-
Essential Duties and Responsibilities:
- Maintain clinical alignment.
- Develop clinical workplans.
- Identify the risks and gaps in the clinical processes and develop solutions.
- Identify new lines of business and growth opportunities.
- Work with the peer review process to evaluate MD quality as well as handle client requests, and appeals.
- Complete clinical reviews with regards to denials and level of care on various contracts.
- Fulfill client's requests for educational trainings, services, and workshops for their staff.
- Work with IT teams to answer clinical questions for systems (questionnaires, algorithm, etc.)
- Oversee quality assurance of nurse and physician work product.
- Conduct quarterly audits of clinical reviews.
- Additional ad hoc client audits as required.
- Other duties as requested.
Minimum Requirements
- Medical degree from an accredited medical school required.
- Active board certification required.
- Minimum 10 years of experience in a similar role.
- Peer review experienced preferred.
- Experience creating and presenting clinical trainings preferred.
- Current on clinical trends.
- Trauma Informed Care knowledge.
- Adherence to accreditation standards.
Additional Requirements:
- Licensed in the state of New Jersey (NJ) or willing to get licensed in NJ within the first 3 months of employment.
- At least five (5) years' full-time experience providing direct clinical care to patients.
- Ability to work up to 29 hours a week between the hours of 8:00am - 5:00pm EST Monday - Friday.
Preferred Skills and Qualifications:
- Auditing experience.
- Licensed in the state of Pennsylvania.
- Previous Medical Director experience.
Please note: For this position Maximus will provide equipment to use.
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
- Must have a smartphone which will be required to log into Maximus systems
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 market and internal value analysis including seniority and merit systems, as well as internal pay alignment.
Annual salary is just one component of Maximus's total compensation package.
Other rewards may include short- and long-term incentives as well as program-speci...
....Read more...
Type: Permanent Location: Spokane, US-WA
Salary / Rate: Not Specified
Posted: 2026-04-04 08:01:40
-
Essential Duties and Responsibilities:
- Receive, assess, and screen applications, proactively communicating with clients to collect any outstanding information.
- Validate and calculate income, assess eligibility, and manage case referrals.
- Engage regularly with program participants on a daily basis.
- Potentially educate clients on fundamental program services and eligibility prerequisites.
- Collaborate with clients to establish and attain program objectives, ensuring continuity of services and eligibility.
- Fulfill additional responsibilities as delegated by Management.
- Handles high volume of inbound calls daily, which are often back-to-back, during the scheduled work shift answer questions regarding the Medicaid, SNAP, and TANF programs.
- Apply State and/or federal eligibility rules for applicant/recipient information assessment.
- Verifies applicant/recipient data through system interfaces.
- Facilitates the fulfillment of caller requests regarding eligibility information via a One Call Resolution approach while maintaining professionalism and empathy.
- Communicates with applicants/recipients while researching and updating cases and documenting calls simultaneously.
- Educates callers on program services and eligibility requirements while demonstrating excellent communication and customer service skills.
- Serve as a liaison with customers regularly to meet program goals and maintain program services and eligibility, fostering positive working relationships.
- Verifies and enters applicant/recipient data into the State's eligibility system and prepares cases for disposition by State Eligibility Consultant.
- Processes cases and takes necessary action on missing information promptly.
- Meet Quality Assurance and performance metrics and stay updated on project and corporate policies.
- Identify and escalate risks to management.
- Attends all meetings and completes all trainings to stay informed on project/position updates.
- Fulfill all performance requirements associated with eligibility processes.
- Perform additional duties as assigned by management.
Minimum Requirements
- High school diploma or GED required and 0-2 years of relevant professional experience required, or equivalent combination of education and experience.
- Proven customer support or Client Service Representative experience strongly preferred.
- Ability to handle complex service inquiries via telephone.
- Strong critical thinking and problem-solving skills.
- Moderate difficulty assignments requiring judgment and issue resolution.
- Understanding of work implications and ability to recommend solutions.
- Accurate data entry (40 keystrokes/minute), strong interpersonal skills.
- Positive relationship-building with customers and state eligibility consultants.
- Attention to detail; excellent organizational, verbal, and written communication skills.
- Comfortable in a fast-paced, deadline-oriented environment.
- Capable of executing ma...
....Read more...
Type: Permanent Location: Evansville, US-IN
Salary / Rate: Not Specified
Posted: 2026-04-04 08:01:40
-
Essential Duties and Responsibilities:
- Maintain clinical alignment.
- Develop clinical workplans.
- Identify the risks and gaps in the clinical processes and develop solutions.
- Identify new lines of business and growth opportunities.
- Work with the peer review process to evaluate MD quality as well as handle client requests, and appeals.
- Complete clinical reviews with regards to denials and level of care on various contracts.
- Fulfill client's requests for educational trainings, services, and workshops for their staff.
- Work with IT teams to answer clinical questions for systems (questionnaires, algorithm, etc.)
- Oversee quality assurance of nurse and physician work product.
- Conduct quarterly audits of clinical reviews.
- Additional ad hoc client audits as required.
- Other duties as requested.
Minimum Requirements
- Medical degree from an accredited medical school required.
- Active board certification required.
- Minimum 10 years of experience in a similar role.
- Peer review experienced preferred.
- Experience creating and presenting clinical trainings preferred.
- Current on clinical trends.
- Trauma Informed Care knowledge.
- Adherence to accreditation standards.
Additional Requirements:
- Licensed in the state of New Jersey (NJ) or willing to get licensed in NJ within the first 3 months of employment.
- At least five (5) years' full-time experience providing direct clinical care to patients.
- Ability to work up to 29 hours a week between the hours of 8:00am - 5:00pm EST Monday - Friday.
Preferred Skills and Qualifications:
- Auditing experience.
- Licensed in the state of Pennsylvania.
- Previous Medical Director experience.
Please note: For this position Maximus will provide equipment to use.
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
- Must have a smartphone which will be required to log into Maximus systems
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 market and internal value analysis including seniority and merit systems, as well as internal pay alignment.
Annual salary is just one component of Maximus's total compensation package.
