-
Essential Duties and Responsibilities
- Assist leadership with the day-to-day running of the core functional areas to ensure compliance with the prime contract, all subsequent amendments, program business rules, as well as state and federal regulations
- Assist in the creation and implementation of innovative methodologies, process improvements and corrective action plans to continually streamline and improve project operations, outcomes and quality
- Analyze daily, weekly, and monthly reports for performance measurement and efficiencies
- Collaborate with project and executive management to establish strategic plans, objectives, initiatives, and work plans
- Identify opportunities for improvement and leads the development of projects to improve assessment outcomes
- Develop clinical protocols for the based on regulations and best practices
- Develop policies and procedures related to care, in accordance with state and federal requirements
- Participate in the training and education of staff, and reviews assessments with clinicians to improve assessment outcomes.
- Assist with clinical recruitment and training of clinical staff
- Provide direction and guidance to staff, individually and in teams, to achieve quality assurance goals
- Collaborate with leadership to achieve dispute resolution
- Directly supervise and manage key Project staff as determined by leadership
- Create and develop a functional, motivated, and cohesive project team
- Work with Project and executive management to develop, monitor and revise performance goals and objectives for the project and staff.
Monitor achievement of those goals
- Provide direction to team members and resolves problems in a timely and professional manner
- Develop, modify and execute project policies, ensuring all project team members are in compliance
- Meet all standards established for this position as outlined in the corresponding annual performance criteria and bonus template for this position
- Responsible for managing all aspects of contract expectations which include: financial review, client management and effective delivery of service level expectations.
- Perform other duties as may be assigned by Management
Minimum Requirements
- Bachelor's degree in relevant field of study and 10+ years of relevant professional experience required.
- Five (5) years of management experience, ten (10) years of clinical experience required
- Project Management experience and experience working with adult and geriatric populations preferred
- Bachelor's degree in Human Services, Business, or related
- Minimum 6 years of human services experience
- Minimum 5 years of management experience
- Experience with financial forecasting and profit & loss (P&L) management
- Proficiency in Microsoft Office applications
- Intermediate-level skills in Excel, including data management and analysis
Preferred Requirements
- Master's in Human Services, Business, or related
- 8 years of human services experience pref...
....Read more...
Type: Permanent Location: Colorado Springs, US-CO
Salary / Rate: Not Specified
Posted: 2026-05-13 08:41:25
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Essential Duties and Responsibilities
- Assist leadership with the day-to-day running of the core functional areas to ensure compliance with the prime contract, all subsequent amendments, program business rules, as well as state and federal regulations
- Assist in the creation and implementation of innovative methodologies, process improvements and corrective action plans to continually streamline and improve project operations, outcomes and quality
- Analyze daily, weekly, and monthly reports for performance measurement and efficiencies
- Collaborate with project and executive management to establish strategic plans, objectives, initiatives, and work plans
- Identify opportunities for improvement and leads the development of projects to improve assessment outcomes
- Develop clinical protocols for the based on regulations and best practices
- Develop policies and procedures related to care, in accordance with state and federal requirements
- Participate in the training and education of staff, and reviews assessments with clinicians to improve assessment outcomes.
- Assist with clinical recruitment and training of clinical staff
- Provide direction and guidance to staff, individually and in teams, to achieve quality assurance goals
- Collaborate with leadership to achieve dispute resolution
- Directly supervise and manage key Project staff as determined by leadership
- Create and develop a functional, motivated, and cohesive project team
- Work with Project and executive management to develop, monitor and revise performance goals and objectives for the project and staff.
Monitor achievement of those goals
- Provide direction to team members and resolves problems in a timely and professional manner
- Develop, modify and execute project policies, ensuring all project team members are in compliance
- Meet all standards established for this position as outlined in the corresponding annual performance criteria and bonus template for this position
- Responsible for managing all aspects of contract expectations which include: financial review, client management and effective delivery of service level expectations.
- Perform other duties as may be assigned by Management
Minimum Requirements
- Bachelor's degree in relevant field of study and 10+ years of relevant professional experience required.
- Five (5) years of management experience, ten (10) years of clinical experience required
- Project Management experience and experience working with adult and geriatric populations preferred
- Bachelor's degree in Human Services, Business, or related
- Minimum 6 years of human services experience
- Minimum 5 years of management experience
- Experience with financial forecasting and profit & loss (P&L) management
- Proficiency in Microsoft Office applications
- Intermediate-level skills in Excel, including data management and analysis
Preferred Requirements
- Master's in Human Services, Business, or related
- 8 years of human services experience pref...
....Read more...
Type: Permanent Location: Sacramento, US-CA
Salary / Rate: Not Specified
Posted: 2026-05-13 08:41:24
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Essential Duties and Responsibilities
- Assist leadership with the day-to-day running of the core functional areas to ensure compliance with the prime contract, all subsequent amendments, program business rules, as well as state and federal regulations
- Assist in the creation and implementation of innovative methodologies, process improvements and corrective action plans to continually streamline and improve project operations, outcomes and quality
- Analyze daily, weekly, and monthly reports for performance measurement and efficiencies
- Collaborate with project and executive management to establish strategic plans, objectives, initiatives, and work plans
- Identify opportunities for improvement and leads the development of projects to improve assessment outcomes
- Develop clinical protocols for the based on regulations and best practices
- Develop policies and procedures related to care, in accordance with state and federal requirements
- Participate in the training and education of staff, and reviews assessments with clinicians to improve assessment outcomes.
- Assist with clinical recruitment and training of clinical staff
- Provide direction and guidance to staff, individually and in teams, to achieve quality assurance goals
- Collaborate with leadership to achieve dispute resolution
- Directly supervise and manage key Project staff as determined by leadership
- Create and develop a functional, motivated, and cohesive project team
- Work with Project and executive management to develop, monitor and revise performance goals and objectives for the project and staff.
Monitor achievement of those goals
- Provide direction to team members and resolves problems in a timely and professional manner
- Develop, modify and execute project policies, ensuring all project team members are in compliance
- Meet all standards established for this position as outlined in the corresponding annual performance criteria and bonus template for this position
- Responsible for managing all aspects of contract expectations which include: financial review, client management and effective delivery of service level expectations.
- Perform other duties as may be assigned by Management
Minimum Requirements
- Bachelor's degree in relevant field of study and 10+ years of relevant professional experience required.
- Five (5) years of management experience, ten (10) years of clinical experience required
- Project Management experience and experience working with adult and geriatric populations preferred
- Bachelor's degree in Human Services, Business, or related
- Minimum 6 years of human services experience
- Minimum 5 years of management experience
- Experience with financial forecasting and profit & loss (P&L) management
- Proficiency in Microsoft Office applications
- Intermediate-level skills in Excel, including data management and analysis
Preferred Requirements
- Master's in Human Services, Business, or related
- 8 years of human services experience pref...
....Read more...
Type: Permanent Location: San Diego, US-CA
Salary / Rate: Not Specified
Posted: 2026-05-13 08:41:24
-
Essential Duties and Responsibilities
- Assist leadership with the day-to-day running of the core functional areas to ensure compliance with the prime contract, all subsequent amendments, program business rules, as well as state and federal regulations
- Assist in the creation and implementation of innovative methodologies, process improvements and corrective action plans to continually streamline and improve project operations, outcomes and quality
- Analyze daily, weekly, and monthly reports for performance measurement and efficiencies
- Collaborate with project and executive management to establish strategic plans, objectives, initiatives, and work plans
- Identify opportunities for improvement and leads the development of projects to improve assessment outcomes
- Develop clinical protocols for the based on regulations and best practices
- Develop policies and procedures related to care, in accordance with state and federal requirements
- Participate in the training and education of staff, and reviews assessments with clinicians to improve assessment outcomes.
