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Description & Requirements
Maximus is currently hiring for a Director - California Behavioral Health Investigations to join our State West team.
This is a remote opportunity.
The Director will oversee the CA Behavioral Health Investigations and CA Medical Survey contracts.
Essential Duties and Responsibilities:
- Act as the primary contact for the state client
- Ensure program operations are in compliance with all applicable requirements of the contract, as well as State and federal regulations.
- Ensure goals and objectives are established by Project Manager that support the overall Project strategies.
- Oversee all project administrative operations including budget, financial controls, and human resources.
- Plan, develop and schedule priorities for achieving operational and performance goals.
- Review management, productivity, and financial reports and studies to ensure program objectives are met.
- Participate in internal audits, research studies, forecasts, and modeling exercises to support Project direction and guidance.
- Manage operational managers, to include performance appraisals, mentoring, and professional/development guidance.
- Demonstrate a high level of dedication and proactive leadership in meeting corporate goals and program objectives.
- Perform other duties as assigned by management.
- Direct and control the activities of a broad functional area through several department managers within the company.
- Overall control of planning, staffing, budgeting, managing expense priorities; and recommend and implement changes to methods.
- Work on complex issues where analysis of situations or data requires an in-depth knowledge of the company.
- Participate in corporate development of methods, techniques and evaluation criteria for projects, programs, and people.
- Ensure budget and schedule meet corporate requirements.
- Regularly interact with executives and/or major customers.
- Interaction frequently involves special skills, such as negotiating with customers or management or attempting to influence senior level leaders regarding matters of significance to the organization.
- Report to Senior Director or VP level.
Minimum Requirements
- Bachelor's degree in relevant field of study and 10+ years of relevant professional experience required.
- 7-10 years' experience working across Quality Assurance, Grievances and Appeals, Access and Availability, and/or Utilization Management (referrals and authorizations) with commercial health plans
- Must be a Licensed Attorney
- Must be willing and able to work weekends and nights as program needs require
Please note: For this position Maximus will provide equipment to use.
Home Office Requirements:
- Internet speed of 20mbps or higher required / 50 Mpbs for shared internet connectivity (you can test this by going to www.speedtest.net)
- Minimum 5mpbs upload speed
- Connectivity to the internet via either Wi-Fi or Category 5 or 6 ethernet patch cable to the home router
- Private work...
....Read more...
Type: Permanent Location: Morgantown, US-WV
Salary / Rate: 138350
Posted: 2024-10-17 08:52:47
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Description & Requirements
Maximus is currently hiring for a Director - California Behavioral Health Investigations to join our State West team.
This is a remote opportunity.
The Director will oversee the CA Behavioral Health Investigations and CA Medical Survey contracts.
Essential Duties and Responsibilities:
- Act as the primary contact for the state client
- Ensure program operations are in compliance with all applicable requirements of the contract, as well as State and federal regulations.
- Ensure goals and objectives are established by Project Manager that support the overall Project strategies.
- Oversee all project administrative operations including budget, financial controls, and human resources.
- Plan, develop and schedule priorities for achieving operational and performance goals.
- Review management, productivity, and financial reports and studies to ensure program objectives are met.
- Participate in internal audits, research studies, forecasts, and modeling exercises to support Project direction and guidance.
- Manage operational managers, to include performance appraisals, mentoring, and professional/development guidance.
- Demonstrate a high level of dedication and proactive leadership in meeting corporate goals and program objectives.
- Perform other duties as assigned by management.
- Direct and control the activities of a broad functional area through several department managers within the company.
- Overall control of planning, staffing, budgeting, managing expense priorities; and recommend and implement changes to methods.
- Work on complex issues where analysis of situations or data requires an in-depth knowledge of the company.
- Participate in corporate development of methods, techniques and evaluation criteria for projects, programs, and people.
- Ensure budget and schedule meet corporate requirements.
- Regularly interact with executives and/or major customers.
- Interaction frequently involves special skills, such as negotiating with customers or management or attempting to influence senior level leaders regarding matters of significance to the organization.
- Report to Senior Director or VP level.
Minimum Requirements
- Bachelor's degree in relevant field of study and 10+ years of relevant professional experience required.
- 7-10 years' experience working across Quality Assurance, Grievances and Appeals, Access and Availability, and/or Utilization Management (referrals and authorizations) with commercial health plans
- Must be a Licensed Attorney
- Must be willing and able to work weekends and nights as program needs require
Please note: For this position Maximus will provide equipment to use.
Home Office Requirements:
- Internet speed of 20mbps or higher required / 50 Mpbs for shared internet connectivity (you can test this by going to www.speedtest.net)
- Minimum 5mpbs upload speed
- Connectivity to the internet via either Wi-Fi or Category 5 or 6 ethernet patch cable to the home router
- Private work...
....Read more...
Type: Permanent Location: Cheyenne, US-WY
Salary / Rate: 138350
Posted: 2024-10-17 08:52:47
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Description & Requirements
Maximus is currently hiring for a Director - California Behavioral Health Investigations to join our State West team.
This is a remote opportunity.
The Director will oversee the CA Behavioral Health Investigations and CA Medical Survey contracts.
Essential Duties and Responsibilities:
- Act as the primary contact for the state client
- Ensure program operations are in compliance with all applicable requirements of the contract, as well as State and federal regulations.
- Ensure goals and objectives are established by Project Manager that support the overall Project strategies.
- Oversee all project administrative operations including budget, financial controls, and human resources.
- Plan, develop and schedule priorities for achieving operational and performance goals.
- Review management, productivity, and financial reports and studies to ensure program objectives are met.
- Participate in internal audits, research studies, forecasts, and modeling exercises to support Project direction and guidance.
- Manage operational managers, to include performance appraisals, mentoring, and professional/development guidance.
- Demonstrate a high level of dedication and proactive leadership in meeting corporate goals and program objectives.
- Perform other duties as assigned by management.
- Direct and control the activities of a broad functional area through several department managers within the company.
- Overall control of planning, staffing, budgeting, managing expense priorities; and recommend and implement changes to methods.
- Work on complex issues where analysis of situations or data requires an in-depth knowledge of the company.
- Participate in corporate development of methods, techniques and evaluation criteria for projects, programs, and people.
- Ensure budget and schedule meet corporate requirements.
- Regularly interact with executives and/or major customers.
- Interaction frequently involves special skills, such as negotiating with customers or management or attempting to influence senior level leaders regarding matters of significance to the organization.
- Report to Senior Director or VP level.
Minimum Requirements
- Bachelor's degree in relevant field of study and 10+ years of relevant professional experience required.
- 7-10 years' experience working across Quality Assurance, Grievances and Appeals, Access and Availability, and/or Utilization Management (referrals and authorizations) with commercial health plans
- Must be a Licensed Attorney
- Must be willing and able to work weekends and nights as program needs require
Please note: For this position Maximus will provide equipment to use.
Home Office Requirements:
- Internet speed of 20mbps or higher required / 50 Mpbs for shared internet connectivity (you can test this by going to www.speedtest.net)
- Minimum 5mpbs upload speed
- Connectivity to the internet via either Wi-Fi or Category 5 or 6 ethernet patch cable to the home router
- Private work...
....Read more...
Type: Permanent Location: Milwaukee, US-WI
Salary / Rate: 138350
Posted: 2024-10-17 08:52:46
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Description & Requirements
Maximus is currently hiring for a Director - California Behavioral Health Investigations to join our State West team.
This is a remote opportunity.
The Director will oversee the CA Behavioral Health Investigations and CA Medical Survey contracts.