Other rewards may include short- and long-term incentives as well as program-speci...
....Read more...
Type: Permanent Location: Charleston, US-WV
Salary / Rate: Not Specified
Posted: 2026-04-04 08:01:39
-
Essential Duties and Responsibilities:
- Maintain clinical alignment.
- Develop clinical workplans.
- Identify the risks and gaps in the clinical processes and develop solutions.
- Identify new lines of business and growth opportunities.
- Work with the peer review process to evaluate MD quality as well as handle client requests, and appeals.
- Complete clinical reviews with regards to denials and level of care on various contracts.
- Fulfill client's requests for educational trainings, services, and workshops for their staff.
- Work with IT teams to answer clinical questions for systems (questionnaires, algorithm, etc.)
- Oversee quality assurance of nurse and physician work product.
- Conduct quarterly audits of clinical reviews.
- Additional ad hoc client audits as required.
- Other duties as requested.
Minimum Requirements
- Medical degree from an accredited medical school required.
- Active board certification required.
- Minimum 10 years of experience in a similar role.
- Peer review experienced preferred.
- Experience creating and presenting clinical trainings preferred.
- Current on clinical trends.
- Trauma Informed Care knowledge.
- Adherence to accreditation standards.
Additional Requirements:
- Licensed in the state of New Jersey (NJ) or willing to get licensed in NJ within the first 3 months of employment.
- At least five (5) years' full-time experience providing direct clinical care to patients.
- Ability to work up to 29 hours a week between the hours of 8:00am - 5:00pm EST Monday - Friday.
Preferred Skills and Qualifications:
- Auditing experience.
- Licensed in the state of Pennsylvania.
- Previous Medical Director experience.
Please note: For this position Maximus will provide equipment to use.
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
- Must have a smartphone which will be required to log into Maximus systems
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 market and internal value analysis including seniority and merit systems, as well as internal pay alignment.
Annual salary is just one component of Maximus's total compensation package.
Other rewards may include short- and long-term incentives as well as program-speci...
....Read more...
Type: Permanent Location: Roanoke, US-VA
Salary / Rate: Not Specified
Posted: 2026-04-04 08:01:38
-
Essential Duties and Responsibilities:
- Maintain clinical alignment.
- Develop clinical workplans.
- Identify the risks and gaps in the clinical processes and develop solutions.
- Identify new lines of business and growth opportunities.
- Work with the peer review process to evaluate MD quality as well as handle client requests, and appeals.
- Complete clinical reviews with regards to denials and level of care on various contracts.
- Fulfill client's requests for educational trainings, services, and workshops for their staff.
- Work with IT teams to answer clinical questions for systems (questionnaires, algorithm, etc.)
- Oversee quality assurance of nurse and physician work product.
- Conduct quarterly audits of clinical reviews.
- Additional ad hoc client audits as required.
- Other duties as requested.
Minimum Requirements
- Medical degree from an accredited medical school required.
- Active board certification required.
- Minimum 10 years of experience in a similar role.
- Peer review experienced preferred.
- Experience creating and presenting clinical trainings preferred.
- Current on clinical trends.
- Trauma Informed Care knowledge.
- Adherence to accreditation standards.
Additional Requirements:
- Licensed in the state of New Jersey (NJ) or willing to get licensed in NJ within the first 3 months of employment.
- At least five (5) years' full-time experience providing direct clinical care to patients.
- Ability to work up to 29 hours a week between the hours of 8:00am - 5:00pm EST Monday - Friday.
Preferred Skills and Qualifications:
- Auditing experience.
- Licensed in the state of Pennsylvania.
- Previous Medical Director experience.
Please note: For this position Maximus will provide equipment to use.
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
- Must have a smartphone which will be required to log into Maximus systems
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 market and internal value analysis including seniority and merit systems, as well as internal pay alignment.
Annual salary is just one component of Maximus's total compensation package.
Other rewards may include short- and long-term incentives as well as program-speci...
....Read more...
Type: Permanent Location: Seattle, US-WA
Salary / Rate: Not Specified
Posted: 2026-04-04 08:01:38
-
Essential Duties and Responsibilities:
- Maintain clinical alignment.
- Develop clinical workplans.
- Identify the risks and gaps in the clinical processes and develop solutions.
- Identify new lines of business and growth opportunities.
- Work with the peer review process to evaluate MD quality as well as handle client requests, and appeals.
- Complete clinical reviews with regards to denials and level of care on various contracts.
- Fulfill client's requests for educational trainings, services, and workshops for their staff.
- Work with IT teams to answer clinical questions for systems (questionnaires, algorithm, etc.)
- Oversee quality assurance of nurse and physician work product.
- Conduct quarterly audits of clinical reviews.
- Additional ad hoc client audits as required.
- Other duties as requested.
Minimum Requirements
- Medical degree from an accredited medical school required.
- Active board certification required.
- Minimum 10 years of experience in a similar role.
- Peer review experienced preferred.
- Experience creating and presenting clinical trainings preferred.
- Current on clinical trends.
- Trauma Informed Care knowledge.
- Adherence to accreditation standards.
Additional Requirements:
- Licensed in the state of New Jersey (NJ) or willing to get licensed in NJ within the first 3 months of employment.
- At least five (5) years' full-time experience providing direct clinical care to patients.
- Ability to work up to 29 hours a week between the hours of 8:00am - 5:00pm EST Monday - Friday.
Preferred Skills and Qualifications:
- Auditing experience.
- Licensed in the state of Pennsylvania.
- Previous Medical Director experience.
Please note: For this position Maximus will provide equipment to use.
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
- Must have a smartphone which will be required to log into Maximus systems
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 market and internal value analysis including seniority and merit systems, as well as internal pay alignment.
Annual salary is just one component of Maximus's total compensation package.
Other rewards may include short- and long-term incentives as well as program-speci...
....Read more...
Type: Permanent Location: Richmond, US-VA
Salary / Rate: Not Specified
Posted: 2026-04-04 08:01:37
-
Essential Duties and Responsibilities:
- Maintain clinical alignment.