- Assist with clinical recruitment and training of clinical staff
- Provide direction and guidance to staff, individually and in teams, to achieve quality assurance goals
- Collaborate with leadership to achieve dispute resolution
- Directly supervise and manage key Project staff as determined by leadership
- Create and develop a functional, motivated, and cohesive project team
- Work with Project and executive management to develop, monitor and revise performance goals and objectives for the project and staff.
Monitor achievement of those goals
- Provide direction to team members and resolves problems in a timely and professional manner
- Develop, modify and execute project policies, ensuring all project team members are in compliance
- Meet all standards established for this position as outlined in the corresponding annual performance criteria and bonus template for this position
- Responsible for managing all aspects of contract expectations which include: financial review, client management and effective delivery of service level expectations.
- Perform other duties as may be assigned by Management
Minimum Requirements
- Bachelor's degree in relevant field of study and 10+ years of relevant professional experience required.
- Five (5) years of management experience, ten (10) years of clinical experience required
- Project Management experience and experience working with adult and geriatric populations preferred
- Bachelor's degree in Human Services, Business, or related
- Minimum 6 years of human services experience
- Minimum 5 years of management experience
- Experience with financial forecasting and profit & loss (P&L) management
- Proficiency in Microsoft Office applications
- Intermediate-level skills in Excel, including data management and analysis
Preferred Requirements
- Master's in Human Services, Business, or related
- 8 years of human services experience pref...
....Read more...
Type: Permanent Location: Little Rock, US-AR
Salary / Rate: Not Specified
Posted: 2026-05-13 08:41:23
-
Essential Duties and Responsibilities
- Assist leadership with the day-to-day running of the core functional areas to ensure compliance with the prime contract, all subsequent amendments, program business rules, as well as state and federal regulations
- Assist in the creation and implementation of innovative methodologies, process improvements and corrective action plans to continually streamline and improve project operations, outcomes and quality
- Analyze daily, weekly, and monthly reports for performance measurement and efficiencies
- Collaborate with project and executive management to establish strategic plans, objectives, initiatives, and work plans
- Identify opportunities for improvement and leads the development of projects to improve assessment outcomes
- Develop clinical protocols for the based on regulations and best practices
- Develop policies and procedures related to care, in accordance with state and federal requirements
- Participate in the training and education of staff, and reviews assessments with clinicians to improve assessment outcomes.
- Assist with clinical recruitment and training of clinical staff
- Provide direction and guidance to staff, individually and in teams, to achieve quality assurance goals
- Collaborate with leadership to achieve dispute resolution
- Directly supervise and manage key Project staff as determined by leadership
- Create and develop a functional, motivated, and cohesive project team
- Work with Project and executive management to develop, monitor and revise performance goals and objectives for the project and staff.
Monitor achievement of those goals
- Provide direction to team members and resolves problems in a timely and professional manner
- Develop, modify and execute project policies, ensuring all project team members are in compliance
- Meet all standards established for this position as outlined in the corresponding annual performance criteria and bonus template for this position
- Responsible for managing all aspects of contract expectations which include: financial review, client management and effective delivery of service level expectations.
- Perform other duties as may be assigned by Management
Minimum Requirements
- Bachelor's degree in relevant field of study and 10+ years of relevant professional experience required.
- Five (5) years of management experience, ten (10) years of clinical experience required
- Project Management experience and experience working with adult and geriatric populations preferred
- Bachelor's degree in Human Services, Business, or related
- Minimum 6 years of human services experience
- Minimum 5 years of management experience
- Experience with financial forecasting and profit & loss (P&L) management
- Proficiency in Microsoft Office applications
- Intermediate-level skills in Excel, including data management and analysis
Preferred Requirements
- Master's in Human Services, Business, or related
- 8 years of human services experience pref...
....Read more...
Type: Permanent Location: San Francisco, US-CA
Salary / Rate: Not Specified
Posted: 2026-05-13 08:41:22
-
Essential Duties and Responsibilities
- Assist leadership with the day-to-day running of the core functional areas to ensure compliance with the prime contract, all subsequent amendments, program business rules, as well as state and federal regulations
- Assist in the creation and implementation of innovative methodologies, process improvements and corrective action plans to continually streamline and improve project operations, outcomes and quality
- Analyze daily, weekly, and monthly reports for performance measurement and efficiencies
- Collaborate with project and executive management to establish strategic plans, objectives, initiatives, and work plans
- Identify opportunities for improvement and leads the development of projects to improve assessment outcomes
- Develop clinical protocols for the based on regulations and best practices
- Develop policies and procedures related to care, in accordance with state and federal requirements
- Participate in the training and education of staff, and reviews assessments with clinicians to improve assessment outcomes.
- Assist with clinical recruitment and training of clinical staff
- Provide direction and guidance to staff, individually and in teams, to achieve quality assurance goals
- Collaborate with leadership to achieve dispute resolution
- Directly supervise and manage key Project staff as determined by leadership
- Create and develop a functional, motivated, and cohesive project team
- Work with Project and executive management to develop, monitor and revise performance goals and objectives for the project and staff.
Monitor achievement of those goals
- Provide direction to team members and resolves problems in a timely and professional manner
- Develop, modify and execute project policies, ensuring all project team members are in compliance
- Meet all standards established for this position as outlined in the corresponding annual performance criteria and bonus template for this position
- Responsible for managing all aspects of contract expectations which include: financial review, client management and effective delivery of service level expectations.
- Perform other duties as may be assigned by Management
Minimum Requirements
- Bachelor's degree in relevant field of study and 10+ years of relevant professional experience required.
- Five (5) years of management experience, ten (10) years of clinical experience required
- Project Management experience and experience working with adult and geriatric populations preferred
- Bachelor's degree in Human Services, Business, or related
- Minimum 6 years of human services experience
- Minimum 5 years of management experience
- Experience with financial forecasting and profit & loss (P&L) management
- Proficiency in Microsoft Office applications
- Intermediate-level skills in Excel, including data management and analysis
Preferred Requirements
- Master's in Human Services, Business, or related
- 8 years of human services experience pref...
....Read more...
Type: Permanent Location: Los Angeles, US-CA
Salary / Rate: Not Specified
Posted: 2026-05-13 08:41:22
-
Essential Duties and Responsibilities
- Assist leadership with the day-to-day running of the core functional areas to ensure compliance with the prime contract, all subsequent amendments, program business rules, as well as state and federal regulations
- Assist in the creation and implementation of innovative methodologies, process improvements and corrective action plans to continually streamline and improve project operations, outcomes and quality
- Analyze daily, weekly, and monthly reports for performance measurement and efficiencies
- Collaborate with project and executive management to establish strategic plans, objectives, initiatives, and work plans
- Identify opportunities for improvement and leads the development of projects to improve assessment outcomes
- Develop clinical protocols for the based on regulations and best practices
- Develop policies and procedures related to care, in accordance with state and federal requirements
- Participate in the training and education of staff, and reviews assessments with clinicians to improve assessment outcomes.
- Assist with clinical recruitment and training of clinical staff
- Provide direction and guidance to staff, individually and in teams, to achieve quality assurance goals
- Collaborate with leadership to achieve dispute resolution
- Directly supervise and manage key Project staff as determined by leadership
- Create and develop a functional, motivated, and cohesive project team
- Work with Project and executive management to develop, monitor and revise performance goals and objectives for the project and staff.
Monitor achievement of those goals
- Provide direction to team members and resolves problems in a timely and professional manner
- Develop, modify and execute project policies, ensuring all project team members are in compliance
- Meet all standards established for this position as outlined in the corresponding annual performance criteria and bonus template for this position
- Responsible for managing all aspects of contract expectations which include: financial review, client management and effective delivery of service level expectations.
