-
Essential Duties and Responsibilities:
- Responsible for reviewing favorable and partially favorable determinations in accordance with applicable regulations.
- Render medical necessity determinations for cases assigned.
- Resolve all other technical issues within reconsideration assigned.
- Review cases or sites assigned to determine and summarize facts and assess any issues identified.
- Perform other special projects not related to a specific case such as general legal research, general medical research, drafting proposal sections, or acting as a liaison for a specific project, when necessary.
- Perform other duties as assigned by management.
- 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
- Bachelor's degree required
- Active RN license required.
- Minimum 2 years clinical experience required with RN license.
- Continuing education courses as required by state to maintain RN 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, disabili...
....Read more...
Type: Permanent Location: Wilmington, US-DE
Salary / Rate: Not Specified
Posted: 2026-04-29 08:12:00
-
Essential Duties and Responsibilities:
- Responsible for reviewing favorable and partially favorable determinations in accordance with applicable regulations.
- Render medical necessity determinations for cases assigned.
- Resolve all other technical issues within reconsideration assigned.
- Review cases or sites assigned to determine and summarize facts and assess any issues identified.
- Perform other special projects not related to a specific case such as general legal research, general medical research, drafting proposal sections, or acting as a liaison for a specific project, when necessary.
- Perform other duties as assigned by management.
- 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
- Bachelor's degree required
- Active RN license required.
- Minimum 2 years clinical experience required with RN license.
- Continuing education courses as required by state to maintain RN 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, disabili...
....Read more...
Type: Permanent Location: Dover, US-DE
Salary / Rate: Not Specified
Posted: 2026-04-29 08:11:59
-
Essential Duties and Responsibilities:
- Responsible for reviewing favorable and partially favorable determinations in accordance with applicable regulations.
- Render medical necessity determinations for cases assigned.
- Resolve all other technical issues within reconsideration assigned.
- Review cases or sites assigned to determine and summarize facts and assess any issues identified.
- Perform other special projects not related to a specific case such as general legal research, general medical research, drafting proposal sections, or acting as a liaison for a specific project, when necessary.
- Perform other duties as assigned by management.
- 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
- Bachelor's degree required
- Active RN license required.
- Minimum 2 years clinical experience required with RN license.
- Continuing education courses as required by state to maintain RN 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, disabili...
....Read more...
Type: Permanent Location: Jacksonville, US-FL
Salary / Rate: Not Specified
Posted: 2026-04-29 08:11:59
-
Essential Duties and Responsibilities:
- Responsible for reviewing favorable and partially favorable determinations in accordance with applicable regulations.
- Render medical necessity determinations for cases assigned.
- Resolve all other technical issues within reconsideration assigned.
- Review cases or sites assigned to determine and summarize facts and assess any issues identified.
- Perform other special projects not related to a specific case such as general legal research, general medical research, drafting proposal sections, or acting as a liaison for a specific project, when necessary.
- Perform other duties as assigned by management.
- 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
- Bachelor's degree required
- Active RN license required.
- Minimum 2 years clinical experience required with RN license.
- Continuing education courses as required by state to maintain RN 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, disabili...
....Read more...
Type: Permanent Location: Colorado Springs, US-CO
Salary / Rate: Not Specified
Posted: 2026-04-29 08:11:58
-
Essential Duties and Responsibilities:
- Responsible for reviewing favorable and partially favorable determinations in accordance with applicable regulations.
- Render medical necessity determinations for cases assigned.
- Resolve all other technical issues within reconsideration assigned.
- Review cases or sites assigned to determine and summarize facts and assess any issues identified.
- Perform other special projects not related to a specific case such as general legal research, general medical research, drafting proposal sections, or acting as a liaison for a specific project, when necessary.
- Perform other duties as assigned by management.
- 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
- Bachelor's degree required
- Active RN license required.
- Minimum 2 years clinical experience required with RN license.
