-
Essential Duties and Responsibilities:
- Facilitate and prepare all planning activities and artifacts for complex initiatives including project scope statements, work breakdown structure, and detailed project schedule.
- Monitor schedule progress, and implement corrective measures as needed.
Monitor and facilitate the tracking and resolution of issues and decisions impacting the project.
- Develop and monitor risk plans to ensure mitigation strategies are in place and being executed.
- Prepare and deliver project status information to stakeholders.
- Implement solutions to improve or enhance processes and services provided to our customers.
- Lead continuous improvement teams.
- Direct the activities of project management staff, and assist with prioritizing workload, resolving issues, and acting as point of escalation.
- Serve as primary interface with client stakeholders and internal executive leadership.
- Establish governance controls that are defensible, consistent, and auditable across complex initiatives.
- Oversee evidence readiness and ensure baseline/approval/decision/change traceability is maintained.
- Integrate regulatory and contractual considerations into risk responses and control plans.
- Coach teams on audit-ready documentation practices and conduct periodic control health checks.
- Lead PMO assessments and performance turnaround recommendations.
- Steward PMO artifact libraries (plans, tools/templates, how-to-guides) and drive adoption.
- Mentor PM's and Analysts and operationalize continuous improvement across the PMO.
Minimum Requirements
- Bachelor's Degree
- 7-10 years of experience
- Strong skills in critical thinking, interpersonal interactions (negotiation, conflict resolution, consulting, and mentoring), team facilitation/leadership, and presentation/public speaking.
- Ability to work on multple projects under time constraints.
- Proactive, analytical, and process driven, with a strong focus on meeting deliverables and advocating on behalf of the customer.
- Strong verbal and written communication skills required.
- Must be comfortable working in a team environment, as well as independently, and possess a strong sense of accountability and urgency in completing assignments.
- Experience in managing large corporate initiatives.
- Excellent working knowledge of MS Office products.
- Supervisory or management experience preferred.
- Experience using Smartsheet and Jira preferred.
- Experience in both Waterfall and Agile methodologies highly preferred.
- PMP certification highly preferred.
- Agile certification highly preferred.
- Experience in Health Care/Business Administration or related field preferred.
- Equivalent combination of education and experience considered in lieu of Bachelor's degree requirement.
- PMP certification.
- Progressive project management experience leading large/complex implementations and multiple workstreams; multi-project capability.
Preferred Skills and Qual...
....Read more...
Type: Permanent Location: Colorado Springs, US-CO
Salary / Rate: Not Specified
Posted: 2026-04-29 08:15:11
-
Essential Duties and Responsibilities:
- Facilitate and prepare all planning activities and artifacts for complex initiatives including project scope statements, work breakdown structure, and detailed project schedule.
- Monitor schedule progress, and implement corrective measures as needed.
Monitor and facilitate the tracking and resolution of issues and decisions impacting the project.
- Develop and monitor risk plans to ensure mitigation strategies are in place and being executed.
- Prepare and deliver project status information to stakeholders.
- Implement solutions to improve or enhance processes and services provided to our customers.
- Lead continuous improvement teams.
- Direct the activities of project management staff, and assist with prioritizing workload, resolving issues, and acting as point of escalation.
- Serve as primary interface with client stakeholders and internal executive leadership.
- Establish governance controls that are defensible, consistent, and auditable across complex initiatives.
- Oversee evidence readiness and ensure baseline/approval/decision/change traceability is maintained.
- Integrate regulatory and contractual considerations into risk responses and control plans.
- Coach teams on audit-ready documentation practices and conduct periodic control health checks.
- Lead PMO assessments and performance turnaround recommendations.
- Steward PMO artifact libraries (plans, tools/templates, how-to-guides) and drive adoption.
- Mentor PM's and Analysts and operationalize continuous improvement across the PMO.
Minimum Requirements
- Bachelor's Degree
- 7-10 years of experience
- Strong skills in critical thinking, interpersonal interactions (negotiation, conflict resolution, consulting, and mentoring), team facilitation/leadership, and presentation/public speaking.
- Ability to work on multple projects under time constraints.
- Proactive, analytical, and process driven, with a strong focus on meeting deliverables and advocating on behalf of the customer.
- Strong verbal and written communication skills required.
- Must be comfortable working in a team environment, as well as independently, and possess a strong sense of accountability and urgency in completing assignments.
- Experience in managing large corporate initiatives.
- Excellent working knowledge of MS Office products.
- Supervisory or management experience preferred.
- Experience using Smartsheet and Jira preferred.
- Experience in both Waterfall and Agile methodologies highly preferred.
- PMP certification highly preferred.
- Agile certification highly preferred.
- Experience in Health Care/Business Administration or related field preferred.
- Equivalent combination of education and experience considered in lieu of Bachelor's degree requirement.
- PMP certification.
- Progressive project management experience leading large/complex implementations and multiple workstreams; multi-project capability.
Preferred Skills and Qual...
....Read more...
Type: Permanent Location: Little Rock, US-AR
Salary / Rate: Not Specified
Posted: 2026-04-29 08:15:10
-
Essential Duties and Responsibilities:
- Facilitate and prepare all planning activities and artifacts for complex initiatives including project scope statements, work breakdown structure, and detailed project schedule.
- Monitor schedule progress, and implement corrective measures as needed.
Monitor and facilitate the tracking and resolution of issues and decisions impacting the project.
- Develop and monitor risk plans to ensure mitigation strategies are in place and being executed.
- Prepare and deliver project status information to stakeholders.
- Implement solutions to improve or enhance processes and services provided to our customers.
- Lead continuous improvement teams.
- Direct the activities of project management staff, and assist with prioritizing workload, resolving issues, and acting as point of escalation.
- Serve as primary interface with client stakeholders and internal executive leadership.
- Establish governance controls that are defensible, consistent, and auditable across complex initiatives.
- Oversee evidence readiness and ensure baseline/approval/decision/change traceability is maintained.
- Integrate regulatory and contractual considerations into risk responses and control plans.
- Coach teams on audit-ready documentation practices and conduct periodic control health checks.
- Lead PMO assessments and performance turnaround recommendations.
- Steward PMO artifact libraries (plans, tools/templates, how-to-guides) and drive adoption.
- Mentor PM's and Analysts and operationalize continuous improvement across the PMO.
Minimum Requirements
- Bachelor's Degree
- 7-10 years of experience
- Strong skills in critical thinking, interpersonal interactions (negotiation, conflict resolution, consulting, and mentoring), team facilitation/leadership, and presentation/public speaking.
- Ability to work on multple projects under time constraints.
- Proactive, analytical, and process driven, with a strong focus on meeting deliverables and advocating on behalf of the customer.
- Strong verbal and written communication skills required.
- Must be comfortable working in a team environment, as well as independently, and possess a strong sense of accountability and urgency in completing assignments.
- Experience in managing large corporate initiatives.
- Excellent working knowledge of MS Office products.
- Supervisory or management experience preferred.
- Experience using Smartsheet and Jira preferred.
- Experience in both Waterfall and Agile methodologies highly preferred.
- PMP certification highly preferred.
- Agile certification highly preferred.
- Experience in Health Care/Business Administration or related field preferred.
- Equivalent combination of education and experience considered in lieu of Bachelor's degree requirement.
- PMP certification.
- Progressive project management experience leading large/complex implementations and multiple workstreams; multi-project capability.
Preferred Skills and Qual...
....Read more...
Type: Permanent Location: Los Angeles, US-CA
Salary / Rate: Not Specified
Posted: 2026-04-29 08:15:09
-
Essential Duties and Responsibilities:
- Facilitate and prepare all planning activities and artifacts for complex initiatives including project scope statements, work breakdown structure, and detailed project schedule.
- Monitor schedule progress, and implement corrective measures as needed.
Monitor and facilitate the tracking and resolution of issues and decisions impacting the project.
- Develop and monitor risk plans to ensure mitigation strategies are in place and being executed.
- Prepare and deliver project status information to stakeholders.
- Implement solutions to improve or enhance processes and services provided to our customers.
