speed of 25mbps or higher required / 50 Mpbs for shared internet connectivity (you can test this by going to www.speedtest.net)
- Minimum 5mpbs upload speed
- Connectivity to the internet via Category 5 or 6 ethernet patch cable to the home router
- Private and secure work area and adequate power source
- Must currently and permanently reside in the Continental US
EEO Statement
Maximus is an equal opportunity employer.
We evaluate qualified applicants without regard to race, color, religion, sex, age, national origin, disability, veteran status, genetic information and other legally protected characteristics.
Pay Transparency
Maximus compensation is based on various factors including but not limited to job location, a candidate's education, training, experience, expected quality and quantity of work, required travel (if any), external ...
....Read more...
Type: Permanent Location: Lubbock, US-TX
Salary / Rate: Not Specified
Posted: 2026-01-14 07:44:18
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Description & Requirements
Maximus is currently hiring for a Coordinator 2 - Appeals to join our QIC team.
This is a remote opportunity.
The Coordinator 2 is responsible for reviewing Medicare Part C appeals which includes researching rules and regulations, setting up medical reviews, writing decision letters, among other tasks.
This position will require a federal suitability clearance post-hire as mandated by the client.
This clearance is required in order to access client-specific systems as needed to complete the job duties.
Essential Duties and Responsibilities:
Function as a Subject Matter Expert in one or more process areas.
- Analyze data submitted for Independent Medical Review.
- Conduct fact finding and analyses on those cases deemed complex in nature or requiring adjudication; apply established procedures where the nature of the system, feasibility, computer equipment and reporting tools have not already been decided.
- Track and meet required deadlines for complex cases or other assigned tasks.
- Assist leadership through research of data and/or authoring reports.
- Analyze data using all applicable state law, state regulations, process documents, and other sources as defined by the client contract.
- Work independently on specific situations or on a team to resolve problems and deviations according to current established practices; and obtains advice where precedents are unclear or not available from the client.
- Answer and respond to phone calls/emails from participants in the Independent Medical Review process.
- Assist others or provide on-the-job training or act as a mentor to production staff.
Minimum Requirements
- High School Degree or equivalent required.
- 2-4 years of related professional experience required.
- Experience in a medical office and/or with medical insurance preferred.
- Ability to commit to a two (2) week training schedule of 8:30am - 5:00pm EST Monday - Friday required.
Please note: This position requires the use of your personal device for the duration of training.
After training, equipment will be provided.
Home Office Requirements:
- Internet speed of 25mbps or higher required / 50 Mpbs for shared internet connectivity (you can test this by going to www.speedtest.net)
- Minimum 5mpbs upload speed
- Connectivity to the internet via Category 5 or 6 ethernet patch cable to the home router
- Private and secure work area and adequate power source
- Must currently and permanently reside in the Continental US
EEO Statement
Maximus is an equal opportunity employer.
We evaluate qualified applicants without regard to race, color, religion, sex, age, national origin, disability, veteran status, genetic information and other legally protected characteristics.
Pay Transparency
Maximus compensation is based on various factors including but not limited to job location, a candidate's education, training, experience, expected quality and quantity of work, required travel (if any), external ...
....Read more...
Type: Permanent Location: St. George, US-UT
Salary / Rate: Not Specified
Posted: 2026-01-14 07:44:17
-
Description & Requirements
Maximus is currently hiring for a Coordinator 2 - Appeals to join our QIC team.
This is a remote opportunity.
The Coordinator 2 is responsible for reviewing Medicare Part C appeals which includes researching rules and regulations, setting up medical reviews, writing decision letters, among other tasks.
This position will require a federal suitability clearance post-hire as mandated by the client.
This clearance is required in order to access client-specific systems as needed to complete the job duties.
Essential Duties and Responsibilities:
Function as a Subject Matter Expert in one or more process areas.
- Analyze data submitted for Independent Medical Review.
- Conduct fact finding and analyses on those cases deemed complex in nature or requiring adjudication; apply established procedures where the nature of the system, feasibility, computer equipment and reporting tools have not already been decided.
- Track and meet required deadlines for complex cases or other assigned tasks.
- Assist leadership through research of data and/or authoring reports.
- Analyze data using all applicable state law, state regulations, process documents, and other sources as defined by the client contract.
- Work independently on specific situations or on a team to resolve problems and deviations according to current established practices; and obtains advice where precedents are unclear or not available from the client.
- Answer and respond to phone calls/emails from participants in the Independent Medical Review process.
- Assist others or provide on-the-job training or act as a mentor to production staff.
Minimum Requirements
- High School Degree or equivalent required.
- 2-4 years of related professional experience required.
- Experience in a medical office and/or with medical insurance preferred.
- Ability to commit to a two (2) week training schedule of 8:30am - 5:00pm EST Monday - Friday required.
Please note: This position requires the use of your personal device for the duration of training.
After training, equipment will be provided.
Home Office Requirements:
- Internet speed of 25mbps or higher required / 50 Mpbs for shared internet connectivity (you can test this by going to www.speedtest.net)
- Minimum 5mpbs upload speed
- Connectivity to the internet via Category 5 or 6 ethernet patch cable to the home router
- Private and secure work area and adequate power source
- Must currently and permanently reside in the Continental US
EEO Statement
Maximus is an equal opportunity employer.
We evaluate qualified applicants without regard to race, color, religion, sex, age, national origin, disability, veteran status, genetic information and other legally protected characteristics.
Pay Transparency
Maximus compensation is based on various factors including but not limited to job location, a candidate's education, training, experience, expected quality and quantity of work, required travel (if any), external ...
....Read more...
Type: Permanent Location: Houston, US-TX
Salary / Rate: Not Specified
Posted: 2026-01-14 07:44:16
-
Description & Requirements
Maximus is currently hiring for a Coordinator 2 - Appeals to join our QIC team.
This is a remote opportunity.
The Coordinator 2 is responsible for reviewing Medicare Part C appeals which includes researching rules and regulations, setting up medical reviews, writing decision letters, among other tasks.
This position will require a federal suitability clearance post-hire as mandated by the client.
This clearance is required in order to access client-specific systems as needed to complete the job duties.
Essential Duties and Responsibilities:
Function as a Subject Matter Expert in one or more process areas.
- Analyze data submitted for Independent Medical Review.
- Conduct fact finding and analyses on those cases deemed complex in nature or requiring adjudication; apply established procedures where the nature of the system, feasibility, computer equipment and reporting tools have not already been decided.
- Track and meet required deadlines for complex cases or other assigned tasks.