- Continuing education courses as required by state to maintain RN 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, disabili...
....Read more...
Type: Permanent Location: Sacramento, US-CA
Salary / Rate: Not Specified
Posted: 2026-04-29 08:11:58
-
Essential Duties and Responsibilities:
- Responsible for reviewing favorable and partially favorable determinations in accordance with applicable regulations.
- Render medical necessity determinations for cases assigned.
- Resolve all other technical issues within reconsideration assigned.
- Review cases or sites assigned to determine and summarize facts and assess any issues identified.
- Perform other special projects not related to a specific case such as general legal research, general medical research, drafting proposal sections, or acting as a liaison for a specific project, when necessary.
- Perform other duties as assigned by management.
- 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
- Bachelor's degree required
- Active RN license required.
- Minimum 2 years clinical experience required with RN license.
- Continuing education courses as required by state to maintain RN 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, disabili...
....Read more...
Type: Permanent Location: San Francisco, US-CA
Salary / Rate: Not Specified
Posted: 2026-04-29 08:11:57
-
Essential Duties and Responsibilities:
- Responsible for reviewing favorable and partially favorable determinations in accordance with applicable regulations.
- Render medical necessity determinations for cases assigned.
- Resolve all other technical issues within reconsideration assigned.
- Review cases or sites assigned to determine and summarize facts and assess any issues identified.
- Perform other special projects not related to a specific case such as general legal research, general medical research, drafting proposal sections, or acting as a liaison for a specific project, when necessary.
- Perform other duties as assigned by management.
- 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
- Bachelor's degree required
- Active RN license required.
- Minimum 2 years clinical experience required with RN license.
- Continuing education courses as required by state to maintain RN 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, disabili...
....Read more...
Type: Permanent Location: Bridgeport, US-CT
Salary / Rate: Not Specified
Posted: 2026-04-29 08:11:56
-
Essential Duties and Responsibilities:
- Responsible for reviewing favorable and partially favorable determinations in accordance with applicable regulations.
- Render medical necessity determinations for cases assigned.
- Resolve all other technical issues within reconsideration assigned.
- Review cases or sites assigned to determine and summarize facts and assess any issues identified.
- Perform other special projects not related to a specific case such as general legal research, general medical research, drafting proposal sections, or acting as a liaison for a specific project, when necessary.
- Perform other duties as assigned by management.
- 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
- Bachelor's degree required
- Active RN license required.
- Minimum 2 years clinical experience required with RN license.
- Continuing education courses as required by state to maintain RN 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, disabili...
....Read more...
Type: Permanent Location: Denver, US-CO
Salary / Rate: Not Specified
Posted: 2026-04-29 08:11:56
-
Essential Duties and Responsibilities:
- Responsible for reviewing favorable and partially favorable determinations in accordance with applicable regulations.
- Render medical necessity determinations for cases assigned.
- Resolve all other technical issues within reconsideration assigned.
- Review cases or sites assigned to determine and summarize facts and assess any issues identified.
- Perform other special projects not related to a specific case such as general legal research, general medical research, drafting proposal sections, or acting as a liaison for a specific project, when necessary.
- Perform other duties as assigned by management.
- 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
- Bachelor's degree required
- Active RN license required.
- Minimum 2 years clinical experience required with RN license.
- Continuing education courses as required by state to maintain RN 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, disabili...
....Read more...
Type: Permanent Location: Tucson, US-AZ
Salary / Rate: Not Specified
Posted: 2026-04-29 08:11:54
-
Essential Duties and Responsibilities:
- Responsible for reviewing favorable and partially favorable determinations in accordance with applicable regulations.
- Render medical necessity determinations for cases assigned.
- Resolve all other technical issues within reconsideration assigned.
- Review cases or sites assigned to determine and summarize facts and assess any issues identified.
- Perform other special projects not related to a specific case such as general legal research, general medical research, drafting proposal sections, or acting as a liaison for a specific project, when necessary.