- Perform other duties as may be assigned by Management
Minimum Requirements
- Bachelor's degree in relevant field of study and 10+ years of relevant professional experience required.
- Five (5) years of management experience, ten (10) years of clinical experience required
- Project Management experience and experience working with adult and geriatric populations preferred
- Bachelor's degree in Human Services, Business, or related
- Minimum 6 years of human services experience
- Minimum 5 years of management experience
- Experience with financial forecasting and profit & loss (P&L) management
- Proficiency in Microsoft Office applications
- Intermediate-level skills in Excel, including data management and analysis
Preferred Requirements
- Master's in Human Services, Business, or related
- 8 years of human services experience pref...
....Read more...
Type: Permanent Location: Fort Smith, US-AR
Salary / Rate: Not Specified
Posted: 2026-05-13 08:41:21
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Essential Duties and Responsibilities:
- Maintain clinical alignment.
- Develop clinical workplans.
- Identify the risks and gaps in the clinical processes and develop solutions.
- Identify new lines of business and growth opportunities.
- Work with the peer review process to evaluate MD quality as well as handle client requests, and appeals.
- Complete clinical reviews with regards to denials and level of care on various contracts.
- Fulfill client's requests for educational trainings, services, and workshops for their staff.
- Work with IT teams to answer clinical questions for systems (questionnaires, algorithm, etc.)
- Oversee quality assurance of nurse and physician work product.
- Conduct quarterly audits of clinical reviews.
- Additional ad hoc client audits as required.
- Other duties as requested.
Minimum Requirements
- Medical degree from an accredited medical school required.
- Active board certification required.
- Minimum 10 years of experience in a similar role.
- Peer review experienced preferred.
- Experience creating and presenting clinical trainings preferred.
- Current on clinical trends.
- Trauma Informed Care knowledge.
- Adherence to accreditation standards.
Additional Requirements:
- Licensed in the state of New Jersey (NJ) or willing to get licensed in NJ within the first 3 months of employment.
- At least five (5) years' full-time experience providing direct clinical care to patients.
- Ability to work up to 29 hours a week between the hours of 8:00am - 5:00pm EST Monday - Friday.
Preferred Skills and Qualifications:
- Auditing experience.
- Licensed in the state of Pennsylvania.
- Previous Medical Director experience.
Please note: For this position Maximus will provide equipment to use.
Home Office Requirements:
- Internet speed of 25mbps or higher required / 50 Mpbs for shared internet connectivity (you can test this by going to www.speedtest.net)
- Minimum 5mpbs upload speed
- Connectivity to the internet via Category 5 or 6 ethernet patch cable to the home router
- Private and secure work area and adequate power source
- Must currently and permanently reside in the Continental US
- Must have a smartphone which will be required to log into Maximus systems
EEO Statement
Maximus is an equal opportunity employer.
We evaluate qualified applicants without regard to race, color, religion, sex, age, national origin, disability, veteran status, genetic information and other legally protected characteristics.
Pay Transparency
Maximus compensation is based on various factors including but not limited to job location, a candidate's education, training, experience, expected quality and quantity of work, required travel (if any), external market and internal value analysis including seniority and merit systems, as well as internal pay alignment.
Annual salary is just one component of Maximus's total compensation package.
Other rewards may include short- and long-term incentives as well as program-speci...
....Read more...
Type: Permanent Location: Rock Springs, US-WY
Salary / Rate: Not Specified
Posted: 2026-05-13 08:41:21
-
Essential Duties and Responsibilities
- Assist leadership with the day-to-day running of the core functional areas to ensure compliance with the prime contract, all subsequent amendments, program business rules, as well as state and federal regulations
- Assist in the creation and implementation of innovative methodologies, process improvements and corrective action plans to continually streamline and improve project operations, outcomes and quality
- Analyze daily, weekly, and monthly reports for performance measurement and efficiencies
- Collaborate with project and executive management to establish strategic plans, objectives, initiatives, and work plans
- Identify opportunities for improvement and leads the development of projects to improve assessment outcomes
- Develop clinical protocols for the based on regulations and best practices
- Develop policies and procedures related to care, in accordance with state and federal requirements
- Participate in the training and education of staff, and reviews assessments with clinicians to improve assessment outcomes.
- Assist with clinical recruitment and training of clinical staff
- Provide direction and guidance to staff, individually and in teams, to achieve quality assurance goals
- Collaborate with leadership to achieve dispute resolution
- Directly supervise and manage key Project staff as determined by leadership
- Create and develop a functional, motivated, and cohesive project team
- Work with Project and executive management to develop, monitor and revise performance goals and objectives for the project and staff.
Monitor achievement of those goals
- Provide direction to team members and resolves problems in a timely and professional manner
- Develop, modify and execute project policies, ensuring all project team members are in compliance
- Meet all standards established for this position as outlined in the corresponding annual performance criteria and bonus template for this position
- Responsible for managing all aspects of contract expectations which include: financial review, client management and effective delivery of service level expectations.
- Perform other duties as may be assigned by Management
Minimum Requirements
- Bachelor's degree in relevant field of study and 10+ years of relevant professional experience required.
- Five (5) years of management experience, ten (10) years of clinical experience required
- Project Management experience and experience working with adult and geriatric populations preferred
- Bachelor's degree in Human Services, Business, or related
- Minimum 6 years of human services experience
- Minimum 5 years of management experience
- Experience with financial forecasting and profit & loss (P&L) management
- Proficiency in Microsoft Office applications
- Intermediate-level skills in Excel, including data management and analysis
Preferred Requirements
- Master's in Human Services, Business, or related
- 8 years of human services experience pref...
....Read more...
Type: Permanent Location: Birmingham, US-AL
Salary / Rate: Not Specified
Posted: 2026-05-13 08:41:20
-
Essential Duties and Responsibilities
- Assist leadership with the day-to-day running of the core functional areas to ensure compliance with the prime contract, all subsequent amendments, program business rules, as well as state and federal regulations
- Assist in the creation and implementation of innovative methodologies, process improvements and corrective action plans to continually streamline and improve project operations, outcomes and quality
- Analyze daily, weekly, and monthly reports for performance measurement and efficiencies
- Collaborate with project and executive management to establish strategic plans, objectives, initiatives, and work plans
- Identify opportunities for improvement and leads the development of projects to improve assessment outcomes
- Develop clinical protocols for the based on regulations and best practices
- Develop policies and procedures related to care, in accordance with state and federal requirements
- Participate in the training and education of staff, and reviews assessments with clinicians to improve assessment outcomes.
- Assist with clinical recruitment and training of clinical staff
- Provide direction and guidance to staff, individually and in teams, to achieve quality assurance goals
- Collaborate with leadership to achieve dispute resolution
- Directly supervise and manage key Project staff as determined by leadership
- Create and develop a functional, motivated, and cohesive project team
- Work with Project and executive management to develop, monitor and revise performance goals and objectives for the project and staff.
Monitor achievement of those goals
- Provide direction to team members and resolves problems in a timely and professional manner
- Develop, modify and execute project policies, ensuring all project team members are in compliance
- Meet all standards established for this position as outlined in the corresponding annual performance criteria and bonus template for this position
- Responsible for managing all aspects of contract expectations which include: financial review, client management and effective delivery of service level expectations.
- Perform other duties as may be assigned by Management
Minimum Requirements
- Bachelor's degree in relevant field of study and 10+ years of relevant professional experience required.
- Five (5) years of management experience, ten (10) years of clinical experience required
- Project Management experience and experience working with adult and geriatric populations preferred
- Bachelor's degree in Human Services, Business, or related
- Minimum 6 years of human services experience
- Minimum 5 years of management experience
- Experience with financial forecasting and profit & loss (P&L) management
- Proficiency in Microsoft Office applications
- Intermediate-level skills in Excel, including data management and analysis
Preferred Requirements
- Master's in Human Services, Business, or related
- 8 years of human services experience pref...