- Develop clinical workplans.
- Identify the risks and gaps in the clinical processes and develop solutions.
- Identify new lines of business and growth opportunities.
- Work with the peer review process to evaluate MD quality as well as handle client requests, and appeals.
- Complete clinical reviews with regards to denials and level of care on various contracts.
- Fulfill client's requests for educational trainings, services, and workshops for their staff.
- Work with IT teams to answer clinical questions for systems (questionnaires, algorithm, etc.)
- Oversee quality assurance of nurse and physician work product.
- Conduct quarterly audits of clinical reviews.
- Additional ad hoc client audits as required.
- Other duties as requested.
Minimum Requirements
- Medical degree from an accredited medical school required.
- Active board certification required.
- Minimum 10 years of experience in a similar role.
- Peer review experienced preferred.
- Experience creating and presenting clinical trainings preferred.
- Current on clinical trends.
- Trauma Informed Care knowledge.
- Adherence to accreditation standards.
Additional Requirements:
- Licensed in the state of New Jersey (NJ) or willing to get licensed in NJ within the first 3 months of employment.
- At least five (5) years' full-time experience providing direct clinical care to patients.
- Ability to work up to 29 hours a week between the hours of 8:00am - 5:00pm EST Monday - Friday.
Preferred Skills and Qualifications:
- Auditing experience.
- Licensed in the state of Pennsylvania.
- Previous Medical Director experience.
Please note: For this position Maximus will provide equipment to use.
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
- Must have a smartphone which will be required to log into Maximus systems
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 market and internal value analysis including seniority and merit systems, as well as internal pay alignment.
Annual salary is just one component of Maximus's total compensation package.
Other rewards may include short- and long-term incentives as well as program-speci...
....Read more...
Type: Permanent Location: Morgantown, US-WV
Salary / Rate: Not Specified
Posted: 2026-04-04 08:01:36
-
Essential Duties and Responsibilities:
- Maintain clinical alignment.
- Develop clinical workplans.
- Identify the risks and gaps in the clinical processes and develop solutions.
- Identify new lines of business and growth opportunities.
- Work with the peer review process to evaluate MD quality as well as handle client requests, and appeals.
- Complete clinical reviews with regards to denials and level of care on various contracts.
- Fulfill client's requests for educational trainings, services, and workshops for their staff.
- Work with IT teams to answer clinical questions for systems (questionnaires, algorithm, etc.)
- Oversee quality assurance of nurse and physician work product.
- Conduct quarterly audits of clinical reviews.
- Additional ad hoc client audits as required.
- Other duties as requested.
Minimum Requirements
- Medical degree from an accredited medical school required.
- Active board certification required.
- Minimum 10 years of experience in a similar role.
- Peer review experienced preferred.
- Experience creating and presenting clinical trainings preferred.
- Current on clinical trends.
- Trauma Informed Care knowledge.
- Adherence to accreditation standards.
Additional Requirements:
- Licensed in the state of New Jersey (NJ) or willing to get licensed in NJ within the first 3 months of employment.
- At least five (5) years' full-time experience providing direct clinical care to patients.
- Ability to work up to 29 hours a week between the hours of 8:00am - 5:00pm EST Monday - Friday.
Preferred Skills and Qualifications:
- Auditing experience.
- Licensed in the state of Pennsylvania.
- Previous Medical Director experience.
Please note: For this position Maximus will provide equipment to use.
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
- Must have a smartphone which will be required to log into Maximus systems
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 market and internal value analysis including seniority and merit systems, as well as internal pay alignment.
Annual salary is just one component of Maximus's total compensation package.
Other rewards may include short- and long-term incentives as well as program-speci...
....Read more...
Type: Permanent Location: Tysons, US-VA
Salary / Rate: Not Specified
Posted: 2026-04-04 08:01:36
-
Essential Duties and Responsibilities:
- Maintain clinical alignment.
- Develop clinical workplans.
- Identify the risks and gaps in the clinical processes and develop solutions.
- Identify new lines of business and growth opportunities.
- Work with the peer review process to evaluate MD quality as well as handle client requests, and appeals.
- Complete clinical reviews with regards to denials and level of care on various contracts.
- Fulfill client's requests for educational trainings, services, and workshops for their staff.
- Work with IT teams to answer clinical questions for systems (questionnaires, algorithm, etc.)
- Oversee quality assurance of nurse and physician work product.
- Conduct quarterly audits of clinical reviews.
- Additional ad hoc client audits as required.
- Other duties as requested.
Minimum Requirements
- Medical degree from an accredited medical school required.
- Active board certification required.
- Minimum 10 years of experience in a similar role.
- Peer review experienced preferred.
- Experience creating and presenting clinical trainings preferred.
- Current on clinical trends.
- Trauma Informed Care knowledge.
- Adherence to accreditation standards.
Additional Requirements:
- Licensed in the state of New Jersey (NJ) or willing to get licensed in NJ within the first 3 months of employment.
- At least five (5) years' full-time experience providing direct clinical care to patients.
- Ability to work up to 29 hours a week between the hours of 8:00am - 5:00pm EST Monday - Friday.
Preferred Skills and Qualifications:
- Auditing experience.
- Licensed in the state of Pennsylvania.
- Previous Medical Director experience.
Please note: For this position Maximus will provide equipment to use.
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
- Must have a smartphone which will be required to log into Maximus systems
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 market and internal value analysis including seniority and merit systems, as well as internal pay alignment.
Annual salary is just one component of Maximus's total compensation package.
Other rewards may include short- and long-term incentives as well as program-speci...
....Read more...
Type: Permanent Location: Salt Lake City, US-UT
Salary / Rate: Not Specified
Posted: 2026-04-04 08:01:35
-
Essential Duties and Responsibilities:
- Maintain clinical alignment.
- Develop clinical workplans.
- Identify the risks and gaps in the clinical processes and develop solutions.
- Identify new lines of business and growth opportunities.
- Work with the peer review process to evaluate MD quality as well as handle client requests, and appeals.
- Complete clinical reviews with regards to denials and level of care on various contracts.