- Perform other duties as assigned by management.
- 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
- Bachelor's degree required
- Active RN license required.
- Minimum 2 years clinical experience required with RN license.
- Continuing education courses as required by state to maintain RN 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, disabili...
....Read more...
Type: Permanent Location: Fort Smith, US-AR
Salary / Rate: Not Specified
Posted: 2026-04-29 08:11:52
-
Essential Duties and Responsibilities:
- Responsible for reviewing favorable and partially favorable determinations in accordance with applicable regulations.
- Render medical necessity determinations for cases assigned.
- Resolve all other technical issues within reconsideration assigned.
- Review cases or sites assigned to determine and summarize facts and assess any issues identified.
- Perform other special projects not related to a specific case such as general legal research, general medical research, drafting proposal sections, or acting as a liaison for a specific project, when necessary.
- Perform other duties as assigned by management.
- 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
- Bachelor's degree required
- Active RN license required.
- Minimum 2 years clinical experience required with RN license.
- Continuing education courses as required by state to maintain RN 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, disabili...
....Read more...
Type: Permanent Location: Little Rock, US-AR
Salary / Rate: Not Specified
Posted: 2026-04-29 08:11:52
-
Essential Duties and Responsibilities:
- Responsible for reviewing favorable and partially favorable determinations in accordance with applicable regulations.
- Render medical necessity determinations for cases assigned.
- Resolve all other technical issues within reconsideration assigned.
- Review cases or sites assigned to determine and summarize facts and assess any issues identified.
- Perform other special projects not related to a specific case such as general legal research, general medical research, drafting proposal sections, or acting as a liaison for a specific project, when necessary.
- Perform other duties as assigned by management.
- 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
- Bachelor's degree required
- Active RN license required.
- Minimum 2 years clinical experience required with RN license.
- Continuing education courses as required by state to maintain RN 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, disabili...
....Read more...
Type: Permanent Location: San Diego, US-CA
Salary / Rate: Not Specified
Posted: 2026-04-29 08:11:51
-
Compensation
$20.00 Hourly
Job Description
Text JOBS to 811DIG (811344) to connect with our hiring team today!
Are you an outdoor enthusiast who enjoys independent field work and is looking to jump start your career? If you are a quality-conscious, safety focused, hard-working individual, then consider an exciting long-term career at USIC!
The USIC name and brand are highly recognized and respected for our strong commitment to quality and safety.
We are America’s leader in underground utility damage prevention and advanced infrastructure services, performing more than 84 million locates each year for the more than 1,400 telecommunications, electric, gas, water, and sewer utilities and municipalities we serve nationwide.
Our mission is to deliver quality, efficient, safe, and innovative solutions to protect our partners’ infrastructure and critical assets.
At USIC, we are committed to Leading from the Ground Up.
We are looking for individuals who consider themselves problem solvers, take pride in public safety, and thrive in a fast-paced, exciting work environment.
Our communities are your communities.
If you’re looking for growth, we’ve got you covered.
We provide a quality training program and opportunities for advancement.
No prior locating experience is needed, but experienced locators are encouraged to apply!
Our technicians spend their workdays on the go, independently working in the field using their company-provided vehicle.
We use best-in-class ticket and claims management systems to ensure clear and complete mark-out services for the excavator or property owner at the work site.
Your Responsibilities as a Locator:
* Correctly, safely, and efficiently locate underground utilities, including telecommunications, electric power, cable TV, gas, water, and sewer systems.
* Thoroughly search for underground utilities in a designated area, accurately marking the location, completing the necessary documentation, and photographing each locate.
These are daytime, full-time positions.
We have a 48-hour turnaround time on many locates, which means we generally work the day after holidays and some weekends, as needed.
Must be able to work overtime, weekend shifts, and on-call shifts (including nights and weekends), dependent upon the needs of the business.