....Read more...
Type: Permanent Location: Mobile, US-AL
Salary / Rate: Not Specified
Posted: 2026-05-13 08:41:19
-
Essential Duties and Responsibilities
- Assist leadership with the day-to-day running of the core functional areas to ensure compliance with the prime contract, all subsequent amendments, program business rules, as well as state and federal regulations
- Assist in the creation and implementation of innovative methodologies, process improvements and corrective action plans to continually streamline and improve project operations, outcomes and quality
- Analyze daily, weekly, and monthly reports for performance measurement and efficiencies
- Collaborate with project and executive management to establish strategic plans, objectives, initiatives, and work plans
- Identify opportunities for improvement and leads the development of projects to improve assessment outcomes
- Develop clinical protocols for the based on regulations and best practices
- Develop policies and procedures related to care, in accordance with state and federal requirements
- Participate in the training and education of staff, and reviews assessments with clinicians to improve assessment outcomes.
- Assist with clinical recruitment and training of clinical staff
- Provide direction and guidance to staff, individually and in teams, to achieve quality assurance goals
- Collaborate with leadership to achieve dispute resolution
- Directly supervise and manage key Project staff as determined by leadership
- Create and develop a functional, motivated, and cohesive project team
- Work with Project and executive management to develop, monitor and revise performance goals and objectives for the project and staff.
Monitor achievement of those goals
- Provide direction to team members and resolves problems in a timely and professional manner
- Develop, modify and execute project policies, ensuring all project team members are in compliance
- Meet all standards established for this position as outlined in the corresponding annual performance criteria and bonus template for this position
- Responsible for managing all aspects of contract expectations which include: financial review, client management and effective delivery of service level expectations.
- Perform other duties as may be assigned by Management
Minimum Requirements
- Bachelor's degree in relevant field of study and 10+ years of relevant professional experience required.
- Five (5) years of management experience, ten (10) years of clinical experience required
- Project Management experience and experience working with adult and geriatric populations preferred
- Bachelor's degree in Human Services, Business, or related
- Minimum 6 years of human services experience
- Minimum 5 years of management experience
- Experience with financial forecasting and profit & loss (P&L) management
- Proficiency in Microsoft Office applications
- Intermediate-level skills in Excel, including data management and analysis
Preferred Requirements
- Master's in Human Services, Business, or related
- 8 years of human services experience pref...
....Read more...
Type: Permanent Location: Phoenix, US-AZ
Salary / Rate: Not Specified
Posted: 2026-05-13 08:41:19
-
Essential Duties and Responsibilities
- Assist leadership with the day-to-day running of the core functional areas to ensure compliance with the prime contract, all subsequent amendments, program business rules, as well as state and federal regulations
- Assist in the creation and implementation of innovative methodologies, process improvements and corrective action plans to continually streamline and improve project operations, outcomes and quality
- Analyze daily, weekly, and monthly reports for performance measurement and efficiencies
- Collaborate with project and executive management to establish strategic plans, objectives, initiatives, and work plans
- Identify opportunities for improvement and leads the development of projects to improve assessment outcomes
- Develop clinical protocols for the based on regulations and best practices
- Develop policies and procedures related to care, in accordance with state and federal requirements
- Participate in the training and education of staff, and reviews assessments with clinicians to improve assessment outcomes.
- Assist with clinical recruitment and training of clinical staff
- Provide direction and guidance to staff, individually and in teams, to achieve quality assurance goals
- Collaborate with leadership to achieve dispute resolution
- Directly supervise and manage key Project staff as determined by leadership
- Create and develop a functional, motivated, and cohesive project team
- Work with Project and executive management to develop, monitor and revise performance goals and objectives for the project and staff.
Monitor achievement of those goals
- Provide direction to team members and resolves problems in a timely and professional manner
- Develop, modify and execute project policies, ensuring all project team members are in compliance
- Meet all standards established for this position as outlined in the corresponding annual performance criteria and bonus template for this position
- Responsible for managing all aspects of contract expectations which include: financial review, client management and effective delivery of service level expectations.
- Perform other duties as may be assigned by Management
Minimum Requirements
- Bachelor's degree in relevant field of study and 10+ years of relevant professional experience required.
- Five (5) years of management experience, ten (10) years of clinical experience required
- Project Management experience and experience working with adult and geriatric populations preferred
- Bachelor's degree in Human Services, Business, or related
- Minimum 6 years of human services experience
- Minimum 5 years of management experience
- Experience with financial forecasting and profit & loss (P&L) management
- Proficiency in Microsoft Office applications
- Intermediate-level skills in Excel, including data management and analysis
Preferred Requirements
- Master's in Human Services, Business, or related
- 8 years of human services experience pref...
....Read more...
Type: Permanent Location: Tucson, US-AZ
Salary / Rate: Not Specified
Posted: 2026-05-13 08:41:18
-
Essential Duties and Responsibilities
- Assist leadership with the day-to-day running of the core functional areas to ensure compliance with the prime contract, all subsequent amendments, program business rules, as well as state and federal regulations
- Assist in the creation and implementation of innovative methodologies, process improvements and corrective action plans to continually streamline and improve project operations, outcomes and quality
- Analyze daily, weekly, and monthly reports for performance measurement and efficiencies
- Collaborate with project and executive management to establish strategic plans, objectives, initiatives, and work plans
- Identify opportunities for improvement and leads the development of projects to improve assessment outcomes
- Develop clinical protocols for the based on regulations and best practices
- Develop policies and procedures related to care, in accordance with state and federal requirements
- Participate in the training and education of staff, and reviews assessments with clinicians to improve assessment outcomes.
- Assist with clinical recruitment and training of clinical staff
- Provide direction and guidance to staff, individually and in teams, to achieve quality assurance goals
- Collaborate with leadership to achieve dispute resolution
- Directly supervise and manage key Project staff as determined by leadership
- Create and develop a functional, motivated, and cohesive project team
- Work with Project and executive management to develop, monitor and revise performance goals and objectives for the project and staff.
Monitor achievement of those goals
- Provide direction to team members and resolves problems in a timely and professional manner
- Develop, modify and execute project policies, ensuring all project team members are in compliance
- Meet all standards established for this position as outlined in the corresponding annual performance criteria and bonus template for this position
- Responsible for managing all aspects of contract expectations which include: financial review, client management and effective delivery of service level expectations.
- Perform other duties as may be assigned by Management
Minimum Requirements
- Bachelor's degree in relevant field of study and 10+ years of relevant professional experience required.
- Five (5) years of management experience, ten (10) years of clinical experience required
- Project Management experience and experience working with adult and geriatric populations preferred
- Bachelor's degree in Human Services, Business, or related
- Minimum 6 years of human services experience
- Minimum 5 years of management experience
- Experience with financial forecasting and profit & loss (P&L) management
- Proficiency in Microsoft Office applications
- Intermediate-level skills in Excel, including data management and analysis
Preferred Requirements
- Master's in Human Services, Business, or related
- 8 years of human services experience pref...
....Read more...
Type: Permanent Location: Montgomery, US-AL
Salary / Rate: Not Specified
Posted: 2026-05-13 08:41:16
-
Essential Duties and Responsibilities:
- Maintain clinical alignment.
- Develop clinical workplans.
- Identify the risks and gaps in the clinical processes and develop solutions.
- Identify new lines of business and growth opportunities.
- Work with the peer review process to evaluate MD quality as well as handle client requests, and appeals.
- Complete clinical reviews with regards to denials and level of care on various contracts.
