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Lead Service Associate
Contribute to our mission to improve Health and Wellness in your community.
Become a Rite Aid Lead Service Associate, today!
As a Lead Service Associate, you will supervise Store Associates while assisting in daily store operations.
Your purpose is to provide direction where needed and be an ongoing example of superior customer service.
Why you will THRIVE here:
You love to help people.
You are a natural leader who builds solid professional relationships.
You enjoy jumping in and being the hero.
You consistently exceed people's expectations.
You are passionate about providing top-notch customer service.
You have a keen sense of optimizing processes.
Day-in-the-Life of a Lead Service Associate:
* Supervise and help Store Associates with daily operational tasks.
* Assist customers with their shopping needs and transactions.
* Tend to merchandising tasks via plan-o-gram.
* Perform proper receiving and stocking procedures.
* Count and reconcile cash register drawers.
* Prepare deposits and order change from the bank.
* Ensure store inventory is regularly inspected, removed, or rotated according to the Product Freshness Review Schedule.
* Maintain a safe, clean, and pleasing environment for customers and associates.
* Design a monthly schedule and assign work to foster an efficient and effective workflow.
Education and/or Experience:
* H.S.
Diploma or General Education Degree (GED) required.
* At least one (1) year of experience in retail, food service, restaurant, or customer service industry, preferably at a supervisor level.
What's in it for you?
In an effort to improve and sustain the health and wellness of our employees, we offer competitive health plans, generous paid time off, 401K matching, and career growth opportunities! From the moment you join our team, we will provide an environment that inspires and motivates you to choose to work here so you can reach your full potential.
We support personal growth and achievements.
We dedicate ourselves to creating an experience for all our associates that is easy, exciting, and engaging.
Apply to become a Rite Aid Lead Service Associate and thrive with us today!
JR032687
The typical starting pay range for this position is between $16.28 - $17.75 per hour, although wages can vary based on experience and geography.
....Read more...
Type: Permanent Location: Puyallup, US-WA
Salary / Rate: Not Specified
Posted: 2024-04-17 08:48:56
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Lead Service Associate
Contribute to our mission to improve Health and Wellness in your community.
Become a Rite Aid Lead Service Associate, today!
As a Lead Service Associate, you will supervise Store Associates while assisting in daily store operations.
Your purpose is to provide direction where needed and be an ongoing example of superior customer service.
Why you will THRIVE here:
You love to help people.
You are a natural leader who builds solid professional relationships.
You enjoy jumping in and being the hero.
You consistently exceed people's expectations.
You are passionate about providing top-notch customer service.
You have a keen sense of optimizing processes.
Day-in-the-Life of a Lead Service Associate:
* Supervise and help Store Associates with daily operational tasks.
* Assist customers with their shopping needs and transactions.
* Tend to merchandising tasks via plan-o-gram.
* Perform proper receiving and stocking procedures.
* Count and reconcile cash register drawers.
* Prepare deposits and order change from the bank.
* Ensure store inventory is regularly inspected, removed, or rotated according to the Product Freshness Review Schedule.
* Maintain a safe, clean, and pleasing environment for customers and associates.
* Design a monthly schedule and assign work to foster an efficient and effective workflow.
Education and/or Experience:
* H.S.
Diploma or General Education Degree (GED) required.
* At least one (1) year of experience in retail, food service, restaurant, or customer service industry, preferably at a supervisor level.
What's in it for you?
In an effort to improve and sustain the health and wellness of our employees, we offer competitive health plans, generous paid time off, 401K matching, and career growth opportunities! From the moment you join our team, we will provide an environment that inspires and motivates you to choose to work here so you can reach your full potential.
We support personal growth and achievements.
We dedicate ourselves to creating an experience for all our associates that is easy, exciting, and engaging.
Apply to become a Rite Aid Lead Service Associate and thrive with us today!
JR032674
....Read more...
Type: Permanent Location: Grant, US-MI
Salary / Rate: Not Specified
Posted: 2024-04-17 08:48:55
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Lead Service Associate
Contribute to our mission to improve Health and Wellness in your community.
Become a Rite Aid Lead Service Associate, today!
As a Lead Service Associate, you will supervise Store Associates while assisting in daily store operations.
Your purpose is to provide direction where needed and be an ongoing example of superior customer service.
Why you will THRIVE here:
You love to help people.
You are a natural leader who builds solid professional relationships.
You enjoy jumping in and being the hero.
You consistently exceed people's expectations.
You are passionate about providing top-notch customer service.
You have a keen sense of optimizing processes.
Day-in-the-Life of a Lead Service Associate:
* Supervise and help Store Associates with daily operational tasks.
* Assist customers with their shopping needs and transactions.
* Tend to merchandising tasks via plan-o-gram.
* Perform proper receiving and stocking procedures.
* Count and reconcile cash register drawers.
* Prepare deposits and order change from the bank.
* Ensure store inventory is regularly inspected, removed, or rotated according to the Product Freshness Review Schedule.
* Maintain a safe, clean, and pleasing environment for customers and associates.
* Design a monthly schedule and assign work to foster an efficient and effective workflow.
Education and/or Experience:
* H.S.
Diploma or General Education Degree (GED) required.
* At least one (1) year of experience in retail, food service, restaurant, or customer service industry, preferably at a supervisor level.
What's in it for you?
In an effort to improve and sustain the health and wellness of our employees, we offer competitive health plans, generous paid time off, 401K matching, and career growth opportunities! From the moment you join our team, we will provide an environment that inspires and motivates you to choose to work here so you can reach your full potential.
We support personal growth and achievements.
We dedicate ourselves to creating an experience for all our associates that is easy, exciting, and engaging.
Apply to become a Rite Aid Lead Service Associate and thrive with us today!
JR032646
The typical starting pay range for this position is between $15 - $17.50 per hour, although wages can vary based on experience and geography.
....Read more...
Type: Permanent Location: Orchard Park, US-NY
Salary / Rate: Not Specified
Posted: 2024-04-17 08:48:54
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Lead Service Associate
Contribute to our mission to improve Health and Wellness in your community.
Become a Rite Aid Lead Service Associate, today!
As a Lead Service Associate, you will supervise Store Associates while assisting in daily store operations.
Your purpose is to provide direction where needed and be an ongoing example of superior customer service.
Why you will THRIVE here:
You love to help people.
You are a natural leader who builds solid professional relationships.
You enjoy jumping in and being the hero.
You consistently exceed people's expectations.
You are passionate about providing top-notch customer service.
You have a keen sense of optimizing processes.
Day-in-the-Life of a Lead Service Associate:
* Supervise and help Store Associates with daily operational tasks.
* Assist customers with their shopping needs and transactions.
* Tend to merchandising tasks via plan-o-gram.
* Perform proper receiving and stocking procedures.
* Count and reconcile cash register drawers.
* Prepare deposits and order change from the bank.
* Ensure store inventory is regularly inspected, removed, or rotated according to the Product Freshness Review Schedule.
* Maintain a safe, clean, and pleasing environment for customers and associates.
* Design a monthly schedule and assign work to foster an efficient and effective workflow.
Education and/or Experience:
* H.S.
Diploma or General Education Degree (GED) required.