Why You'll Love Working for Us (Our Benefits):
* 100% paid training – We're invested in you, starting on your first day.
* High-quality company vehicle & fuel card – All work-related expenses are paid.
This means you won't be putting mileage on your personal vehicle for work.
* Company phone & equipment – Advanced technology you can count on.
* DailyPay – Access your pay when you need it.
* Comprehensive insurance options – A variety of excellent insurance choices including medical, dental, vision, and life.
* 401(k) with company match – We’ll help you save for the long term with our competitive 401(k) employer match program...
....Read more...
Type: Permanent Location: Roxboro, US-NC
Salary / Rate: Not Specified
Posted: 2026-04-29 08:11:50
-
Essential Duties and Responsibilities:
- Responsible for reviewing favorable and partially favorable determinations in accordance with applicable regulations.
- Render medical necessity determinations for cases assigned.
- Resolve all other technical issues within reconsideration assigned.
- Review cases or sites assigned to determine and summarize facts and assess any issues identified.
- Perform other special projects not related to a specific case such as general legal research, general medical research, drafting proposal sections, or acting as a liaison for a specific project, when necessary.
- Perform other duties as assigned by management.
- 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
- Bachelor's degree required
- Active RN license required.
- Minimum 2 years clinical experience required with RN license.
- Continuing education courses as required by state to maintain RN 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, disabili...
....Read more...
Type: Permanent Location: Los Angeles, US-CA
Salary / Rate: Not Specified
Posted: 2026-04-29 08:11:50
-
Essential Duties and Responsibilities:
- Answer incoming calls from consumers including the general public, prospective enrollees and people assisting enrollees or acting on their behalf in accordance with all performance standards, policy and procedures, and protocols including but not limited to the confidentiality and privacy policies.
- Respond effectively to all forms of inbound and outbound contacts.
- Track and document all inquiries using the applicable systems.
- Process new applications for health care coverage via the telephone including building tax household, household income, eligibility determinations, interpreting determinations made by the Marketplace, and enrollment into health plans.
Transfer/refer consumers to appropriate entities according to the established guidelines.
- Process life event changes, demographic updates, disenrollment requests, and special enrollment periods as requested.
- Facilitate the fulfillment of caller requests for materials via mail, email, or download.
- Facilitate translation services for non-English speaking callers according to procedures.
- Escalate calls or issues to the appropriate designated staff for resolution as needed.
- Attend meetings and trainings as requested and maintain up-to-date knowledge of all programs and systems.
- Respond to all inquiries consistent with confidentiality and privacy policies and refer callers to alternate sources when appropriate.
- Meet Quality Assurance (QA) and other key performance metrics.
- Responsible for adhering to established safety standards.
- Must be able to remain in a stationary position for an extended period of time.
- Occasionally lift, carry, or otherwise move items weighing up to 25 pounds.
- Work is constantly performed in an office environment.
- Perform other duties as assigned by management.
Minimum Requirements
- High school diploma or GED required and 6+ months of relevant professional experience required, or equivalent combination of education and experience.
- Must be fluent in English and specified secondary language.
- Must be able to speak, read and translate in Haitian Creole and English fluently.
- Residency within 100 miles of New York, NY.
- Strong data entry and telephone skills.
- Excellent organizational, interpersonal, written, and verbal communication skills.
- Ability to perform comfortably in a fast-paced work environment.
- Ability to successfully execute many complex tasks simultaneously.
- Ability to work as a team member, as well as independently.
- Previous experience with computers, phone systems, and headsets preferred.
- Previous experience in customer service preferred.
Home Office Requirements
- Internet speed of 20mbps or higher required (you can test this by going to www.speedtest.net).
- Connectivity to the internet via either Wi-Fi or Category 5 or 6 ethernet patch cable to the home router.
- Must currently and permanently reside in the Continental US.
EEO Statement
Maximus is a...
....Read more...