- Fulfill client's requests for educational trainings, services, and workshops for their staff.
- Work with IT teams to answer clinical questions for systems (questionnaires, algorithm, etc.)
- Oversee quality assurance of nurse and physician work product.
- Conduct quarterly audits of clinical reviews.
- Additional ad hoc client audits as required.
- Other duties as requested.
Minimum Requirements
- Medical degree from an accredited medical school required.
- Active board certification required.
- Minimum 10 years of experience in a similar role.
- Peer review experienced preferred.
- Experience creating and presenting clinical trainings preferred.
- Current on clinical trends.
- Trauma Informed Care knowledge.
- Adherence to accreditation standards.
Additional Requirements:
- Licensed in the state of New Jersey (NJ) or willing to get licensed in NJ within the first 3 months of employment.
- At least five (5) years' full-time experience providing direct clinical care to patients.
- Ability to work up to 29 hours a week between the hours of 8:00am - 5:00pm EST Monday - Friday.
Preferred Skills and Qualifications:
- Auditing experience.
- Licensed in the state of Pennsylvania.
- Previous Medical Director experience.
Please note: For this position Maximus will provide equipment to use.
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
- Must have a smartphone which will be required to log into Maximus systems
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 market and internal value analysis including seniority and merit systems, as well as internal pay alignment.
Annual salary is just one component of Maximus's total compensation package.
Other rewards may include short- and long-term incentives as well as program-speci...
....Read more...
Type: Permanent Location: Lubbock, US-TX
Salary / Rate: Not Specified
Posted: 2026-04-04 08:01:35
-
Essential Duties and Responsibilities:
- Maintain clinical alignment.
- Develop clinical workplans.
- Identify the risks and gaps in the clinical processes and develop solutions.
- Identify new lines of business and growth opportunities.
- Work with the peer review process to evaluate MD quality as well as handle client requests, and appeals.
- Complete clinical reviews with regards to denials and level of care on various contracts.
- Fulfill client's requests for educational trainings, services, and workshops for their staff.
- Work with IT teams to answer clinical questions for systems (questionnaires, algorithm, etc.)
- Oversee quality assurance of nurse and physician work product.
- Conduct quarterly audits of clinical reviews.
- Additional ad hoc client audits as required.
- Other duties as requested.
Minimum Requirements
- Medical degree from an accredited medical school required.
- Active board certification required.
- Minimum 10 years of experience in a similar role.
- Peer review experienced preferred.
- Experience creating and presenting clinical trainings preferred.
- Current on clinical trends.
- Trauma Informed Care knowledge.
- Adherence to accreditation standards.
Additional Requirements:
- Licensed in the state of New Jersey (NJ) or willing to get licensed in NJ within the first 3 months of employment.
- At least five (5) years' full-time experience providing direct clinical care to patients.
- Ability to work up to 29 hours a week between the hours of 8:00am - 5:00pm EST Monday - Friday.
Preferred Skills and Qualifications:
- Auditing experience.
- Licensed in the state of Pennsylvania.
- Previous Medical Director experience.
Please note: For this position Maximus will provide equipment to use.
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
- Must have a smartphone which will be required to log into Maximus systems
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 market and internal value analysis including seniority and merit systems, as well as internal pay alignment.
Annual salary is just one component of Maximus's total compensation package.
Other rewards may include short- and long-term incentives as well as program-speci...
....Read more...
Type: Permanent Location: Burlington, US-VT
Salary / Rate: Not Specified
Posted: 2026-04-04 08:01:34
-
Essential Duties and Responsibilities:
- Maintain clinical alignment.
- Develop clinical workplans.
- Identify the risks and gaps in the clinical processes and develop solutions.
- Identify new lines of business and growth opportunities.
- Work with the peer review process to evaluate MD quality as well as handle client requests, and appeals.
- Complete clinical reviews with regards to denials and level of care on various contracts.
- Fulfill client's requests for educational trainings, services, and workshops for their staff.
- Work with IT teams to answer clinical questions for systems (questionnaires, algorithm, etc.)
- Oversee quality assurance of nurse and physician work product.
- Conduct quarterly audits of clinical reviews.
- Additional ad hoc client audits as required.
- Other duties as requested.
Minimum Requirements
- Medical degree from an accredited medical school required.
- Active board certification required.
- Minimum 10 years of experience in a similar role.
- Peer review experienced preferred.
- Experience creating and presenting clinical trainings preferred.
- Current on clinical trends.
- Trauma Informed Care knowledge.
- Adherence to accreditation standards.
Additional Requirements:
- Licensed in the state of New Jersey (NJ) or willing to get licensed in NJ within the first 3 months of employment.
- At least five (5) years' full-time experience providing direct clinical care to patients.
- Ability to work up to 29 hours a week between the hours of 8:00am - 5:00pm EST Monday - Friday.
Preferred Skills and Qualifications:
- Auditing experience.
- Licensed in the state of Pennsylvania.
- Previous Medical Director experience.
Please note: For this position Maximus will provide equipment to use.
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
- Must have a smartphone which will be required to log into Maximus systems
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 market and internal value analysis including seniority and merit systems, as well as internal pay alignment.
Annual salary is just one component of Maximus's total compensation package.
Other rewards may include short- and long-term incentives as well as program-speci...
....Read more...
Type: Permanent Location: St. George, US-UT
Salary / Rate: Not Specified
Posted: 2026-04-04 08:01:33
-
Essential Duties and Responsibilities:
- Maintain clinical alignment.
- Develop clinical workplans.
- Identify the risks and gaps in the clinical processes and develop solutions.
- Identify new lines of business and growth opportunities.
- Work with the peer review process to evaluate MD quality as well as handle client requests, and appeals.
- Complete clinical reviews with regards to denials and level of care on various contracts.
- Fulfill client's requests for educational trainings, services, and workshops for their staff.
- Work with IT teams to answer clinical questions for systems (questionnaires, algorithm, etc.)
- Oversee quality assurance of nurse and physician work product.
- Conduct quarterly audits of clinical reviews.
- Additional ad hoc client audits as required.
- Other duties as requested.