Essential Duties and Responsibilities:
- Act as the primary contact for the state client
- Ensure program operations are in compliance with all applicable requirements of the contract, as well as State and federal regulations.
- Ensure goals and objectives are established by Project Manager that support the overall Project strategies.
- Oversee all project administrative operations including budget, financial controls, and human resources.
- Plan, develop and schedule priorities for achieving operational and performance goals.
- Review management, productivity, and financial reports and studies to ensure program objectives are met.
- Participate in internal audits, research studies, forecasts, and modeling exercises to support Project direction and guidance.
- Manage operational managers, to include performance appraisals, mentoring, and professional/development guidance.
- Demonstrate a high level of dedication and proactive leadership in meeting corporate goals and program objectives.
- Perform other duties as assigned by management.
- Direct and control the activities of a broad functional area through several department managers within the company.
- Overall control of planning, staffing, budgeting, managing expense priorities; and recommend and implement changes to methods.
- Work on complex issues where analysis of situations or data requires an in-depth knowledge of the company.
- Participate in corporate development of methods, techniques and evaluation criteria for projects, programs, and people.
- Ensure budget and schedule meet corporate requirements.
- Regularly interact with executives and/or major customers.
- Interaction frequently involves special skills, such as negotiating with customers or management or attempting to influence senior level leaders regarding matters of significance to the organization.
- Report to Senior Director or VP level.
Minimum Requirements
- Bachelor's degree in relevant field of study and 10+ years of relevant professional experience required.
- 7-10 years' experience working across Quality Assurance, Grievances and Appeals, Access and Availability, and/or Utilization Management (referrals and authorizations) with commercial health plans
- Must be a Licensed Attorney
- Must be willing and able to work weekends and nights as program needs require
Please note: For this position Maximus will provide equipment to use.
Home Office Requirements:
- Internet speed of 20mbps or higher required / 50 Mpbs for shared internet connectivity (you can test this by going to www.speedtest.net)
- Minimum 5mpbs upload speed
- Connectivity to the internet via either Wi-Fi or Category 5 or 6 ethernet patch cable to the home router
- Private work...
....Read more...
Type: Permanent Location: Eau Claire, US-WI
Salary / Rate: 138350
Posted: 2024-10-17 08:52:45
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Description & Requirements
Maximus is currently hiring for a Director - California Behavioral Health Investigations to join our State West team.
This is a remote opportunity.
The Director will oversee the CA Behavioral Health Investigations and CA Medical Survey contracts.
Essential Duties and Responsibilities:
- Act as the primary contact for the state client
- Ensure program operations are in compliance with all applicable requirements of the contract, as well as State and federal regulations.
- Ensure goals and objectives are established by Project Manager that support the overall Project strategies.
- Oversee all project administrative operations including budget, financial controls, and human resources.
- Plan, develop and schedule priorities for achieving operational and performance goals.
- Review management, productivity, and financial reports and studies to ensure program objectives are met.
- Participate in internal audits, research studies, forecasts, and modeling exercises to support Project direction and guidance.
- Manage operational managers, to include performance appraisals, mentoring, and professional/development guidance.
- Demonstrate a high level of dedication and proactive leadership in meeting corporate goals and program objectives.
- Perform other duties as assigned by management.
- Direct and control the activities of a broad functional area through several department managers within the company.
- Overall control of planning, staffing, budgeting, managing expense priorities; and recommend and implement changes to methods.
- Work on complex issues where analysis of situations or data requires an in-depth knowledge of the company.
- Participate in corporate development of methods, techniques and evaluation criteria for projects, programs, and people.
- Ensure budget and schedule meet corporate requirements.
- Regularly interact with executives and/or major customers.
- Interaction frequently involves special skills, such as negotiating with customers or management or attempting to influence senior level leaders regarding matters of significance to the organization.
- Report to Senior Director or VP level.
Minimum Requirements
- Bachelor's degree in relevant field of study and 10+ years of relevant professional experience required.
- 7-10 years' experience working across Quality Assurance, Grievances and Appeals, Access and Availability, and/or Utilization Management (referrals and authorizations) with commercial health plans
- Must be a Licensed Attorney
- Must be willing and able to work weekends and nights as program needs require
Please note: For this position Maximus will provide equipment to use.
Home Office Requirements:
- Internet speed of 20mbps or higher required / 50 Mpbs for shared internet connectivity (you can test this by going to www.speedtest.net)
- Minimum 5mpbs upload speed
- Connectivity to the internet via either Wi-Fi or Category 5 or 6 ethernet patch cable to the home router
- Private work...
....Read more...
Type: Permanent Location: Seattle, US-WA
Salary / Rate: 138350
Posted: 2024-10-17 08:52:43
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Description & Requirements
Maximus is currently hiring for a Director - California Behavioral Health Investigations to join our State West team.
This is a remote opportunity.
The Director will oversee the CA Behavioral Health Investigations and CA Medical Survey contracts.
Essential Duties and Responsibilities:
- Act as the primary contact for the state client
- Ensure program operations are in compliance with all applicable requirements of the contract, as well as State and federal regulations.
- Ensure goals and objectives are established by Project Manager that support the overall Project strategies.
- Oversee all project administrative operations including budget, financial controls, and human resources.
- Plan, develop and schedule priorities for achieving operational and performance goals.
- Review management, productivity, and financial reports and studies to ensure program objectives are met.
- Participate in internal audits, research studies, forecasts, and modeling exercises to support Project direction and guidance.
- Manage operational managers, to include performance appraisals, mentoring, and professional/development guidance.
- Demonstrate a high level of dedication and proactive leadership in meeting corporate goals and program objectives.
- Perform other duties as assigned by management.
- Direct and control the activities of a broad functional area through several department managers within the company.
- Overall control of planning, staffing, budgeting, managing expense priorities; and recommend and implement changes to methods.
- Work on complex issues where analysis of situations or data requires an in-depth knowledge of the company.
- Participate in corporate development of methods, techniques and evaluation criteria for projects, programs, and people.
- Ensure budget and schedule meet corporate requirements.
- Regularly interact with executives and/or major customers.
- Interaction frequently involves special skills, such as negotiating with customers or management or attempting to influence senior level leaders regarding matters of significance to the organization.
- Report to Senior Director or VP level.
Minimum Requirements
- Bachelor's degree in relevant field of study and 10+ years of relevant professional experience required.
- 7-10 years' experience working across Quality Assurance, Grievances and Appeals, Access and Availability, and/or Utilization Management (referrals and authorizations) with commercial health plans
- Must be a Licensed Attorney
- Must be willing and able to work weekends and nights as program needs require
Please note: For this position Maximus will provide equipment to use.
Home Office Requirements:
- Internet speed of 20mbps or higher required / 50 Mpbs for shared internet connectivity (you can test this by going to www.speedtest.net)
- Minimum 5mpbs upload speed
- Connectivity to the internet via either Wi-Fi or Category 5 or 6 ethernet patch cable to the home router
- Private work...
....Read more...
Type: Permanent Location: Rock Springs, US-WY
Salary / Rate: 138350
Posted: 2024-10-17 08:52:43
-
Description & Requirements
Maximus is currently hiring for a Director - California Behavioral Health Investigations to join our State West team.
This is a remote opportunity.
The Director will oversee the CA Behavioral Health Investigations and CA Medical Survey contracts.
Essential Duties and Responsibilities:
- Act as the primary contact for the state client
- Ensure program operations are in compliance with all applicable requirements of the contract, as well as State and federal regulations.
- Ensure goals and objectives are established by Project Manager that support the overall Project strategies.
- Oversee all project administrative operations including budget, financial controls, and human resources.
- Plan, develop and schedule priorities for achieving operational and performance goals.