- Fulfill client's requests for educational trainings, services, and workshops for their staff.
- Work with IT teams to answer clinical questions for systems (questionnaires, algorithm, etc.)
- Oversee quality assurance of nurse and physician work product.
- Conduct quarterly audits of clinical reviews.
- Additional ad hoc client audits as required.
- Other duties as requested.
Minimum Requirements
- Medical degree from an accredited medical school required.
- Active board certification required.
- Minimum 10 years of experience in a similar role.
- Peer review experienced preferred.
- Experience creating and presenting clinical trainings preferred.
- Current on clinical trends.
- Trauma Informed Care knowledge.
- Adherence to accreditation standards.
Additional Requirements:
- Licensed in the state of New Jersey (NJ) or willing to get licensed in NJ within the first 3 months of employment.
- At least five (5) years' full-time experience providing direct clinical care to patients.
- Ability to work up to 29 hours a week between the hours of 8:00am - 5:00pm EST Monday - Friday.
Preferred Skills and Qualifications:
- Auditing experience.
- Licensed in the state of Pennsylvania.
- Previous Medical Director experience.
Please note: For this position Maximus will provide equipment to use.
Home Office Requirements:
- Internet speed of 25mbps or higher required / 50 Mpbs for shared internet connectivity (you can test this by going to www.speedtest.net)
- Minimum 5mpbs upload speed
- Connectivity to the internet via Category 5 or 6 ethernet patch cable to the home router
- Private and secure work area and adequate power source
- Must currently and permanently reside in the Continental US
- Must have a smartphone which will be required to log into Maximus systems
EEO Statement
Maximus is an equal opportunity employer.
We evaluate qualified applicants without regard to race, color, religion, sex, age, national origin, disability, veteran status, genetic information and other legally protected characteristics.
Pay Transparency
Maximus compensation is based on various factors including but not limited to job location, a candidate's education, training, experience, expected quality and quantity of work, required travel (if any), external market and internal value analysis including seniority and merit systems, as well as internal pay alignment.
Annual salary is just one component of Maximus's total compensation package.
Other rewards may include short- and long-term incentives as well as program-speci...
....Read more...
Type: Permanent Location: Eau Claire, US-WI
Salary / Rate: Not Specified
Posted: 2026-05-13 08:41:14
-
Essential Duties and Responsibilities:
- Maintain clinical alignment.
- Develop clinical workplans.
- Identify the risks and gaps in the clinical processes and develop solutions.
- Identify new lines of business and growth opportunities.
- Work with the peer review process to evaluate MD quality as well as handle client requests, and appeals.
- Complete clinical reviews with regards to denials and level of care on various contracts.
- Fulfill client's requests for educational trainings, services, and workshops for their staff.
- Work with IT teams to answer clinical questions for systems (questionnaires, algorithm, etc.)
- Oversee quality assurance of nurse and physician work product.
- Conduct quarterly audits of clinical reviews.
- Additional ad hoc client audits as required.
- Other duties as requested.
Minimum Requirements
- Medical degree from an accredited medical school required.
- Active board certification required.
- Minimum 10 years of experience in a similar role.
- Peer review experienced preferred.
- Experience creating and presenting clinical trainings preferred.
- Current on clinical trends.
- Trauma Informed Care knowledge.
- Adherence to accreditation standards.
Additional Requirements:
- Licensed in the state of New Jersey (NJ) or willing to get licensed in NJ within the first 3 months of employment.
- At least five (5) years' full-time experience providing direct clinical care to patients.
- Ability to work up to 29 hours a week between the hours of 8:00am - 5:00pm EST Monday - Friday.
Preferred Skills and Qualifications:
- Auditing experience.
- Licensed in the state of Pennsylvania.
- Previous Medical Director experience.
Please note: For this position Maximus will provide equipment to use.
Home Office Requirements:
- Internet speed of 25mbps or higher required / 50 Mpbs for shared internet connectivity (you can test this by going to www.speedtest.net)
- Minimum 5mpbs upload speed
- Connectivity to the internet via Category 5 or 6 ethernet patch cable to the home router
- Private and secure work area and adequate power source
- Must currently and permanently reside in the Continental US
- Must have a smartphone which will be required to log into Maximus systems
EEO Statement
Maximus is an equal opportunity employer.
We evaluate qualified applicants without regard to race, color, religion, sex, age, national origin, disability, veteran status, genetic information and other legally protected characteristics.
Pay Transparency
Maximus compensation is based on various factors including but not limited to job location, a candidate's education, training, experience, expected quality and quantity of work, required travel (if any), external market and internal value analysis including seniority and merit systems, as well as internal pay alignment.
Annual salary is just one component of Maximus's total compensation package.
Other rewards may include short- and long-term incentives as well as program-speci...
....Read more...
Type: Permanent Location: Cheyenne, US-WY
Salary / Rate: Not Specified
Posted: 2026-05-13 08:41:12
-
Essential Duties and Responsibilities:
- Maintain clinical alignment.
- Develop clinical workplans.
- Identify the risks and gaps in the clinical processes and develop solutions.
- Identify new lines of business and growth opportunities.
- Work with the peer review process to evaluate MD quality as well as handle client requests, and appeals.
- Complete clinical reviews with regards to denials and level of care on various contracts.
- Fulfill client's requests for educational trainings, services, and workshops for their staff.
- Work with IT teams to answer clinical questions for systems (questionnaires, algorithm, etc.)
- Oversee quality assurance of nurse and physician work product.
- Conduct quarterly audits of clinical reviews.
- Additional ad hoc client audits as required.
- Other duties as requested.
Minimum Requirements
- Medical degree from an accredited medical school required.
- Active board certification required.
- Minimum 10 years of experience in a similar role.
- Peer review experienced preferred.
- Experience creating and presenting clinical trainings preferred.
- Current on clinical trends.
- Trauma Informed Care knowledge.
- Adherence to accreditation standards.
Additional Requirements:
- Licensed in the state of New Jersey (NJ) or willing to get licensed in NJ within the first 3 months of employment.
- At least five (5) years' full-time experience providing direct clinical care to patients.
- Ability to work up to 29 hours a week between the hours of 8:00am - 5:00pm EST Monday - Friday.
Preferred Skills and Qualifications:
- Auditing experience.
- Licensed in the state of Pennsylvania.
- Previous Medical Director experience.
Please note: For this position Maximus will provide equipment to use.
Home Office Requirements:
- Internet speed of 25mbps or higher required / 50 Mpbs for shared internet connectivity (you can test this by going to www.speedtest.net)
- Minimum 5mpbs upload speed
- Connectivity to the internet via Category 5 or 6 ethernet patch cable to the home router
- Private and secure work area and adequate power source
- Must currently and permanently reside in the Continental US
- Must have a smartphone which will be required to log into Maximus systems
EEO Statement
Maximus is an equal opportunity employer.
We evaluate qualified applicants without regard to race, color, religion, sex, age, national origin, disability, veteran status, genetic information and other legally protected characteristics.
Pay Transparency
Maximus compensation is based on various factors including but not limited to job location, a candidate's education, training, experience, expected quality and quantity of work, required travel (if any), external market and internal value analysis including seniority and merit systems, as well as internal pay alignment.
Annual salary is just one component of Maximus's total compensation package.
Other rewards may include short- and long-term incentives as well as program-speci...
....Read more...
Type: Permanent Location: Charleston, US-WV
Salary / Rate: Not Specified
Posted: 2026-05-13 08:41:10
-
Essential Duties and Responsibilities:
- Maintain clinical alignment.
- Develop clinical workplans.
- Identify the risks and gaps in the clinical processes and develop solutions.
- Identify new lines of business and growth opportunities.
- Work with the peer review process to evaluate MD quality as well as handle client requests, and appeals.