Minimum Requirements
- Medical degree from an accredited medical school required.
- Active board certification required.
- Minimum 10 years of experience in a similar role.
- Peer review experienced preferred.
- Experience creating and presenting clinical trainings preferred.
- Current on clinical trends.
- Trauma Informed Care knowledge.
- Adherence to accreditation standards.
Additional Requirements:
- Licensed in the state of New Jersey (NJ) or willing to get licensed in NJ within the first 3 months of employment.
- At least five (5) years' full-time experience providing direct clinical care to patients.
- Ability to work up to 29 hours a week between the hours of 8:00am - 5:00pm EST Monday - Friday.
Preferred Skills and Qualifications:
- Auditing experience.
- Licensed in the state of Pennsylvania.
- Previous Medical Director experience.
Please note: For this position Maximus will provide equipment to use.
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
- Must have a smartphone which will be required to log into Maximus systems
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 market and internal value analysis including seniority and merit systems, as well as internal pay alignment.
Annual salary is just one component of Maximus's total compensation package.
Other rewards may include short- and long-term incentives as well as program-speci...
....Read more...
Type: Permanent Location: Bennington, US-VT
Salary / Rate: Not Specified
Posted: 2026-04-04 08:01:33
-
Essential Duties and Responsibilities:
- Maintain clinical alignment.
- Develop clinical workplans.
- Identify the risks and gaps in the clinical processes and develop solutions.
- Identify new lines of business and growth opportunities.
- Work with the peer review process to evaluate MD quality as well as handle client requests, and appeals.
- Complete clinical reviews with regards to denials and level of care on various contracts.
- Fulfill client's requests for educational trainings, services, and workshops for their staff.
- Work with IT teams to answer clinical questions for systems (questionnaires, algorithm, etc.)
- Oversee quality assurance of nurse and physician work product.
- Conduct quarterly audits of clinical reviews.
- Additional ad hoc client audits as required.
- Other duties as requested.
Minimum Requirements
- Medical degree from an accredited medical school required.
- Active board certification required.
- Minimum 10 years of experience in a similar role.
- Peer review experienced preferred.
- Experience creating and presenting clinical trainings preferred.
- Current on clinical trends.
- Trauma Informed Care knowledge.
- Adherence to accreditation standards.
Additional Requirements:
- Licensed in the state of New Jersey (NJ) or willing to get licensed in NJ within the first 3 months of employment.
- At least five (5) years' full-time experience providing direct clinical care to patients.
- Ability to work up to 29 hours a week between the hours of 8:00am - 5:00pm EST Monday - Friday.
Preferred Skills and Qualifications:
- Auditing experience.
- Licensed in the state of Pennsylvania.
- Previous Medical Director experience.
Please note: For this position Maximus will provide equipment to use.
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
- Must have a smartphone which will be required to log into Maximus systems
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 market and internal value analysis including seniority and merit systems, as well as internal pay alignment.
Annual salary is just one component of Maximus's total compensation package.
Other rewards may include short- and long-term incentives as well as program-speci...
....Read more...
Type: Permanent Location: Nashville, US-TN
Salary / Rate: Not Specified
Posted: 2026-04-04 08:01:32
-
Essential Duties and Responsibilities:
- Maintain clinical alignment.
- Develop clinical workplans.
- Identify the risks and gaps in the clinical processes and develop solutions.
- Identify new lines of business and growth opportunities.
- Work with the peer review process to evaluate MD quality as well as handle client requests, and appeals.
- Complete clinical reviews with regards to denials and level of care on various contracts.
- Fulfill client's requests for educational trainings, services, and workshops for their staff.
- Work with IT teams to answer clinical questions for systems (questionnaires, algorithm, etc.)
- Oversee quality assurance of nurse and physician work product.
- Conduct quarterly audits of clinical reviews.
- Additional ad hoc client audits as required.
- Other duties as requested.
Minimum Requirements
- Medical degree from an accredited medical school required.
- Active board certification required.
- Minimum 10 years of experience in a similar role.
- Peer review experienced preferred.
- Experience creating and presenting clinical trainings preferred.
- Current on clinical trends.
- Trauma Informed Care knowledge.
- Adherence to accreditation standards.
Additional Requirements:
- Licensed in the state of New Jersey (NJ) or willing to get licensed in NJ within the first 3 months of employment.
- At least five (5) years' full-time experience providing direct clinical care to patients.
- Ability to work up to 29 hours a week between the hours of 8:00am - 5:00pm EST Monday - Friday.
Preferred Skills and Qualifications:
- Auditing experience.
- Licensed in the state of Pennsylvania.
- Previous Medical Director experience.
Please note: For this position Maximus will provide equipment to use.
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
- Must have a smartphone which will be required to log into Maximus systems
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 market and internal value analysis including seniority and merit systems, as well as internal pay alignment.
Annual salary is just one component of Maximus's total compensation package.
Other rewards may include short- and long-term incentives as well as program-speci...
....Read more...
Type: Permanent Location: Memphis, US-TN
Salary / Rate: Not Specified
Posted: 2026-04-04 08:01:31
-
Essential Duties and Responsibilities:
- Maintain clinical alignment.
- Develop clinical workplans.
- Identify the risks and gaps in the clinical processes and develop solutions.
- Identify new lines of business and growth opportunities.
- Work with the peer review process to evaluate MD quality as well as handle client requests, and appeals.
- Complete clinical reviews with regards to denials and level of care on various contracts.
- Fulfill client's requests for educational trainings, services, and workshops for their staff.
- Work with IT teams to answer clinical questions for systems (questionnaires, algorithm, etc.)
- Oversee quality assurance of nurse and physician work product.
- Conduct quarterly audits of clinical reviews.
- Additional ad hoc client audits as required.
- Other duties as requested.
Minimum Requirements
- Medical degree from an accredited medical school required.
- Active board certification required.
- Minimum 10 years of experience in a similar role.
- Peer review experienced preferred.
- Experience creating and presenting clinical trainings preferred.
- Current on clinical trends.
- Trauma Informed Care knowledge.
- Adherence to accreditation standards.