- Review management, productivity, and financial reports and studies to ensure program objectives are met.
- Participate in internal audits, research studies, forecasts, and modeling exercises to support Project direction and guidance.
- Manage operational managers, to include performance appraisals, mentoring, and professional/development guidance.
- Demonstrate a high level of dedication and proactive leadership in meeting corporate goals and program objectives.
- Perform other duties as assigned by management.
- Direct and control the activities of a broad functional area through several department managers within the company.
- Overall control of planning, staffing, budgeting, managing expense priorities; and recommend and implement changes to methods.
- Work on complex issues where analysis of situations or data requires an in-depth knowledge of the company.
- Participate in corporate development of methods, techniques and evaluation criteria for projects, programs, and people.
- Ensure budget and schedule meet corporate requirements.
- Regularly interact with executives and/or major customers.
- Interaction frequently involves special skills, such as negotiating with customers or management or attempting to influence senior level leaders regarding matters of significance to the organization.
- Report to Senior Director or VP level.
Minimum Requirements
- Bachelor's degree in relevant field of study and 10+ years of relevant professional experience required.
- 7-10 years' experience working across Quality Assurance, Grievances and Appeals, Access and Availability, and/or Utilization Management (referrals and authorizations) with commercial health plans
- Must be a Licensed Attorney
- Must be willing and able to work weekends and nights as program needs require
Please note: For this position Maximus will provide equipment to use.
Home Office Requirements:
- Internet speed of 20mbps or higher required / 50 Mpbs for shared internet connectivity (you can test this by going to www.speedtest.net)
- Minimum 5mpbs upload speed
- Connectivity to the internet via either Wi-Fi or Category 5 or 6 ethernet patch cable to the home router
- Private work...
....Read more...
Type: Permanent Location: Spokane, US-WA
Salary / Rate: 138350
Posted: 2024-10-17 08:52:42
-
Description & Requirements
Maximus is currently hiring for a Director - California Behavioral Health Investigations to join our State West team.
This is a remote opportunity.
The Director will oversee the CA Behavioral Health Investigations and CA Medical Survey contracts.
Essential Duties and Responsibilities:
- Act as the primary contact for the state client
- Ensure program operations are in compliance with all applicable requirements of the contract, as well as State and federal regulations.
- Ensure goals and objectives are established by Project Manager that support the overall Project strategies.
- Oversee all project administrative operations including budget, financial controls, and human resources.
- Plan, develop and schedule priorities for achieving operational and performance goals.
- Review management, productivity, and financial reports and studies to ensure program objectives are met.
- Participate in internal audits, research studies, forecasts, and modeling exercises to support Project direction and guidance.
- Manage operational managers, to include performance appraisals, mentoring, and professional/development guidance.
- Demonstrate a high level of dedication and proactive leadership in meeting corporate goals and program objectives.
- Perform other duties as assigned by management.
- Direct and control the activities of a broad functional area through several department managers within the company.
- Overall control of planning, staffing, budgeting, managing expense priorities; and recommend and implement changes to methods.
- Work on complex issues where analysis of situations or data requires an in-depth knowledge of the company.
- Participate in corporate development of methods, techniques and evaluation criteria for projects, programs, and people.
- Ensure budget and schedule meet corporate requirements.
- Regularly interact with executives and/or major customers.
- Interaction frequently involves special skills, such as negotiating with customers or management or attempting to influence senior level leaders regarding matters of significance to the organization.
- Report to Senior Director or VP level.
Minimum Requirements
- Bachelor's degree in relevant field of study and 10+ years of relevant professional experience required.
- 7-10 years' experience working across Quality Assurance, Grievances and Appeals, Access and Availability, and/or Utilization Management (referrals and authorizations) with commercial health plans
- Must be a Licensed Attorney
- Must be willing and able to work weekends and nights as program needs require
Please note: For this position Maximus will provide equipment to use.
Home Office Requirements:
- Internet speed of 20mbps or higher required / 50 Mpbs for shared internet connectivity (you can test this by going to www.speedtest.net)
- Minimum 5mpbs upload speed
- Connectivity to the internet via either Wi-Fi or Category 5 or 6 ethernet patch cable to the home router
- Private work...
....Read more...
Type: Permanent Location: Charleston, US-WV
Salary / Rate: 138350
Posted: 2024-10-17 08:52:41
-
Description & Requirements
Maximus is currently hiring for a Director - California Behavioral Health Investigations to join our State West team.
This is a remote opportunity.
The Director will oversee the CA Behavioral Health Investigations and CA Medical Survey contracts.
Essential Duties and Responsibilities:
- Act as the primary contact for the state client
- Ensure program operations are in compliance with all applicable requirements of the contract, as well as State and federal regulations.
- Ensure goals and objectives are established by Project Manager that support the overall Project strategies.
- Oversee all project administrative operations including budget, financial controls, and human resources.
- Plan, develop and schedule priorities for achieving operational and performance goals.
- Review management, productivity, and financial reports and studies to ensure program objectives are met.
- Participate in internal audits, research studies, forecasts, and modeling exercises to support Project direction and guidance.
- Manage operational managers, to include performance appraisals, mentoring, and professional/development guidance.
- Demonstrate a high level of dedication and proactive leadership in meeting corporate goals and program objectives.
- Perform other duties as assigned by management.
- Direct and control the activities of a broad functional area through several department managers within the company.
- Overall control of planning, staffing, budgeting, managing expense priorities; and recommend and implement changes to methods.
- Work on complex issues where analysis of situations or data requires an in-depth knowledge of the company.
- Participate in corporate development of methods, techniques and evaluation criteria for projects, programs, and people.
- Ensure budget and schedule meet corporate requirements.
- Regularly interact with executives and/or major customers.
- Interaction frequently involves special skills, such as negotiating with customers or management or attempting to influence senior level leaders regarding matters of significance to the organization.
- Report to Senior Director or VP level.
Minimum Requirements
- Bachelor's degree in relevant field of study and 10+ years of relevant professional experience required.
- 7-10 years' experience working across Quality Assurance, Grievances and Appeals, Access and Availability, and/or Utilization Management (referrals and authorizations) with commercial health plans
- Must be a Licensed Attorney
- Must be willing and able to work weekends and nights as program needs require
Please note: For this position Maximus will provide equipment to use.
Home Office Requirements:
- Internet speed of 20mbps or higher required / 50 Mpbs for shared internet connectivity (you can test this by going to www.speedtest.net)
- Minimum 5mpbs upload speed
- Connectivity to the internet via either Wi-Fi or Category 5 or 6 ethernet patch cable to the home router
- Private work...
....Read more...
Type: Permanent Location: Burlington, US-VT
Salary / Rate: 138350
Posted: 2024-10-17 08:52:41
-
Description & Requirements
Maximus is currently hiring for a Director - California Behavioral Health Investigations to join our State West team.
This is a remote opportunity.
The Director will oversee the CA Behavioral Health Investigations and CA Medical Survey contracts.
Essential Duties and Responsibilities:
- Act as the primary contact for the state client
- Ensure program operations are in compliance with all applicable requirements of the contract, as well as State and federal regulations.
- Ensure goals and objectives are established by Project Manager that support the overall Project strategies.
- Oversee all project administrative operations including budget, financial controls, and human resources.
- Plan, develop and schedule priorities for achieving operational and performance goals.
- Review management, productivity, and financial reports and studies to ensure program objectives are met.
- Participate in internal audits, research studies, forecasts, and modeling exercises to support Project direction and guidance.
- Manage operational managers, to include performance appraisals, mentoring, and professional/development guidance.
- Demonstrate a high level of dedication and proactive leadership in meeting corporate goals and program objectives.