- Lead continuous improvement teams.
- Direct the activities of project management staff, and assist with prioritizing workload, resolving issues, and acting as point of escalation.
- Serve as primary interface with client stakeholders and internal executive leadership.
- Establish governance controls that are defensible, consistent, and auditable across complex initiatives.
- Oversee evidence readiness and ensure baseline/approval/decision/change traceability is maintained.
- Integrate regulatory and contractual considerations into risk responses and control plans.
- Coach teams on audit-ready documentation practices and conduct periodic control health checks.
- Lead PMO assessments and performance turnaround recommendations.
- Steward PMO artifact libraries (plans, tools/templates, how-to-guides) and drive adoption.
- Mentor PM's and Analysts and operationalize continuous improvement across the PMO.
Minimum Requirements
- Bachelor's Degree
- 7-10 years of experience
- Strong skills in critical thinking, interpersonal interactions (negotiation, conflict resolution, consulting, and mentoring), team facilitation/leadership, and presentation/public speaking.
- Ability to work on multple projects under time constraints.
- Proactive, analytical, and process driven, with a strong focus on meeting deliverables and advocating on behalf of the customer.
- Strong verbal and written communication skills required.
- Must be comfortable working in a team environment, as well as independently, and possess a strong sense of accountability and urgency in completing assignments.
- Experience in managing large corporate initiatives.
- Excellent working knowledge of MS Office products.
- Supervisory or management experience preferred.
- Experience using Smartsheet and Jira preferred.
- Experience in both Waterfall and Agile methodologies highly preferred.
- PMP certification highly preferred.
- Agile certification highly preferred.
- Experience in Health Care/Business Administration or related field preferred.
- Equivalent combination of education and experience considered in lieu of Bachelor's degree requirement.
- PMP certification.
- Progressive project management experience leading large/complex implementations and multiple workstreams; multi-project capability.
Preferred Skills and Qual...
....Read more...
Type: Permanent Location: Tucson, US-AZ
Salary / Rate: Not Specified
Posted: 2026-04-29 08:15:09
-
Essential Duties and Responsibilities:
- Facilitate and prepare all planning activities and artifacts for complex initiatives including project scope statements, work breakdown structure, and detailed project schedule.
- Monitor schedule progress, and implement corrective measures as needed.
Monitor and facilitate the tracking and resolution of issues and decisions impacting the project.
- Develop and monitor risk plans to ensure mitigation strategies are in place and being executed.
- Prepare and deliver project status information to stakeholders.
- Implement solutions to improve or enhance processes and services provided to our customers.
- Lead continuous improvement teams.
- Direct the activities of project management staff, and assist with prioritizing workload, resolving issues, and acting as point of escalation.
- Serve as primary interface with client stakeholders and internal executive leadership.
- Establish governance controls that are defensible, consistent, and auditable across complex initiatives.
- Oversee evidence readiness and ensure baseline/approval/decision/change traceability is maintained.
- Integrate regulatory and contractual considerations into risk responses and control plans.
- Coach teams on audit-ready documentation practices and conduct periodic control health checks.
- Lead PMO assessments and performance turnaround recommendations.
- Steward PMO artifact libraries (plans, tools/templates, how-to-guides) and drive adoption.
- Mentor PM's and Analysts and operationalize continuous improvement across the PMO.
Minimum Requirements
- Bachelor's Degree
- 7-10 years of experience
- Strong skills in critical thinking, interpersonal interactions (negotiation, conflict resolution, consulting, and mentoring), team facilitation/leadership, and presentation/public speaking.
- Ability to work on multple projects under time constraints.
- Proactive, analytical, and process driven, with a strong focus on meeting deliverables and advocating on behalf of the customer.
- Strong verbal and written communication skills required.
- Must be comfortable working in a team environment, as well as independently, and possess a strong sense of accountability and urgency in completing assignments.
- Experience in managing large corporate initiatives.
- Excellent working knowledge of MS Office products.
- Supervisory or management experience preferred.
- Experience using Smartsheet and Jira preferred.
- Experience in both Waterfall and Agile methodologies highly preferred.
- PMP certification highly preferred.
- Agile certification highly preferred.
- Experience in Health Care/Business Administration or related field preferred.
- Equivalent combination of education and experience considered in lieu of Bachelor's degree requirement.
- PMP certification.
- Progressive project management experience leading large/complex implementations and multiple workstreams; multi-project capability.
Preferred Skills and Qual...
....Read more...
Type: Permanent Location: Fort Smith, US-AR
Salary / Rate: Not Specified
Posted: 2026-04-29 08:15:08
-
Assist customers and process sales.
Demonstrate the company's core values of respect, honesty, integrity, diversity, inclusion and safety.Based in Portland, Oregon, Fred Meyer merged with The Kroger Company in 1998.
Today, we're proudly serving Fred Meyer customers in over 120 stores throughout Oregon, Washington, Idaho and Alaska.
As part of the Kroger family of companies, we take pride in bringing diverse teams with a passion for food and people together with one common purpose: To Feed the Human Spirit.
With a history of innovation, we work tirelessly to create amazing experiences for our customers, communities AND each other, with food at the heart of it all.
Here, people matter.
That's why we strive to provide the ingredients you need to create your own recipe for success at work and in life.
We help feed your future by providing the value and care you need to grow.
If you're caring, purpose-driven and hungry to learn, your potential is unlimited.
Whether you're seeking a part-time position or a new career path, we've got a fresh opportunity for you.
Apply today to become part of our Fred Meyer family!
What you'll receive from us:
The Kroger Family of Companies offers comprehensive benefits to support your Associate Well-Being, including Physical, Emotional, Financial and more.
We'll help you thrive, with access to:
* A wide range of healthcare coverage, including affordable, comprehensive medical, dental, vision and prescription coverage, through company plans or collective bargaining agreement plans.
* Flexible scheduling in full- and part-time roles with paid time off, including holiday and sick pay based on eligibility and length of service.
* Emotional and financial support with free counseling through our Employee Assistance Program and free, confidential financial tools and coaching with Goldman Sachs Ayco.
* Valuable associate discounts on purchases, including food, travel, technology and so much more.
* Up to $21,000 in tuition reimbursement over your career, through our industry-leading Continuing Education program.
* Vast potential for growth, through an abundance of industry-leading training programs and diverse career pathways.
For more information about benefits and eligibility, please visit our Benefits Page ! Minimum
* High school diploma or general education degree (GED); or combination of relevant education and experience
* Six months cashier experience to work at Customer Service Desk
* Minimum 18 years of age/19 years of age in Idaho/ 19 years in Alaska if selling tobacco
* Ability to pass drug test
* Ability to work in a fast-paced environment
* Ability to work weekends on a regular basis, work any shift and work overtime as needed
* Ability to organize/prioritize tasks/projects
* Accuracy/attention to detail
Desired
* Knowledge of company policies, procedures, and organizational structure
* Related retail experience
* Deliver...
....Read more...
Type: Permanent Location: Bothell, US-WA
Salary / Rate: 21.765
Posted: 2026-04-29 08:15:07
-
Essential Duties and Responsibilities:
- Facilitate and prepare all planning activities and artifacts for complex initiatives including project scope statements, work breakdown structure, and detailed project schedule.
- Monitor schedule progress, and implement corrective measures as needed.
Monitor and facilitate the tracking and resolution of issues and decisions impacting the project.
- Develop and monitor risk plans to ensure mitigation strategies are in place and being executed.
- Prepare and deliver project status information to stakeholders.
- Implement solutions to improve or enhance processes and services provided to our customers.
- Lead continuous improvement teams.
- Direct the activities of project management staff, and assist with prioritizing workload, resolving issues, and acting as point of escalation.
- Serve as primary interface with client stakeholders and internal executive leadership.
- Establish governance controls that are defensible, consistent, and auditable across complex initiatives.
- Oversee evidence readiness and ensure baseline/approval/decision/change traceability is maintained.
- Integrate regulatory and contractual considerations into risk responses and control plans.