Type: Permanent Location: New York, US-NY
Salary / Rate: Not Specified
Posted: 2026-04-29 08:11:49
-
Essential Duties and Responsibilities:
- Answer incoming calls from consumers including the general public, prospective enrollees and people assisting enrollees or acting on their behalf in accordance with all performance standards, policy and procedures, and protocols including but not limited to the confidentiality and privacy policies.
- Respond effectively to all forms of inbound and outbound contacts.
- Track and document all inquiries using the applicable systems.
- Process new applications for health care coverage via the telephone including building tax household, household income, eligibility determinations, interpreting determinations made by the Marketplace, and enrollment into health plans.
Transfer/refer consumers to appropriate entities according to the established guidelines.
- Process life event changes, demographic updates, disenrollment requests, and special enrollment periods as requested.
- Facilitate the fulfillment of caller requests for materials via mail, email, or download.
- Facilitate translation services for non-English speaking callers according to procedures.
- Escalate calls or issues to the appropriate designated staff for resolution as needed.
- Attend meetings and trainings as requested and maintain up-to-date knowledge of all programs and systems.
- Respond to all inquiries consistent with confidentiality and privacy policies and refer callers to alternate sources when appropriate.
- Meet Quality Assurance (QA) and other key performance metrics.
- Responsible for adhering to established safety standards.
- Must be able to remain in a stationary position for an extended period of time.
- Occasionally lift, carry, or otherwise move items weighing up to 25 pounds.
- Work is constantly performed in an office environment.
- Perform other duties as assigned by management.
Minimum Requirements
- High school diploma or GED required and 6+ months of relevant professional experience required, or equivalent combination of education and experience.
- Must be fluent in English and specified secondary language.
- Must be able to speak, read and translate in Spanish and English fluently.
- Residency within 100 miles of New York, NY.
- Strong data entry and telephone skills.
- Excellent organizational, interpersonal, written, and verbal communication skills.
- Ability to perform comfortably in a fast-paced work environment.
- Ability to successfully execute many complex tasks simultaneously.
- Ability to work as a team member, as well as independently.
- Previous experience with computers, phone systems, and headsets preferred.
- Previous experience in customer service preferred.
Home Office Requirements
- Internet speed of 20mbps or higher required (you can test this by going to www.speedtest.net).
- Connectivity to the internet via either Wi-Fi or Category 5 or 6 ethernet patch cable to the home router.
- Must currently and permanently reside in the Continental US.
EEO Statement
Maximus is an equal...
....Read more...
Type: Permanent Location: New York, US-NY
Salary / Rate: Not Specified
Posted: 2026-04-29 08:11:48
-
Essential Duties and Responsibilities:
- Responsible for reviewing favorable and partially favorable determinations in accordance with applicable regulations.
- Render medical necessity determinations for cases assigned.
- Resolve all other technical issues within reconsideration assigned.
- Review cases or sites assigned to determine and summarize facts and assess any issues identified.
- Perform other special projects not related to a specific case such as general legal research, general medical research, drafting proposal sections, or acting as a liaison for a specific project, when necessary.
- Perform other duties as assigned by management.
- 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
- Bachelor's degree required
- Active RN license required.
- Minimum 2 years clinical experience required with RN license.
- Continuing education courses as required by state to maintain RN 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, disabili...
....Read more...
Type: Permanent Location: Montgomery, US-AL
Salary / Rate: Not Specified
Posted: 2026-04-29 08:11:48
-
Essential Duties and Responsibilities:
- Responsible for reviewing favorable and partially favorable determinations in accordance with applicable regulations.
- Render medical necessity determinations for cases assigned.
- Resolve all other technical issues within reconsideration assigned.
- Review cases or sites assigned to determine and summarize facts and assess any issues identified.
- Perform other special projects not related to a specific case such as general legal research, general medical research, drafting proposal sections, or acting as a liaison for a specific project, when necessary.
- Perform other duties as assigned by management.