- Perform other duties as assigned by management.
- Direct and control the activities of a broad functional area through several department managers within the company.
- Overall control of planning, staffing, budgeting, managing expense priorities; and recommend and implement changes to methods.
- Work on complex issues where analysis of situations or data requires an in-depth knowledge of the company.
- Participate in corporate development of methods, techniques and evaluation criteria for projects, programs, and people.
- Ensure budget and schedule meet corporate requirements.
- Regularly interact with executives and/or major customers.
- Interaction frequently involves special skills, such as negotiating with customers or management or attempting to influence senior level leaders regarding matters of significance to the organization.
- Report to Senior Director or VP level.
Minimum Requirements
- Bachelor's degree in relevant field of study and 10+ years of relevant professional experience required.
- 7-10 years' experience working across Quality Assurance, Grievances and Appeals, Access and Availability, and/or Utilization Management (referrals and authorizations) with commercial health plans
- Must be a Licensed Attorney
- Must be willing and able to work weekends and nights as program needs require
Please note: For this position Maximus will provide equipment to use.
Home Office Requirements:
- Internet speed of 20mbps or higher required / 50 Mpbs for shared internet connectivity (you can test this by going to www.speedtest.net)
- Minimum 5mpbs upload speed
- Connectivity to the internet via either Wi-Fi or Category 5 or 6 ethernet patch cable to the home router
- Private work...
....Read more...
Type: Permanent Location: Lubbock, US-TX
Salary / Rate: 138350
Posted: 2024-10-17 08:52:40
-
Description & Requirements
Maximus is currently hiring for a Director - California Behavioral Health Investigations to join our State West team.
This is a remote opportunity.
The Director will oversee the CA Behavioral Health Investigations and CA Medical Survey contracts.
Essential Duties and Responsibilities:
- Act as the primary contact for the state client
- Ensure program operations are in compliance with all applicable requirements of the contract, as well as State and federal regulations.
- Ensure goals and objectives are established by Project Manager that support the overall Project strategies.
- Oversee all project administrative operations including budget, financial controls, and human resources.
- Plan, develop and schedule priorities for achieving operational and performance goals.
- Review management, productivity, and financial reports and studies to ensure program objectives are met.
- Participate in internal audits, research studies, forecasts, and modeling exercises to support Project direction and guidance.
- Manage operational managers, to include performance appraisals, mentoring, and professional/development guidance.
- Demonstrate a high level of dedication and proactive leadership in meeting corporate goals and program objectives.
- Perform other duties as assigned by management.
- Direct and control the activities of a broad functional area through several department managers within the company.
- Overall control of planning, staffing, budgeting, managing expense priorities; and recommend and implement changes to methods.
- Work on complex issues where analysis of situations or data requires an in-depth knowledge of the company.
- Participate in corporate development of methods, techniques and evaluation criteria for projects, programs, and people.
- Ensure budget and schedule meet corporate requirements.
- Regularly interact with executives and/or major customers.
- Interaction frequently involves special skills, such as negotiating with customers or management or attempting to influence senior level leaders regarding matters of significance to the organization.
- Report to Senior Director or VP level.
Minimum Requirements
- Bachelor's degree in relevant field of study and 10+ years of relevant professional experience required.
- 7-10 years' experience working across Quality Assurance, Grievances and Appeals, Access and Availability, and/or Utilization Management (referrals and authorizations) with commercial health plans
- Must be a Licensed Attorney
- Must be willing and able to work weekends and nights as program needs require
Please note: For this position Maximus will provide equipment to use.
Home Office Requirements:
- Internet speed of 20mbps or higher required / 50 Mpbs for shared internet connectivity (you can test this by going to www.speedtest.net)
- Minimum 5mpbs upload speed
- Connectivity to the internet via either Wi-Fi or Category 5 or 6 ethernet patch cable to the home router
- Private work...
....Read more...
Type: Permanent Location: Bennington, US-VT
Salary / Rate: 138350
Posted: 2024-10-17 08:52:39
-
Description & Requirements
Maximus is currently hiring for a Director - California Behavioral Health Investigations to join our State West team.
This is a remote opportunity.
The Director will oversee the CA Behavioral Health Investigations and CA Medical Survey contracts.
Essential Duties and Responsibilities:
- Act as the primary contact for the state client
- Ensure program operations are in compliance with all applicable requirements of the contract, as well as State and federal regulations.
- Ensure goals and objectives are established by Project Manager that support the overall Project strategies.
- Oversee all project administrative operations including budget, financial controls, and human resources.
- Plan, develop and schedule priorities for achieving operational and performance goals.
- Review management, productivity, and financial reports and studies to ensure program objectives are met.
- Participate in internal audits, research studies, forecasts, and modeling exercises to support Project direction and guidance.
- Manage operational managers, to include performance appraisals, mentoring, and professional/development guidance.
- Demonstrate a high level of dedication and proactive leadership in meeting corporate goals and program objectives.
- Perform other duties as assigned by management.
- Direct and control the activities of a broad functional area through several department managers within the company.
- Overall control of planning, staffing, budgeting, managing expense priorities; and recommend and implement changes to methods.
- Work on complex issues where analysis of situations or data requires an in-depth knowledge of the company.
- Participate in corporate development of methods, techniques and evaluation criteria for projects, programs, and people.
- Ensure budget and schedule meet corporate requirements.
- Regularly interact with executives and/or major customers.
- Interaction frequently involves special skills, such as negotiating with customers or management or attempting to influence senior level leaders regarding matters of significance to the organization.
- Report to Senior Director or VP level.
Minimum Requirements
- Bachelor's degree in relevant field of study and 10+ years of relevant professional experience required.
- 7-10 years' experience working across Quality Assurance, Grievances and Appeals, Access and Availability, and/or Utilization Management (referrals and authorizations) with commercial health plans
- Must be a Licensed Attorney
- Must be willing and able to work weekends and nights as program needs require
Please note: For this position Maximus will provide equipment to use.
Home Office Requirements:
- Internet speed of 20mbps or higher required / 50 Mpbs for shared internet connectivity (you can test this by going to www.speedtest.net)
- Minimum 5mpbs upload speed
- Connectivity to the internet via either Wi-Fi or Category 5 or 6 ethernet patch cable to the home router
- Private work...
....Read more...
Type: Permanent Location: Roanoke, US-VA
Salary / Rate: 138350
Posted: 2024-10-17 08:52:39
-
Description & Requirements
Maximus is currently hiring for a Director - California Behavioral Health Investigations to join our State West team.
This is a remote opportunity.
The Director will oversee the CA Behavioral Health Investigations and CA Medical Survey contracts.
Essential Duties and Responsibilities:
- Act as the primary contact for the state client
- Ensure program operations are in compliance with all applicable requirements of the contract, as well as State and federal regulations.
- Ensure goals and objectives are established by Project Manager that support the overall Project strategies.
- Oversee all project administrative operations including budget, financial controls, and human resources.
- Plan, develop and schedule priorities for achieving operational and performance goals.
- Review management, productivity, and financial reports and studies to ensure program objectives are met.
- Participate in internal audits, research studies, forecasts, and modeling exercises to support Project direction and guidance.
- Manage operational managers, to include performance appraisals, mentoring, and professional/development guidance.
- Demonstrate a high level of dedication and proactive leadership in meeting corporate goals and program objectives.
- Perform other duties as assigned by management.
- Direct and control the activities of a broad functional area through several department managers within the company.
- Overall control of planning, staffing, budgeting, managing expense priorities; and recommend and implement changes to methods.
- Work on complex issues where analysis of situations or data requires an in-depth knowledge of the company.