Additional Requirements:
- Licensed in the state of New Jersey (NJ) or willing to get licensed in NJ within the first 3 months of employment.
- At least five (5) years' full-time experience providing direct clinical care to patients.
- Ability to work up to 29 hours a week between the hours of 8:00am - 5:00pm EST Monday - Friday.
Preferred Skills and Qualifications:
- Auditing experience.
- Licensed in the state of Pennsylvania.
- Previous Medical Director experience.
Please note: For this position Maximus will provide equipment to use.
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
- Must have a smartphone which will be required to log into Maximus systems
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 market and internal value analysis including seniority and merit systems, as well as internal pay alignment.
Annual salary is just one component of Maximus's total compensation package.
Other rewards may include short- and long-term incentives as well as program-speci...
....Read more...
Type: Permanent Location: San Antonio, US-TX
Salary / Rate: Not Specified
Posted: 2026-04-04 08:01:31
-
Essential Duties and Responsibilities:
- Maintain clinical alignment.
- Develop clinical workplans.
- Identify the risks and gaps in the clinical processes and develop solutions.
- Identify new lines of business and growth opportunities.
- Work with the peer review process to evaluate MD quality as well as handle client requests, and appeals.
- Complete clinical reviews with regards to denials and level of care on various contracts.
- Fulfill client's requests for educational trainings, services, and workshops for their staff.
- Work with IT teams to answer clinical questions for systems (questionnaires, algorithm, etc.)
- Oversee quality assurance of nurse and physician work product.
- Conduct quarterly audits of clinical reviews.
- Additional ad hoc client audits as required.
- Other duties as requested.
Minimum Requirements
- Medical degree from an accredited medical school required.
- Active board certification required.
- Minimum 10 years of experience in a similar role.
- Peer review experienced preferred.
- Experience creating and presenting clinical trainings preferred.
- Current on clinical trends.
- Trauma Informed Care knowledge.
- Adherence to accreditation standards.
Additional Requirements:
- Licensed in the state of New Jersey (NJ) or willing to get licensed in NJ within the first 3 months of employment.
- At least five (5) years' full-time experience providing direct clinical care to patients.
- Ability to work up to 29 hours a week between the hours of 8:00am - 5:00pm EST Monday - Friday.
Preferred Skills and Qualifications:
- Auditing experience.
- Licensed in the state of Pennsylvania.
- Previous Medical Director experience.
Please note: For this position Maximus will provide equipment to use.
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
- Must have a smartphone which will be required to log into Maximus systems
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 market and internal value analysis including seniority and merit systems, as well as internal pay alignment.
Annual salary is just one component of Maximus's total compensation package.
Other rewards may include short- and long-term incentives as well as program-speci...
....Read more...
Type: Permanent Location: Rapid City, US-SD
Salary / Rate: Not Specified
Posted: 2026-04-04 08:01:30
-
Essential Duties and Responsibilities:
- Maintain clinical alignment.
- Develop clinical workplans.
- Identify the risks and gaps in the clinical processes and develop solutions.
- Identify new lines of business and growth opportunities.
- Work with the peer review process to evaluate MD quality as well as handle client requests, and appeals.
- Complete clinical reviews with regards to denials and level of care on various contracts.
- Fulfill client's requests for educational trainings, services, and workshops for their staff.
- Work with IT teams to answer clinical questions for systems (questionnaires, algorithm, etc.)
- Oversee quality assurance of nurse and physician work product.
- Conduct quarterly audits of clinical reviews.
- Additional ad hoc client audits as required.
- Other duties as requested.
Minimum Requirements
- Medical degree from an accredited medical school required.
- Active board certification required.
- Minimum 10 years of experience in a similar role.
- Peer review experienced preferred.
- Experience creating and presenting clinical trainings preferred.
- Current on clinical trends.
- Trauma Informed Care knowledge.
- Adherence to accreditation standards.
Additional Requirements:
- Licensed in the state of New Jersey (NJ) or willing to get licensed in NJ within the first 3 months of employment.
- At least five (5) years' full-time experience providing direct clinical care to patients.
- Ability to work up to 29 hours a week between the hours of 8:00am - 5:00pm EST Monday - Friday.
Preferred Skills and Qualifications:
- Auditing experience.
- Licensed in the state of Pennsylvania.
- Previous Medical Director experience.
Please note: For this position Maximus will provide equipment to use.
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
- Must have a smartphone which will be required to log into Maximus systems
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 market and internal value analysis including seniority and merit systems, as well as internal pay alignment.
Annual salary is just one component of Maximus's total compensation package.
Other rewards may include short- and long-term incentives as well as program-speci...
....Read more...
Type: Permanent Location: Dallas, US-TX
Salary / Rate: Not Specified
Posted: 2026-04-04 08:01:29
-
Essential Duties and Responsibilities:
- Maintain clinical alignment.
- Develop clinical workplans.
- Identify the risks and gaps in the clinical processes and develop solutions.
- Identify new lines of business and growth opportunities.
- Work with the peer review process to evaluate MD quality as well as handle client requests, and appeals.
- Complete clinical reviews with regards to denials and level of care on various contracts.
- Fulfill client's requests for educational trainings, services, and workshops for their staff.
- Work with IT teams to answer clinical questions for systems (questionnaires, algorithm, etc.)
- Oversee quality assurance of nurse and physician work product.
- Conduct quarterly audits of clinical reviews.
- Additional ad hoc client audits as required.
- Other duties as requested.
Minimum Requirements
- Medical degree from an accredited medical school required.
- Active board certification required.
- Minimum 10 years of experience in a similar role.
- Peer review experienced preferred.
- Experience creating and presenting clinical trainings preferred.
- Current on clinical trends.
- Trauma Informed Care knowledge.
- Adherence to accreditation standards.
Additional Requirements:
- Licensed in the state of New Jersey (NJ) or willing to get licensed in NJ within the first 3 months of employment.
- At least five (5) years' full-time experience providing direct clinical care to patients.
- Ability to work up to 29 hours a week between the hours of 8:00am - 5:00pm EST Monday - Friday.