* At least one (1) year of experience in retail, food service, restaurant, or customer service industry, preferably at a supervisor level.
What's in it for you?
In an effort to improve and sustain the health and wellness of our employees, we offer competitive health plans, generous paid time off, 401K matching, and career growth opportunities! From the moment you join our team, we will provide an environment that inspires and motivates you to choose to work here so you can reach your full potential.
We support personal growth and achievements.
We dedicate ourselves to creating an experience for all our associates that is easy, exciting, and engaging.
Apply to become a Rite Aid Lead Service Associate and thrive with us today!
JR032679
....Read more...
Type: Permanent Location: Grant, US-MI
Salary / Rate: Not Specified
Posted: 2024-04-17 08:48:54
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Lead Service Associate
Contribute to our mission to improve Health and Wellness in your community.
Become a Rite Aid Lead Service Associate, today!
As a Lead Service Associate, you will supervise Store Associates while assisting in daily store operations.
Your purpose is to provide direction where needed and be an ongoing example of superior customer service.
Why you will THRIVE here:
You love to help people.
You are a natural leader who builds solid professional relationships.
You enjoy jumping in and being the hero.
You consistently exceed people's expectations.
You are passionate about providing top-notch customer service.
You have a keen sense of optimizing processes.
Day-in-the-Life of a Lead Service Associate:
* Supervise and help Store Associates with daily operational tasks.
* Assist customers with their shopping needs and transactions.
* Tend to merchandising tasks via plan-o-gram.
* Perform proper receiving and stocking procedures.
* Count and reconcile cash register drawers.
* Prepare deposits and order change from the bank.
* Ensure store inventory is regularly inspected, removed, or rotated according to the Product Freshness Review Schedule.
* Maintain a safe, clean, and pleasing environment for customers and associates.
* Design a monthly schedule and assign work to foster an efficient and effective workflow.
Education and/or Experience:
* H.S.
Diploma or General Education Degree (GED) required.
* At least one (1) year of experience in retail, food service, restaurant, or customer service industry, preferably at a supervisor level.
What's in it for you?
In an effort to improve and sustain the health and wellness of our employees, we offer competitive health plans, generous paid time off, 401K matching, and career growth opportunities! From the moment you join our team, we will provide an environment that inspires and motivates you to choose to work here so you can reach your full potential.
We support personal growth and achievements.
We dedicate ourselves to creating an experience for all our associates that is easy, exciting, and engaging.
Apply to become a Rite Aid Lead Service Associate and thrive with us today!
JR032703
....Read more...
Type: Permanent Location: Apollo, US-PA
Salary / Rate: Not Specified
Posted: 2024-04-17 08:48:53
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Lead Service Associate
Contribute to our mission to improve Health and Wellness in your community.
Become a Rite Aid Lead Service Associate, today!
As a Lead Service Associate, you will supervise Store Associates while assisting in daily store operations.
Your purpose is to provide direction where needed and be an ongoing example of superior customer service.
Why you will THRIVE here:
You love to help people.
You are a natural leader who builds solid professional relationships.
You enjoy jumping in and being the hero.
You consistently exceed people's expectations.
You are passionate about providing top-notch customer service.
You have a keen sense of optimizing processes.
Day-in-the-Life of a Lead Service Associate:
* Supervise and help Store Associates with daily operational tasks.
* Assist customers with their shopping needs and transactions.
* Tend to merchandising tasks via plan-o-gram.
* Perform proper receiving and stocking procedures.
* Count and reconcile cash register drawers.
* Prepare deposits and order change from the bank.
* Ensure store inventory is regularly inspected, removed, or rotated according to the Product Freshness Review Schedule.
* Maintain a safe, clean, and pleasing environment for customers and associates.
* Design a monthly schedule and assign work to foster an efficient and effective workflow.
Education and/or Experience:
* H.S.
Diploma or General Education Degree (GED) required.
* At least one (1) year of experience in retail, food service, restaurant, or customer service industry, preferably at a supervisor level.
What's in it for you?
In an effort to improve and sustain the health and wellness of our employees, we offer competitive health plans, generous paid time off, 401K matching, and career growth opportunities! From the moment you join our team, we will provide an environment that inspires and motivates you to choose to work here so you can reach your full potential.
We support personal growth and achievements.
We dedicate ourselves to creating an experience for all our associates that is easy, exciting, and engaging.
Apply to become a Rite Aid Lead Service Associate and thrive with us today!
JR032700
....Read more...
Type: Permanent Location: Clio, US-MI
Salary / Rate: Not Specified
Posted: 2024-04-17 08:48:52
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Lead Service Associate
Contribute to our mission to improve Health and Wellness in your community.
Become a Rite Aid Lead Service Associate, today!
As a Lead Service Associate, you will supervise Store Associates while assisting in daily store operations.
Your purpose is to provide direction where needed and be an ongoing example of superior customer service.
Why you will THRIVE here:
You love to help people.
You are a natural leader who builds solid professional relationships.
You enjoy jumping in and being the hero.
You consistently exceed people's expectations.
You are passionate about providing top-notch customer service.
You have a keen sense of optimizing processes.
Day-in-the-Life of a Lead Service Associate:
* Supervise and help Store Associates with daily operational tasks.
* Assist customers with their shopping needs and transactions.
* Tend to merchandising tasks via plan-o-gram.
* Perform proper receiving and stocking procedures.
* Count and reconcile cash register drawers.
* Prepare deposits and order change from the bank.
* Ensure store inventory is regularly inspected, removed, or rotated according to the Product Freshness Review Schedule.
* Maintain a safe, clean, and pleasing environment for customers and associates.
* Design a monthly schedule and assign work to foster an efficient and effective workflow.
Education and/or Experience:
* H.S.
Diploma or General Education Degree (GED) required.
* At least one (1) year of experience in retail, food service, restaurant, or customer service industry, preferably at a supervisor level.
What's in it for you?
In an effort to improve and sustain the health and wellness of our employees, we offer competitive health plans, generous paid time off, 401K matching, and career growth opportunities! From the moment you join our team, we will provide an environment that inspires and motivates you to choose to work here so you can reach your full potential.
We support personal growth and achievements.
We dedicate ourselves to creating an experience for all our associates that is easy, exciting, and engaging.
Apply to become a Rite Aid Lead Service Associate and thrive with us today!
JR032702
....Read more...
Type: Permanent Location: Canton, US-OH
Salary / Rate: Not Specified
Posted: 2024-04-17 08:48:51
-
Lead Service Associate
Contribute to our mission to improve Health and Wellness in your community.
Become a Rite Aid Lead Service Associate, today!
As a Lead Service Associate, you will supervise Store Associates while assisting in daily store operations.
Your purpose is to provide direction where needed and be an ongoing example of superior customer service.
Why you will THRIVE here:
You love to help people.
You are a natural leader who builds solid professional relationships.
You enjoy jumping in and being the hero.
You consistently exceed people's expectations.
You are passionate about providing top-notch customer service.
You have a keen sense of optimizing processes.
Day-in-the-Life of a Lead Service Associate:
* Supervise and help Store Associates with daily operational tasks.
* Assist customers with their shopping needs and transactions.
* Tend to merchandising tasks via plan-o-gram.