- Coach teams on audit-ready documentation practices and conduct periodic control health checks.
- Lead PMO assessments and performance turnaround recommendations.
- Steward PMO artifact libraries (plans, tools/templates, how-to-guides) and drive adoption.
- Mentor PM's and Analysts and operationalize continuous improvement across the PMO.
Minimum Requirements
- Bachelor's Degree
- 7-10 years of experience
- Strong skills in critical thinking, interpersonal interactions (negotiation, conflict resolution, consulting, and mentoring), team facilitation/leadership, and presentation/public speaking.
- Ability to work on multple projects under time constraints.
- Proactive, analytical, and process driven, with a strong focus on meeting deliverables and advocating on behalf of the customer.
- Strong verbal and written communication skills required.
- Must be comfortable working in a team environment, as well as independently, and possess a strong sense of accountability and urgency in completing assignments.
- Experience in managing large corporate initiatives.
- Excellent working knowledge of MS Office products.
- Supervisory or management experience preferred.
- Experience using Smartsheet and Jira preferred.
- Experience in both Waterfall and Agile methodologies highly preferred.
- PMP certification highly preferred.
- Agile certification highly preferred.
- Experience in Health Care/Business Administration or related field preferred.
- Equivalent combination of education and experience considered in lieu of Bachelor's degree requirement.
- PMP certification.
- Progressive project management experience leading large/complex implementations and multiple workstreams; multi-project capability.
Preferred Skills and Qual...
....Read more...
Type: Permanent Location: Mobile, US-AL
Salary / Rate: Not Specified
Posted: 2026-04-29 08:15:07
-
Essential Duties and Responsibilities:
- Facilitate and prepare all planning activities and artifacts for complex initiatives including project scope statements, work breakdown structure, and detailed project schedule.
- Monitor schedule progress, and implement corrective measures as needed.
Monitor and facilitate the tracking and resolution of issues and decisions impacting the project.
- Develop and monitor risk plans to ensure mitigation strategies are in place and being executed.
- Prepare and deliver project status information to stakeholders.
- Implement solutions to improve or enhance processes and services provided to our customers.
- Lead continuous improvement teams.
- Direct the activities of project management staff, and assist with prioritizing workload, resolving issues, and acting as point of escalation.
- Serve as primary interface with client stakeholders and internal executive leadership.
- Establish governance controls that are defensible, consistent, and auditable across complex initiatives.
- Oversee evidence readiness and ensure baseline/approval/decision/change traceability is maintained.
- Integrate regulatory and contractual considerations into risk responses and control plans.
- Coach teams on audit-ready documentation practices and conduct periodic control health checks.
- Lead PMO assessments and performance turnaround recommendations.
- Steward PMO artifact libraries (plans, tools/templates, how-to-guides) and drive adoption.
- Mentor PM's and Analysts and operationalize continuous improvement across the PMO.
Minimum Requirements
- Bachelor's Degree
- 7-10 years of experience
- Strong skills in critical thinking, interpersonal interactions (negotiation, conflict resolution, consulting, and mentoring), team facilitation/leadership, and presentation/public speaking.
- Ability to work on multple projects under time constraints.
- Proactive, analytical, and process driven, with a strong focus on meeting deliverables and advocating on behalf of the customer.
- Strong verbal and written communication skills required.
- Must be comfortable working in a team environment, as well as independently, and possess a strong sense of accountability and urgency in completing assignments.
- Experience in managing large corporate initiatives.
- Excellent working knowledge of MS Office products.
- Supervisory or management experience preferred.
- Experience using Smartsheet and Jira preferred.
- Experience in both Waterfall and Agile methodologies highly preferred.
- PMP certification highly preferred.
- Agile certification highly preferred.
- Experience in Health Care/Business Administration or related field preferred.
- Equivalent combination of education and experience considered in lieu of Bachelor's degree requirement.
- PMP certification.
- Progressive project management experience leading large/complex implementations and multiple workstreams; multi-project capability.
Preferred Skills and Qual...
....Read more...
Type: Permanent Location: Birmingham, US-AL
Salary / Rate: Not Specified
Posted: 2026-04-29 08:15:06
-
Essential Duties and Responsibilities:
- Responsible for reviewing documentation and/or assessments and applying clinical criteria to complete determinations, approvals or recommendations.
- Determine need for and obtain any additional information required to complete actions.
- Determine when escalation or consultation is required with supervisor, physician or related medical or related clinical discipline.
- Complete reports or documentation in accordance with contract requirements.
- Performs other related duties as assigned.
- Reports directly to QIC Adjudication Manager.
- Perform technical appeal review under the direction of the professional clinical reviewers and the QIC Adjudication Manager.
- Review ISO compliant work instruction, process documents, and medical review templates as directed by QIC Adjudication Manager.
- Assist other projects or departments as directed by QIC Adjudication Manager.
- Understand workflow process and offer suggestions for improvement.
- Perform other duties as assigned by QIC Adjudication Manager.
- Must meet or exceed daily productivity requirements.
- Must maintain a QA score of 95 - 100%.
Minimum Requirements
- Current Licensed Practical Nurse (LPN) license valid in the state of practice is required
- High School Degree or equivalent required
- Minimum 2 years of clinical experience required
- Continuing education courses as required by state to maintain LPN license.
- Ability to redirect work focus, as business need or workload volumes dictate.
- Ability to work independently in a remote setting.
- Critical thinking and analytical skills.
- Excellent written and oral communication skills.
- Strong organizational skills and attention to detail.
- Strong computer skills and knowledge of MS Office Suite, Chrome, Microsoft Edge.
- Ability to work an 8-hour schedule between the hours of 7:30am - 6:00pm EST Monday - Friday required.
Preferred Skills & Experience:
- Clinical experience in an acute or long-term care setting.
- Certification in ICD-10 billing and coding.
- Knowledge of Medicare Part A and/or Part B of A.
- Clinical training, education, or certification.
- Experience in production-based environment.
Please note: For this position Maximus will provide equipment to use.
Home Office Requirements:
- Internet speed of 25mbps or higher required / 50 Mpbs for shared internet connectivity (you can test this by going to www.speedtest.net)
- Minimum 5mpbs upload speed
- Connectivity to the internet via Category 5 or 6 ethernet patch cable to the home router
- Private and secure work area and adequate power source
- Must currently and permanently reside in the Continental US
- Must have a smartphone which will be required to log into Maximus systems
EEO Statement
Maximus is an equal opportunity employer.
We evaluate qualified applicants without regard to race, color, religion, sex, age, national origin, disability, veteran status, genetic information and other legal...
....Read more...
Type: Permanent Location: Morgantown, US-WV
Salary / Rate: Not Specified
Posted: 2026-04-29 08:15:05
-
Essential Duties and Responsibilities:
- Facilitate and prepare all planning activities and artifacts for complex initiatives including project scope statements, work breakdown structure, and detailed project schedule.
- Monitor schedule progress, and implement corrective measures as needed.
Monitor and facilitate the tracking and resolution of issues and decisions impacting the project.
- Develop and monitor risk plans to ensure mitigation strategies are in place and being executed.
- Prepare and deliver project status information to stakeholders.
- Implement solutions to improve or enhance processes and services provided to our customers.
- Lead continuous improvement teams.
- Direct the activities of project management staff, and assist with prioritizing workload, resolving issues, and acting as point of escalation.
- Serve as primary interface with client stakeholders and internal executive leadership.
- Establish governance controls that are defensible, consistent, and auditable across complex initiatives.
- Oversee evidence readiness and ensure baseline/approval/decision/change traceability is maintained.
- Integrate regulatory and contractual considerations into risk responses and control plans.
- Coach teams on audit-ready documentation practices and conduct periodic control health checks.
- Lead PMO assessments and performance turnaround recommendations.
- Steward PMO artifact libraries (plans, tools/templates, how-to-guides) and drive adoption.
- Mentor PM's and Analysts and operationalize continuous improvement across the PMO.