- Complete clinical reviews with regards to denials and level of care on various contracts.
- Fulfill client's requests for educational trainings, services, and workshops for their staff.
- Work with IT teams to answer clinical questions for systems (questionnaires, algorithm, etc.)
- Oversee quality assurance of nurse and physician work product.
- Conduct quarterly audits of clinical reviews.
- Additional ad hoc client audits as required.
- Other duties as requested.
Minimum Requirements
- Medical degree from an accredited medical school required.
- Active board certification required.
- Minimum 10 years of experience in a similar role.
- Peer review experienced preferred.
- Experience creating and presenting clinical trainings preferred.
- Current on clinical trends.
- Trauma Informed Care knowledge.
- Adherence to accreditation standards.
Additional Requirements:
- Licensed in the state of New Jersey (NJ) or willing to get licensed in NJ within the first 3 months of employment.
- At least five (5) years' full-time experience providing direct clinical care to patients.
- Ability to work up to 29 hours a week between the hours of 8:00am - 5:00pm EST Monday - Friday.
Preferred Skills and Qualifications:
- Auditing experience.
- Licensed in the state of Pennsylvania.
- Previous Medical Director experience.
Please note: For this position Maximus will provide equipment to use.
Home Office Requirements:
- Internet speed of 25mbps or higher required / 50 Mpbs for shared internet connectivity (you can test this by going to www.speedtest.net)
- Minimum 5mpbs upload speed
- Connectivity to the internet via Category 5 or 6 ethernet patch cable to the home router
- Private and secure work area and adequate power source
- Must currently and permanently reside in the Continental US
- Must have a smartphone which will be required to log into Maximus systems
EEO Statement
Maximus is an equal opportunity employer.
We evaluate qualified applicants without regard to race, color, religion, sex, age, national origin, disability, veteran status, genetic information and other legally protected characteristics.
Pay Transparency
Maximus compensation is based on various factors including but not limited to job location, a candidate's education, training, experience, expected quality and quantity of work, required travel (if any), external market and internal value analysis including seniority and merit systems, as well as internal pay alignment.
Annual salary is just one component of Maximus's total compensation package.
Other rewards may include short- and long-term incentives as well as program-speci...
....Read more...
Type: Permanent Location: Spokane, US-WA
Salary / Rate: Not Specified
Posted: 2026-05-13 08:41:08
-
Essential Duties and Responsibilities:
- Maintain clinical alignment.
- Develop clinical workplans.
- Identify the risks and gaps in the clinical processes and develop solutions.
- Identify new lines of business and growth opportunities.
- Work with the peer review process to evaluate MD quality as well as handle client requests, and appeals.
- Complete clinical reviews with regards to denials and level of care on various contracts.
- Fulfill client's requests for educational trainings, services, and workshops for their staff.
- Work with IT teams to answer clinical questions for systems (questionnaires, algorithm, etc.)
- Oversee quality assurance of nurse and physician work product.
- Conduct quarterly audits of clinical reviews.
- Additional ad hoc client audits as required.
- Other duties as requested.
Minimum Requirements
- Medical degree from an accredited medical school required.
- Active board certification required.
- Minimum 10 years of experience in a similar role.
- Peer review experienced preferred.
- Experience creating and presenting clinical trainings preferred.
- Current on clinical trends.
- Trauma Informed Care knowledge.
- Adherence to accreditation standards.
Additional Requirements:
- Licensed in the state of New Jersey (NJ) or willing to get licensed in NJ within the first 3 months of employment.
- At least five (5) years' full-time experience providing direct clinical care to patients.
- Ability to work up to 29 hours a week between the hours of 8:00am - 5:00pm EST Monday - Friday.
Preferred Skills and Qualifications:
- Auditing experience.
- Licensed in the state of Pennsylvania.
- Previous Medical Director experience.
Please note: For this position Maximus will provide equipment to use.
Home Office Requirements:
- Internet speed of 25mbps or higher required / 50 Mpbs for shared internet connectivity (you can test this by going to www.speedtest.net)
- Minimum 5mpbs upload speed
- Connectivity to the internet via Category 5 or 6 ethernet patch cable to the home router
- Private and secure work area and adequate power source
- Must currently and permanently reside in the Continental US
- Must have a smartphone which will be required to log into Maximus systems
EEO Statement
Maximus is an equal opportunity employer.
We evaluate qualified applicants without regard to race, color, religion, sex, age, national origin, disability, veteran status, genetic information and other legally protected characteristics.
Pay Transparency
Maximus compensation is based on various factors including but not limited to job location, a candidate's education, training, experience, expected quality and quantity of work, required travel (if any), external market and internal value analysis including seniority and merit systems, as well as internal pay alignment.
Annual salary is just one component of Maximus's total compensation package.
Other rewards may include short- and long-term incentives as well as program-speci...
....Read more...
Type: Permanent Location: Morgantown, US-WV
Salary / Rate: Not Specified
Posted: 2026-05-13 08:41:06
-
Essential Duties and Responsibilities:
- Maintain clinical alignment.
- Develop clinical workplans.
- Identify the risks and gaps in the clinical processes and develop solutions.
- Identify new lines of business and growth opportunities.
- Work with the peer review process to evaluate MD quality as well as handle client requests, and appeals.
- Complete clinical reviews with regards to denials and level of care on various contracts.
- Fulfill client's requests for educational trainings, services, and workshops for their staff.
- Work with IT teams to answer clinical questions for systems (questionnaires, algorithm, etc.)
- Oversee quality assurance of nurse and physician work product.
- Conduct quarterly audits of clinical reviews.
- Additional ad hoc client audits as required.
- Other duties as requested.
Minimum Requirements
- Medical degree from an accredited medical school required.
- Active board certification required.
- Minimum 10 years of experience in a similar role.
- Peer review experienced preferred.
- Experience creating and presenting clinical trainings preferred.
- Current on clinical trends.
- Trauma Informed Care knowledge.
- Adherence to accreditation standards.
Additional Requirements:
- Licensed in the state of New Jersey (NJ) or willing to get licensed in NJ within the first 3 months of employment.
- At least five (5) years' full-time experience providing direct clinical care to patients.
- Ability to work up to 29 hours a week between the hours of 8:00am - 5:00pm EST Monday - Friday.
Preferred Skills and Qualifications:
- Auditing experience.
- Licensed in the state of Pennsylvania.
- Previous Medical Director experience.
Please note: For this position Maximus will provide equipment to use.
Home Office Requirements:
- Internet speed of 25mbps or higher required / 50 Mpbs for shared internet connectivity (you can test this by going to www.speedtest.net)
- Minimum 5mpbs upload speed
- Connectivity to the internet via Category 5 or 6 ethernet patch cable to the home router
- Private and secure work area and adequate power source
- Must currently and permanently reside in the Continental US
- Must have a smartphone which will be required to log into Maximus systems
EEO Statement
Maximus is an equal opportunity employer.
We evaluate qualified applicants without regard to race, color, religion, sex, age, national origin, disability, veteran status, genetic information and other legally protected characteristics.
Pay Transparency
Maximus compensation is based on various factors including but not limited to job location, a candidate's education, training, experience, expected quality and quantity of work, required travel (if any), external market and internal value analysis including seniority and merit systems, as well as internal pay alignment.
Annual salary is just one component of Maximus's total compensation package.
Other rewards may include short- and long-term incentives as well as program-speci...
....Read more...
Type: Permanent Location: Milwaukee, US-WI
Salary / Rate: Not Specified
Posted: 2026-05-13 08:41:05
-
Essential Duties and Responsibilities:
- Maintain clinical alignment.
- Develop clinical workplans.
- Identify the risks and gaps in the clinical processes and develop solutions.