- Assist leadership through research of data and/or authoring reports.
- Analyze data using all applicable state law, state regulations, process documents, and other sources as defined by the client contract.
- Work independently on specific situations or on a team to resolve problems and deviations according to current established practices; and obtains advice where precedents are unclear or not available from the client.
- Answer and respond to phone calls/emails from participants in the Independent Medical Review process.
- Assist others or provide on-the-job training or act as a mentor to production staff.
Minimum Requirements
- High School Degree or equivalent required.
- 2-4 years of related professional experience required.
- Experience in a medical office and/or with medical insurance preferred.
- Ability to commit to a two (2) week training schedule of 8:30am - 5:00pm EST Monday - Friday required.
Please note: This position requires the use of your personal device for the duration of training.
After training, equipment will be provided.
Home Office Requirements:
- Internet speed of 25mbps or higher required / 50 Mpbs for shared internet connectivity (you can test this by going to www.speedtest.net)
- Minimum 5mpbs upload speed
- Connectivity to the internet via Category 5 or 6 ethernet patch cable to the home router
- Private and secure work area and adequate power source
- Must currently and permanently reside in the Continental US
EEO Statement
Maximus is an equal opportunity employer.
We evaluate qualified applicants without regard to race, color, religion, sex, age, national origin, disability, veteran status, genetic information and other legally protected characteristics.
Pay Transparency
Maximus compensation is based on various factors including but not limited to job location, a candidate's education, training, experience, expected quality and quantity of work, required travel (if any), external ...
....Read more...
Type: Permanent Location: Dallas, US-TX
Salary / Rate: Not Specified
Posted: 2026-01-14 07:44:16
-
Description & Requirements
Maximus is currently hiring for a Coordinator 2 - Appeals to join our QIC team.
This is a remote opportunity.
The Coordinator 2 is responsible for reviewing Medicare Part C appeals which includes researching rules and regulations, setting up medical reviews, writing decision letters, among other tasks.
This position will require a federal suitability clearance post-hire as mandated by the client.
This clearance is required in order to access client-specific systems as needed to complete the job duties.
Essential Duties and Responsibilities:
Function as a Subject Matter Expert in one or more process areas.
- Analyze data submitted for Independent Medical Review.
- Conduct fact finding and analyses on those cases deemed complex in nature or requiring adjudication; apply established procedures where the nature of the system, feasibility, computer equipment and reporting tools have not already been decided.
- Track and meet required deadlines for complex cases or other assigned tasks.
- Assist leadership through research of data and/or authoring reports.
- Analyze data using all applicable state law, state regulations, process documents, and other sources as defined by the client contract.
- Work independently on specific situations or on a team to resolve problems and deviations according to current established practices; and obtains advice where precedents are unclear or not available from the client.
- Answer and respond to phone calls/emails from participants in the Independent Medical Review process.
- Assist others or provide on-the-job training or act as a mentor to production staff.
Minimum Requirements
- High School Degree or equivalent required.
- 2-4 years of related professional experience required.
- Experience in a medical office and/or with medical insurance preferred.
- Ability to commit to a two (2) week training schedule of 8:30am - 5:00pm EST Monday - Friday required.
Please note: This position requires the use of your personal device for the duration of training.
After training, equipment will be provided.
Home Office Requirements:
- Internet speed of 25mbps or higher required / 50 Mpbs for shared internet connectivity (you can test this by going to www.speedtest.net)
- Minimum 5mpbs upload speed
- Connectivity to the internet via Category 5 or 6 ethernet patch cable to the home router
- Private and secure work area and adequate power source
- Must currently and permanently reside in the Continental US
EEO Statement
Maximus is an equal opportunity employer.
We evaluate qualified applicants without regard to race, color, religion, sex, age, national origin, disability, veteran status, genetic information and other legally protected characteristics.
Pay Transparency
Maximus compensation is based on various factors including but not limited to job location, a candidate's education, training, experience, expected quality and quantity of work, required travel (if any), external ...
....Read more...
Type: Permanent Location: San Antonio, US-TX
Salary / Rate: Not Specified
Posted: 2026-01-14 07:44:15
-
Description & Requirements
Maximus is currently hiring for a Coordinator 2 - Appeals to join our QIC team.
This is a remote opportunity.
The Coordinator 2 is responsible for reviewing Medicare Part C appeals which includes researching rules and regulations, setting up medical reviews, writing decision letters, among other tasks.
This position will require a federal suitability clearance post-hire as mandated by the client.
This clearance is required in order to access client-specific systems as needed to complete the job duties.
Essential Duties and Responsibilities:
Function as a Subject Matter Expert in one or more process areas.
- Analyze data submitted for Independent Medical Review.
- Conduct fact finding and analyses on those cases deemed complex in nature or requiring adjudication; apply established procedures where the nature of the system, feasibility, computer equipment and reporting tools have not already been decided.
- Track and meet required deadlines for complex cases or other assigned tasks.
- Assist leadership through research of data and/or authoring reports.
- Analyze data using all applicable state law, state regulations, process documents, and other sources as defined by the client contract.
- Work independently on specific situations or on a team to resolve problems and deviations according to current established practices; and obtains advice where precedents are unclear or not available from the client.
- Answer and respond to phone calls/emails from participants in the Independent Medical Review process.
- Assist others or provide on-the-job training or act as a mentor to production staff.
Minimum Requirements
- High School Degree or equivalent required.
- 2-4 years of related professional experience required.
- Experience in a medical office and/or with medical insurance preferred.
- Ability to commit to a two (2) week training schedule of 8:30am - 5:00pm EST Monday - Friday required.
Please note: This position requires the use of your personal device for the duration of training.
After training, equipment will be provided.
Home Office Requirements:
- Internet speed of 25mbps or higher required / 50 Mpbs for shared internet connectivity (you can test this by going to www.speedtest.net)
- Minimum 5mpbs upload speed
- Connectivity to the internet via Category 5 or 6 ethernet patch cable to the home router
- Private and secure work area and adequate power source
- Must currently and permanently reside in the Continental US
EEO Statement
Maximus is an equal opportunity employer.
We evaluate qualified applicants without regard to race, color, religion, sex, age, national origin, disability, veteran status, genetic information and other legally protected characteristics.
Pay Transparency
Maximus compensation is based on various factors including but not limited to job location, a candidate's education, training, experience, expected quality and quantity of work, required travel (if any), external ...
....Read more...