Minimum Requirements
- Bachelor's Degree
- 7-10 years of experience
- Strong skills in critical thinking, interpersonal interactions (negotiation, conflict resolution, consulting, and mentoring), team facilitation/leadership, and presentation/public speaking.
- Ability to work on multple projects under time constraints.
- Proactive, analytical, and process driven, with a strong focus on meeting deliverables and advocating on behalf of the customer.
- Strong verbal and written communication skills required.
- Must be comfortable working in a team environment, as well as independently, and possess a strong sense of accountability and urgency in completing assignments.
- Experience in managing large corporate initiatives.
- Excellent working knowledge of MS Office products.
- Supervisory or management experience preferred.
- Experience using Smartsheet and Jira preferred.
- Experience in both Waterfall and Agile methodologies highly preferred.
- PMP certification highly preferred.
- Agile certification highly preferred.
- Experience in Health Care/Business Administration or related field preferred.
- Equivalent combination of education and experience considered in lieu of Bachelor's degree requirement.
- PMP certification.
- Progressive project management experience leading large/complex implementations and multiple workstreams; multi-project capability.
Preferred Skills and Qual...
....Read more...
Type: Permanent Location: Montgomery, US-AL
Salary / Rate: Not Specified
Posted: 2026-04-29 08:15:05
-
Essential Duties and Responsibilities:
- Responsible for reviewing documentation and/or assessments and applying clinical criteria to complete determinations, approvals or recommendations.
- Determine need for and obtain any additional information required to complete actions.
- Determine when escalation or consultation is required with supervisor, physician or related medical or related clinical discipline.
- Complete reports or documentation in accordance with contract requirements.
- Performs other related duties as assigned.
- Reports directly to QIC Adjudication Manager.
- Perform technical appeal review under the direction of the professional clinical reviewers and the QIC Adjudication Manager.
- Review ISO compliant work instruction, process documents, and medical review templates as directed by QIC Adjudication Manager.
- Assist other projects or departments as directed by QIC Adjudication Manager.
- Understand workflow process and offer suggestions for improvement.
- Perform other duties as assigned by QIC Adjudication Manager.
- Must meet or exceed daily productivity requirements.
- Must maintain a QA score of 95 - 100%.
Minimum Requirements
- Current Licensed Practical Nurse (LPN) license valid in the state of practice is required
- High School Degree or equivalent required
- Minimum 2 years of clinical experience required
- Continuing education courses as required by state to maintain LPN license.
- Ability to redirect work focus, as business need or workload volumes dictate.
- Ability to work independently in a remote setting.
- Critical thinking and analytical skills.
- Excellent written and oral communication skills.
- Strong organizational skills and attention to detail.
- Strong computer skills and knowledge of MS Office Suite, Chrome, Microsoft Edge.
- Ability to work an 8-hour schedule between the hours of 7:30am - 6:00pm EST Monday - Friday required.
Preferred Skills & Experience:
- Clinical experience in an acute or long-term care setting.
- Certification in ICD-10 billing and coding.
- Knowledge of Medicare Part A and/or Part B of A.
- Clinical training, education, or certification.
- Experience in production-based environment.
Please note: For this position Maximus will provide equipment to use.
Home Office Requirements:
- Internet speed of 25mbps or higher required / 50 Mpbs for shared internet connectivity (you can test this by going to www.speedtest.net)
- Minimum 5mpbs upload speed
- Connectivity to the internet via Category 5 or 6 ethernet patch cable to the home router
- Private and secure work area and adequate power source
- Must currently and permanently reside in the Continental US
- Must have a smartphone which will be required to log into Maximus systems
EEO Statement
Maximus is an equal opportunity employer.
We evaluate qualified applicants without regard to race, color, religion, sex, age, national origin, disability, veteran status, genetic information and other legal...
....Read more...
Type: Permanent Location: Milwaukee, US-WI
Salary / Rate: Not Specified
Posted: 2026-04-29 08:15:03
-
Essential Duties and Responsibilities:
- Responsible for reviewing documentation and/or assessments and applying clinical criteria to complete determinations, approvals or recommendations.
- Determine need for and obtain any additional information required to complete actions.
- Determine when escalation or consultation is required with supervisor, physician or related medical or related clinical discipline.
- Complete reports or documentation in accordance with contract requirements.
- Performs other related duties as assigned.
- Reports directly to QIC Adjudication Manager.
- Perform technical appeal review under the direction of the professional clinical reviewers and the QIC Adjudication Manager.
- Review ISO compliant work instruction, process documents, and medical review templates as directed by QIC Adjudication Manager.
- Assist other projects or departments as directed by QIC Adjudication Manager.
- Understand workflow process and offer suggestions for improvement.
- Perform other duties as assigned by QIC Adjudication Manager.
- Must meet or exceed daily productivity requirements.
- Must maintain a QA score of 95 - 100%.
Minimum Requirements
- Current Licensed Practical Nurse (LPN) license valid in the state of practice is required
- High School Degree or equivalent required
- Minimum 2 years of clinical experience required
- Continuing education courses as required by state to maintain LPN license.
- Ability to redirect work focus, as business need or workload volumes dictate.
- Ability to work independently in a remote setting.
- Critical thinking and analytical skills.
- Excellent written and oral communication skills.
- Strong organizational skills and attention to detail.
- Strong computer skills and knowledge of MS Office Suite, Chrome, Microsoft Edge.
- Ability to work an 8-hour schedule between the hours of 7:30am - 6:00pm EST Monday - Friday required.
Preferred Skills & Experience:
- Clinical experience in an acute or long-term care setting.
- Certification in ICD-10 billing and coding.
- Knowledge of Medicare Part A and/or Part B of A.
- Clinical training, education, or certification.
- Experience in production-based environment.
Please note: For this position Maximus will provide equipment to use.
Home Office Requirements:
- Internet speed of 25mbps or higher required / 50 Mpbs for shared internet connectivity (you can test this by going to www.speedtest.net)
- Minimum 5mpbs upload speed
- Connectivity to the internet via Category 5 or 6 ethernet patch cable to the home router
- Private and secure work area and adequate power source
- Must currently and permanently reside in the Continental US
- Must have a smartphone which will be required to log into Maximus systems
EEO Statement
Maximus is an equal opportunity employer.
We evaluate qualified applicants without regard to race, color, religion, sex, age, national origin, disability, veteran status, genetic information and other legal...
....Read more...
Type: Permanent Location: Rock Springs, US-WY
Salary / Rate: Not Specified
Posted: 2026-04-29 08:15:02
-
Essential Duties and Responsibilities:
- Assisting with updates to company files, reviews documents, and assists with legal Ops research.
- Maintains and files corporate records, including resolutions, and annual reports.
- Works with members of the legal team on special projects and assists with legal Ops initiatives.
- Maintain a nuanced understanding of business operations to assist with vendor management and other legal systems including processing of outside legal counsel invoices.
- Ensure that Maximus follows all applicable requirements for state licensing for all subsidiaries management and maintain retention policies for highly confidential materials.
- Provide a bridge for smooth communication between the Executive's office while demonstrating leadership to maintain credibility, trust and support.
- Support the Executive as a right hand "gatekeeper"; manage highly sensitive and confidential information with discretion.
- Arrange complex and detailed domestic and international travel plans, itineraries, and agendas; and compile documents for travel-related meetings.
- Research, prioritize, and follow up on incoming issues and concerns addressed to the Executive including those of a sensitive or confidential nature.
- Determine appropriate course of action, referral, or response.
- Optimize calendar for meetings; manage active calendar of appointments; manage inbox and email of the Executive, manage correspondence on a daily basis.
- Work closely and effectively with the Executive to keep them well informed of upcoming commitments and responsibilities, following up appropriately.
Minimum Requirements
- High School Diploma or equivalent
- 6+ years of experience
- Associate degree or bachelor's degree in paralegal studies or relevant field, plus a paralegal certificate
EEO Statement
Maximus is an equal opportunity employer.
We evaluate qualified applicants without regard to race, color, religion, sex, age, national origin, disability, veteran status, genetic information and other legally protected characteristics.