* Perform proper receiving and stocking procedures.
* Count and reconcile cash register drawers.
* Prepare deposits and order change from the bank.
* Ensure store inventory is regularly inspected, removed, or rotated according to the Product Freshness Review Schedule.
* Maintain a safe, clean, and pleasing environment for customers and associates.
* Design a monthly schedule and assign work to foster an efficient and effective workflow.
Education and/or Experience:
* H.S.
Diploma or General Education Degree (GED) required.
* At least one (1) year of experience in retail, food service, restaurant, or customer service industry, preferably at a supervisor level.
What's in it for you?
In an effort to improve and sustain the health and wellness of our employees, we offer competitive health plans, generous paid time off, 401K matching, and career growth opportunities! From the moment you join our team, we will provide an environment that inspires and motivates you to choose to work here so you can reach your full potential.
We support personal growth and achievements.
We dedicate ourselves to creating an experience for all our associates that is easy, exciting, and engaging.
Apply to become a Rite Aid Lead Service Associate and thrive with us today!
JR032733
....Read more...
Type: Permanent Location: Dearborn, US-MI
Salary / Rate: Not Specified
Posted: 2024-04-17 08:48:51
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Perform general clean-up and stock work in the Meat department and provide customer service.
Demonstrate the company's core values of respect, honesty, integrity, diversity, inclusion and safety of others.From one tiny Cincinnati grocery store more than a century ago, we've grown into what today is the nation's largest grocer with nearly 2,800 stores in 35 states operating under 28 different names.
As America's grocer, we take pride in bringing diverse teams with a passion for food and people together with one common purpose: To Feed the Human Spirit.
With a history of innovation, we work tirelessly to create amazing experiences for our customers, communities AND each other, with food at the heart of it all.
Here, people matter.
That's why we strive to provide the ingredients you need to create your own recipe for success at work and in life.
We help feed your future by providing the value and care you need to grow.
If you're caring, purpose-driven and hungry to learn, your potential is unlimited.
Whether you're seeking a part-time position or a new career path, we've got a fresh opportunity for you.
Apply today to become part of our Kroger family!Minimum
* Willing to work weekends and holidays.
* Demonstrates effective written and verbal communication skills that engage our customers and associates.
* Able to read shelf tags, signs, product labels, training materials, and bulletins.
* Ability to multi-task, set priorities, present information in a professional manner and work with all levels of the organization.
* Personal initiative and follow through to completion.
* Ability to work as part of a team in a fast-paced environment.
* Must be able to work with various cleaning solutions, safely use sharp tools, and carefully operate all production equipment.
Desired
* Past work record reflects dependability and integrity.
* Previous experience in food preparation.
* Knowledge of applicable laws and regulations related to employment practices, safety, and food handling.
* Experience in grocery retail and customer service.
* Wait on customers and counter promptly and cheerfully.
Greet customers and provide them with good quality food.
* Be prompt, tactful, calm, courteous, and professional in all interactions.
* Must be able to communicate with customers and associates.
* Make clean, neat, and friendly impression on customers.
* Unload and store merchandise, prepare and display foods in accordance with company standards, recipes, and policies.
* Perform required temperature monitoring.
* Monitor product quality; make sure it is always fresh and safe.
* Keep sales areas, backrooms, and coolers clean and well organized.
* Keep floors clean, safe, and free from clutter.
* Wash and sanitize cookware and utensils in accordance with company and Health Department policies and procedures.
* Maintain proper signage, product rotation, freshness...
....Read more...
Type: Permanent Location: Port Huron, US-MI
Salary / Rate: Not Specified
Posted: 2024-04-17 08:48:50
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Assist the Store e-Commerce manager in managing the day-to-day operation of the store s e-Commerce department.
Demonstrate the company s core values of respect, honesty, integrity, diversity, inclusion and safety.Based in Salt Lake City, Utah, Smith's Food and Drug merged with The Kroger Company in 1998.
Today, we're proudly serving Smith's customers in over 140 stores throughout Utah, Nevada, New Mexico, Arizona, Montana, Idaho and Wyoming.
As part of the Kroger family of companies, we take pride in bringing diverse teams with a passion for food and people together with one common purpose: To Feed the Human Spirit.
With a history of innovation, we work tirelessly to create amazing experiences for our customers, communities AND each other, with food at the heart of it all.
Here, people matter.
That's why we strive to provide the ingredients you need to create your own recipe for success at work and in life.
We help feed your future by providing the value and care you need to grow.
If you're caring, purpose-driven and hungry to learn, your potential is unlimited.
Whether you're seeking a part-time position or a new career path, we've got a fresh opportunity for you.
Apply today to become part of our Smith's family!Minimum
- Proven supervisory experience
- Self-directed, ability to execute projects with minimal supervision
- Basic math skills (i.e., counting, addition, and subtraction)
- Excellent oral/written communication skills
- Basic knowledge of computers
- Ability to read shelf tags
Desired
- Any experience in a production-oriented environment or warehouse environment, stocking shelves, or cashier experience- Meet/exceed customer expectations for ease of shopping, variety, freshness and cleanliness
- Ensure team members are adhering to local, state and federal laws, food safety procedures and company guidelines are followed
- Perform responsibilities required of selectors and customer attendants as needed per company guidelines
- Train all functions and duties of the selector and customer attendant roles
- Act as the person in charge of the e-Commerce department when the Store e-Commerce manager is unavailable
- Assist with scheduling to meet operational and associates needs
- Maintain the intake of customer orders and distribute and assign work to selectors and customer attendants
- Print and distribute order labels, including orders for perishable departments
- Troubleshoot e-Commerce equipment and devices
- Maintain level of supplies needed to perform necessary duties
- Maintain organization and cleanliness of staging areas and equipment
- Report pricing, scanning, item location discrepancies and invalid temperature types to the store e-Commerce manager
- Perform required opening and closing procedures
- Learn and implement process improvements as directed by division or enterprise e-Commerce team
- Provide feedback on team members daily performance and annual performance reviews
- Must be able to perform the essential job function...
....Read more...
Type: Permanent Location: Brigham City, US-UT
Salary / Rate: Not Specified
Posted: 2024-04-17 08:48:49
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Description & Requirements
Maximus is currently hiring a Sr.
Admin - Medical to support the Independent Medical Review (IMR) project.
Essential Duties and Responsibilities:
- Provide coverage rule review support to QIC project directors and medical directors, by continuously monitoring CMS and relevant contractor websites for coverage rule updates.
- Create and maintain standardized decision letter language consistent with CMS guidance for all QIC projects.
- Create and maintain internal database for Medicare coverage review policies.
- Create and maintain ISO compliant work instruction and process documents.
- Interface and coordinate activities between QIC project directors/medical directors and adjudication team, client and project end user (i.e.
health plans or health plan enrollees).
- May provide assistance to other department/operations as needed and directed by QIC lead.
- Generate reports as needed.
- Perform other duties as may be assigned.
- Provide coverage rule review support to QIC project directors and medical directors, by continuously monitoring CMS and relevant contractor websites for coverage rule updates.
- Create and maintain standardized decision letter language consistent with CMS guidance for all QIC projects.