Type: Permanent Location: Charleston, US-SC
Salary / Rate: Not Specified
Posted: 2026-01-14 07:44:14
-
Description & Requirements
Maximus is currently hiring for a Coordinator 2 - Appeals to join our QIC team.
This is a remote opportunity.
The Coordinator 2 is responsible for reviewing Medicare Part C appeals which includes researching rules and regulations, setting up medical reviews, writing decision letters, among other tasks.
This position will require a federal suitability clearance post-hire as mandated by the client.
This clearance is required in order to access client-specific systems as needed to complete the job duties.
Essential Duties and Responsibilities:
Function as a Subject Matter Expert in one or more process areas.
- Analyze data submitted for Independent Medical Review.
- Conduct fact finding and analyses on those cases deemed complex in nature or requiring adjudication; apply established procedures where the nature of the system, feasibility, computer equipment and reporting tools have not already been decided.
- Track and meet required deadlines for complex cases or other assigned tasks.
- Assist leadership through research of data and/or authoring reports.
- Analyze data using all applicable state law, state regulations, process documents, and other sources as defined by the client contract.
- Work independently on specific situations or on a team to resolve problems and deviations according to current established practices; and obtains advice where precedents are unclear or not available from the client.
- Answer and respond to phone calls/emails from participants in the Independent Medical Review process.
- Assist others or provide on-the-job training or act as a mentor to production staff.
Minimum Requirements
- High School Degree or equivalent required.
- 2-4 years of related professional experience required.
- Experience in a medical office and/or with medical insurance preferred.
- Ability to commit to a two (2) week training schedule of 8:30am - 5:00pm EST Monday - Friday required.
Please note: This position requires the use of your personal device for the duration of training.
After training, equipment will be provided.
Home Office Requirements:
- Internet speed of 25mbps or higher required / 50 Mpbs for shared internet connectivity (you can test this by going to www.speedtest.net)
- Minimum 5mpbs upload speed
- Connectivity to the internet via Category 5 or 6 ethernet patch cable to the home router
- Private and secure work area and adequate power source
- Must currently and permanently reside in the Continental US
EEO Statement
Maximus is an equal opportunity employer.
We evaluate qualified applicants without regard to race, color, religion, sex, age, national origin, disability, veteran status, genetic information and other legally protected characteristics.
Pay Transparency
Maximus compensation is based on various factors including but not limited to job location, a candidate's education, training, experience, expected quality and quantity of work, required travel (if any), external ...
....Read more...
Type: Permanent Location: Columbia, US-SC
Salary / Rate: Not Specified
Posted: 2026-01-14 07:44:13
-
Description & Requirements
Maximus is currently hiring for a Coordinator 2 - Appeals to join our QIC team.
This is a remote opportunity.
The Coordinator 2 is responsible for reviewing Medicare Part C appeals which includes researching rules and regulations, setting up medical reviews, writing decision letters, among other tasks.
This position will require a federal suitability clearance post-hire as mandated by the client.
This clearance is required in order to access client-specific systems as needed to complete the job duties.
Essential Duties and Responsibilities:
Function as a Subject Matter Expert in one or more process areas.
- Analyze data submitted for Independent Medical Review.
- Conduct fact finding and analyses on those cases deemed complex in nature or requiring adjudication; apply established procedures where the nature of the system, feasibility, computer equipment and reporting tools have not already been decided.
- Track and meet required deadlines for complex cases or other assigned tasks.
- Assist leadership through research of data and/or authoring reports.
- Analyze data using all applicable state law, state regulations, process documents, and other sources as defined by the client contract.
- Work independently on specific situations or on a team to resolve problems and deviations according to current established practices; and obtains advice where precedents are unclear or not available from the client.
- Answer and respond to phone calls/emails from participants in the Independent Medical Review process.
- Assist others or provide on-the-job training or act as a mentor to production staff.
Minimum Requirements
- High School Degree or equivalent required.
- 2-4 years of related professional experience required.
- Experience in a medical office and/or with medical insurance preferred.
- Ability to commit to a two (2) week training schedule of 8:30am - 5:00pm EST Monday - Friday required.
Please note: This position requires the use of your personal device for the duration of training.
After training, equipment will be provided.
Home Office Requirements:
- Internet speed of 25mbps or higher required / 50 Mpbs for shared internet connectivity (you can test this by going to www.speedtest.net)
- Minimum 5mpbs upload speed
- Connectivity to the internet via Category 5 or 6 ethernet patch cable to the home router
- Private and secure work area and adequate power source
- Must currently and permanently reside in the Continental US
EEO Statement
Maximus is an equal opportunity employer.
We evaluate qualified applicants without regard to race, color, religion, sex, age, national origin, disability, veteran status, genetic information and other legally protected characteristics.
Pay Transparency
Maximus compensation is based on various factors including but not limited to job location, a candidate's education, training, experience, expected quality and quantity of work, required travel (if any), external ...
....Read more...
Type: Permanent Location: Nashville, US-TN
Salary / Rate: Not Specified
Posted: 2026-01-14 07:44:13
-
Description & Requirements
Maximus is currently hiring for a Coordinator 2 - Appeals to join our QIC team.
This is a remote opportunity.
The Coordinator 2 is responsible for reviewing Medicare Part C appeals which includes researching rules and regulations, setting up medical reviews, writing decision letters, among other tasks.
This position will require a federal suitability clearance post-hire as mandated by the client.
This clearance is required in order to access client-specific systems as needed to complete the job duties.
Essential Duties and Responsibilities:
Function as a Subject Matter Expert in one or more process areas.
- Analyze data submitted for Independent Medical Review.
- Conduct fact finding and analyses on those cases deemed complex in nature or requiring adjudication; apply established procedures where the nature of the system, feasibility, computer equipment and reporting tools have not already been decided.
- Track and meet required deadlines for complex cases or other assigned tasks.
- Assist leadership through research of data and/or authoring reports.
- Analyze data using all applicable state law, state regulations, process documents, and other sources as defined by the client contract.
- Work independently on specific situations or on a team to resolve problems and deviations according to current established practices; and obtains advice where precedents are unclear or not available from the client.
- Answer and respond to phone calls/emails from participants in the Independent Medical Review process.
- Assist others or provide on-the-job training or act as a mentor to production staff.
Minimum Requirements
- High School Degree or equivalent required.
- 2-4 years of related professional experience required.
- Experience in a medical office and/or with medical insurance preferred.
- Ability to commit to a two (2) week training schedule of 8:30am - 5:00pm EST Monday - Friday required.
Please note: This position requires the use of your personal device for the duration of training.
After training, equipment will be provided.