Pay Transparency
Maximus compensation is based on various factors including but not limited to job location, a candidate's education, training, experience, expected quality and quantity of work, required travel (if any), external market and internal value analysis including seniority and merit systems, as well as internal pay alignment.
Annual salary is just one component of Maximus's total compensation package.
Other rewards may include short- and long-term incentives as well as program-specific awards.
Additionally, Maximus provides a variety of benefits to employees, including health insurance coverage, life and disability insurance, a retirement savings plan, paid holidays and paid time off.
Compensation ranges may differ based on contract value but will be commensurate with job duties and relevant work experience.
An applicant's salary history will not be used in determining compensation.
Maximus will comp...
....Read more...
Type: Permanent Location: Mclean, US-VA
Salary / Rate: Not Specified
Posted: 2026-04-29 08:15:01
-
Essential Duties and Responsibilities:
- Responsible for reviewing documentation and/or assessments and applying clinical criteria to complete determinations, approvals or recommendations.
- Determine need for and obtain any additional information required to complete actions.
- Determine when escalation or consultation is required with supervisor, physician or related medical or related clinical discipline.
- Complete reports or documentation in accordance with contract requirements.
- Performs other related duties as assigned.
- Reports directly to QIC Adjudication Manager.
- Perform technical appeal review under the direction of the professional clinical reviewers and the QIC Adjudication Manager.
- Review ISO compliant work instruction, process documents, and medical review templates as directed by QIC Adjudication Manager.
- Assist other projects or departments as directed by QIC Adjudication Manager.
- Understand workflow process and offer suggestions for improvement.
- Perform other duties as assigned by QIC Adjudication Manager.
- Must meet or exceed daily productivity requirements.
- Must maintain a QA score of 95 - 100%.
Minimum Requirements
- Current Licensed Practical Nurse (LPN) license valid in the state of practice is required
- High School Degree or equivalent required
- Minimum 2 years of clinical experience required
- Continuing education courses as required by state to maintain LPN license.
- Ability to redirect work focus, as business need or workload volumes dictate.
- Ability to work independently in a remote setting.
- Critical thinking and analytical skills.
- Excellent written and oral communication skills.
- Strong organizational skills and attention to detail.
- Strong computer skills and knowledge of MS Office Suite, Chrome, Microsoft Edge.
- Ability to work an 8-hour schedule between the hours of 7:30am - 6:00pm EST Monday - Friday required.
Preferred Skills & Experience:
- Clinical experience in an acute or long-term care setting.
- Certification in ICD-10 billing and coding.
- Knowledge of Medicare Part A and/or Part B of A.
- Clinical training, education, or certification.
- Experience in production-based environment.
Please note: For this position Maximus will provide equipment to use.
Home Office Requirements:
- Internet speed of 25mbps or higher required / 50 Mpbs for shared internet connectivity (you can test this by going to www.speedtest.net)
- Minimum 5mpbs upload speed
- Connectivity to the internet via Category 5 or 6 ethernet patch cable to the home router
- Private and secure work area and adequate power source
- Must currently and permanently reside in the Continental US
- Must have a smartphone which will be required to log into Maximus systems
EEO Statement
Maximus is an equal opportunity employer.
We evaluate qualified applicants without regard to race, color, religion, sex, age, national origin, disability, veteran status, genetic information and other legal...
....Read more...
Type: Permanent Location: Eau Claire, US-WI
Salary / Rate: Not Specified
Posted: 2026-04-29 08:15:00
-
Essential Duties and Responsibilities:
- Responsible for reviewing documentation and/or assessments and applying clinical criteria to complete determinations, approvals or recommendations.
- Determine need for and obtain any additional information required to complete actions.
- Determine when escalation or consultation is required with supervisor, physician or related medical or related clinical discipline.
- Complete reports or documentation in accordance with contract requirements.
- Performs other related duties as assigned.
- Reports directly to QIC Adjudication Manager.
- Perform technical appeal review under the direction of the professional clinical reviewers and the QIC Adjudication Manager.
- Review ISO compliant work instruction, process documents, and medical review templates as directed by QIC Adjudication Manager.
- Assist other projects or departments as directed by QIC Adjudication Manager.
- Understand workflow process and offer suggestions for improvement.
- Perform other duties as assigned by QIC Adjudication Manager.
- Must meet or exceed daily productivity requirements.
- Must maintain a QA score of 95 - 100%.
Minimum Requirements
- Current Licensed Practical Nurse (LPN) license valid in the state of practice is required
- High School Degree or equivalent required
- Minimum 2 years of clinical experience required
- Continuing education courses as required by state to maintain LPN license.
- Ability to redirect work focus, as business need or workload volumes dictate.
- Ability to work independently in a remote setting.
- Critical thinking and analytical skills.
- Excellent written and oral communication skills.
- Strong organizational skills and attention to detail.
- Strong computer skills and knowledge of MS Office Suite, Chrome, Microsoft Edge.
- Ability to work an 8-hour schedule between the hours of 7:30am - 6:00pm EST Monday - Friday required.
Preferred Skills & Experience:
- Clinical experience in an acute or long-term care setting.
- Certification in ICD-10 billing and coding.
- Knowledge of Medicare Part A and/or Part B of A.
- Clinical training, education, or certification.
- Experience in production-based environment.
Please note: For this position Maximus will provide equipment to use.
Home Office Requirements:
- Internet speed of 25mbps or higher required / 50 Mpbs for shared internet connectivity (you can test this by going to www.speedtest.net)
- Minimum 5mpbs upload speed
- Connectivity to the internet via Category 5 or 6 ethernet patch cable to the home router
- Private and secure work area and adequate power source
- Must currently and permanently reside in the Continental US
- Must have a smartphone which will be required to log into Maximus systems
EEO Statement
Maximus is an equal opportunity employer.
We evaluate qualified applicants without regard to race, color, religion, sex, age, national origin, disability, veteran status, genetic information and other legal...
....Read more...
Type: Permanent Location: Cheyenne, US-WY
Salary / Rate: Not Specified
Posted: 2026-04-29 08:15:00
-
Essential Duties and Responsibilities:
- Responsible for reviewing documentation and/or assessments and applying clinical criteria to complete determinations, approvals or recommendations.
- Determine need for and obtain any additional information required to complete actions.
- Determine when escalation or consultation is required with supervisor, physician or related medical or related clinical discipline.
- Complete reports or documentation in accordance with contract requirements.
- Performs other related duties as assigned.
- Reports directly to QIC Adjudication Manager.
- Perform technical appeal review under the direction of the professional clinical reviewers and the QIC Adjudication Manager.
- Review ISO compliant work instruction, process documents, and medical review templates as directed by QIC Adjudication Manager.
- Assist other projects or departments as directed by QIC Adjudication Manager.
- Understand workflow process and offer suggestions for improvement.
- Perform other duties as assigned by QIC Adjudication Manager.
- Must meet or exceed daily productivity requirements.
- Must maintain a QA score of 95 - 100%.
Minimum Requirements
- Current Licensed Practical Nurse (LPN) license valid in the state of practice is required
- High School Degree or equivalent required
- Minimum 2 years of clinical experience required
- Continuing education courses as required by state to maintain LPN license.
- Ability to redirect work focus, as business need or workload volumes dictate.
- Ability to work independently in a remote setting.
- Critical thinking and analytical skills.
- Excellent written and oral communication skills.
- Strong organizational skills and attention to detail.
- Strong computer skills and knowledge of MS Office Suite, Chrome, Microsoft Edge.
- Ability to work an 8-hour schedule between the hours of 7:30am - 6:00pm EST Monday - Friday required.
Preferred Skills & Experience:
- Clinical experience in an acute or long-term care setting.
- Certification in ICD-10 billing and coding.
- Knowledge of Medicare Part A and/or Part B of A.
- Clinical training, education, or certification.
- Experience in production-based environment.
Please note: For this position Maximus will provide equipment to use.