- Create and maintain internal database for Medicare coverage review policies.
- Create and maintain ISO compliant work instruction and process documents.
- Interface and coordinate activities between QIC project directors/medical directors and adjudication team, client and project end user (i.e.
health plans or health plan enrollees).
- May provide assistance to other department/operations as needed and directed by QIC lead.
- Generate reports as needed.
- Perform other duties as may be assigned
Minimum Requirements
Minimum Requirements:
- High School diploma or equivalent with 4+ years of experience, or Associate degree with 2+ years' experience.
- May have additional training or education in area of specialization.
- Work on assignments that are moderately difficult, requiring judgement in resolving issues.
- Understand implications of work and make recommendations for solutions.
- Communicate on complex or sensitive issues or draft such responses for supervisor or team lead.
- High School Diploma or equivalent
- 1 year of experience in a customer service role
- Strong analytical skills
- Detail and solution oriented
- Ability to work independently
- Excellent written and oral communication skills
- Proficiency in Microsoft Office suite,
Preferred Skills:
- Knowledge of medical terminology
- Experience with basic data entry and data review
EEO Statement
Active military service members, their spouses, and veteran candidates often embody the core competencies Maximus deems essential, and bring a resiliency and dependability that greatly enhances our workforce.
We recognize your unique skills and experiences, and want to provide you with a career path that allows you to continue making a dif...
....Read more...
Type: Permanent Location: Eau Claire, US-WI
Salary / Rate: 21.75
Posted: 2024-04-17 08:48:48
-
Description & Requirements
Maximus is currently hiring a Sr.
Admin - Medical to support the Independent Medical Review (IMR) project.
Essential Duties and Responsibilities:
- Provide coverage rule review support to QIC project directors and medical directors, by continuously monitoring CMS and relevant contractor websites for coverage rule updates.
- Create and maintain standardized decision letter language consistent with CMS guidance for all QIC projects.
- Create and maintain internal database for Medicare coverage review policies.
- Create and maintain ISO compliant work instruction and process documents.
- Interface and coordinate activities between QIC project directors/medical directors and adjudication team, client and project end user (i.e.
health plans or health plan enrollees).
- May provide assistance to other department/operations as needed and directed by QIC lead.
- Generate reports as needed.
- Perform other duties as may be assigned.
- Provide coverage rule review support to QIC project directors and medical directors, by continuously monitoring CMS and relevant contractor websites for coverage rule updates.
- Create and maintain standardized decision letter language consistent with CMS guidance for all QIC projects.
- Create and maintain internal database for Medicare coverage review policies.
- Create and maintain ISO compliant work instruction and process documents.
- Interface and coordinate activities between QIC project directors/medical directors and adjudication team, client and project end user (i.e.
health plans or health plan enrollees).
- May provide assistance to other department/operations as needed and directed by QIC lead.
- Generate reports as needed.
- Perform other duties as may be assigned
Minimum Requirements
Minimum Requirements:
- High School diploma or equivalent with 4+ years of experience, or Associate degree with 2+ years' experience.
- May have additional training or education in area of specialization.
- Work on assignments that are moderately difficult, requiring judgement in resolving issues.
- Understand implications of work and make recommendations for solutions.
- Communicate on complex or sensitive issues or draft such responses for supervisor or team lead.
- High School Diploma or equivalent
- 1 year of experience in a customer service role
- Strong analytical skills
- Detail and solution oriented
- Ability to work independently
- Excellent written and oral communication skills
- Proficiency in Microsoft Office suite,
Preferred Skills:
- Knowledge of medical terminology
- Experience with basic data entry and data review
EEO Statement
Active military service members, their spouses, and veteran candidates often embody the core competencies Maximus deems essential, and bring a resiliency and dependability that greatly enhances our workforce.
We recognize your unique skills and experiences, and want to provide you with a career path that allows you to continue making a dif...
....Read more...
Type: Permanent Location: Cheyenne, US-WY
Salary / Rate: 21.75
Posted: 2024-04-17 08:48:48
-
Description & Requirements
Maximus is currently hiring a Sr.
Admin - Medical to support the Independent Medical Review (IMR) project.
Essential Duties and Responsibilities:
- Provide coverage rule review support to QIC project directors and medical directors, by continuously monitoring CMS and relevant contractor websites for coverage rule updates.
- Create and maintain standardized decision letter language consistent with CMS guidance for all QIC projects.
- Create and maintain internal database for Medicare coverage review policies.
- Create and maintain ISO compliant work instruction and process documents.
- Interface and coordinate activities between QIC project directors/medical directors and adjudication team, client and project end user (i.e.
health plans or health plan enrollees).
- May provide assistance to other department/operations as needed and directed by QIC lead.
- Generate reports as needed.
- Perform other duties as may be assigned.
- Provide coverage rule review support to QIC project directors and medical directors, by continuously monitoring CMS and relevant contractor websites for coverage rule updates.
- Create and maintain standardized decision letter language consistent with CMS guidance for all QIC projects.
- Create and maintain internal database for Medicare coverage review policies.
- Create and maintain ISO compliant work instruction and process documents.
- Interface and coordinate activities between QIC project directors/medical directors and adjudication team, client and project end user (i.e.
health plans or health plan enrollees).
- May provide assistance to other department/operations as needed and directed by QIC lead.
- Generate reports as needed.
- Perform other duties as may be assigned
Minimum Requirements
Minimum Requirements:
- High School diploma or equivalent with 4+ years of experience, or Associate degree with 2+ years' experience.
- May have additional training or education in area of specialization.
- Work on assignments that are moderately difficult, requiring judgement in resolving issues.
- Understand implications of work and make recommendations for solutions.
- Communicate on complex or sensitive issues or draft such responses for supervisor or team lead.
- High School Diploma or equivalent
- 1 year of experience in a customer service role
- Strong analytical skills
- Detail and solution oriented
- Ability to work independently
- Excellent written and oral communication skills
- Proficiency in Microsoft Office suite,
Preferred Skills:
- Knowledge of medical terminology
- Experience with basic data entry and data review
EEO Statement
Active military service members, their spouses, and veteran candidates often embody the core competencies Maximus deems essential, and bring a resiliency and dependability that greatly enhances our workforce.
We recognize your unique skills and experiences, and want to provide you with a career path that allows you to continue making a dif...
....Read more...
Type: Permanent Location: Milwaukee, US-WI
Salary / Rate: 21.75
Posted: 2024-04-17 08:48:47
-
Description & Requirements
Maximus is currently hiring a Sr.
Admin - Medical to support the Independent Medical Review (IMR) project.
Essential Duties and Responsibilities:
- Provide coverage rule review support to QIC project directors and medical directors, by continuously monitoring CMS and relevant contractor websites for coverage rule updates.
- Create and maintain standardized decision letter language consistent with CMS guidance for all QIC projects.
- Create and maintain internal database for Medicare coverage review policies.
- Create and maintain ISO compliant work instruction and process documents.
- Interface and coordinate activities between QIC project directors/medical directors and adjudication team, client and project end user (i.e.
health plans or health plan enrollees).
- May provide assistance to other department/operations as needed and directed by QIC lead.
- Generate reports as needed.
- Perform other duties as may be assigned.