Home Office Requirements:
- Internet speed of 25mbps or higher required / 50 Mpbs for shared internet connectivity (you can test this by going to www.speedtest.net)
- Minimum 5mpbs upload speed
- Connectivity to the internet via Category 5 or 6 ethernet patch cable to the home router
- Private and secure work area and adequate power source
- Must currently and permanently reside in the Continental US
EEO Statement
Maximus is an equal opportunity employer.
We evaluate qualified applicants without regard to race, color, religion, sex, age, national origin, disability, veteran status, genetic information and other legally protected characteristics.
Pay Transparency
Maximus compensation is based on various factors including but not limited to job location, a candidate's education, training, experience, expected quality and quantity of work, required travel (if any), external ...
....Read more...
Type: Permanent Location: Sioux Falls, US-SD
Salary / Rate: Not Specified
Posted: 2026-01-14 07:44:12
-
Description & Requirements
Maximus is currently hiring for a Coordinator 2 - Appeals to join our QIC team.
This is a remote opportunity.
The Coordinator 2 is responsible for reviewing Medicare Part C appeals which includes researching rules and regulations, setting up medical reviews, writing decision letters, among other tasks.
This position will require a federal suitability clearance post-hire as mandated by the client.
This clearance is required in order to access client-specific systems as needed to complete the job duties.
Essential Duties and Responsibilities:
Function as a Subject Matter Expert in one or more process areas.
- Analyze data submitted for Independent Medical Review.
- Conduct fact finding and analyses on those cases deemed complex in nature or requiring adjudication; apply established procedures where the nature of the system, feasibility, computer equipment and reporting tools have not already been decided.
- Track and meet required deadlines for complex cases or other assigned tasks.
- Assist leadership through research of data and/or authoring reports.
- Analyze data using all applicable state law, state regulations, process documents, and other sources as defined by the client contract.
- Work independently on specific situations or on a team to resolve problems and deviations according to current established practices; and obtains advice where precedents are unclear or not available from the client.
- Answer and respond to phone calls/emails from participants in the Independent Medical Review process.
- Assist others or provide on-the-job training or act as a mentor to production staff.
Minimum Requirements
- High School Degree or equivalent required.
- 2-4 years of related professional experience required.
- Experience in a medical office and/or with medical insurance preferred.
- Ability to commit to a two (2) week training schedule of 8:30am - 5:00pm EST Monday - Friday required.
Please note: This position requires the use of your personal device for the duration of training.
After training, equipment will be provided.
Home Office Requirements:
- Internet speed of 25mbps or higher required / 50 Mpbs for shared internet connectivity (you can test this by going to www.speedtest.net)
- Minimum 5mpbs upload speed
- Connectivity to the internet via Category 5 or 6 ethernet patch cable to the home router
- Private and secure work area and adequate power source
- Must currently and permanently reside in the Continental US
EEO Statement
Maximus is an equal opportunity employer.
We evaluate qualified applicants without regard to race, color, religion, sex, age, national origin, disability, veteran status, genetic information and other legally protected characteristics.
Pay Transparency
Maximus compensation is based on various factors including but not limited to job location, a candidate's education, training, experience, expected quality and quantity of work, required travel (if any), external ...
....Read more...
Type: Permanent Location: Memphis, US-TN
Salary / Rate: Not Specified
Posted: 2026-01-14 07:44:11
-
Description & Requirements
Maximus is currently hiring for a Coordinator 2 - Appeals to join our QIC team.
This is a remote opportunity.
The Coordinator 2 is responsible for reviewing Medicare Part C appeals which includes researching rules and regulations, setting up medical reviews, writing decision letters, among other tasks.
This position will require a federal suitability clearance post-hire as mandated by the client.
This clearance is required in order to access client-specific systems as needed to complete the job duties.
Essential Duties and Responsibilities:
Function as a Subject Matter Expert in one or more process areas.
- Analyze data submitted for Independent Medical Review.
- Conduct fact finding and analyses on those cases deemed complex in nature or requiring adjudication; apply established procedures where the nature of the system, feasibility, computer equipment and reporting tools have not already been decided.
- Track and meet required deadlines for complex cases or other assigned tasks.
- Assist leadership through research of data and/or authoring reports.
- Analyze data using all applicable state law, state regulations, process documents, and other sources as defined by the client contract.
- Work independently on specific situations or on a team to resolve problems and deviations according to current established practices; and obtains advice where precedents are unclear or not available from the client.
- Answer and respond to phone calls/emails from participants in the Independent Medical Review process.
- Assist others or provide on-the-job training or act as a mentor to production staff.
Minimum Requirements
- High School Degree or equivalent required.
- 2-4 years of related professional experience required.
- Experience in a medical office and/or with medical insurance preferred.
- Ability to commit to a two (2) week training schedule of 8:30am - 5:00pm EST Monday - Friday required.
Please note: This position requires the use of your personal device for the duration of training.
After training, equipment will be provided.
Home Office Requirements:
- Internet speed of 25mbps or higher required / 50 Mpbs for shared internet connectivity (you can test this by going to www.speedtest.net)
- Minimum 5mpbs upload speed
- Connectivity to the internet via Category 5 or 6 ethernet patch cable to the home router
- Private and secure work area and adequate power source
- Must currently and permanently reside in the Continental US
EEO Statement
Maximus is an equal opportunity employer.
We evaluate qualified applicants without regard to race, color, religion, sex, age, national origin, disability, veteran status, genetic information and other legally protected characteristics.
Pay Transparency
Maximus compensation is based on various factors including but not limited to job location, a candidate's education, training, experience, expected quality and quantity of work, required travel (if any), external ...
....Read more...
Type: Permanent Location: Eugene, US-OR
Salary / Rate: Not Specified
Posted: 2026-01-14 07:44:10
-
Description & Requirements
Maximus is currently hiring for a Coordinator 2 - Appeals to join our QIC team.
This is a remote opportunity.
The Coordinator 2 is responsible for reviewing Medicare Part C appeals which includes researching rules and regulations, setting up medical reviews, writing decision letters, among other tasks.
This position will require a federal suitability clearance post-hire as mandated by the client.
This clearance is required in order to access client-specific systems as needed to complete the job duties.
Essential Duties and Responsibilities:
Function as a Subject Matter Expert in one or more process areas.
- Analyze data submitted for Independent Medical Review.
- Conduct fact finding and analyses on those cases deemed complex in nature or requiring adjudication; apply established procedures where the nature of the system, feasibility, computer equipment and reporting tools have not already been decided.