Home Office Requirements:
- Internet speed of 25mbps or higher required / 50 Mpbs for shared internet connectivity (you can test this by going to www.speedtest.net)
- Minimum 5mpbs upload speed
- Connectivity to the internet via Category 5 or 6 ethernet patch cable to the home router
- Private and secure work area and adequate power source
- Must currently and permanently reside in the Continental US
- Must have a smartphone which will be required to log into Maximus systems
EEO Statement
Maximus is an equal opportunity employer.
We evaluate qualified applicants without regard to race, color, religion, sex, age, national origin, disability, veteran status, genetic information and other legal...
....Read more...
Type: Permanent Location: Charleston, US-WV
Salary / Rate: Not Specified
Posted: 2026-04-29 08:14:59
-
Essential Duties and Responsibilities:
- Responsible for reviewing documentation and/or assessments and applying clinical criteria to complete determinations, approvals or recommendations.
- Determine need for and obtain any additional information required to complete actions.
- Determine when escalation or consultation is required with supervisor, physician or related medical or related clinical discipline.
- Complete reports or documentation in accordance with contract requirements.
- Performs other related duties as assigned.
- Reports directly to QIC Adjudication Manager.
- Perform technical appeal review under the direction of the professional clinical reviewers and the QIC Adjudication Manager.
- Review ISO compliant work instruction, process documents, and medical review templates as directed by QIC Adjudication Manager.
- Assist other projects or departments as directed by QIC Adjudication Manager.
- Understand workflow process and offer suggestions for improvement.
- Perform other duties as assigned by QIC Adjudication Manager.
- Must meet or exceed daily productivity requirements.
- Must maintain a QA score of 95 - 100%.
Minimum Requirements
- Current Licensed Practical Nurse (LPN) license valid in the state of practice is required
- High School Degree or equivalent required
- Minimum 2 years of clinical experience required
- Continuing education courses as required by state to maintain LPN license.
- Ability to redirect work focus, as business need or workload volumes dictate.
- Ability to work independently in a remote setting.
- Critical thinking and analytical skills.
- Excellent written and oral communication skills.
- Strong organizational skills and attention to detail.
- Strong computer skills and knowledge of MS Office Suite, Chrome, Microsoft Edge.
- Ability to work an 8-hour schedule between the hours of 7:30am - 6:00pm EST Monday - Friday required.
Preferred Skills & Experience:
- Clinical experience in an acute or long-term care setting.
- Certification in ICD-10 billing and coding.
- Knowledge of Medicare Part A and/or Part B of A.
- Clinical training, education, or certification.
- Experience in production-based environment.
Please note: For this position Maximus will provide equipment to use.
Home Office Requirements:
- Internet speed of 25mbps or higher required / 50 Mpbs for shared internet connectivity (you can test this by going to www.speedtest.net)
- Minimum 5mpbs upload speed
- Connectivity to the internet via Category 5 or 6 ethernet patch cable to the home router
- Private and secure work area and adequate power source
- Must currently and permanently reside in the Continental US
- Must have a smartphone which will be required to log into Maximus systems
EEO Statement
Maximus is an equal opportunity employer.
We evaluate qualified applicants without regard to race, color, religion, sex, age, national origin, disability, veteran status, genetic information and other legal...
....Read more...
Type: Permanent Location: Spokane, US-WA
Salary / Rate: Not Specified
Posted: 2026-04-29 08:14:59
-
Essential Duties and Responsibilities:
- Responsible for reviewing documentation and/or assessments and applying clinical criteria to complete determinations, approvals or recommendations.
- Determine need for and obtain any additional information required to complete actions.
- Determine when escalation or consultation is required with supervisor, physician or related medical or related clinical discipline.
- Complete reports or documentation in accordance with contract requirements.
- Performs other related duties as assigned.
- Reports directly to QIC Adjudication Manager.
- Perform technical appeal review under the direction of the professional clinical reviewers and the QIC Adjudication Manager.
- Review ISO compliant work instruction, process documents, and medical review templates as directed by QIC Adjudication Manager.
- Assist other projects or departments as directed by QIC Adjudication Manager.
- Understand workflow process and offer suggestions for improvement.
- Perform other duties as assigned by QIC Adjudication Manager.
- Must meet or exceed daily productivity requirements.
- Must maintain a QA score of 95 - 100%.
Minimum Requirements
- Current Licensed Practical Nurse (LPN) license valid in the state of practice is required
- High School Degree or equivalent required
- Minimum 2 years of clinical experience required
- Continuing education courses as required by state to maintain LPN license.
- Ability to redirect work focus, as business need or workload volumes dictate.
- Ability to work independently in a remote setting.
- Critical thinking and analytical skills.
- Excellent written and oral communication skills.
- Strong organizational skills and attention to detail.
- Strong computer skills and knowledge of MS Office Suite, Chrome, Microsoft Edge.
- Ability to work an 8-hour schedule between the hours of 7:30am - 6:00pm EST Monday - Friday required.
Preferred Skills & Experience:
- Clinical experience in an acute or long-term care setting.
- Certification in ICD-10 billing and coding.
- Knowledge of Medicare Part A and/or Part B of A.
- Clinical training, education, or certification.
- Experience in production-based environment.
Please note: For this position Maximus will provide equipment to use.
Home Office Requirements:
- Internet speed of 25mbps or higher required / 50 Mpbs for shared internet connectivity (you can test this by going to www.speedtest.net)
- Minimum 5mpbs upload speed
- Connectivity to the internet via Category 5 or 6 ethernet patch cable to the home router
- Private and secure work area and adequate power source
- Must currently and permanently reside in the Continental US
- Must have a smartphone which will be required to log into Maximus systems
EEO Statement
Maximus is an equal opportunity employer.
We evaluate qualified applicants without regard to race, color, religion, sex, age, national origin, disability, veteran status, genetic information and other legal...
....Read more...
Type: Permanent Location: Richmond, US-VA
Salary / Rate: Not Specified
Posted: 2026-04-29 08:14:58
-
Essential Duties and Responsibilities:
- Responsible for reviewing documentation and/or assessments and applying clinical criteria to complete determinations, approvals or recommendations.
- Determine need for and obtain any additional information required to complete actions.
- Determine when escalation or consultation is required with supervisor, physician or related medical or related clinical discipline.
- Complete reports or documentation in accordance with contract requirements.
- Performs other related duties as assigned.
- Reports directly to QIC Adjudication Manager.
- Perform technical appeal review under the direction of the professional clinical reviewers and the QIC Adjudication Manager.
- Review ISO compliant work instruction, process documents, and medical review templates as directed by QIC Adjudication Manager.
- Assist other projects or departments as directed by QIC Adjudication Manager.
- Understand workflow process and offer suggestions for improvement.
- Perform other duties as assigned by QIC Adjudication Manager.
- Must meet or exceed daily productivity requirements.
- Must maintain a QA score of 95 - 100%.
Minimum Requirements
- Current Licensed Practical Nurse (LPN) license valid in the state of practice is required
- High School Degree or equivalent required
- Minimum 2 years of clinical experience required
- Continuing education courses as required by state to maintain LPN license.
- Ability to redirect work focus, as business need or workload volumes dictate.
- Ability to work independently in a remote setting.
- Critical thinking and analytical skills.
- Excellent written and oral communication skills.
- Strong organizational skills and attention to detail.
- Strong computer skills and knowledge of MS Office Suite, Chrome, Microsoft Edge.
- Ability to work an 8-hour schedule between the hours of 7:30am - 6:00pm EST Monday - Friday required.
Preferred Skills & Experience:
- Clinical experience in an acute or long-term care setting.
- Certification in ICD-10 billing and coding.
- Knowledge of Medicare Part A and/or Part B of A.
- Clinical training, education, or certification.
- Experience in production-based environment.
Please note: For this position Maximus will provide equipment to use.
Home Office Requirements:
- Internet speed of 25mbps or higher required / 50 Mpbs for shared internet connectivity (you can test this by going to www.speedtest.net)
- Minimum 5mpbs upload speed
- Connectivity to the internet via Category 5 or 6 ethernet patch cable to the home router
- Private and secure work area and adequate power source
- Must currently and permanently reside in the Continental US
- Must have a smartphone which will be required to log into Maximus systems
EEO Statement
Maximus is an equal opportunity employer.