- Identify new lines of business and growth opportunities.
- Work with the peer review process to evaluate MD quality as well as handle client requests, and appeals.
- Complete clinical reviews with regards to denials and level of care on various contracts.
- Fulfill client's requests for educational trainings, services, and workshops for their staff.
- Work with IT teams to answer clinical questions for systems (questionnaires, algorithm, etc.)
- Oversee quality assurance of nurse and physician work product.
- Conduct quarterly audits of clinical reviews.
- Additional ad hoc client audits as required.
- Other duties as requested.
Minimum Requirements
- Medical degree from an accredited medical school required.
- Active board certification required.
- Minimum 10 years of experience in a similar role.
- Peer review experienced preferred.
- Experience creating and presenting clinical trainings preferred.
- Current on clinical trends.
- Trauma Informed Care knowledge.
- Adherence to accreditation standards.
Additional Requirements:
- Licensed in the state of New Jersey (NJ) or willing to get licensed in NJ within the first 3 months of employment.
- At least five (5) years' full-time experience providing direct clinical care to patients.
- Ability to work up to 29 hours a week between the hours of 8:00am - 5:00pm EST Monday - Friday.
Preferred Skills and Qualifications:
- Auditing experience.
- Licensed in the state of Pennsylvania.
- Previous Medical Director experience.
Please note: For this position Maximus will provide equipment to use.
Home Office Requirements:
- Internet speed of 25mbps or higher required / 50 Mpbs for shared internet connectivity (you can test this by going to www.speedtest.net)
- Minimum 5mpbs upload speed
- Connectivity to the internet via Category 5 or 6 ethernet patch cable to the home router
- Private and secure work area and adequate power source
- Must currently and permanently reside in the Continental US
- Must have a smartphone which will be required to log into Maximus systems
EEO Statement
Maximus is an equal opportunity employer.
We evaluate qualified applicants without regard to race, color, religion, sex, age, national origin, disability, veteran status, genetic information and other legally protected characteristics.
Pay Transparency
Maximus compensation is based on various factors including but not limited to job location, a candidate's education, training, experience, expected quality and quantity of work, required travel (if any), external market and internal value analysis including seniority and merit systems, as well as internal pay alignment.
Annual salary is just one component of Maximus's total compensation package.
Other rewards may include short- and long-term incentives as well as program-speci...
....Read more...
Type: Permanent Location: Seattle, US-WA
Salary / Rate: Not Specified
Posted: 2026-05-13 08:41:04
-
Essential Duties and Responsibilities:
- Maintain clinical alignment.
- Develop clinical workplans.
- Identify the risks and gaps in the clinical processes and develop solutions.
- Identify new lines of business and growth opportunities.
- Work with the peer review process to evaluate MD quality as well as handle client requests, and appeals.
- Complete clinical reviews with regards to denials and level of care on various contracts.
- Fulfill client's requests for educational trainings, services, and workshops for their staff.
- Work with IT teams to answer clinical questions for systems (questionnaires, algorithm, etc.)
- Oversee quality assurance of nurse and physician work product.
- Conduct quarterly audits of clinical reviews.
- Additional ad hoc client audits as required.
- Other duties as requested.
Minimum Requirements
- Medical degree from an accredited medical school required.
- Active board certification required.
- Minimum 10 years of experience in a similar role.
- Peer review experienced preferred.
- Experience creating and presenting clinical trainings preferred.
- Current on clinical trends.
- Trauma Informed Care knowledge.
- Adherence to accreditation standards.
Additional Requirements:
- Licensed in the state of New Jersey (NJ) or willing to get licensed in NJ within the first 3 months of employment.
- At least five (5) years' full-time experience providing direct clinical care to patients.
- Ability to work up to 29 hours a week between the hours of 8:00am - 5:00pm EST Monday - Friday.
Preferred Skills and Qualifications:
- Auditing experience.
- Licensed in the state of Pennsylvania.
- Previous Medical Director experience.
Please note: For this position Maximus will provide equipment to use.
Home Office Requirements:
- Internet speed of 25mbps or higher required / 50 Mpbs for shared internet connectivity (you can test this by going to www.speedtest.net)
- Minimum 5mpbs upload speed
- Connectivity to the internet via Category 5 or 6 ethernet patch cable to the home router
- Private and secure work area and adequate power source
- Must currently and permanently reside in the Continental US
- Must have a smartphone which will be required to log into Maximus systems
EEO Statement
Maximus is an equal opportunity employer.
We evaluate qualified applicants without regard to race, color, religion, sex, age, national origin, disability, veteran status, genetic information and other legally protected characteristics.
Pay Transparency
Maximus compensation is based on various factors including but not limited to job location, a candidate's education, training, experience, expected quality and quantity of work, required travel (if any), external market and internal value analysis including seniority and merit systems, as well as internal pay alignment.
Annual salary is just one component of Maximus's total compensation package.
Other rewards may include short- and long-term incentives as well as program-speci...
....Read more...
Type: Permanent Location: Richmond, US-VA
Salary / Rate: Not Specified
Posted: 2026-05-13 08:41:04
-
Essential Duties and Responsibilities:
- Maintain clinical alignment.
- Develop clinical workplans.
- Identify the risks and gaps in the clinical processes and develop solutions.
- Identify new lines of business and growth opportunities.
- Work with the peer review process to evaluate MD quality as well as handle client requests, and appeals.
- Complete clinical reviews with regards to denials and level of care on various contracts.
- Fulfill client's requests for educational trainings, services, and workshops for their staff.
- Work with IT teams to answer clinical questions for systems (questionnaires, algorithm, etc.)
- Oversee quality assurance of nurse and physician work product.
- Conduct quarterly audits of clinical reviews.
- Additional ad hoc client audits as required.
- Other duties as requested.
Minimum Requirements
- Medical degree from an accredited medical school required.
- Active board certification required.
- Minimum 10 years of experience in a similar role.
- Peer review experienced preferred.
- Experience creating and presenting clinical trainings preferred.
- Current on clinical trends.
- Trauma Informed Care knowledge.
- Adherence to accreditation standards.
Additional Requirements:
- Licensed in the state of New Jersey (NJ) or willing to get licensed in NJ within the first 3 months of employment.
- At least five (5) years' full-time experience providing direct clinical care to patients.
- Ability to work up to 29 hours a week between the hours of 8:00am - 5:00pm EST Monday - Friday.
Preferred Skills and Qualifications:
- Auditing experience.
- Licensed in the state of Pennsylvania.
- Previous Medical Director experience.
Please note: For this position Maximus will provide equipment to use.
Home Office Requirements:
- Internet speed of 25mbps or higher required / 50 Mpbs for shared internet connectivity (you can test this by going to www.speedtest.net)
- Minimum 5mpbs upload speed
- Connectivity to the internet via Category 5 or 6 ethernet patch cable to the home router
- Private and secure work area and adequate power source
- Must currently and permanently reside in the Continental US
- Must have a smartphone which will be required to log into Maximus systems
EEO Statement
Maximus is an equal opportunity employer.
We evaluate qualified applicants without regard to race, color, religion, sex, age, national origin, disability, veteran status, genetic information and other legally protected characteristics.
Pay Transparency
Maximus compensation is based on various factors including but not limited to job location, a candidate's education, training, experience, expected quality and quantity of work, required travel (if any), external market and internal value analysis including seniority and merit systems, as well as internal pay alignment.
Annual salary is just one component of Maximus's total compensation package.
Other rewards may include short- and long-term incentives as well as program-speci...
....Read more...
Type: Permanent Location: Roanoke, US-VA
Salary / Rate: Not Specified
Posted: 2026-05-13 08:41:03
-
Essential Duties and Responsibilities:
- Maintain clinical alignment.