- Track and meet required deadlines for complex cases or other assigned tasks.
- Assist leadership through research of data and/or authoring reports.
- Analyze data using all applicable state law, state regulations, process documents, and other sources as defined by the client contract.
- Work independently on specific situations or on a team to resolve problems and deviations according to current established practices; and obtains advice where precedents are unclear or not available from the client.
- Answer and respond to phone calls/emails from participants in the Independent Medical Review process.
- Assist others or provide on-the-job training or act as a mentor to production staff.
Minimum Requirements
- High School Degree or equivalent required.
- 2-4 years of related professional experience required.
- Experience in a medical office and/or with medical insurance preferred.
- Ability to commit to a two (2) week training schedule of 8:30am - 5:00pm EST Monday - Friday required.
Please note: This position requires the use of your personal device for the duration of training.
After training, equipment will be provided.
Home Office Requirements:
- Internet speed of 25mbps or higher required / 50 Mpbs for shared internet connectivity (you can test this by going to www.speedtest.net)
- Minimum 5mpbs upload speed
- Connectivity to the internet via Category 5 or 6 ethernet patch cable to the home router
- Private and secure work area and adequate power source
- Must currently and permanently reside in the Continental US
EEO Statement
Maximus is an equal opportunity employer.
We evaluate qualified applicants without regard to race, color, religion, sex, age, national origin, disability, veteran status, genetic information and other legally protected characteristics.
Pay Transparency
Maximus compensation is based on various factors including but not limited to job location, a candidate's education, training, experience, expected quality and quantity of work, required travel (if any), external ...
....Read more...
Type: Permanent Location: Rapid City, US-SD
Salary / Rate: Not Specified
Posted: 2026-01-14 07:44:10
-
Description & Requirements
Maximus is currently hiring for a Coordinator 2 - Appeals to join our QIC team.
This is a remote opportunity.
The Coordinator 2 is responsible for reviewing Medicare Part C appeals which includes researching rules and regulations, setting up medical reviews, writing decision letters, among other tasks.
This position will require a federal suitability clearance post-hire as mandated by the client.
This clearance is required in order to access client-specific systems as needed to complete the job duties.
Essential Duties and Responsibilities:
Function as a Subject Matter Expert in one or more process areas.
- Analyze data submitted for Independent Medical Review.
- Conduct fact finding and analyses on those cases deemed complex in nature or requiring adjudication; apply established procedures where the nature of the system, feasibility, computer equipment and reporting tools have not already been decided.
- Track and meet required deadlines for complex cases or other assigned tasks.
- Assist leadership through research of data and/or authoring reports.
- Analyze data using all applicable state law, state regulations, process documents, and other sources as defined by the client contract.
- Work independently on specific situations or on a team to resolve problems and deviations according to current established practices; and obtains advice where precedents are unclear or not available from the client.
- Answer and respond to phone calls/emails from participants in the Independent Medical Review process.
- Assist others or provide on-the-job training or act as a mentor to production staff.
Minimum Requirements
- High School Degree or equivalent required.
- 2-4 years of related professional experience required.
- Experience in a medical office and/or with medical insurance preferred.
- Ability to commit to a two (2) week training schedule of 8:30am - 5:00pm EST Monday - Friday required.
Please note: This position requires the use of your personal device for the duration of training.
After training, equipment will be provided.
Home Office Requirements:
- Internet speed of 25mbps or higher required / 50 Mpbs for shared internet connectivity (you can test this by going to www.speedtest.net)
- Minimum 5mpbs upload speed
- Connectivity to the internet via Category 5 or 6 ethernet patch cable to the home router
- Private and secure work area and adequate power source
- Must currently and permanently reside in the Continental US
EEO Statement
Maximus is an equal opportunity employer.
We evaluate qualified applicants without regard to race, color, religion, sex, age, national origin, disability, veteran status, genetic information and other legally protected characteristics.
Pay Transparency
Maximus compensation is based on various factors including but not limited to job location, a candidate's education, training, experience, expected quality and quantity of work, required travel (if any), external ...
....Read more...
Type: Permanent Location: Philadelphia, US-PA
Salary / Rate: Not Specified
Posted: 2026-01-14 07:44:09
-
Description & Requirements
Maximus is currently hiring for a Coordinator 2 - Appeals to join our QIC team.
This is a remote opportunity.
The Coordinator 2 is responsible for reviewing Medicare Part C appeals which includes researching rules and regulations, setting up medical reviews, writing decision letters, among other tasks.
This position will require a federal suitability clearance post-hire as mandated by the client.
This clearance is required in order to access client-specific systems as needed to complete the job duties.
Essential Duties and Responsibilities:
Function as a Subject Matter Expert in one or more process areas.
- Analyze data submitted for Independent Medical Review.
- Conduct fact finding and analyses on those cases deemed complex in nature or requiring adjudication; apply established procedures where the nature of the system, feasibility, computer equipment and reporting tools have not already been decided.
- Track and meet required deadlines for complex cases or other assigned tasks.
- Assist leadership through research of data and/or authoring reports.
- Analyze data using all applicable state law, state regulations, process documents, and other sources as defined by the client contract.
- Work independently on specific situations or on a team to resolve problems and deviations according to current established practices; and obtains advice where precedents are unclear or not available from the client.
- Answer and respond to phone calls/emails from participants in the Independent Medical Review process.
- Assist others or provide on-the-job training or act as a mentor to production staff.
Minimum Requirements
- High School Degree or equivalent required.
- 2-4 years of related professional experience required.
- Experience in a medical office and/or with medical insurance preferred.
- Ability to commit to a two (2) week training schedule of 8:30am - 5:00pm EST Monday - Friday required.
Please note: This position requires the use of your personal device for the duration of training.
After training, equipment will be provided.
Home Office Requirements:
- Internet speed of 25mbps or higher required / 50 Mpbs for shared internet connectivity (you can test this by going to www.speedtest.net)
- Minimum 5mpbs upload speed
- Connectivity to the internet via Category 5 or 6 ethernet patch cable to the home router
- Private and secure work area and adequate power source
- Must currently and permanently reside in the Continental US
EEO Statement
Maximus is an equal opportunity employer.
We evaluate qualified applicants without regard to race, color, religion, sex, age, national origin, disability, veteran status, genetic information and other legally protected characteristics.
Pay Transparency
Maximus compensation is based on various factors including but not limited to job location, a candidate's education, training, experience, expected quality and quantity of work, required travel (if any), external ...
....Read more...