We evaluate qualified applicants without regard to race, color, religion, sex, age, national origin, disability, veteran status, genetic information and other legal...
....Read more...
Type: Permanent Location: Seattle, US-WA
Salary / Rate: Not Specified
Posted: 2026-04-29 08:14:57
-
Essential Duties and Responsibilities:
- Responsible for reviewing documentation and/or assessments and applying clinical criteria to complete determinations, approvals or recommendations.
- Determine need for and obtain any additional information required to complete actions.
- Determine when escalation or consultation is required with supervisor, physician or related medical or related clinical discipline.
- Complete reports or documentation in accordance with contract requirements.
- Performs other related duties as assigned.
- Reports directly to QIC Adjudication Manager.
- Perform technical appeal review under the direction of the professional clinical reviewers and the QIC Adjudication Manager.
- Review ISO compliant work instruction, process documents, and medical review templates as directed by QIC Adjudication Manager.
- Assist other projects or departments as directed by QIC Adjudication Manager.
- Understand workflow process and offer suggestions for improvement.
- Perform other duties as assigned by QIC Adjudication Manager.
- Must meet or exceed daily productivity requirements.
- Must maintain a QA score of 95 - 100%.
Minimum Requirements
- Current Licensed Practical Nurse (LPN) license valid in the state of practice is required
- High School Degree or equivalent required
- Minimum 2 years of clinical experience required
- Continuing education courses as required by state to maintain LPN license.
- Ability to redirect work focus, as business need or workload volumes dictate.
- Ability to work independently in a remote setting.
- Critical thinking and analytical skills.
- Excellent written and oral communication skills.
- Strong organizational skills and attention to detail.
- Strong computer skills and knowledge of MS Office Suite, Chrome, Microsoft Edge.
- Ability to work an 8-hour schedule between the hours of 7:30am - 6:00pm EST Monday - Friday required.
Preferred Skills & Experience:
- Clinical experience in an acute or long-term care setting.
- Certification in ICD-10 billing and coding.
- Knowledge of Medicare Part A and/or Part B of A.
- Clinical training, education, or certification.
- Experience in production-based environment.
Please note: For this position Maximus will provide equipment to use.
Home Office Requirements:
- Internet speed of 25mbps or higher required / 50 Mpbs for shared internet connectivity (you can test this by going to www.speedtest.net)
- Minimum 5mpbs upload speed
- Connectivity to the internet via Category 5 or 6 ethernet patch cable to the home router
- Private and secure work area and adequate power source
- Must currently and permanently reside in the Continental US
- Must have a smartphone which will be required to log into Maximus systems
EEO Statement
Maximus is an equal opportunity employer.
We evaluate qualified applicants without regard to race, color, religion, sex, age, national origin, disability, veteran status, genetic information and other legal...
....Read more...
Type: Permanent Location: Roanoke, US-VA
Salary / Rate: Not Specified
Posted: 2026-04-29 08:14:57
-
Essential Duties and Responsibilities:
- Responsible for reviewing documentation and/or assessments and applying clinical criteria to complete determinations, approvals or recommendations.
- Determine need for and obtain any additional information required to complete actions.
- Determine when escalation or consultation is required with supervisor, physician or related medical or related clinical discipline.
- Complete reports or documentation in accordance with contract requirements.
- Performs other related duties as assigned.
- Reports directly to QIC Adjudication Manager.
- Perform technical appeal review under the direction of the professional clinical reviewers and the QIC Adjudication Manager.
- Review ISO compliant work instruction, process documents, and medical review templates as directed by QIC Adjudication Manager.
- Assist other projects or departments as directed by QIC Adjudication Manager.
- Understand workflow process and offer suggestions for improvement.
- Perform other duties as assigned by QIC Adjudication Manager.
- Must meet or exceed daily productivity requirements.
- Must maintain a QA score of 95 - 100%.
Minimum Requirements
- Current Licensed Practical Nurse (LPN) license valid in the state of practice is required
- High School Degree or equivalent required
- Minimum 2 years of clinical experience required
- Continuing education courses as required by state to maintain LPN license.
- Ability to redirect work focus, as business need or workload volumes dictate.
- Ability to work independently in a remote setting.
- Critical thinking and analytical skills.
- Excellent written and oral communication skills.
- Strong organizational skills and attention to detail.
- Strong computer skills and knowledge of MS Office Suite, Chrome, Microsoft Edge.
- Ability to work an 8-hour schedule between the hours of 7:30am - 6:00pm EST Monday - Friday required.
Preferred Skills & Experience:
- Clinical experience in an acute or long-term care setting.
- Certification in ICD-10 billing and coding.
- Knowledge of Medicare Part A and/or Part B of A.
- Clinical training, education, or certification.
- Experience in production-based environment.
Please note: For this position Maximus will provide equipment to use.
Home Office Requirements:
- Internet speed of 25mbps or higher required / 50 Mpbs for shared internet connectivity (you can test this by going to www.speedtest.net)
- Minimum 5mpbs upload speed
- Connectivity to the internet via Category 5 or 6 ethernet patch cable to the home router
- Private and secure work area and adequate power source
- Must currently and permanently reside in the Continental US
- Must have a smartphone which will be required to log into Maximus systems
EEO Statement
Maximus is an equal opportunity employer.
We evaluate qualified applicants without regard to race, color, religion, sex, age, national origin, disability, veteran status, genetic information and other legal...
....Read more...
Type: Permanent Location: Tysons, US-VA
Salary / Rate: Not Specified
Posted: 2026-04-29 08:14:56
-
Essential Duties and Responsibilities:
- Responsible for reviewing documentation and/or assessments and applying clinical criteria to complete determinations, approvals or recommendations.
- Determine need for and obtain any additional information required to complete actions.
- Determine when escalation or consultation is required with supervisor, physician or related medical or related clinical discipline.
- Complete reports or documentation in accordance with contract requirements.
- Performs other related duties as assigned.
- Reports directly to QIC Adjudication Manager.
- Perform technical appeal review under the direction of the professional clinical reviewers and the QIC Adjudication Manager.
- Review ISO compliant work instruction, process documents, and medical review templates as directed by QIC Adjudication Manager.
- Assist other projects or departments as directed by QIC Adjudication Manager.
- Understand workflow process and offer suggestions for improvement.
- Perform other duties as assigned by QIC Adjudication Manager.
- Must meet or exceed daily productivity requirements.
- Must maintain a QA score of 95 - 100%.
Minimum Requirements
- Current Licensed Practical Nurse (LPN) license valid in the state of practice is required
- High School Degree or equivalent required
- Minimum 2 years of clinical experience required
- Continuing education courses as required by state to maintain LPN license.
- Ability to redirect work focus, as business need or workload volumes dictate.
- Ability to work independently in a remote setting.
- Critical thinking and analytical skills.
- Excellent written and oral communication skills.
- Strong organizational skills and attention to detail.
- Strong computer skills and knowledge of MS Office Suite, Chrome, Microsoft Edge.
- Ability to work an 8-hour schedule between the hours of 7:30am - 6:00pm EST Monday - Friday required.
Preferred Skills & Experience:
- Clinical experience in an acute or long-term care setting.
- Certification in ICD-10 billing and coding.
- Knowledge of Medicare Part A and/or Part B of A.
- Clinical training, education, or certification.
- Experience in production-based environment.
Please note: For this position Maximus will provide equipment to use.
Home Office Requirements:
- Internet speed of 25mbps or higher required / 50 Mpbs for shared internet connectivity (you can test this by going to www.speedtest.net)
- Minimum 5mpbs upload speed
- Connectivity to the internet via Category 5 or 6 ethernet patch cable to the home router
- Private and secure work area and adequate power source
- Must currently and permanently reside in the Continental US
- Must have a smartphone which will be required to log into Maximus systems
EEO Statement
Maximus is an equal opportunity employer.
We evaluate qualified applicants without regard to race, color, religion, sex, age, national origin, disability, veteran status, genetic information and other legal...