Preferred Skills and Qualifications:
- Auditing experience.
- Licensed in the state of Pennsylvania.
- Previous Medical Director experience.
Please note: For this position Maximus will provide equipment to use.
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
- Must have a smartphone which will be required to log into Maximus systems
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 market and internal value analysis including seniority and merit systems, as well as internal pay alignment.
Annual salary is just one component of Maximus's total compensation package.
Other rewards may include short- and long-term incentives as well as program-speci...
....Read more...
Type: Permanent Location: Houston, US-TX
Salary / Rate: Not Specified
Posted: 2026-04-04 08:01:27
-
Essential Duties and Responsibilities:
- Maintain clinical alignment.
- Develop clinical workplans.
- Identify the risks and gaps in the clinical processes and develop solutions.
- Identify new lines of business and growth opportunities.
- Work with the peer review process to evaluate MD quality as well as handle client requests, and appeals.
- Complete clinical reviews with regards to denials and level of care on various contracts.
- Fulfill client's requests for educational trainings, services, and workshops for their staff.
- Work with IT teams to answer clinical questions for systems (questionnaires, algorithm, etc.)
- Oversee quality assurance of nurse and physician work product.
- Conduct quarterly audits of clinical reviews.
- Additional ad hoc client audits as required.
- Other duties as requested.
Minimum Requirements
- Medical degree from an accredited medical school required.
- Active board certification required.
- Minimum 10 years of experience in a similar role.
- Peer review experienced preferred.
- Experience creating and presenting clinical trainings preferred.
- Current on clinical trends.
- Trauma Informed Care knowledge.
- Adherence to accreditation standards.
Additional Requirements:
- Licensed in the state of New Jersey (NJ) or willing to get licensed in NJ within the first 3 months of employment.
- At least five (5) years' full-time experience providing direct clinical care to patients.
- Ability to work up to 29 hours a week between the hours of 8:00am - 5:00pm EST Monday - Friday.
Preferred Skills and Qualifications:
- Auditing experience.
- Licensed in the state of Pennsylvania.
- Previous Medical Director experience.
Please note: For this position Maximus will provide equipment to use.
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
- Must have a smartphone which will be required to log into Maximus systems
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 market and internal value analysis including seniority and merit systems, as well as internal pay alignment.
Annual salary is just one component of Maximus's total compensation package.
Other rewards may include short- and long-term incentives as well as program-speci...
....Read more...
Type: Permanent Location: Newport, US-RI
Salary / Rate: Not Specified
Posted: 2026-04-04 08:01:26
-
Essential Duties and Responsibilities:
- Maintain clinical alignment.
- Develop clinical workplans.
- Identify the risks and gaps in the clinical processes and develop solutions.
- Identify new lines of business and growth opportunities.
- Work with the peer review process to evaluate MD quality as well as handle client requests, and appeals.
- Complete clinical reviews with regards to denials and level of care on various contracts.
- Fulfill client's requests for educational trainings, services, and workshops for their staff.
- Work with IT teams to answer clinical questions for systems (questionnaires, algorithm, etc.)
- Oversee quality assurance of nurse and physician work product.
- Conduct quarterly audits of clinical reviews.
- Additional ad hoc client audits as required.
- Other duties as requested.
Minimum Requirements
- Medical degree from an accredited medical school required.
- Active board certification required.
- Minimum 10 years of experience in a similar role.
- Peer review experienced preferred.
- Experience creating and presenting clinical trainings preferred.
- Current on clinical trends.
- Trauma Informed Care knowledge.
- Adherence to accreditation standards.
Additional Requirements:
- Licensed in the state of New Jersey (NJ) or willing to get licensed in NJ within the first 3 months of employment.
- At least five (5) years' full-time experience providing direct clinical care to patients.
- Ability to work up to 29 hours a week between the hours of 8:00am - 5:00pm EST Monday - Friday.
Preferred Skills and Qualifications:
- Auditing experience.
- Licensed in the state of Pennsylvania.
- Previous Medical Director experience.
Please note: For this position Maximus will provide equipment to use.
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
- Must have a smartphone which will be required to log into Maximus systems
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 market and internal value analysis including seniority and merit systems, as well as internal pay alignment.
Annual salary is just one component of Maximus's total compensation package.
Other rewards may include short- and long-term incentives as well as program-speci...
....Read more...
Type: Permanent Location: Charleston, US-SC
Salary / Rate: Not Specified
Posted: 2026-04-04 08:01:26
-
Essential Duties and Responsibilities:
- Maintain clinical alignment.
- Develop clinical workplans.
- Identify the risks and gaps in the clinical processes and develop solutions.
- Identify new lines of business and growth opportunities.
- Work with the peer review process to evaluate MD quality as well as handle client requests, and appeals.
- Complete clinical reviews with regards to denials and level of care on various contracts.
- Fulfill client's requests for educational trainings, services, and workshops for their staff.
- Work with IT teams to answer clinical questions for systems (questionnaires, algorithm, etc.)
- Oversee quality assurance of nurse and physician work product.
- Conduct quarterly audits of clinical reviews.
- Additional ad hoc client audits as required.
- Other duties as requested.
Minimum Requirements
- Medical degree from an accredited medical school required.
- Active board certification required.
- Minimum 10 years of experience in a similar role.
- Peer review experienced preferred.
- Experience creating and presenting clinical trainings preferred.
- Current on clinical trends.
- Trauma Informed Care knowledge.
- Adherence to accreditation standards.
Additional Requirements:
- Licensed in the state of New Jersey (NJ) or willing to get licensed in NJ within the first 3 months of employment.
- At least five (5) years' full-time experience providing direct clinical care to patients.
- Ability to work up to 29 hours a week between the hours of 8:00am - 5:00pm EST Monday - Friday.
Preferred Skills and Qualifications:
- Auditing experience.
- Licensed in the state of Pennsylvania.
- Previous Medical Director experience.
Please note: For this position Maximus will provide equipment to use.
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
- Must have a smartphone which will be required to log into Maximus systems
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 market and internal value analysis including seniority and merit systems, as well as internal pay alignment.