- 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
- Bachelor's degree required
- Active RN license required.
- Minimum 2 years clinical experience required with RN license.
- Continuing education courses as required by state to maintain RN 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, disabili...
....Read more...
Type: Permanent Location: Phoenix, US-AZ
Salary / Rate: Not Specified
Posted: 2026-04-29 08:11:47
-
Essential Duties and Responsibilities:
- Responsible for reviewing favorable and partially favorable determinations in accordance with applicable regulations.
- Render medical necessity determinations for cases assigned.
- Resolve all other technical issues within reconsideration assigned.
- Review cases or sites assigned to determine and summarize facts and assess any issues identified.
- Perform other special projects not related to a specific case such as general legal research, general medical research, drafting proposal sections, or acting as a liaison for a specific project, when necessary.
- Perform other duties as assigned by management.
- 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
- Bachelor's degree required
- Active RN license required.
- Minimum 2 years clinical experience required with RN license.
- Continuing education courses as required by state to maintain RN 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, disabili...
....Read more...
Type: Permanent Location: Mobile, US-AL
Salary / Rate: Not Specified
Posted: 2026-04-29 08:11:46
-
Essential Duties and Responsibilities:
- Responsible for reviewing favorable and partially favorable determinations in accordance with applicable regulations.
- Render medical necessity determinations for cases assigned.
- Resolve all other technical issues within reconsideration assigned.
- Review cases or sites assigned to determine and summarize facts and assess any issues identified.
- Perform other special projects not related to a specific case such as general legal research, general medical research, drafting proposal sections, or acting as a liaison for a specific project, when necessary.
- Perform other duties as assigned by management.
- 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
- Bachelor's degree required
- Active RN license required.
- Minimum 2 years clinical experience required with RN license.
- Continuing education courses as required by state to maintain RN 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, disabili...
....Read more...
Type: Permanent Location: Birmingham, US-AL
Salary / Rate: Not Specified
Posted: 2026-04-29 08:11:46
-
Essential Duties and Responsibilities:
- Lead compliance tracking in all areas of performance required by the contracts and vendor agreements.
- Provide client, project, operations and corporate compliance reporting and analytics.
- Monitor and reports on Service Level Agreements (SLAs).
- Meet with subcontractors, vendors and third party auditors.
- Develop business continuity, disaster recovery and document archiving reports.
- Oversight of external auditors and vendor quality assurance audits.
- Deliver regular compliance updates to project management.
- Ensure staffing/operations/quality management plans appropriately updated.
Minimum Requirements
- Bachelor's degree with 5+ years of experience.
- Advanced degree or professional designation preferred.
- Experience managing subcontracts under Prime contract awards, including Cost Reimbursable, Firm Fixed Price, and Time & Material awards.
- Understanding of FAR/DFARS, NDA, TA best practices, and CPSR compliance.
- Proficiency in ERP systems (Coupa preferred), CLM systems, and Microsoft Office Suite (Excel, Word, PowerPoint).
- Ability to operate effectively in a fast-paced, matrixed environment with minimal oversight.
- Experience supporting Federal Civilian and DoD programs.
- Excellent communication, leadership, and problem-solving skills.
- Self-motivated with an ability to multi-task and make sound decisions in a timely manner
- Handling complex subcontract negotiations and dispute resolutions independently in a highly technical environment
- Working in diverse, high-expectation environments while collaborating across all organizational levels.
- Supporting CPSR-compliant audits and maintaining robust documentation.
- Experience working in a customer service-oriented team environment within a matrixed organization.
- Experience working in a fast-paced work environment with high expectations, significantly diverse assignments, and collaborative team settings across all levels.
- Significant experience with Contractor Purchasing System Review (CPSR) compliant policies and procedures and supporting audits.
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...
....Read more...