- Provide coverage rule review support to QIC project directors and medical directors, by continuously monitoring CMS and relevant contractor websites for coverage rule updates.
- Create and maintain standardized decision letter language consistent with CMS guidance for all QIC projects.
- Create and maintain internal database for Medicare coverage review policies.
- Create and maintain ISO compliant work instruction and process documents.
- Interface and coordinate activities between QIC project directors/medical directors and adjudication team, client and project end user (i.e.
health plans or health plan enrollees).
- May provide assistance to other department/operations as needed and directed by QIC lead.
- Generate reports as needed.
- Perform other duties as may be assigned
Minimum Requirements
Minimum Requirements:
- High School diploma or equivalent with 4+ years of experience, or Associate degree with 2+ years' experience.
- May have additional training or education in area of specialization.
- Work on assignments that are moderately difficult, requiring judgement in resolving issues.
- Understand implications of work and make recommendations for solutions.
- Communicate on complex or sensitive issues or draft such responses for supervisor or team lead.
- High School Diploma or equivalent
- 1 year of experience in a customer service role
- Strong analytical skills
- Detail and solution oriented
- Ability to work independently
- Excellent written and oral communication skills
- Proficiency in Microsoft Office suite,
Preferred Skills:
- Knowledge of medical terminology
- Experience with basic data entry and data review
EEO Statement
Active military service members, their spouses, and veteran candidates often embody the core competencies Maximus deems essential, and bring a resiliency and dependability that greatly enhances our workforce.
We recognize your unique skills and experiences, and want to provide you with a career path that allows you to continue making a dif...
....Read more...
Type: Permanent Location: Rock Springs, US-WY
Salary / Rate: 21.75
Posted: 2024-04-17 08:48:46
-
Description & Requirements
This candidate will provide subject matter expertise to the Chief Data Officer (CDO) Directorate and support to senior level leadership within the Office of the Deputy Chief Information Officer, Special Access Programs Information Technology (DCIO SAP IT).
Candidate must be able to provide strategic advice, counsel, and sound recommendations to support and defend policy decisions, synchronize investments, and drive actionable outcomes.
The candidate will help create, define, and evolve the "as-is" and "to-be" data architecture for the DoD SAP IT data services.
Provide modeling and framework(s) to determine how to grow and improve new data assets and evaluate existing data assets.
Also, provide data architecture services and perform data architecture reviews, ensuring compliance of design and meta-data standards.
Maximus TCS (Technology and Consulting Services) Internal Job Profile Code: TCS070, T4, Band 7
Required Skills:
* Must have an active TS/SCI clearance
* Bachelor's degree or 4 years of relevant experience in lieu of the degree requirement.
An Associate's degree and 2 years of relevant experience may also be considered in lieu of the degree requirement.
* 5+ years of experience in support of special access program (SAP)
* 7+ years of experience working in support of DoD programs
* 3+ years of supporting policy development and requirements generation
* 5+ years of DoD Information Technology Experience
Desired Skills:
* Experience and support of nextgen platforms and big data technologies such as Hadoop, Flume, Solr, HBase, Impala, Kafka, Spark, etc Experience working with Special Access Programs.
* Experience working at the OSD, Joint Staff or Service Staff level.
* Strong writing and communication skills to collaborate with senior Government and/or Military personnel.
* ML, AI, Python and R exposure
* Data Ontologies experience
* 10+ years of experience with performing CDO analysis, process analysis, and requirements analysis.
* Strong logical reasoning and critical thinking skills, including ability to pivot and respond to and integrate information from various sources.
* Ability to absorb and synthesize information from various outlets and develop effective products for senior DoD leadership.
* Provides technical recommendations to designated boards and Chief Data Officer for integrating new technology or major new mission capabilities
* Experience developing technology strategies and architecting resilient solutions.
* Experience orchestrating, deploying, maintaining and scaling cloud OR on-premise infrastructure targeting big data and platform data management (Relational and NoSQL) with emphasis on reliability, automation and performance Strong working knowledge of SQL
* Experience in creating data models (e.g., subject area, conceptual, logical, physical...) for OLAP architectures
* Contribute to the deve...
....Read more...
Type: Permanent Location: Arlington, US-VA
Salary / Rate: 168250
Posted: 2024-04-17 08:48:46
-
Description & Requirements
Maximus is currently hiring for a Clinic Assistant to join our Veterans Evaluation Services (VES) team in Phoenix, AZ.
The Clinic Assistant is responsible for assisting providers and veterans on exam days in any manner needed, general problem solving in a solutions-oriented manner for both providers and veterans, and updating case statuses as available.
The ideal candidate possesses the desire to assist our wounded veterans with a caring, positive, and patriotic attitude.
Essential Duties and Responsibilities:
- Perform all job functions in compliance with HIPAA policies.
- Adhere to local and externally relevant health and safety laws and policies.
- Gather and provide necessary information to providers; may include gathering forms, documents, and vital signs necessary to the evaluation.
- Provide a high level of customer service by greeting and directing all visitors, answering inquiries, confirming contact and appointment information, and otherwise facilitating a positive experience.
- Document all actions taken and other pertinent information as it relates to veteran and provider interaction.
- Clean exam rooms between each appointment and otherwise maintain stock and cleanliness of clinic throughout the day.
- Other duties as assigned.
Minimum Requirements
Minimum Requirements:
- High School Diploma or equivalent.
- Prior Medical or Customer Service experience is preferred.
- Must live in or near Phoenix, AZ
- Ability to travel by car to the Tucson, AZ clinic preferred
- Reliable transportation to travel to other clinics preferred
- Valid driver's license preferred
- Ability to work some weekend shifts (Saturdays) as needed required
- Ability to travel to Denver, CO for training preferred
EEO Statement
Active military service members, their spouses, and veteran candidates often embody the core competencies Maximus deems essential, and bring a resiliency and dependability that greatly enhances our workforce.
We recognize your unique skills and experiences, and want to provide you with a career path that allows you to continue making a difference for our country.
We're proud of our connections to organizations dedicated to serving veterans and their families.
If you are transitioning from military to civilian life, have prior service, are a retired veteran or a member of the National Guard or Reserves, or a spouse of an active military service member, we have challenging and rewarding career opportunities available for you.
A committed and diverse workforce is our most important resource.
Maximus is an Affirmative Action/Equal Opportunity Employer.
Maximus provides equal employment opportunities to all qualified applicants without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, protected veteran status or disabled status.
....Read more...
Type: Permanent Location: Phoenix, US-AZ
Salary / Rate: 20.5
Posted: 2024-04-17 08:48:45
-
Description & Requirements
Maximus is looking to hire an Assoc Specialist-Customer Advocacy.
This role will respond on behalf of management to oral and written inquiries from government officials, attorneys, regulatory entities, borrowers and other outside agencies, concerning problems relating to loans owned and services by Maximus.
The incumbent supports the Office of the Customer Advocate (OCA) of the Loan Servicing Center Pennsylvania with technical expertise to analyze, track and assist with issues related to the required applications, processes and the overall Unit.
Essential Duties and Responsibilities:
- Prepares and provides accurate account analysis and documentation, as requested by both internal and external customers, within established deadlines.