....Read more...
Type: Permanent Location: Burlington, US-VT
Salary / Rate: Not Specified
Posted: 2026-04-29 08:14:55
-
Essential Duties and Responsibilities:
- Responsible for reviewing documentation and/or assessments and applying clinical criteria to complete determinations, approvals or recommendations.
- Determine need for and obtain any additional information required to complete actions.
- Determine when escalation or consultation is required with supervisor, physician or related medical or related clinical discipline.
- Complete reports or documentation in accordance with contract requirements.
- Performs other related duties as assigned.
- Reports directly to QIC Adjudication Manager.
- Perform technical appeal review under the direction of the professional clinical reviewers and the QIC Adjudication Manager.
- Review ISO compliant work instruction, process documents, and medical review templates as directed by QIC Adjudication Manager.
- Assist other projects or departments as directed by QIC Adjudication Manager.
- Understand workflow process and offer suggestions for improvement.
- Perform other duties as assigned by QIC Adjudication Manager.
- Must meet or exceed daily productivity requirements.
- Must maintain a QA score of 95 - 100%.
Minimum Requirements
- Current Licensed Practical Nurse (LPN) license valid in the state of practice is required
- High School Degree or equivalent required
- Minimum 2 years of clinical experience required
- Continuing education courses as required by state to maintain LPN license.
- Ability to redirect work focus, as business need or workload volumes dictate.
- Ability to work independently in a remote setting.
- Critical thinking and analytical skills.
- Excellent written and oral communication skills.
- Strong organizational skills and attention to detail.
- Strong computer skills and knowledge of MS Office Suite, Chrome, Microsoft Edge.
- Ability to work an 8-hour schedule between the hours of 7:30am - 6:00pm EST Monday - Friday required.
Preferred Skills & Experience:
- Clinical experience in an acute or long-term care setting.
- Certification in ICD-10 billing and coding.
- Knowledge of Medicare Part A and/or Part B of A.
- Clinical training, education, or certification.
- Experience in production-based environment.
Please note: For this position Maximus will provide equipment to use.
Home Office Requirements:
- Internet speed of 25mbps or higher required / 50 Mpbs for shared internet connectivity (you can test this by going to www.speedtest.net)
- Minimum 5mpbs upload speed
- Connectivity to the internet via Category 5 or 6 ethernet patch cable to the home router
- Private and secure work area and adequate power source
- Must currently and permanently reside in the Continental US
- Must have a smartphone which will be required to log into Maximus systems
EEO Statement
Maximus is an equal opportunity employer.
We evaluate qualified applicants without regard to race, color, religion, sex, age, national origin, disability, veteran status, genetic information and other legal...
....Read more...
Type: Permanent Location: St. George, US-UT
Salary / Rate: Not Specified
Posted: 2026-04-29 08:14:54
-
Essential Duties and Responsibilities:
- Responsible for reviewing documentation and/or assessments and applying clinical criteria to complete determinations, approvals or recommendations.
- Determine need for and obtain any additional information required to complete actions.
- Determine when escalation or consultation is required with supervisor, physician or related medical or related clinical discipline.
- Complete reports or documentation in accordance with contract requirements.
- Performs other related duties as assigned.
- Reports directly to QIC Adjudication Manager.
- Perform technical appeal review under the direction of the professional clinical reviewers and the QIC Adjudication Manager.
- Review ISO compliant work instruction, process documents, and medical review templates as directed by QIC Adjudication Manager.
- Assist other projects or departments as directed by QIC Adjudication Manager.
- Understand workflow process and offer suggestions for improvement.
- Perform other duties as assigned by QIC Adjudication Manager.
- Must meet or exceed daily productivity requirements.
- Must maintain a QA score of 95 - 100%.
Minimum Requirements
- Current Licensed Practical Nurse (LPN) license valid in the state of practice is required
- High School Degree or equivalent required
- Minimum 2 years of clinical experience required
- Continuing education courses as required by state to maintain LPN license.
- Ability to redirect work focus, as business need or workload volumes dictate.
- Ability to work independently in a remote setting.
- Critical thinking and analytical skills.
- Excellent written and oral communication skills.
- Strong organizational skills and attention to detail.
- Strong computer skills and knowledge of MS Office Suite, Chrome, Microsoft Edge.
- Ability to work an 8-hour schedule between the hours of 7:30am - 6:00pm EST Monday - Friday required.
Preferred Skills & Experience:
- Clinical experience in an acute or long-term care setting.
- Certification in ICD-10 billing and coding.
- Knowledge of Medicare Part A and/or Part B of A.
- Clinical training, education, or certification.
- Experience in production-based environment.
Please note: For this position Maximus will provide equipment to use.
Home Office Requirements:
- Internet speed of 25mbps or higher required / 50 Mpbs for shared internet connectivity (you can test this by going to www.speedtest.net)
- Minimum 5mpbs upload speed
- Connectivity to the internet via Category 5 or 6 ethernet patch cable to the home router
- Private and secure work area and adequate power source
- Must currently and permanently reside in the Continental US
- Must have a smartphone which will be required to log into Maximus systems
EEO Statement
Maximus is an equal opportunity employer.
We evaluate qualified applicants without regard to race, color, religion, sex, age, national origin, disability, veteran status, genetic information and other legal...
....Read more...
Type: Permanent Location: Salt Lake City, US-UT
Salary / Rate: Not Specified
Posted: 2026-04-29 08:14:52
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Essential Duties and Responsibilities:
- Responsible for reviewing documentation and/or assessments and applying clinical criteria to complete determinations, approvals or recommendations.
- Determine need for and obtain any additional information required to complete actions.
- Determine when escalation or consultation is required with supervisor, physician or related medical or related clinical discipline.
- Complete reports or documentation in accordance with contract requirements.
- Performs other related duties as assigned.
- Reports directly to QIC Adjudication Manager.
- Perform technical appeal review under the direction of the professional clinical reviewers and the QIC Adjudication Manager.
- Review ISO compliant work instruction, process documents, and medical review templates as directed by QIC Adjudication Manager.
- Assist other projects or departments as directed by QIC Adjudication Manager.
- Understand workflow process and offer suggestions for improvement.
- Perform other duties as assigned by QIC Adjudication Manager.
- Must meet or exceed daily productivity requirements.
- Must maintain a QA score of 95 - 100%.
Minimum Requirements
- Current Licensed Practical Nurse (LPN) license valid in the state of practice is required
- High School Degree or equivalent required
- Minimum 2 years of clinical experience required
- Continuing education courses as required by state to maintain LPN license.
- Ability to redirect work focus, as business need or workload volumes dictate.
- Ability to work independently in a remote setting.
- Critical thinking and analytical skills.
- Excellent written and oral communication skills.
- Strong organizational skills and attention to detail.
- Strong computer skills and knowledge of MS Office Suite, Chrome, Microsoft Edge.
- Ability to work an 8-hour schedule between the hours of 7:30am - 6:00pm EST Monday - Friday required.
Preferred Skills & Experience:
- Clinical experience in an acute or long-term care setting.
- Certification in ICD-10 billing and coding.
- Knowledge of Medicare Part A and/or Part B of A.
- Clinical training, education, or certification.
- Experience in production-based environment.
Please note: For this position Maximus will provide equipment to use.
Home Office Requirements:
- Internet speed of 25mbps or higher required / 50 Mpbs for shared internet connectivity (you can test this by going to www.speedtest.net)
- Minimum 5mpbs upload speed
- Connectivity to the internet via Category 5 or 6 ethernet patch cable to the home router
- Private and secure work area and adequate power source
- Must currently and permanently reside in the Continental US
- Must have a smartphone which will be required to log into Maximus systems
EEO Statement
Maximus is an equal opportunity employer.
We evaluate qualified applicants without regard to race, color, religion, sex, age, national origin, disability, veteran status, genetic information and other legal...
....Read more...
Type: Permanent Location: Bennington, US-VT
Salary / Rate: Not Specified
Posted: 2026-04-29 08:14:51