- Participate in corporate development of methods, techniques and evaluation criteria for projects, programs, and people.
- Ensure budget and schedule meet corporate requirements.
- Regularly interact with executives and/or major customers.
- Interaction frequently involves special skills, such as negotiating with customers or management or attempting to influence senior level leaders regarding matters of significance to the organization.
- Report to Senior Director or VP level.
Minimum Requirements
- Bachelor's degree in relevant field of study and 10+ years of relevant professional experience required.
- 7-10 years' experience working across Quality Assurance, Grievances and Appeals, Access and Availability, and/or Utilization Management (referrals and authorizations) with commercial health plans
- Must be a Licensed Attorney
- Must be willing and able to work weekends and nights as program needs require
Please note: For this position Maximus will provide equipment to use.
Home Office Requirements:
- Internet speed of 20mbps or higher required / 50 Mpbs for shared internet connectivity (you can test this by going to www.speedtest.net)
- Minimum 5mpbs upload speed
- Connectivity to the internet via either Wi-Fi or Category 5 or 6 ethernet patch cable to the home router
- Private work...
....Read more...
Type: Permanent Location: Salt Lake City, US-UT
Salary / Rate: 138350
Posted: 2024-10-17 08:52:38
-
Description & Requirements
Maximus is currently hiring for a Director - California Behavioral Health Investigations to join our State West team.
This is a remote opportunity.
The Director will oversee the CA Behavioral Health Investigations and CA Medical Survey contracts.
Essential Duties and Responsibilities:
- Act as the primary contact for the state client
- Ensure program operations are in compliance with all applicable requirements of the contract, as well as State and federal regulations.
- Ensure goals and objectives are established by Project Manager that support the overall Project strategies.
- Oversee all project administrative operations including budget, financial controls, and human resources.
- Plan, develop and schedule priorities for achieving operational and performance goals.
- Review management, productivity, and financial reports and studies to ensure program objectives are met.
- Participate in internal audits, research studies, forecasts, and modeling exercises to support Project direction and guidance.
- Manage operational managers, to include performance appraisals, mentoring, and professional/development guidance.
- Demonstrate a high level of dedication and proactive leadership in meeting corporate goals and program objectives.
- Perform other duties as assigned by management.
- Direct and control the activities of a broad functional area through several department managers within the company.
- Overall control of planning, staffing, budgeting, managing expense priorities; and recommend and implement changes to methods.
- Work on complex issues where analysis of situations or data requires an in-depth knowledge of the company.
- Participate in corporate development of methods, techniques and evaluation criteria for projects, programs, and people.
- Ensure budget and schedule meet corporate requirements.
- Regularly interact with executives and/or major customers.
- Interaction frequently involves special skills, such as negotiating with customers or management or attempting to influence senior level leaders regarding matters of significance to the organization.
- Report to Senior Director or VP level.
Minimum Requirements
- Bachelor's degree in relevant field of study and 10+ years of relevant professional experience required.
- 7-10 years' experience working across Quality Assurance, Grievances and Appeals, Access and Availability, and/or Utilization Management (referrals and authorizations) with commercial health plans
- Must be a Licensed Attorney
- Must be willing and able to work weekends and nights as program needs require
Please note: For this position Maximus will provide equipment to use.
Home Office Requirements:
- Internet speed of 20mbps or higher required / 50 Mpbs for shared internet connectivity (you can test this by going to www.speedtest.net)
- Minimum 5mpbs upload speed
- Connectivity to the internet via either Wi-Fi or Category 5 or 6 ethernet patch cable to the home router
- Private work...
....Read more...
Type: Permanent Location: Richmond, US-VA
Salary / Rate: 138350
Posted: 2024-10-17 08:52:38
-
Description & Requirements
Maximus is currently hiring for a Director - California Behavioral Health Investigations to join our State West team.
This is a remote opportunity.
The Director will oversee the CA Behavioral Health Investigations and CA Medical Survey contracts.
Essential Duties and Responsibilities:
- Act as the primary contact for the state client
- Ensure program operations are in compliance with all applicable requirements of the contract, as well as State and federal regulations.
- Ensure goals and objectives are established by Project Manager that support the overall Project strategies.
- Oversee all project administrative operations including budget, financial controls, and human resources.
- Plan, develop and schedule priorities for achieving operational and performance goals.
- Review management, productivity, and financial reports and studies to ensure program objectives are met.
- Participate in internal audits, research studies, forecasts, and modeling exercises to support Project direction and guidance.
- Manage operational managers, to include performance appraisals, mentoring, and professional/development guidance.
- Demonstrate a high level of dedication and proactive leadership in meeting corporate goals and program objectives.
- Perform other duties as assigned by management.
- Direct and control the activities of a broad functional area through several department managers within the company.
- Overall control of planning, staffing, budgeting, managing expense priorities; and recommend and implement changes to methods.
- Work on complex issues where analysis of situations or data requires an in-depth knowledge of the company.
- Participate in corporate development of methods, techniques and evaluation criteria for projects, programs, and people.
- Ensure budget and schedule meet corporate requirements.
- Regularly interact with executives and/or major customers.
- Interaction frequently involves special skills, such as negotiating with customers or management or attempting to influence senior level leaders regarding matters of significance to the organization.
- Report to Senior Director or VP level.
Minimum Requirements
- Bachelor's degree in relevant field of study and 10+ years of relevant professional experience required.
- 7-10 years' experience working across Quality Assurance, Grievances and Appeals, Access and Availability, and/or Utilization Management (referrals and authorizations) with commercial health plans
- Must be a Licensed Attorney
- Must be willing and able to work weekends and nights as program needs require
Please note: For this position Maximus will provide equipment to use.
Home Office Requirements:
- Internet speed of 20mbps or higher required / 50 Mpbs for shared internet connectivity (you can test this by going to www.speedtest.net)
- Minimum 5mpbs upload speed
- Connectivity to the internet via either Wi-Fi or Category 5 or 6 ethernet patch cable to the home router
- Private work...
....Read more...
Type: Permanent Location: Tysons, US-VA
Salary / Rate: 138350
Posted: 2024-10-17 08:52:37
-
Description & Requirements
Maximus is currently hiring for a Director - California Behavioral Health Investigations to join our State West team.
This is a remote opportunity.
The Director will oversee the CA Behavioral Health Investigations and CA Medical Survey contracts.
Essential Duties and Responsibilities:
- Act as the primary contact for the state client
- Ensure program operations are in compliance with all applicable requirements of the contract, as well as State and federal regulations.
- Ensure goals and objectives are established by Project Manager that support the overall Project strategies.
- Oversee all project administrative operations including budget, financial controls, and human resources.
- Plan, develop and schedule priorities for achieving operational and performance goals.
- Review management, productivity, and financial reports and studies to ensure program objectives are met.
- Participate in internal audits, research studies, forecasts, and modeling exercises to support Project direction and guidance.
- Manage operational managers, to include performance appraisals, mentoring, and professional/development guidance.
- Demonstrate a high level of dedication and proactive leadership in meeting corporate goals and program objectives.
- Perform other duties as assigned by management.
- Direct and control the activities of a broad functional area through several department managers within the company.
- Overall control of planning, staffing, budgeting, managing expense priorities; and recommend and implement changes to methods.
- Work on complex issues where analysis of situations or data requires an in-depth knowledge of the company.
- Participate in corporate development of methods, techniques and evaluation criteria for projects, programs, and people.
- Ensure budget and schedule meet corporate requirements.
- Regularly interact with executives and/or major customers.
- Interaction frequently involves special skills, such as negotiating with customers or management or attempting to influence senior level leaders regarding matters of significance to the organization.