Analysis can include but is not limited to the following: Calculates and prepares amortizations and payment histories, Performs extensive account research to achieve issue resolution, Reports findings and breakage points to management and lines of business as required, Handles Regulatory cases on a regular basis
- During the research and response process, the individual may be required to correspond or collaborate with customers or:Various levels of Management, spanning from Supervisor to Board Member; Attorneys (Maximus and Outside Counsel); Congressional Offices and other Regulatory Agencies; Corporate Communications Department; The Department of Education and Guarantor Agencies; Consumer Financial Protection Bureau - Assists newly hired employees with the transition from training to work environment, as well as providing ongoing mentoring to Customer Advocates.
- Monitors procedural updates to ensure that they reflect work practices and comply with servicing requirements.
- Trains new staff on Unit functions and participates in shadowing activities
- Maintains ongoing contacts within other departments to coordinate functions, streamline processes and deliver excellent products and services.
Essential Duties and Responsibilities:
* Prepares and provides accurate account analysis and documentation, as requested by both internal and external customers, within established deadlines.
Analysis can include but is not limited to the following: Calculates and prepares amortizations and payment histories, Performs extensive account research to achieve issue resolution, Reports findings and breakage points to management and lines of business as required, Handles Regulatory cases on a regular basis
* During the research and response process, the individual may be required to correspond or collaborate with customers or:Various levels of Management, spanning from Supervisor to Board Member; Attorneys (Maximus and Outside Counsel); Congressional Offices and other Regulatory Agencies; Corporate Communications Department; The Department of Education and Guarantor Agencies; Consumer Financial Protection Bureau - Assists newly hired employees with the transition from training to work envir...
....Read more...
Type: Permanent Location: Mclean, US-VA
Salary / Rate: 46000
Posted: 2024-04-17 08:48:44
-
Description & Requirements
Maximus is currently hiring a Sr.
Admin - Medical to support the Independent Medical Review (IMR) project.
Essential Duties and Responsibilities:
- Provide coverage rule review support to QIC project directors and medical directors, by continuously monitoring CMS and relevant contractor websites for coverage rule updates.
- Create and maintain standardized decision letter language consistent with CMS guidance for all QIC projects.
- Create and maintain internal database for Medicare coverage review policies.
- Create and maintain ISO compliant work instruction and process documents.
- Interface and coordinate activities between QIC project directors/medical directors and adjudication team, client and project end user (i.e.
health plans or health plan enrollees).
- May provide assistance to other department/operations as needed and directed by QIC lead.
- Generate reports as needed.
- Perform other duties as may be assigned.
- Provide coverage rule review support to QIC project directors and medical directors, by continuously monitoring CMS and relevant contractor websites for coverage rule updates.
- Create and maintain standardized decision letter language consistent with CMS guidance for all QIC projects.
- Create and maintain internal database for Medicare coverage review policies.
- Create and maintain ISO compliant work instruction and process documents.
- Interface and coordinate activities between QIC project directors/medical directors and adjudication team, client and project end user (i.e.
health plans or health plan enrollees).
- May provide assistance to other department/operations as needed and directed by QIC lead.
- Generate reports as needed.
- Perform other duties as may be assigned
Minimum Requirements
Minimum Requirements:
- High School diploma or equivalent with 4+ years of experience, or Associate degree with 2+ years' experience.
- May have additional training or education in area of specialization.
- Work on assignments that are moderately difficult, requiring judgement in resolving issues.
- Understand implications of work and make recommendations for solutions.
- Communicate on complex or sensitive issues or draft such responses for supervisor or team lead.
- High School Diploma or equivalent
- 1 year of experience in a customer service role
- Strong analytical skills
- Detail and solution oriented
- Ability to work independently
- Excellent written and oral communication skills
- Proficiency in Microsoft Office suite,
Preferred Skills:
- Knowledge of medical terminology
- Experience with basic data entry and data review
EEO Statement
Active military service members, their spouses, and veteran candidates often embody the core competencies Maximus deems essential, and bring a resiliency and dependability that greatly enhances our workforce.
We recognize your unique skills and experiences, and want to provide you with a career path that allows you to continue making a dif...
....Read more...
Type: Permanent Location: Tysons, US-VA
Salary / Rate: 21.75
Posted: 2024-04-17 08:48:43
-
Description & Requirements
Maximus is currently hiring a Sr.
Admin - Medical to support the Independent Medical Review (IMR) project.
Essential Duties and Responsibilities:
- Provide coverage rule review support to QIC project directors and medical directors, by continuously monitoring CMS and relevant contractor websites for coverage rule updates.
- Create and maintain standardized decision letter language consistent with CMS guidance for all QIC projects.
- Create and maintain internal database for Medicare coverage review policies.
- Create and maintain ISO compliant work instruction and process documents.
- Interface and coordinate activities between QIC project directors/medical directors and adjudication team, client and project end user (i.e.
health plans or health plan enrollees).
- May provide assistance to other department/operations as needed and directed by QIC lead.
- Generate reports as needed.
- Perform other duties as may be assigned.
- Provide coverage rule review support to QIC project directors and medical directors, by continuously monitoring CMS and relevant contractor websites for coverage rule updates.
- Create and maintain standardized decision letter language consistent with CMS guidance for all QIC projects.
- Create and maintain internal database for Medicare coverage review policies.
- Create and maintain ISO compliant work instruction and process documents.
- Interface and coordinate activities between QIC project directors/medical directors and adjudication team, client and project end user (i.e.
health plans or health plan enrollees).
- May provide assistance to other department/operations as needed and directed by QIC lead.
- Generate reports as needed.
- Perform other duties as may be assigned
Minimum Requirements
Minimum Requirements:
- High School diploma or equivalent with 4+ years of experience, or Associate degree with 2+ years' experience.
- May have additional training or education in area of specialization.
- Work on assignments that are moderately difficult, requiring judgement in resolving issues.
- Understand implications of work and make recommendations for solutions.
- Communicate on complex or sensitive issues or draft such responses for supervisor or team lead.
- High School Diploma or equivalent
- 1 year of experience in a customer service role
- Strong analytical skills
- Detail and solution oriented
- Ability to work independently
- Excellent written and oral communication skills
- Proficiency in Microsoft Office suite,
Preferred Skills:
- Knowledge of medical terminology
- Experience with basic data entry and data review
EEO Statement
Active military service members, their spouses, and veteran candidates often embody the core competencies Maximus deems essential, and bring a resiliency and dependability that greatly enhances our workforce.
We recognize your unique skills and experiences, and want to provide you with a career path that allows you to continue making a dif...
....Read more...
Type: Permanent Location: Seattle, US-WA
Salary / Rate: 21.75
Posted: 2024-04-17 08:48:43
-
Description & Requirements
Maximus is currently hiring a Sr.
Admin - Medical to support the Independent Medical Review (IMR) project.
Essential Duties and Responsibilities:
- Provide coverage rule review support to QIC project directors and medical directors, by continuously monitoring CMS and relevant contractor websites for coverage rule updates.
- Create and maintain standardized decision letter language consistent with CMS guidance for all QIC projects.
- Create and maintain internal database for Medicare coverage review policies.