Type: Permanent Location: Morgantown, US-WV
Salary / Rate: Not Specified
Posted: 2026-04-29 08:11:45
-
Essential Duties and Responsibilities:
- Lead compliance tracking in all areas of performance required by the contracts and vendor agreements.
- Provide client, project, operations and corporate compliance reporting and analytics.
- Monitor and reports on Service Level Agreements (SLAs).
- Meet with subcontractors, vendors and third party auditors.
- Develop business continuity, disaster recovery and document archiving reports.
- Oversight of external auditors and vendor quality assurance audits.
- Deliver regular compliance updates to project management.
- Ensure staffing/operations/quality management plans appropriately updated.
Minimum Requirements
- Bachelor's degree with 5+ years of experience.
- Advanced degree or professional designation preferred.
- Experience managing subcontracts under Prime contract awards, including Cost Reimbursable, Firm Fixed Price, and Time & Material awards.
- Understanding of FAR/DFARS, NDA, TA best practices, and CPSR compliance.
- Proficiency in ERP systems (Coupa preferred), CLM systems, and Microsoft Office Suite (Excel, Word, PowerPoint).
- Ability to operate effectively in a fast-paced, matrixed environment with minimal oversight.
- Experience supporting Federal Civilian and DoD programs.
- Excellent communication, leadership, and problem-solving skills.
- Self-motivated with an ability to multi-task and make sound decisions in a timely manner
- Handling complex subcontract negotiations and dispute resolutions independently in a highly technical environment
- Working in diverse, high-expectation environments while collaborating across all organizational levels.
- Supporting CPSR-compliant audits and maintaining robust documentation.
- Experience working in a customer service-oriented team environment within a matrixed organization.
- Experience working in a fast-paced work environment with high expectations, significantly diverse assignments, and collaborative team settings across all levels.
- Significant experience with Contractor Purchasing System Review (CPSR) compliant policies and procedures and supporting audits.
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...
....Read more...
Type: Permanent Location: Cheyenne, US-WY
Salary / Rate: Not Specified
Posted: 2026-04-29 08:11:44
-
Essential Duties and Responsibilities:
- Lead compliance tracking in all areas of performance required by the contracts and vendor agreements.
- Provide client, project, operations and corporate compliance reporting and analytics.
- Monitor and reports on Service Level Agreements (SLAs).
- Meet with subcontractors, vendors and third party auditors.
- Develop business continuity, disaster recovery and document archiving reports.
- Oversight of external auditors and vendor quality assurance audits.
- Deliver regular compliance updates to project management.
- Ensure staffing/operations/quality management plans appropriately updated.
Minimum Requirements
- Bachelor's degree with 5+ years of experience.
- Advanced degree or professional designation preferred.
- Experience managing subcontracts under Prime contract awards, including Cost Reimbursable, Firm Fixed Price, and Time & Material awards.
- Understanding of FAR/DFARS, NDA, TA best practices, and CPSR compliance.
- Proficiency in ERP systems (Coupa preferred), CLM systems, and Microsoft Office Suite (Excel, Word, PowerPoint).
- Ability to operate effectively in a fast-paced, matrixed environment with minimal oversight.
- Experience supporting Federal Civilian and DoD programs.
- Excellent communication, leadership, and problem-solving skills.
- Self-motivated with an ability to multi-task and make sound decisions in a timely manner
- Handling complex subcontract negotiations and dispute resolutions independently in a highly technical environment
- Working in diverse, high-expectation environments while collaborating across all organizational levels.
- Supporting CPSR-compliant audits and maintaining robust documentation.
- Experience working in a customer service-oriented team environment within a matrixed organization.
- Experience working in a fast-paced work environment with high expectations, significantly diverse assignments, and collaborative team settings across all levels.
- Significant experience with Contractor Purchasing System Review (CPSR) compliant policies and procedures and supporting audits.
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...
....Read more...