Type: Permanent Location: Providence, US-RI
Salary / Rate: Not Specified
Posted: 2026-01-14 07:44:08
-
Description & Requirements
Maximus is currently hiring for a Coordinator 2 - Appeals to join our QIC team.
This is a remote opportunity.
The Coordinator 2 is responsible for reviewing Medicare Part C appeals which includes researching rules and regulations, setting up medical reviews, writing decision letters, among other tasks.
This position will require a federal suitability clearance post-hire as mandated by the client.
This clearance is required in order to access client-specific systems as needed to complete the job duties.
Essential Duties and Responsibilities:
Function as a Subject Matter Expert in one or more process areas.
- Analyze data submitted for Independent Medical Review.
- Conduct fact finding and analyses on those cases deemed complex in nature or requiring adjudication; apply established procedures where the nature of the system, feasibility, computer equipment and reporting tools have not already been decided.
- Track and meet required deadlines for complex cases or other assigned tasks.
- Assist leadership through research of data and/or authoring reports.
- Analyze data using all applicable state law, state regulations, process documents, and other sources as defined by the client contract.
- Work independently on specific situations or on a team to resolve problems and deviations according to current established practices; and obtains advice where precedents are unclear or not available from the client.
- Answer and respond to phone calls/emails from participants in the Independent Medical Review process.
- Assist others or provide on-the-job training or act as a mentor to production staff.
Minimum Requirements
- High School Degree or equivalent required.
- 2-4 years of related professional experience required.
- Experience in a medical office and/or with medical insurance preferred.
- Ability to commit to a two (2) week training schedule of 8:30am - 5:00pm EST Monday - Friday required.
Please note: This position requires the use of your personal device for the duration of training.
After training, equipment will be provided.
Home Office Requirements:
- Internet speed of 25mbps or higher required / 50 Mpbs for shared internet connectivity (you can test this by going to www.speedtest.net)
- Minimum 5mpbs upload speed
- Connectivity to the internet via Category 5 or 6 ethernet patch cable to the home router
- Private and secure work area and adequate power source
- Must currently and permanently reside in the Continental US
EEO Statement
Maximus is an equal opportunity employer.
We evaluate qualified applicants without regard to race, color, religion, sex, age, national origin, disability, veteran status, genetic information and other legally protected characteristics.
Pay Transparency
Maximus compensation is based on various factors including but not limited to job location, a candidate's education, training, experience, expected quality and quantity of work, required travel (if any), external ...
....Read more...
Type: Permanent Location: Newport, US-RI
Salary / Rate: Not Specified
Posted: 2026-01-14 07:44:07
-
Description & Requirements
Maximus is currently hiring for a Coordinator 2 - Appeals to join our QIC team.
This is a remote opportunity.
The Coordinator 2 is responsible for reviewing Medicare Part C appeals which includes researching rules and regulations, setting up medical reviews, writing decision letters, among other tasks.
This position will require a federal suitability clearance post-hire as mandated by the client.
This clearance is required in order to access client-specific systems as needed to complete the job duties.
Essential Duties and Responsibilities:
Function as a Subject Matter Expert in one or more process areas.
- Analyze data submitted for Independent Medical Review.
- Conduct fact finding and analyses on those cases deemed complex in nature or requiring adjudication; apply established procedures where the nature of the system, feasibility, computer equipment and reporting tools have not already been decided.
- Track and meet required deadlines for complex cases or other assigned tasks.
- Assist leadership through research of data and/or authoring reports.
- Analyze data using all applicable state law, state regulations, process documents, and other sources as defined by the client contract.
- Work independently on specific situations or on a team to resolve problems and deviations according to current established practices; and obtains advice where precedents are unclear or not available from the client.
- Answer and respond to phone calls/emails from participants in the Independent Medical Review process.
- Assist others or provide on-the-job training or act as a mentor to production staff.
Minimum Requirements
- High School Degree or equivalent required.
- 2-4 years of related professional experience required.
- Experience in a medical office and/or with medical insurance preferred.
- Ability to commit to a two (2) week training schedule of 8:30am - 5:00pm EST Monday - Friday required.
Please note: This position requires the use of your personal device for the duration of training.
After training, equipment will be provided.
Home Office Requirements:
- Internet speed of 25mbps or higher required / 50 Mpbs for shared internet connectivity (you can test this by going to www.speedtest.net)
- Minimum 5mpbs upload speed
- Connectivity to the internet via Category 5 or 6 ethernet patch cable to the home router
- Private and secure work area and adequate power source
- Must currently and permanently reside in the Continental US
EEO Statement
Maximus is an equal opportunity employer.
We evaluate qualified applicants without regard to race, color, religion, sex, age, national origin, disability, veteran status, genetic information and other legally protected characteristics.
Pay Transparency
Maximus compensation is based on various factors including but not limited to job location, a candidate's education, training, experience, expected quality and quantity of work, required travel (if any), external ...
....Read more...
Type: Permanent Location: Pittsburgh, US-PA
Salary / Rate: Not Specified
Posted: 2026-01-14 07:44:07
-
Description & Requirements
Maximus is currently hiring for a Coordinator 2 - Appeals to join our QIC team.
This is a remote opportunity.
The Coordinator 2 is responsible for reviewing Medicare Part C appeals which includes researching rules and regulations, setting up medical reviews, writing decision letters, among other tasks.
This position will require a federal suitability clearance post-hire as mandated by the client.
This clearance is required in order to access client-specific systems as needed to complete the job duties.
Essential Duties and Responsibilities:
Function as a Subject Matter Expert in one or more process areas.
- Analyze data submitted for Independent Medical Review.
- Conduct fact finding and analyses on those cases deemed complex in nature or requiring adjudication; apply established procedures where the nature of the system, feasibility, computer equipment and reporting tools have not already been decided.
- Track and meet required deadlines for complex cases or other assigned tasks.
- Assist leadership through research of data and/or authoring reports.
- Analyze data using all applicable state law, state regulations, process documents, and other sources as defined by the client contract.
- Work independently on specific situations or on a team to resolve problems and deviations according to current established practices; and obtains advice where precedents are unclear or not available from the client.
- Answer and respond to phone calls/emails from participants in the Independent Medical Review process.
- Assist others or provide on-the-job training or act as a mentor to production staff.
Minimum Requirements
- High School Degree or equivalent required.
- 2-4 years of related professional experience required.
- Experience in a medical office and/or with medical insurance preferred.
- Ability to commit to a two (2) week training schedule of 8:30am - 5:00pm EST Monday - Friday required.
Please note: This position requires the use of your personal device for the duration of training.