- Create and maintain ISO compliant work instruction and process documents.
- Interface and coordinate activities between QIC project directors/medical directors and adjudication team, client and project end user (i.e.
health plans or health plan enrollees).
- May provide assistance to other department/operations as needed and directed by QIC lead.
- Generate reports as needed.
- Perform other duties as may be assigned.
- Provide coverage rule review support to QIC project directors and medical directors, by continuously monitoring CMS and relevant contractor websites for coverage rule updates.
- Create and maintain standardized decision letter language consistent with CMS guidance for all QIC projects.
- Create and maintain internal database for Medicare coverage review policies.
- Create and maintain ISO compliant work instruction and process documents.
- Interface and coordinate activities between QIC project directors/medical directors and adjudication team, client and project end user (i.e.
health plans or health plan enrollees).
- May provide assistance to other department/operations as needed and directed by QIC lead.
- Generate reports as needed.
- Perform other duties as may be assigned
Minimum Requirements
Minimum Requirements:
- High School diploma or equivalent with 4+ years of experience, or Associate degree with 2+ years' experience.
- May have additional training or education in area of specialization.
- Work on assignments that are moderately difficult, requiring judgement in resolving issues.
- Understand implications of work and make recommendations for solutions.
- Communicate on complex or sensitive issues or draft such responses for supervisor or team lead.
- High School Diploma or equivalent
- 1 year of experience in a customer service role
- Strong analytical skills
- Detail and solution oriented
- Ability to work independently
- Excellent written and oral communication skills
- Proficiency in Microsoft Office suite,
Preferred Skills:
- Knowledge of medical terminology
- Experience with basic data entry and data review
EEO Statement
Active military service members, their spouses, and veteran candidates often embody the core competencies Maximus deems essential, and bring a resiliency and dependability that greatly enhances our workforce.
We recognize your unique skills and experiences, and want to provide you with a career path that allows you to continue making a dif...
....Read more...
Type: Permanent Location: Spokane, US-WA
Salary / Rate: 21.75
Posted: 2024-04-17 08:48:42
-
Description & Requirements
Maximus is currently hiring a Sr.
Admin - Medical to support the Independent Medical Review (IMR) project.
Essential Duties and Responsibilities:
- Provide coverage rule review support to QIC project directors and medical directors, by continuously monitoring CMS and relevant contractor websites for coverage rule updates.
- Create and maintain standardized decision letter language consistent with CMS guidance for all QIC projects.
- Create and maintain internal database for Medicare coverage review policies.
- Create and maintain ISO compliant work instruction and process documents.
- Interface and coordinate activities between QIC project directors/medical directors and adjudication team, client and project end user (i.e.
health plans or health plan enrollees).
- May provide assistance to other department/operations as needed and directed by QIC lead.
- Generate reports as needed.
- Perform other duties as may be assigned.
- Provide coverage rule review support to QIC project directors and medical directors, by continuously monitoring CMS and relevant contractor websites for coverage rule updates.
- Create and maintain standardized decision letter language consistent with CMS guidance for all QIC projects.
- Create and maintain internal database for Medicare coverage review policies.
- Create and maintain ISO compliant work instruction and process documents.
- Interface and coordinate activities between QIC project directors/medical directors and adjudication team, client and project end user (i.e.
health plans or health plan enrollees).
- May provide assistance to other department/operations as needed and directed by QIC lead.
- Generate reports as needed.
- Perform other duties as may be assigned
Minimum Requirements
Minimum Requirements:
- High School diploma or equivalent with 4+ years of experience, or Associate degree with 2+ years' experience.
- May have additional training or education in area of specialization.
- Work on assignments that are moderately difficult, requiring judgement in resolving issues.
- Understand implications of work and make recommendations for solutions.
- Communicate on complex or sensitive issues or draft such responses for supervisor or team lead.
- High School Diploma or equivalent
- 1 year of experience in a customer service role
- Strong analytical skills
- Detail and solution oriented
- Ability to work independently
- Excellent written and oral communication skills
- Proficiency in Microsoft Office suite,
Preferred Skills:
- Knowledge of medical terminology
- Experience with basic data entry and data review
EEO Statement
Active military service members, their spouses, and veteran candidates often embody the core competencies Maximus deems essential, and bring a resiliency and dependability that greatly enhances our workforce.
We recognize your unique skills and experiences, and want to provide you with a career path that allows you to continue making a dif...
....Read more...
Type: Permanent Location: Roanoke, US-VA
Salary / Rate: 21.75
Posted: 2024-04-17 08:48:41
-
Description & Requirements
Maximus is currently hiring a Sr.
Admin - Medical to support the Independent Medical Review (IMR) project.
Essential Duties and Responsibilities:
- Provide coverage rule review support to QIC project directors and medical directors, by continuously monitoring CMS and relevant contractor websites for coverage rule updates.
- Create and maintain standardized decision letter language consistent with CMS guidance for all QIC projects.
- Create and maintain internal database for Medicare coverage review policies.
- Create and maintain ISO compliant work instruction and process documents.
- Interface and coordinate activities between QIC project directors/medical directors and adjudication team, client and project end user (i.e.
health plans or health plan enrollees).
- May provide assistance to other department/operations as needed and directed by QIC lead.
- Generate reports as needed.
- Perform other duties as may be assigned.
- Provide coverage rule review support to QIC project directors and medical directors, by continuously monitoring CMS and relevant contractor websites for coverage rule updates.
- Create and maintain standardized decision letter language consistent with CMS guidance for all QIC projects.
- Create and maintain internal database for Medicare coverage review policies.
- Create and maintain ISO compliant work instruction and process documents.
- Interface and coordinate activities between QIC project directors/medical directors and adjudication team, client and project end user (i.e.
health plans or health plan enrollees).
- May provide assistance to other department/operations as needed and directed by QIC lead.
- Generate reports as needed.
- Perform other duties as may be assigned
Minimum Requirements
Minimum Requirements:
- High School diploma or equivalent with 4+ years of experience, or Associate degree with 2+ years' experience.
- May have additional training or education in area of specialization.
- Work on assignments that are moderately difficult, requiring judgement in resolving issues.
- Understand implications of work and make recommendations for solutions.
- Communicate on complex or sensitive issues or draft such responses for supervisor or team lead.
- High School Diploma or equivalent
- 1 year of experience in a customer service role
- Strong analytical skills
- Detail and solution oriented
- Ability to work independently
- Excellent written and oral communication skills
- Proficiency in Microsoft Office suite,
Preferred Skills:
- Knowledge of medical terminology
- Experience with basic data entry and data review
EEO Statement
Active military service members, their spouses, and veteran candidates often embody the core competencies Maximus deems essential, and bring a resiliency and dependability that greatly enhances our workforce.
We recognize your unique skills and experiences, and want to provide you with a career path that allows you to continue making a dif...
....Read more...
Type: Permanent Location: Morgantown, US-WV
Salary / Rate: 21.75
Posted: 2024-04-17 08:48:41
-
Description & Requirements
Maximus is currently hiring a Sr.
Admin - Medical to support the Independent Medical Review (IMR) project.
Essential Duties and Responsibilities:
- Provide coverage rule review support to QIC project directors and medical directors, by continuously monitoring CMS and relevant contractor websites for coverage rule updates.