- Report to Senior Director or VP level.
Minimum Requirements
- Bachelor's degree in relevant field of study and 10+ years of relevant professional experience required.
- 7-10 years' experience working across Quality Assurance, Grievances and Appeals, Access and Availability, and/or Utilization Management (referrals and authorizations) with commercial health plans
- Must be a Licensed Attorney
- Must be willing and able to work weekends and nights as program needs require
Please note: For this position Maximus will provide equipment to use.
Home Office Requirements:
- Internet speed of 20mbps or higher required / 50 Mpbs for shared internet connectivity (you can test this by going to www.speedtest.net)
- Minimum 5mpbs upload speed
- Connectivity to the internet via either Wi-Fi or Category 5 or 6 ethernet patch cable to the home router
- Private work...
....Read more...
Type: Permanent Location: St. George, US-UT
Salary / Rate: 138350
Posted: 2024-10-17 08:52:36
-
Description & Requirements
Maximus is currently hiring for a Director - California Behavioral Health Investigations to join our State West team.
This is a remote opportunity.
The Director will oversee the CA Behavioral Health Investigations and CA Medical Survey contracts.
Essential Duties and Responsibilities:
- Act as the primary contact for the state client
- Ensure program operations are in compliance with all applicable requirements of the contract, as well as State and federal regulations.
- Ensure goals and objectives are established by Project Manager that support the overall Project strategies.
- Oversee all project administrative operations including budget, financial controls, and human resources.
- Plan, develop and schedule priorities for achieving operational and performance goals.
- Review management, productivity, and financial reports and studies to ensure program objectives are met.
- Participate in internal audits, research studies, forecasts, and modeling exercises to support Project direction and guidance.
- Manage operational managers, to include performance appraisals, mentoring, and professional/development guidance.
- Demonstrate a high level of dedication and proactive leadership in meeting corporate goals and program objectives.
- Perform other duties as assigned by management.
- Direct and control the activities of a broad functional area through several department managers within the company.
- Overall control of planning, staffing, budgeting, managing expense priorities; and recommend and implement changes to methods.
- Work on complex issues where analysis of situations or data requires an in-depth knowledge of the company.
- Participate in corporate development of methods, techniques and evaluation criteria for projects, programs, and people.
- Ensure budget and schedule meet corporate requirements.
- Regularly interact with executives and/or major customers.
- Interaction frequently involves special skills, such as negotiating with customers or management or attempting to influence senior level leaders regarding matters of significance to the organization.
- Report to Senior Director or VP level.
Minimum Requirements
- Bachelor's degree in relevant field of study and 10+ years of relevant professional experience required.
- 7-10 years' experience working across Quality Assurance, Grievances and Appeals, Access and Availability, and/or Utilization Management (referrals and authorizations) with commercial health plans
- Must be a Licensed Attorney
- Must be willing and able to work weekends and nights as program needs require
Please note: For this position Maximus will provide equipment to use.
Home Office Requirements:
- Internet speed of 20mbps or higher required / 50 Mpbs for shared internet connectivity (you can test this by going to www.speedtest.net)
- Minimum 5mpbs upload speed
- Connectivity to the internet via either Wi-Fi or Category 5 or 6 ethernet patch cable to the home router
- Private work...
....Read more...
Type: Permanent Location: Houston, US-TX
Salary / Rate: 138350
Posted: 2024-10-17 08:52:36
-
Description & Requirements
Maximus is currently hiring for a Director - California Behavioral Health Investigations to join our State West team.
This is a remote opportunity.
The Director will oversee the CA Behavioral Health Investigations and CA Medical Survey contracts.
Essential Duties and Responsibilities:
- Act as the primary contact for the state client
- Ensure program operations are in compliance with all applicable requirements of the contract, as well as State and federal regulations.
- Ensure goals and objectives are established by Project Manager that support the overall Project strategies.
- Oversee all project administrative operations including budget, financial controls, and human resources.
- Plan, develop and schedule priorities for achieving operational and performance goals.
- Review management, productivity, and financial reports and studies to ensure program objectives are met.
- Participate in internal audits, research studies, forecasts, and modeling exercises to support Project direction and guidance.
- Manage operational managers, to include performance appraisals, mentoring, and professional/development guidance.
- Demonstrate a high level of dedication and proactive leadership in meeting corporate goals and program objectives.
- Perform other duties as assigned by management.
- Direct and control the activities of a broad functional area through several department managers within the company.
- Overall control of planning, staffing, budgeting, managing expense priorities; and recommend and implement changes to methods.
- Work on complex issues where analysis of situations or data requires an in-depth knowledge of the company.
- Participate in corporate development of methods, techniques and evaluation criteria for projects, programs, and people.
- Ensure budget and schedule meet corporate requirements.
- Regularly interact with executives and/or major customers.
- Interaction frequently involves special skills, such as negotiating with customers or management or attempting to influence senior level leaders regarding matters of significance to the organization.
- Report to Senior Director or VP level.
Minimum Requirements
- Bachelor's degree in relevant field of study and 10+ years of relevant professional experience required.
- 7-10 years' experience working across Quality Assurance, Grievances and Appeals, Access and Availability, and/or Utilization Management (referrals and authorizations) with commercial health plans
- Must be a Licensed Attorney
- Must be willing and able to work weekends and nights as program needs require
Please note: For this position Maximus will provide equipment to use.
Home Office Requirements:
- Internet speed of 20mbps or higher required / 50 Mpbs for shared internet connectivity (you can test this by going to www.speedtest.net)
- Minimum 5mpbs upload speed
- Connectivity to the internet via either Wi-Fi or Category 5 or 6 ethernet patch cable to the home router
- Private work...
....Read more...
Type: Permanent Location: Memphis, US-TN
Salary / Rate: 138350
Posted: 2024-10-17 08:52:35
-
Description & Requirements
Maximus is currently hiring for a Director - California Behavioral Health Investigations to join our State West team.
This is a remote opportunity.
The Director will oversee the CA Behavioral Health Investigations and CA Medical Survey contracts.
Essential Duties and Responsibilities:
- Act as the primary contact for the state client
- Ensure program operations are in compliance with all applicable requirements of the contract, as well as State and federal regulations.
- Ensure goals and objectives are established by Project Manager that support the overall Project strategies.
- Oversee all project administrative operations including budget, financial controls, and human resources.
- Plan, develop and schedule priorities for achieving operational and performance goals.
- Review management, productivity, and financial reports and studies to ensure program objectives are met.
- Participate in internal audits, research studies, forecasts, and modeling exercises to support Project direction and guidance.
- Manage operational managers, to include performance appraisals, mentoring, and professional/development guidance.
- Demonstrate a high level of dedication and proactive leadership in meeting corporate goals and program objectives.
- Perform other duties as assigned by management.
- Direct and control the activities of a broad functional area through several department managers within the company.
- Overall control of planning, staffing, budgeting, managing expense priorities; and recommend and implement changes to methods.
- Work on complex issues where analysis of situations or data requires an in-depth knowledge of the company.
- Participate in corporate development of methods, techniques and evaluation criteria for projects, programs, and people.
- Ensure budget and schedule meet corporate requirements.
- Regularly interact with executives and/or major customers.
- Interaction frequently involves special skills, such as negotiating with customers or management or attempting to influence senior level leaders regarding matters of significance to the organization.
- Report to Senior Director or VP level.
Minimum Requirements
- Bachelor's degree in relevant field of study and 10+ years of relevant professional experience required.