After training, equipment will be provided.
Home Office Requirements:
- Internet speed of 25mbps or higher required / 50 Mpbs for shared internet connectivity (you can test this by going to www.speedtest.net)
- Minimum 5mpbs upload speed
- Connectivity to the internet via Category 5 or 6 ethernet patch cable to the home router
- Private and secure work area and adequate power source
- Must currently and permanently reside in the Continental US
EEO Statement
Maximus is an equal opportunity employer.
We evaluate qualified applicants without regard to race, color, religion, sex, age, national origin, disability, veteran status, genetic information and other legally protected characteristics.
Pay Transparency
Maximus compensation is based on various factors including but not limited to job location, a candidate's education, training, experience, expected quality and quantity of work, required travel (if any), external ...
....Read more...
Type: Permanent Location: Oklahoma City, US-OK
Salary / Rate: Not Specified
Posted: 2026-01-14 07:44:06
-
Description & Requirements
Maximus is currently hiring for a Coordinator 2 - Appeals to join our QIC team.
This is a remote opportunity.
The Coordinator 2 is responsible for reviewing Medicare Part C appeals which includes researching rules and regulations, setting up medical reviews, writing decision letters, among other tasks.
This position will require a federal suitability clearance post-hire as mandated by the client.
This clearance is required in order to access client-specific systems as needed to complete the job duties.
Essential Duties and Responsibilities:
Function as a Subject Matter Expert in one or more process areas.
- Analyze data submitted for Independent Medical Review.
- Conduct fact finding and analyses on those cases deemed complex in nature or requiring adjudication; apply established procedures where the nature of the system, feasibility, computer equipment and reporting tools have not already been decided.
- Track and meet required deadlines for complex cases or other assigned tasks.
- Assist leadership through research of data and/or authoring reports.
- Analyze data using all applicable state law, state regulations, process documents, and other sources as defined by the client contract.
- Work independently on specific situations or on a team to resolve problems and deviations according to current established practices; and obtains advice where precedents are unclear or not available from the client.
- Answer and respond to phone calls/emails from participants in the Independent Medical Review process.
- Assist others or provide on-the-job training or act as a mentor to production staff.
Minimum Requirements
- High School Degree or equivalent required.
- 2-4 years of related professional experience required.
- Experience in a medical office and/or with medical insurance preferred.
- Ability to commit to a two (2) week training schedule of 8:30am - 5:00pm EST Monday - Friday required.
Please note: This position requires the use of your personal device for the duration of training.
After training, equipment will be provided.
Home Office Requirements:
- Internet speed of 25mbps or higher required / 50 Mpbs for shared internet connectivity (you can test this by going to www.speedtest.net)
- Minimum 5mpbs upload speed
- Connectivity to the internet via Category 5 or 6 ethernet patch cable to the home router
- Private and secure work area and adequate power source
- Must currently and permanently reside in the Continental US
EEO Statement
Maximus is an equal opportunity employer.
We evaluate qualified applicants without regard to race, color, religion, sex, age, national origin, disability, veteran status, genetic information and other legally protected characteristics.
Pay Transparency
Maximus compensation is based on various factors including but not limited to job location, a candidate's education, training, experience, expected quality and quantity of work, required travel (if any), external ...
....Read more...
Type: Permanent Location: Cleveland, US-OH
Salary / Rate: Not Specified
Posted: 2026-01-14 07:44:05
-
Description & Requirements
Maximus is currently hiring for a Coordinator 2 - Appeals to join our QIC team.
This is a remote opportunity.
The Coordinator 2 is responsible for reviewing Medicare Part C appeals which includes researching rules and regulations, setting up medical reviews, writing decision letters, among other tasks.
This position will require a federal suitability clearance post-hire as mandated by the client.
This clearance is required in order to access client-specific systems as needed to complete the job duties.
Essential Duties and Responsibilities:
Function as a Subject Matter Expert in one or more process areas.
- Analyze data submitted for Independent Medical Review.
- Conduct fact finding and analyses on those cases deemed complex in nature or requiring adjudication; apply established procedures where the nature of the system, feasibility, computer equipment and reporting tools have not already been decided.
- Track and meet required deadlines for complex cases or other assigned tasks.
- Assist leadership through research of data and/or authoring reports.
- Analyze data using all applicable state law, state regulations, process documents, and other sources as defined by the client contract.
- Work independently on specific situations or on a team to resolve problems and deviations according to current established practices; and obtains advice where precedents are unclear or not available from the client.
- Answer and respond to phone calls/emails from participants in the Independent Medical Review process.
- Assist others or provide on-the-job training or act as a mentor to production staff.
Minimum Requirements
- High School Degree or equivalent required.
- 2-4 years of related professional experience required.
- Experience in a medical office and/or with medical insurance preferred.
- Ability to commit to a two (2) week training schedule of 8:30am - 5:00pm EST Monday - Friday required.
Please note: This position requires the use of your personal device for the duration of training.
After training, equipment will be provided.
Home Office Requirements:
- Internet speed of 25mbps or higher required / 50 Mpbs for shared internet connectivity (you can test this by going to www.speedtest.net)
- Minimum 5mpbs upload speed
- Connectivity to the internet via Category 5 or 6 ethernet patch cable to the home router
- Private and secure work area and adequate power source
- Must currently and permanently reside in the Continental US
EEO Statement
Maximus is an equal opportunity employer.
We evaluate qualified applicants without regard to race, color, religion, sex, age, national origin, disability, veteran status, genetic information and other legally protected characteristics.
Pay Transparency
Maximus compensation is based on various factors including but not limited to job location, a candidate's education, training, experience, expected quality and quantity of work, required travel (if any), external ...
....Read more...
Type: Permanent Location: Portland, US-OR
Salary / Rate: Not Specified
Posted: 2026-01-14 07:44:04
-
Description & Requirements
Maximus is currently hiring for a Coordinator 2 - Appeals to join our QIC team.
This is a remote opportunity.
The Coordinator 2 is responsible for reviewing Medicare Part C appeals which includes researching rules and regulations, setting up medical reviews, writing decision letters, among other tasks.
This position will require a federal suitability clearance post-hire as mandated by the client.
This clearance is required in order to access client-specific systems as needed to complete the job duties.
Essential Duties and Responsibilities:
Function as a Subject Matter Expert in one or more process areas.
- Analyze data submitted for Independent Medical Review.
- Conduct fact finding and analyses on those cases deemed complex in nature or requiring adjudication; apply established procedures where the nature of the system, feasibility, computer equipment and reporting tools have not already been decided.