- Create and maintain standardized decision letter language consistent with CMS guidance for all QIC projects.
- Create and maintain internal database for Medicare coverage review policies.
- Create and maintain ISO compliant work instruction and process documents.
- Interface and coordinate activities between QIC project directors/medical directors and adjudication team, client and project end user (i.e.
health plans or health plan enrollees).
- May provide assistance to other department/operations as needed and directed by QIC lead.
- Generate reports as needed.
- Perform other duties as may be assigned.
- Provide coverage rule review support to QIC project directors and medical directors, by continuously monitoring CMS and relevant contractor websites for coverage rule updates.
- Create and maintain standardized decision letter language consistent with CMS guidance for all QIC projects.
- Create and maintain internal database for Medicare coverage review policies.
- Create and maintain ISO compliant work instruction and process documents.
- Interface and coordinate activities between QIC project directors/medical directors and adjudication team, client and project end user (i.e.
health plans or health plan enrollees).
- May provide assistance to other department/operations as needed and directed by QIC lead.
- Generate reports as needed.
- Perform other duties as may be assigned
Minimum Requirements
Minimum Requirements:
- High School diploma or equivalent with 4+ years of experience, or Associate degree with 2+ years' experience.
- May have additional training or education in area of specialization.
- Work on assignments that are moderately difficult, requiring judgement in resolving issues.
- Understand implications of work and make recommendations for solutions.
- Communicate on complex or sensitive issues or draft such responses for supervisor or team lead.
- High School Diploma or equivalent
- 1 year of experience in a customer service role
- Strong analytical skills
- Detail and solution oriented
- Ability to work independently
- Excellent written and oral communication skills
- Proficiency in Microsoft Office suite,
Preferred Skills:
- Knowledge of medical terminology
- Experience with basic data entry and data review
EEO Statement
Active military service members, their spouses, and veteran candidates often embody the core competencies Maximus deems essential, and bring a resiliency and dependability that greatly enhances our workforce.
We recognize your unique skills and experiences, and want to provide you with a career path that allows you to continue making a dif...
....Read more...
Type: Permanent Location: Charleston, US-WV
Salary / Rate: 21.75
Posted: 2024-04-17 08:48:40
-
Description & Requirements
Maximus is currently hiring a Sr.
Admin - Medical to support the Independent Medical Review (IMR) project.
Essential Duties and Responsibilities:
- Provide coverage rule review support to QIC project directors and medical directors, by continuously monitoring CMS and relevant contractor websites for coverage rule updates.
- Create and maintain standardized decision letter language consistent with CMS guidance for all QIC projects.
- Create and maintain internal database for Medicare coverage review policies.
- Create and maintain ISO compliant work instruction and process documents.
- Interface and coordinate activities between QIC project directors/medical directors and adjudication team, client and project end user (i.e.
health plans or health plan enrollees).
- May provide assistance to other department/operations as needed and directed by QIC lead.
- Generate reports as needed.
- Perform other duties as may be assigned.
- Provide coverage rule review support to QIC project directors and medical directors, by continuously monitoring CMS and relevant contractor websites for coverage rule updates.
- Create and maintain standardized decision letter language consistent with CMS guidance for all QIC projects.
- Create and maintain internal database for Medicare coverage review policies.
- Create and maintain ISO compliant work instruction and process documents.
- Interface and coordinate activities between QIC project directors/medical directors and adjudication team, client and project end user (i.e.
health plans or health plan enrollees).
- May provide assistance to other department/operations as needed and directed by QIC lead.
- Generate reports as needed.
- Perform other duties as may be assigned
Minimum Requirements
Minimum Requirements:
- High School diploma or equivalent with 4+ years of experience, or Associate degree with 2+ years' experience.
- May have additional training or education in area of specialization.
- Work on assignments that are moderately difficult, requiring judgement in resolving issues.
- Understand implications of work and make recommendations for solutions.
- Communicate on complex or sensitive issues or draft such responses for supervisor or team lead.
- High School Diploma or equivalent
- 1 year of experience in a customer service role
- Strong analytical skills
- Detail and solution oriented
- Ability to work independently
- Excellent written and oral communication skills
- Proficiency in Microsoft Office suite,
Preferred Skills:
- Knowledge of medical terminology
- Experience with basic data entry and data review
EEO Statement
Active military service members, their spouses, and veteran candidates often embody the core competencies Maximus deems essential, and bring a resiliency and dependability that greatly enhances our workforce.
We recognize your unique skills and experiences, and want to provide you with a career path that allows you to continue making a dif...
....Read more...
Type: Permanent Location: Richmond, US-VA
Salary / Rate: 21.75
Posted: 2024-04-17 08:48:39
-
Description & Requirements
Maximus is currently hiring a Sr.
Admin - Medical to support the Independent Medical Review (IMR) project.
Essential Duties and Responsibilities:
- Provide coverage rule review support to QIC project directors and medical directors, by continuously monitoring CMS and relevant contractor websites for coverage rule updates.
- Create and maintain standardized decision letter language consistent with CMS guidance for all QIC projects.
- Create and maintain internal database for Medicare coverage review policies.
- Create and maintain ISO compliant work instruction and process documents.
- Interface and coordinate activities between QIC project directors/medical directors and adjudication team, client and project end user (i.e.
health plans or health plan enrollees).
- May provide assistance to other department/operations as needed and directed by QIC lead.
- Generate reports as needed.
- Perform other duties as may be assigned.
- Provide coverage rule review support to QIC project directors and medical directors, by continuously monitoring CMS and relevant contractor websites for coverage rule updates.
- Create and maintain standardized decision letter language consistent with CMS guidance for all QIC projects.
- Create and maintain internal database for Medicare coverage review policies.
- Create and maintain ISO compliant work instruction and process documents.
- Interface and coordinate activities between QIC project directors/medical directors and adjudication team, client and project end user (i.e.
health plans or health plan enrollees).
- May provide assistance to other department/operations as needed and directed by QIC lead.
- Generate reports as needed.
- Perform other duties as may be assigned
Minimum Requirements
Minimum Requirements:
- High School diploma or equivalent with 4+ years of experience, or Associate degree with 2+ years' experience.
- May have additional training or education in area of specialization.
- Work on assignments that are moderately difficult, requiring judgement in resolving issues.
- Understand implications of work and make recommendations for solutions.
- Communicate on complex or sensitive issues or draft such responses for supervisor or team lead.
- High School Diploma or equivalent
- 1 year of experience in a customer service role
- Strong analytical skills
- Detail and solution oriented
- Ability to work independently
- Excellent written and oral communication skills
- Proficiency in Microsoft Office suite,
Preferred Skills:
- Knowledge of medical terminology
- Experience with basic data entry and data review
EEO Statement
Active military service members, their spouses, and veteran candidates often embody the core competencies Maximus deems essential, and bring a resiliency and dependability that greatly enhances our workforce.
We recognize your unique skills and experiences, and want to provide you with a career path that allows you to continue making a dif...
....Read more...
Type: Permanent Location: Burlington, US-VT
Salary / Rate: 21.75
Posted: 2024-04-17 08:48:38