- Develop clinical workplans.
- Identify the risks and gaps in the clinical processes and develop solutions.
- Identify new lines of business and growth opportunities.
- Work with the peer review process to evaluate MD quality as well as handle client requests, and appeals.
- Complete clinical reviews with regards to denials and level of care on various contracts.
- Fulfill client's requests for educational trainings, services, and workshops for their staff.
- Work with IT teams to answer clinical questions for systems (questionnaires, algorithm, etc.)
- Oversee quality assurance of nurse and physician work product.
- Conduct quarterly audits of clinical reviews.
- Additional ad hoc client audits as required.
- Other duties as requested.
Minimum Requirements
- Medical degree from an accredited medical school required.
- Active board certification required.
- Minimum 10 years of experience in a similar role.
- Peer review experienced preferred.
- Experience creating and presenting clinical trainings preferred.
- Current on clinical trends.
- Trauma Informed Care knowledge.
- Adherence to accreditation standards.
Additional Requirements:
- Licensed in the state of New Jersey (NJ) or willing to get licensed in NJ within the first 3 months of employment.
- At least five (5) years' full-time experience providing direct clinical care to patients.
- Ability to work up to 29 hours a week between the hours of 8:00am - 5:00pm EST Monday - Friday.
Preferred Skills and Qualifications:
- Auditing experience.
- Licensed in the state of Pennsylvania.
- Previous Medical Director experience.
Please note: For this position Maximus will provide equipment to use.
Home Office Requirements:
- Internet speed of 25mbps or higher required / 50 Mpbs for shared internet connectivity (you can test this by going to www.speedtest.net)
- Minimum 5mpbs upload speed
- Connectivity to the internet via Category 5 or 6 ethernet patch cable to the home router
- Private and secure work area and adequate power source
- Must currently and permanently reside in the Continental US
- Must have a smartphone which will be required to log into Maximus systems
EEO Statement
Maximus is an equal opportunity employer.
We evaluate qualified applicants without regard to race, color, religion, sex, age, national origin, disability, veteran status, genetic information and other legally protected characteristics.
Pay Transparency
Maximus compensation is based on various factors including but not limited to job location, a candidate's education, training, experience, expected quality and quantity of work, required travel (if any), external market and internal value analysis including seniority and merit systems, as well as internal pay alignment.
Annual salary is just one component of Maximus's total compensation package.
Other rewards may include short- and long-term incentives as well as program-speci...
....Read more...
Type: Permanent Location: Burlington, US-VT
Salary / Rate: Not Specified
Posted: 2026-05-13 08:41:01
-
Essential Duties and Responsibilities:
- Maintain clinical alignment.
- Develop clinical workplans.
- Identify the risks and gaps in the clinical processes and develop solutions.
- Identify new lines of business and growth opportunities.
- Work with the peer review process to evaluate MD quality as well as handle client requests, and appeals.
- Complete clinical reviews with regards to denials and level of care on various contracts.
- Fulfill client's requests for educational trainings, services, and workshops for their staff.
- Work with IT teams to answer clinical questions for systems (questionnaires, algorithm, etc.)
- Oversee quality assurance of nurse and physician work product.
- Conduct quarterly audits of clinical reviews.
- Additional ad hoc client audits as required.
- Other duties as requested.
Minimum Requirements
- Medical degree from an accredited medical school required.
- Active board certification required.
- Minimum 10 years of experience in a similar role.
- Peer review experienced preferred.
- Experience creating and presenting clinical trainings preferred.
- Current on clinical trends.
- Trauma Informed Care knowledge.
- Adherence to accreditation standards.
Additional Requirements:
- Licensed in the state of New Jersey (NJ) or willing to get licensed in NJ within the first 3 months of employment.
- At least five (5) years' full-time experience providing direct clinical care to patients.
- Ability to work up to 29 hours a week between the hours of 8:00am - 5:00pm EST Monday - Friday.
Preferred Skills and Qualifications:
- Auditing experience.
- Licensed in the state of Pennsylvania.
- Previous Medical Director experience.
Please note: For this position Maximus will provide equipment to use.
Home Office Requirements:
- Internet speed of 25mbps or higher required / 50 Mpbs for shared internet connectivity (you can test this by going to www.speedtest.net)
- Minimum 5mpbs upload speed
- Connectivity to the internet via Category 5 or 6 ethernet patch cable to the home router
- Private and secure work area and adequate power source
- Must currently and permanently reside in the Continental US
- Must have a smartphone which will be required to log into Maximus systems
EEO Statement
Maximus is an equal opportunity employer.
We evaluate qualified applicants without regard to race, color, religion, sex, age, national origin, disability, veteran status, genetic information and other legally protected characteristics.
Pay Transparency
Maximus compensation is based on various factors including but not limited to job location, a candidate's education, training, experience, expected quality and quantity of work, required travel (if any), external market and internal value analysis including seniority and merit systems, as well as internal pay alignment.
Annual salary is just one component of Maximus's total compensation package.
Other rewards may include short- and long-term incentives as well as program-speci...
....Read more...
Type: Permanent Location: Bennington, US-VT
Salary / Rate: Not Specified
Posted: 2026-05-13 08:41:00
-
Essential Duties and Responsibilities:
- Maintain clinical alignment.
- Develop clinical workplans.
- Identify the risks and gaps in the clinical processes and develop solutions.
- Identify new lines of business and growth opportunities.
- Work with the peer review process to evaluate MD quality as well as handle client requests, and appeals.
- Complete clinical reviews with regards to denials and level of care on various contracts.
- Fulfill client's requests for educational trainings, services, and workshops for their staff.
- Work with IT teams to answer clinical questions for systems (questionnaires, algorithm, etc.)
- Oversee quality assurance of nurse and physician work product.
- Conduct quarterly audits of clinical reviews.
- Additional ad hoc client audits as required.
- Other duties as requested.
Minimum Requirements
- Medical degree from an accredited medical school required.
- Active board certification required.
- Minimum 10 years of experience in a similar role.
- Peer review experienced preferred.
- Experience creating and presenting clinical trainings preferred.
- Current on clinical trends.
- Trauma Informed Care knowledge.
- Adherence to accreditation standards.
Additional Requirements:
- Licensed in the state of New Jersey (NJ) or willing to get licensed in NJ within the first 3 months of employment.
- At least five (5) years' full-time experience providing direct clinical care to patients.
- Ability to work up to 29 hours a week between the hours of 8:00am - 5:00pm EST Monday - Friday.
Preferred Skills and Qualifications:
- Auditing experience.
- Licensed in the state of Pennsylvania.
- Previous Medical Director experience.
Please note: For this position Maximus will provide equipment to use.
Home Office Requirements:
- Internet speed of 25mbps or higher required / 50 Mpbs for shared internet connectivity (you can test this by going to www.speedtest.net)
- Minimum 5mpbs upload speed
- Connectivity to the internet via Category 5 or 6 ethernet patch cable to the home router
- Private and secure work area and adequate power source
- Must currently and permanently reside in the Continental US
- Must have a smartphone which will be required to log into Maximus systems
EEO Statement
Maximus is an equal opportunity employer.
We evaluate qualified applicants without regard to race, color, religion, sex, age, national origin, disability, veteran status, genetic information and other legally protected characteristics.
Pay Transparency
Maximus compensation is based on various factors including but not limited to job location, a candidate's education, training, experience, expected quality and quantity of work, required travel (if any), external market and internal value analysis including seniority and merit systems, as well as internal pay alignment.
Annual salary is just one component of Maximus's total compensation package.
Other rewards may include short- and long-term incentives as well as program-speci...
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Type: Permanent Location: Tysons, US-VA
Salary / Rate: Not Specified
Posted: 2026-05-13 08:40:58