- 7-10 years' experience working across Quality Assurance, Grievances and Appeals, Access and Availability, and/or Utilization Management (referrals and authorizations) with commercial health plans
- Must be a Licensed Attorney
- Must be willing and able to work weekends and nights as program needs require
Please note: For this position Maximus will provide equipment to use.
Home Office Requirements:
- Internet speed of 20mbps or higher required / 50 Mpbs for shared internet connectivity (you can test this by going to www.speedtest.net)
- Minimum 5mpbs upload speed
- Connectivity to the internet via either Wi-Fi or Category 5 or 6 ethernet patch cable to the home router
- Private work...
....Read more...
Type: Permanent Location: San Antonio, US-TX
Salary / Rate: 138350
Posted: 2024-10-17 08:52:34
-
Description & Requirements
Maximus is currently hiring for a Director - California Behavioral Health Investigations to join our State West team.
This is a remote opportunity.
The Director will oversee the CA Behavioral Health Investigations and CA Medical Survey contracts.
Essential Duties and Responsibilities:
- Act as the primary contact for the state client
- Ensure program operations are in compliance with all applicable requirements of the contract, as well as State and federal regulations.
- Ensure goals and objectives are established by Project Manager that support the overall Project strategies.
- Oversee all project administrative operations including budget, financial controls, and human resources.
- Plan, develop and schedule priorities for achieving operational and performance goals.
- Review management, productivity, and financial reports and studies to ensure program objectives are met.
- Participate in internal audits, research studies, forecasts, and modeling exercises to support Project direction and guidance.
- Manage operational managers, to include performance appraisals, mentoring, and professional/development guidance.
- Demonstrate a high level of dedication and proactive leadership in meeting corporate goals and program objectives.
- Perform other duties as assigned by management.
- Direct and control the activities of a broad functional area through several department managers within the company.
- Overall control of planning, staffing, budgeting, managing expense priorities; and recommend and implement changes to methods.
- Work on complex issues where analysis of situations or data requires an in-depth knowledge of the company.
- Participate in corporate development of methods, techniques and evaluation criteria for projects, programs, and people.
- Ensure budget and schedule meet corporate requirements.
- Regularly interact with executives and/or major customers.
- Interaction frequently involves special skills, such as negotiating with customers or management or attempting to influence senior level leaders regarding matters of significance to the organization.
- Report to Senior Director or VP level.
Minimum Requirements
- Bachelor's degree in relevant field of study and 10+ years of relevant professional experience required.
- 7-10 years' experience working across Quality Assurance, Grievances and Appeals, Access and Availability, and/or Utilization Management (referrals and authorizations) with commercial health plans
- Must be a Licensed Attorney
- Must be willing and able to work weekends and nights as program needs require
Please note: For this position Maximus will provide equipment to use.
Home Office Requirements:
- Internet speed of 20mbps or higher required / 50 Mpbs for shared internet connectivity (you can test this by going to www.speedtest.net)
- Minimum 5mpbs upload speed
- Connectivity to the internet via either Wi-Fi or Category 5 or 6 ethernet patch cable to the home router
- Private work...
....Read more...
Type: Permanent Location: Columbia, US-SC
Salary / Rate: 138350
Posted: 2024-10-17 08:52:34
-
Description & Requirements
Maximus is currently hiring for a Director - California Behavioral Health Investigations to join our State West team.
This is a remote opportunity.
The Director will oversee the CA Behavioral Health Investigations and CA Medical Survey contracts.
Essential Duties and Responsibilities:
- Act as the primary contact for the state client
- Ensure program operations are in compliance with all applicable requirements of the contract, as well as State and federal regulations.
- Ensure goals and objectives are established by Project Manager that support the overall Project strategies.
- Oversee all project administrative operations including budget, financial controls, and human resources.
- Plan, develop and schedule priorities for achieving operational and performance goals.
- Review management, productivity, and financial reports and studies to ensure program objectives are met.
- Participate in internal audits, research studies, forecasts, and modeling exercises to support Project direction and guidance.
- Manage operational managers, to include performance appraisals, mentoring, and professional/development guidance.
- Demonstrate a high level of dedication and proactive leadership in meeting corporate goals and program objectives.
- Perform other duties as assigned by management.
- Direct and control the activities of a broad functional area through several department managers within the company.
- Overall control of planning, staffing, budgeting, managing expense priorities; and recommend and implement changes to methods.
- Work on complex issues where analysis of situations or data requires an in-depth knowledge of the company.
- Participate in corporate development of methods, techniques and evaluation criteria for projects, programs, and people.
- Ensure budget and schedule meet corporate requirements.
- Regularly interact with executives and/or major customers.
- Interaction frequently involves special skills, such as negotiating with customers or management or attempting to influence senior level leaders regarding matters of significance to the organization.
- Report to Senior Director or VP level.
Minimum Requirements
- Bachelor's degree in relevant field of study and 10+ years of relevant professional experience required.
- 7-10 years' experience working across Quality Assurance, Grievances and Appeals, Access and Availability, and/or Utilization Management (referrals and authorizations) with commercial health plans
- Must be a Licensed Attorney
- Must be willing and able to work weekends and nights as program needs require
Please note: For this position Maximus will provide equipment to use.
Home Office Requirements:
- Internet speed of 20mbps or higher required / 50 Mpbs for shared internet connectivity (you can test this by going to www.speedtest.net)
- Minimum 5mpbs upload speed
- Connectivity to the internet via either Wi-Fi or Category 5 or 6 ethernet patch cable to the home router
- Private work...
....Read more...
Type: Permanent Location: Sioux Falls, US-SD
Salary / Rate: 138350
Posted: 2024-10-17 08:52:33
-
Description & Requirements
Maximus is currently hiring for a Director - California Behavioral Health Investigations to join our State West team.
This is a remote opportunity.
The Director will oversee the CA Behavioral Health Investigations and CA Medical Survey contracts.
Essential Duties and Responsibilities:
- Act as the primary contact for the state client
- Ensure program operations are in compliance with all applicable requirements of the contract, as well as State and federal regulations.
- Ensure goals and objectives are established by Project Manager that support the overall Project strategies.
- Oversee all project administrative operations including budget, financial controls, and human resources.
- Plan, develop and schedule priorities for achieving operational and performance goals.
- Review management, productivity, and financial reports and studies to ensure program objectives are met.
- Participate in internal audits, research studies, forecasts, and modeling exercises to support Project direction and guidance.
- Manage operational managers, to include performance appraisals, mentoring, and professional/development guidance.
- Demonstrate a high level of dedication and proactive leadership in meeting corporate goals and program objectives.
- Perform other duties as assigned by management.
- Direct and control the activities of a broad functional area through several department managers within the company.
- Overall control of planning, staffing, budgeting, managing expense priorities; and recommend and implement changes to methods.
- Work on complex issues where analysis of situations or data requires an in-depth knowledge of the company.
- Participate in corporate development of methods, techniques and evaluation criteria for projects, programs, and people.
- Ensure budget and schedule meet corporate requirements.
- Regularly interact with executives and/or major customers.
- Interaction frequently involves special skills, such as negotiating with customers or management or attempting to influence senior level leaders regarding matters of significance to the organization.
- Report to Senior Director or VP level.
Minimum Requirements
- Bachelor's degree in relevant field of study and 10+ years of relevant professional experience required.
- 7-10 years' experience working across Quality Assurance, Grievances and Appeals, Access and Availability, and/or Utilization Management (referrals and authorizations) with commercial health plans
- Must be a Licensed Attorney
- Must be willing and able to work weekends and nights as program needs require
Please note: For this position Maximus will provide equipment to use.