Annual salary is just one component of Maximus's total compensation package.
Other rewards may include short- and long-term incentives as well as program-speci...
....Read more...
Type: Permanent Location: Pittsburgh, US-PA
Salary / Rate: Not Specified
Posted: 2026-04-04 08:01:25
-
Essential Duties and Responsibilities:
- Maintain clinical alignment.
- Develop clinical workplans.
- Identify the risks and gaps in the clinical processes and develop solutions.
- Identify new lines of business and growth opportunities.
- Work with the peer review process to evaluate MD quality as well as handle client requests, and appeals.
- Complete clinical reviews with regards to denials and level of care on various contracts.
- Fulfill client's requests for educational trainings, services, and workshops for their staff.
- Work with IT teams to answer clinical questions for systems (questionnaires, algorithm, etc.)
- Oversee quality assurance of nurse and physician work product.
- Conduct quarterly audits of clinical reviews.
- Additional ad hoc client audits as required.
- Other duties as requested.
Minimum Requirements
- Medical degree from an accredited medical school required.
- Active board certification required.
- Minimum 10 years of experience in a similar role.
- Peer review experienced preferred.
- Experience creating and presenting clinical trainings preferred.
- Current on clinical trends.
- Trauma Informed Care knowledge.
- Adherence to accreditation standards.
Additional Requirements:
- Licensed in the state of New Jersey (NJ) or willing to get licensed in NJ within the first 3 months of employment.
- At least five (5) years' full-time experience providing direct clinical care to patients.
- Ability to work up to 29 hours a week between the hours of 8:00am - 5:00pm EST Monday - Friday.
Preferred Skills and Qualifications:
- Auditing experience.
- Licensed in the state of Pennsylvania.
- Previous Medical Director experience.
Please note: For this position Maximus will provide equipment to use.
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
- Must have a smartphone which will be required to log into Maximus systems
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 market and internal value analysis including seniority and merit systems, as well as internal pay alignment.
Annual salary is just one component of Maximus's total compensation package.
Other rewards may include short- and long-term incentives as well as program-speci...
....Read more...
Type: Permanent Location: Providence, US-RI
Salary / Rate: Not Specified
Posted: 2026-04-04 08:01:24
-
Essential Duties and Responsibilities:
- Maintain clinical alignment.
- Develop clinical workplans.
- Identify the risks and gaps in the clinical processes and develop solutions.
- Identify new lines of business and growth opportunities.
- Work with the peer review process to evaluate MD quality as well as handle client requests, and appeals.
- Complete clinical reviews with regards to denials and level of care on various contracts.
- Fulfill client's requests for educational trainings, services, and workshops for their staff.
- Work with IT teams to answer clinical questions for systems (questionnaires, algorithm, etc.)
- Oversee quality assurance of nurse and physician work product.
- Conduct quarterly audits of clinical reviews.
- Additional ad hoc client audits as required.
- Other duties as requested.
Minimum Requirements
- Medical degree from an accredited medical school required.
- Active board certification required.
- Minimum 10 years of experience in a similar role.
- Peer review experienced preferred.
- Experience creating and presenting clinical trainings preferred.
- Current on clinical trends.
- Trauma Informed Care knowledge.
- Adherence to accreditation standards.
Additional Requirements:
- Licensed in the state of New Jersey (NJ) or willing to get licensed in NJ within the first 3 months of employment.
- At least five (5) years' full-time experience providing direct clinical care to patients.
- Ability to work up to 29 hours a week between the hours of 8:00am - 5:00pm EST Monday - Friday.
Preferred Skills and Qualifications:
- Auditing experience.
- Licensed in the state of Pennsylvania.
- Previous Medical Director experience.
Please note: For this position Maximus will provide equipment to use.
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
- Must have a smartphone which will be required to log into Maximus systems
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 market and internal value analysis including seniority and merit systems, as well as internal pay alignment.
Annual salary is just one component of Maximus's total compensation package.
Other rewards may include short- and long-term incentives as well as program-speci...
....Read more...
Type: Permanent Location: Columbia, US-SC
Salary / Rate: Not Specified
Posted: 2026-04-04 08:01:24
-
Essential Duties and Responsibilities:
- Maintain clinical alignment.
- Develop clinical workplans.
- Identify the risks and gaps in the clinical processes and develop solutions.
- Identify new lines of business and growth opportunities.
- Work with the peer review process to evaluate MD quality as well as handle client requests, and appeals.
- Complete clinical reviews with regards to denials and level of care on various contracts.
- Fulfill client's requests for educational trainings, services, and workshops for their staff.
- Work with IT teams to answer clinical questions for systems (questionnaires, algorithm, etc.)
- Oversee quality assurance of nurse and physician work product.
- Conduct quarterly audits of clinical reviews.
- Additional ad hoc client audits as required.
- Other duties as requested.
Minimum Requirements
- Medical degree from an accredited medical school required.
- Active board certification required.
- Minimum 10 years of experience in a similar role.
- Peer review experienced preferred.
- Experience creating and presenting clinical trainings preferred.
- Current on clinical trends.
- Trauma Informed Care knowledge.
- Adherence to accreditation standards.
Additional Requirements:
- Licensed in the state of New Jersey (NJ) or willing to get licensed in NJ within the first 3 months of employment.
- At least five (5) years' full-time experience providing direct clinical care to patients.
- Ability to work up to 29 hours a week between the hours of 8:00am - 5:00pm EST Monday - Friday.
Preferred Skills and Qualifications:
- Auditing experience.
- Licensed in the state of Pennsylvania.
- Previous Medical Director experience.
Please note: For this position Maximus will provide equipment to use.
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
- Must have a smartphone which will be required to log into Maximus systems
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 market and internal value analysis including seniority and merit systems, as well as internal pay alignment.
Annual salary is just one component of Maximus's total compensation package.
Other rewards may include short- and long-term incentives as well as program-speci...
....Read more...
Type: Permanent Location: Cleveland, US-OH
Salary / Rate: Not Specified
Posted: 2026-04-04 08:01:23