Type: Permanent Location: Eau Claire, US-WI
Salary / Rate: Not Specified
Posted: 2026-04-29 08:11:42
-
Essential Duties and Responsibilities:
- Lead compliance tracking in all areas of performance required by the contracts and vendor agreements.
- Provide client, project, operations and corporate compliance reporting and analytics.
- Monitor and reports on Service Level Agreements (SLAs).
- Meet with subcontractors, vendors and third party auditors.
- Develop business continuity, disaster recovery and document archiving reports.
- Oversight of external auditors and vendor quality assurance audits.
- Deliver regular compliance updates to project management.
- Ensure staffing/operations/quality management plans appropriately updated.
Minimum Requirements
- Bachelor's degree with 5+ years of experience.
- Advanced degree or professional designation preferred.
- Experience managing subcontracts under Prime contract awards, including Cost Reimbursable, Firm Fixed Price, and Time & Material awards.
- Understanding of FAR/DFARS, NDA, TA best practices, and CPSR compliance.
- Proficiency in ERP systems (Coupa preferred), CLM systems, and Microsoft Office Suite (Excel, Word, PowerPoint).
- Ability to operate effectively in a fast-paced, matrixed environment with minimal oversight.
- Experience supporting Federal Civilian and DoD programs.
- Excellent communication, leadership, and problem-solving skills.
- Self-motivated with an ability to multi-task and make sound decisions in a timely manner
- Handling complex subcontract negotiations and dispute resolutions independently in a highly technical environment
- Working in diverse, high-expectation environments while collaborating across all organizational levels.
- Supporting CPSR-compliant audits and maintaining robust documentation.
- Experience working in a customer service-oriented team environment within a matrixed organization.
- Experience working in a fast-paced work environment with high expectations, significantly diverse assignments, and collaborative team settings across all levels.
- Significant experience with Contractor Purchasing System Review (CPSR) compliant policies and procedures and supporting audits.
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...
....Read more...
Type: Permanent Location: Rock Springs, US-WY
Salary / Rate: Not Specified
Posted: 2026-04-29 08:11:41
-
Essential Duties and Responsibilities:
- Lead compliance tracking in all areas of performance required by the contracts and vendor agreements.
- Provide client, project, operations and corporate compliance reporting and analytics.
- Monitor and reports on Service Level Agreements (SLAs).
- Meet with subcontractors, vendors and third party auditors.
- Develop business continuity, disaster recovery and document archiving reports.
- Oversight of external auditors and vendor quality assurance audits.
- Deliver regular compliance updates to project management.
- Ensure staffing/operations/quality management plans appropriately updated.
Minimum Requirements
- Bachelor's degree with 5+ years of experience.
- Advanced degree or professional designation preferred.
- Experience managing subcontracts under Prime contract awards, including Cost Reimbursable, Firm Fixed Price, and Time & Material awards.
- Understanding of FAR/DFARS, NDA, TA best practices, and CPSR compliance.
- Proficiency in ERP systems (Coupa preferred), CLM systems, and Microsoft Office Suite (Excel, Word, PowerPoint).
- Ability to operate effectively in a fast-paced, matrixed environment with minimal oversight.
- Experience supporting Federal Civilian and DoD programs.
- Excellent communication, leadership, and problem-solving skills.
- Self-motivated with an ability to multi-task and make sound decisions in a timely manner
- Handling complex subcontract negotiations and dispute resolutions independently in a highly technical environment
- Working in diverse, high-expectation environments while collaborating across all organizational levels.
- Supporting CPSR-compliant audits and maintaining robust documentation.
- Experience working in a customer service-oriented team environment within a matrixed organization.
- Experience working in a fast-paced work environment with high expectations, significantly diverse assignments, and collaborative team settings across all levels.
- Significant experience with Contractor Purchasing System Review (CPSR) compliant policies and procedures and supporting audits.
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...
....Read more...
Type: Permanent Location: Milwaukee, US-WI
Salary / Rate: Not Specified
Posted: 2026-04-29 08:11:40