Home Office Requirements:
- Internet speed of 20mbps or higher required / 50 Mpbs for shared internet connectivity (you can test this by going to www.speedtest.net)
- Minimum 5mpbs upload speed
- Connectivity to the internet via either Wi-Fi or Category 5 or 6 ethernet patch cable to the home router
- Private work...
....Read more...
Type: Permanent Location: Dallas, US-TX
Salary / Rate: 138350
Posted: 2024-10-17 08:52:33
-
Description & Requirements
Maximus is currently hiring for a Director - California Behavioral Health Investigations to join our State West team.
This is a remote opportunity.
The Director will oversee the CA Behavioral Health Investigations and CA Medical Survey contracts.
Essential Duties and Responsibilities:
- Act as the primary contact for the state client
- Ensure program operations are in compliance with all applicable requirements of the contract, as well as State and federal regulations.
- Ensure goals and objectives are established by Project Manager that support the overall Project strategies.
- Oversee all project administrative operations including budget, financial controls, and human resources.
- Plan, develop and schedule priorities for achieving operational and performance goals.
- Review management, productivity, and financial reports and studies to ensure program objectives are met.
- Participate in internal audits, research studies, forecasts, and modeling exercises to support Project direction and guidance.
- Manage operational managers, to include performance appraisals, mentoring, and professional/development guidance.
- Demonstrate a high level of dedication and proactive leadership in meeting corporate goals and program objectives.
- Perform other duties as assigned by management.
- Direct and control the activities of a broad functional area through several department managers within the company.
- Overall control of planning, staffing, budgeting, managing expense priorities; and recommend and implement changes to methods.
- Work on complex issues where analysis of situations or data requires an in-depth knowledge of the company.
- Participate in corporate development of methods, techniques and evaluation criteria for projects, programs, and people.
- Ensure budget and schedule meet corporate requirements.
- Regularly interact with executives and/or major customers.
- Interaction frequently involves special skills, such as negotiating with customers or management or attempting to influence senior level leaders regarding matters of significance to the organization.
- Report to Senior Director or VP level.
Minimum Requirements
- Bachelor's degree in relevant field of study and 10+ years of relevant professional experience required.
- 7-10 years' experience working across Quality Assurance, Grievances and Appeals, Access and Availability, and/or Utilization Management (referrals and authorizations) with commercial health plans
- Must be a Licensed Attorney
- Must be willing and able to work weekends and nights as program needs require
Please note: For this position Maximus will provide equipment to use.
Home Office Requirements:
- Internet speed of 20mbps or higher required / 50 Mpbs for shared internet connectivity (you can test this by going to www.speedtest.net)
- Minimum 5mpbs upload speed
- Connectivity to the internet via either Wi-Fi or Category 5 or 6 ethernet patch cable to the home router
- Private work...
....Read more...
Type: Permanent Location: Rapid City, US-SD
Salary / Rate: 138350
Posted: 2024-10-17 08:52:32
-
Description & Requirements
Maximus is currently hiring for a Director - California Behavioral Health Investigations to join our State West team.
This is a remote opportunity.
The Director will oversee the CA Behavioral Health Investigations and CA Medical Survey contracts.
Essential Duties and Responsibilities:
- Act as the primary contact for the state client
- Ensure program operations are in compliance with all applicable requirements of the contract, as well as State and federal regulations.
- Ensure goals and objectives are established by Project Manager that support the overall Project strategies.
- Oversee all project administrative operations including budget, financial controls, and human resources.
- Plan, develop and schedule priorities for achieving operational and performance goals.
- Review management, productivity, and financial reports and studies to ensure program objectives are met.
- Participate in internal audits, research studies, forecasts, and modeling exercises to support Project direction and guidance.
- Manage operational managers, to include performance appraisals, mentoring, and professional/development guidance.
- Demonstrate a high level of dedication and proactive leadership in meeting corporate goals and program objectives.
- Perform other duties as assigned by management.
- Direct and control the activities of a broad functional area through several department managers within the company.
- Overall control of planning, staffing, budgeting, managing expense priorities; and recommend and implement changes to methods.
- Work on complex issues where analysis of situations or data requires an in-depth knowledge of the company.
- Participate in corporate development of methods, techniques and evaluation criteria for projects, programs, and people.
- Ensure budget and schedule meet corporate requirements.
- Regularly interact with executives and/or major customers.
- Interaction frequently involves special skills, such as negotiating with customers or management or attempting to influence senior level leaders regarding matters of significance to the organization.
- Report to Senior Director or VP level.
Minimum Requirements
- Bachelor's degree in relevant field of study and 10+ years of relevant professional experience required.
- 7-10 years' experience working across Quality Assurance, Grievances and Appeals, Access and Availability, and/or Utilization Management (referrals and authorizations) with commercial health plans
- Must be a Licensed Attorney
- Must be willing and able to work weekends and nights as program needs require
Please note: For this position Maximus will provide equipment to use.
Home Office Requirements:
- Internet speed of 20mbps or higher required / 50 Mpbs for shared internet connectivity (you can test this by going to www.speedtest.net)
- Minimum 5mpbs upload speed
- Connectivity to the internet via either Wi-Fi or Category 5 or 6 ethernet patch cable to the home router
- Private work...
....Read more...
Type: Permanent Location: Nashville, US-TN
Salary / Rate: 138350
Posted: 2024-10-17 08:52:31
-
Description & Requirements
Maximus is currently hiring for a Director - California Behavioral Health Investigations to join our State West team.
This is a remote opportunity.
The Director will oversee the CA Behavioral Health Investigations and CA Medical Survey contracts.
Essential Duties and Responsibilities:
- Act as the primary contact for the state client
- Ensure program operations are in compliance with all applicable requirements of the contract, as well as State and federal regulations.
- Ensure goals and objectives are established by Project Manager that support the overall Project strategies.
- Oversee all project administrative operations including budget, financial controls, and human resources.
- Plan, develop and schedule priorities for achieving operational and performance goals.
- Review management, productivity, and financial reports and studies to ensure program objectives are met.
- Participate in internal audits, research studies, forecasts, and modeling exercises to support Project direction and guidance.
- Manage operational managers, to include performance appraisals, mentoring, and professional/development guidance.
- Demonstrate a high level of dedication and proactive leadership in meeting corporate goals and program objectives.
- Perform other duties as assigned by management.
- Direct and control the activities of a broad functional area through several department managers within the company.
- Overall control of planning, staffing, budgeting, managing expense priorities; and recommend and implement changes to methods.
- Work on complex issues where analysis of situations or data requires an in-depth knowledge of the company.
- Participate in corporate development of methods, techniques and evaluation criteria for projects, programs, and people.
- Ensure budget and schedule meet corporate requirements.
- Regularly interact with executives and/or major customers.
- Interaction frequently involves special skills, such as negotiating with customers or management or attempting to influence senior level leaders regarding matters of significance to the organization.
- Report to Senior Director or VP level.
Minimum Requirements
- Bachelor's degree in relevant field of study and 10+ years of relevant professional experience required.
- 7-10 years' experience working across Quality Assurance, Grievances and Appeals, Access and Availability, and/or Utilization Management (referrals and authorizations) with commercial health plans
- Must be a Licensed Attorney
- Must be willing and able to work weekends and nights as program needs require
Please note: For this position Maximus will provide equipment to use.
Home Office Requirements:
- Internet speed of 20mbps or higher required / 50 Mpbs for shared internet connectivity (you can test this by going to www.speedtest.net)
- Minimum 5mpbs upload speed
- Connectivity to the internet via either Wi-Fi or Category 5 or 6 ethernet patch cable to the home router
- Private work...
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Type: Permanent Location: Philadelphia, US-PA
Salary / Rate: 138350
Posted: 2024-10-17 08:52:31