- Track and meet required deadlines for complex cases or other assigned tasks.
- Assist leadership through research of data and/or authoring reports.
- Analyze data using all applicable state law, state regulations, process documents, and other sources as defined by the client contract.
- Work independently on specific situations or on a team to resolve problems and deviations according to current established practices; and obtains advice where precedents are unclear or not available from the client.
- Answer and respond to phone calls/emails from participants in the Independent Medical Review process.
- Assist others or provide on-the-job training or act as a mentor to production staff.
Minimum Requirements
- High School Degree or equivalent required.
- 2-4 years of related professional experience required.
- Experience in a medical office and/or with medical insurance preferred.
- Ability to commit to a two (2) week training schedule of 8:30am - 5:00pm EST Monday - Friday required.
Please note: This position requires the use of your personal device for the duration of training.
After training, equipment will be provided.
Home Office Requirements:
- Internet speed of 25mbps or higher required / 50 Mpbs for shared internet connectivity (you can test this by going to www.speedtest.net)
- Minimum 5mpbs upload speed
- Connectivity to the internet via Category 5 or 6 ethernet patch cable to the home router
- Private and secure work area and adequate power source
- Must currently and permanently reside in the Continental US
EEO Statement
Maximus is an equal opportunity employer.
We evaluate qualified applicants without regard to race, color, religion, sex, age, national origin, disability, veteran status, genetic information and other legally protected characteristics.
Pay Transparency
Maximus compensation is based on various factors including but not limited to job location, a candidate's education, training, experience, expected quality and quantity of work, required travel (if any), external ...
....Read more...
Type: Permanent Location: Cincinnati, US-OH
Salary / Rate: Not Specified
Posted: 2026-01-14 07:44:03
-
As a Banker at Rockland Trust, you are a key player in the Retail Branch setting, providing exceptional customer service and expert financial guidance to our clients.
Each day, you will use your broad range of financial knowledge and communication skills to address customer needs, ensuring that each customer leaves satisfied not only today, but for years to come.
With a positive can-do attitude and a genuine desire to work with customers in a caring and empathetic way, you are responsible for executing the bank’s promises by proactively identifying opportunities to deepen customer relationships, create a positive work environment, and establish meaningful roots in the community.
The Banker position offers exceptional growth opportunity within the banking industry, and provides a solid foundation for developing your banking and customer service skills.
If you are a “people person” looking to make a positive impact on the financial well-being of those in your community, then this is the job for you!
What You’ll Experience:
* Meaningful relationships: We believe that Each Relationship Matters, and are fully committed to creating a respectful and inclusive environment where everyone is given the chance to succeed.
* Commitment to community: We believe supporting our communities is essential, and are committed to helping those in need.
* Recognition & reward: We believe all colleagues should be recognized for their contributions.
* Training & development: We believe all colleagues are critical to our future, and we will invest in their success by providing educational experiences and resources to manage and navigate their careers.
* Comprehensive benefits: Our goal is to offer our colleagues a generous benefits package, and an environment that supports a healthy work-life balance.
Our benefits include: competitive compensation with performance incentive awards, Health Insurance, Dental Insurance, Vision and Pet Insurance, 401K retirement plan, Long Term Disability & Life Insurance, Child Care Reimbursement, Tuition Assistance for graduate and undergraduate programs, an award winning wellness program and much more.
Who We Are:
At Rockland Trust, we believe that being a great place to bank starts with being a great place to work.
When our colleagues are valued and cared for, they’re empowered to make a difference for our customers and communities.
As one of The Boston Globe’s “Top Places to Work” for the past fourteen years, we know that finding the right people is just the beginning.
Through competitive benefits, enriching development opportunities, and a respectful and collaborative culture, we’ve built a workplace that enhances our colleagues’ lifestyle and inspires them to reach their full potential.
For over 116 years, we have been dedicated to strengthening the neighborhoods we live in and serve.
Rockland Trust offers a wide range of banking, investment, and insurance services to help...
....Read more...
Type: Permanent Location: Brookline, US-MA
Salary / Rate: Not Specified
Posted: 2026-01-14 07:44:03
-
Description & Requirements
Maximus is currently hiring for a Coordinator 2 - Appeals to join our QIC team.
This is a remote opportunity.
The Coordinator 2 is responsible for reviewing Medicare Part C appeals which includes researching rules and regulations, setting up medical reviews, writing decision letters, among other tasks.
This position will require a federal suitability clearance post-hire as mandated by the client.
This clearance is required in order to access client-specific systems as needed to complete the job duties.
Essential Duties and Responsibilities:
Function as a Subject Matter Expert in one or more process areas.
- Analyze data submitted for Independent Medical Review.
- Conduct fact finding and analyses on those cases deemed complex in nature or requiring adjudication; apply established procedures where the nature of the system, feasibility, computer equipment and reporting tools have not already been decided.
- Track and meet required deadlines for complex cases or other assigned tasks.
- Assist leadership through research of data and/or authoring reports.
- Analyze data using all applicable state law, state regulations, process documents, and other sources as defined by the client contract.
- Work independently on specific situations or on a team to resolve problems and deviations according to current established practices; and obtains advice where precedents are unclear or not available from the client.
- Answer and respond to phone calls/emails from participants in the Independent Medical Review process.
- Assist others or provide on-the-job training or act as a mentor to production staff.
Minimum Requirements
- High School Degree or equivalent required.
- 2-4 years of related professional experience required.
- Experience in a medical office and/or with medical insurance preferred.
- Ability to commit to a two (2) week training schedule of 8:30am - 5:00pm EST Monday - Friday required.
Please note: This position requires the use of your personal device for the duration of training.
After training, equipment will be provided.
Home Office Requirements:
- Internet speed of 25mbps or higher required / 50 Mpbs for shared internet connectivity (you can test this by going to www.speedtest.net)
- Minimum 5mpbs upload speed
- Connectivity to the internet via Category 5 or 6 ethernet patch cable to the home router
- Private and secure work area and adequate power source
- Must currently and permanently reside in the Continental US
EEO Statement
Maximus is an equal opportunity employer.
We evaluate qualified applicants without regard to race, color, religion, sex, age, national origin, disability, veteran status, genetic information and other legally protected characteristics.
Pay Transparency
Maximus compensation is based on various factors including but not limited to job location, a candidate's education, training, experience, expected quality and quantity of work, required travel (if any), external ...
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Type: Permanent Location: Columbus, US-OH
Salary / Rate: Not Specified
Posted: 2026-01-14 07:44:02
