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Assist in the management of the Apparel department by maximizing all financial opportunities and assuming management responsibilities in the manager's absence.
Demonstrate the company's core values of respect, honesty, integrity, diversity, inclusion and safety.Based in Portland, Oregon, Fred Meyer merged with The Kroger Company in 1998.
Today, we're proudly serving Fred Meyer customers in over 120 stores throughout Oregon, Washington, Idaho and Alaska.
As part of the Kroger family of companies, we take pride in bringing diverse teams with a passion for food and people together with one common purpose: To Feed the Human Spirit.
With a history of innovation, we work tirelessly to create amazing experiences for our customers, communities AND each other, with food at the heart of it all.
Here, people matter.
That's why we strive to provide the ingredients you need to create your own recipe for success at work and in life.
We help feed your future by providing the value and care you need to grow.
If you're caring, purpose-driven and hungry to learn, your potential is unlimited.
Whether you're seeking a part-time position or a new career path, we've got a fresh opportunity for you.
Apply today to become part of our Fred Meyer family!
What you'll receive from us:
The Kroger Family of Companies offers comprehensive benefits to support your Associate Well-Being, including Physical, Emotional, Financial and more.
We'll help you thrive, with access to:
* A wide range of healthcare coverage, including affordable, comprehensive medical, dental, vision and prescription coverage, through company plans or collective bargaining agreement plans.
* Flexible scheduling in full- and part-time roles with paid time off, including holiday and sick pay based on eligibility and length of service.
* Emotional and financial support with free counseling through our Employee Assistance Program and free, confidential financial tools and coaching with Goldman Sachs Ayco.
* Valuable associate discounts on purchases, including food, travel, technology and so much more.
* Up to $21,000 in tuition reimbursement over your career, through our industry-leading Continuing Education program.
* Vast potential for growth, through an abundance of industry-leading training programs and diverse career pathways.
For more information about benefits and eligibility, please visit our Benefits Page ! Minimum
* High school diploma or equivalent
* Ability to work in a fast-paced environment
* Maintain confidentiality
* Accuracy/attention to detail
* Ability to organize/prioritize tasks/projects
* Familiarity with industry/technical terms and processes
Desired
* BA/BS in business or related field
* Knowledge of company policies, procedures and organizational structure
* Management experience
* Proficiency with Microsoft Excel, Report Management and Distribution System (RMDS) and current company email
* CP...
....Read more...
Type: Permanent Location: Portland, US-OR
Salary / Rate: Not Specified
Posted: 2026-01-14 07:43:42
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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: Hattiesburg, US-MS
Salary / Rate: Not Specified
Posted: 2026-01-14 07:43:41
-
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: Grand Rapids, US-MI
Salary / Rate: Not Specified
Posted: 2026-01-14 07:43:40
-
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: Duluth, US-MN
Salary / Rate: Not Specified
Posted: 2026-01-14 07:43:39
-
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: Tupelo, US-MS
Salary / Rate: Not Specified
Posted: 2026-01-14 07:43:38
-
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: Jackson, US-MS
Salary / Rate: Not Specified
Posted: 2026-01-14 07:43:38
-
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: Marquette, US-MI
Salary / Rate: Not Specified
Posted: 2026-01-14 07:43:37
-
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: Detroit, US-MI
Salary / Rate: Not Specified
Posted: 2026-01-14 07:43:36
-
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: Aberdeen, US-MD
Salary / Rate: Not Specified
Posted: 2026-01-14 07:43:35
-
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: Boston, US-MA
Salary / Rate: Not Specified
Posted: 2026-01-14 07:43:35
-
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: Baltimore, US-MD
Salary / Rate: Not Specified
Posted: 2026-01-14 07:43:34
-
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: Springfield, US-MA
Salary / Rate: Not Specified
Posted: 2026-01-14 07:43:33
-
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-ME
Salary / Rate: Not Specified
Posted: 2026-01-14 07:43:32
-
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: Shreveport, US-LA
Salary / Rate: Not Specified
Posted: 2026-01-14 07:43:32
-
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: New Orleans, US-LA
Salary / Rate: Not Specified
Posted: 2026-01-14 07:43:31
-
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: Bangor, US-ME
Salary / Rate: Not Specified
Posted: 2026-01-14 07:43:30
-
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: Bowling Green, US-KY
Salary / Rate: Not Specified
Posted: 2026-01-14 07:43:29
-
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: Baton Rouge, US-LA
Salary / Rate: Not Specified
Posted: 2026-01-14 07:43:29
-
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: Wichita, US-KS
Salary / Rate: Not Specified
Posted: 2026-01-14 07:43:28
-
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: Kansas City, US-KS
Salary / Rate: Not Specified
Posted: 2026-01-14 07:43:27
-
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: Davenport, US-IA
Salary / Rate: Not Specified
Posted: 2026-01-14 07:43:26
-
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: Louisville, US-KY
Salary / Rate: Not Specified
Posted: 2026-01-14 07:43:26
-
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 City, US-IA
Salary / Rate: Not Specified
Posted: 2026-01-14 07:43:25
-
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: Springfield, US-IL
Salary / Rate: Not Specified
Posted: 2026-01-14 07:43:24
-
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: Fort Wayne, US-IN
Salary / Rate: Not Specified
Posted: 2026-01-14 07:43:24
