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Position Summary:
Create an outstanding customer experience through exceptional service.
Establish and maintain a safe and clean environment that encourages our customers to return.
Assist the department manager in reaching sales and profit goals established for the department, and monitor all established quality assurance standards.
Embrace the Customer 1 st strategy and encourage associates to deliver excellent customer service.
Demonstrate the company's core values of respect, honesty, integrity, diversity, inclusion and safety of others.From one tiny Cincinnati grocery store more than a century ago, we've grown into what today is the nation's largest grocer with nearly 2,800 stores in 35 states operating under 28 different names.
As America's grocer, we take pride in bringing diverse teams with a passion for food and people together with one common purpose: To Feed the Human Spirit.
With a history of innovation, we work tirelessly to create amazing experiences for our customers, communities AND each other, with food at the heart of it all.
Here, people matter.
That's why we strive to provide the ingredients you need to create your own recipe for success at work and in life.
We help feed your future by providing the value and care you need to grow.
If you're caring, purpose-driven and hungry to learn, your potential is unlimited.
Whether you're seeking a part-time position or a new career path, we've got a fresh opportunity for you.
Apply today to become part of our Kroger family!
What you'll receive from us:
The Kroger Family of Companies offers comprehensive benefits to support your Associate Well-Being, including Physical, Emotional, Financial and more.
We'll help you thrive, with access to:
* A wide range of healthcare coverage, including affordable, comprehensive medical, dental, vision and prescription coverage, through company plans or collective bargaining agreement plans.
* Flexible scheduling in full- and part-time roles with paid time off, including holiday and sick pay based on eligibility and length of service.
* Emotional and financial support with free counseling through our Employee Assistance Program and free, confidential financial tools and coaching with Goldman Sachs Ayco.
* Valuable associate discounts on purchases, including food, travel, technology and so much more.
* Up to $21,000 in tuition reimbursement over your career, through our industry-leading Continuing Education program.
* Vast potential for growth, through an abundance of industry-leading training programs and diverse career pathways.
For more information about benefits and eligibility, please visit our Benefits Page !
* Retail experience
* Ability to handle stressful situations
* Effective communication skills
* Knowledge of basic math
* Create an environment that enables customers to feel welcome, important and appreciated by answering questions regarding products sold within the department an...
....Read more...
Type: Permanent Location: Flushing, US-MI
Salary / Rate: Not Specified
Posted: 2026-02-14 08:37:31
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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.
- Track and document all inquiries using the applicable systems.
- Complete associated tasks according to the established guidelines.
- Meet Quality Assurance (QA) and other key performance metrics.
- Facilitate the fulfillment of caller requests for materials via mail, email, or download.
- Transfer/refer consumers to appropriate entities according to the established guidelines.
- Escalate calls or issues to the appropriate designated staff for resolution as needed.
- Facilitate translation services for non-English speaking callers according to procedures.
- Attend meetings and trainings as requested and maintain up-to-date knowledge of all programs and systems.
Minimum Requirements
- High school diploma or GED required and 0-6 months of relevant professional experience required, or equivalent combination of education and experience.
Job Requirements:
- High School Diploma or GED with 0-1 years' experience
- Able to demonstrate logical problem-solving skills, capacity to multi-task, and proficiency to utilize the client approach to troubleshoot
-Proficient in managing repetitive and high-volume calls
- Proficient typing skills
- Consistently showcases a strong sense of urgency and performs well under pressure
- Strong organizational and work prioritization abilities
- Skilled in the use of Teams
- Fundamental computer proficiency in Windows and/or Mac
- Available to work any 8-hour shift Monday to Friday from 8:00 a.m.
to 6:30 p.m.
(Central Time)
Training Requirements:
- Must be able to work onsite first week of training
- Must be able to complete classroom and on-the-job training with no time missed
Required Guidelines for Remote Work Environment:
- Workspace must be quiet, free of distractions, and no background noise
- Workspace must be able to hold 2 monitors, laptop, keyboard, mouse, and docking station: Maximus will provide equipment
- Web camera is required for all Maximus and agency staff during training, meetings, or as requested by management with expectation of participation, adequate lighting and visibility
- Internet must be a traditional, wired high-speed connection such as cable or fiber
- Must be able to disable modem firewalls to ensure proper VPN and product access
- High-speed internet service is required, with minimum of 20 Mbps download & 5 Mbps upload
- Required to connect an ethernet cable directly from the modem or router to computer
- Wi-Fi connections, cellular networks, mobile hotspots, fixed wireless, or satellite are not permitted
- Work-from-home staff may be required to work on-site for those who fail to meet the work-from-home guidelines and/o...
....Read more...
Type: Permanent Location: Edinburg, US-TX
Salary / Rate: Not Specified
Posted: 2026-02-14 08:37:30
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At Elanco (NYSE: ELAN) – it all starts with animals!
As a global leader in animal health, we are dedicated to innovation and delivering products and services to prevent and treat disease in farm animals and pets.
At Elanco, we are driven by our vision of Food and Companionship Enriching Life and our purpose – all to Go Beyond for Animals, Customers, Society and Our People.
At Elanco, we pride ourselves on fostering a diverse and inclusive work environment.
We believe that diversity is the driving force behind innovation, creativity, and overall business success.
Here, you’ll be part of a company that values and champions new ways of thinking, work with dynamic individuals, and acquire new skills and experiences that will propel your career to new heights.
Making animals’ lives better makes life better – join our team today!
Capital Project Manager – Engineering
This position is responsible for executing the strategic capital plan for Elanco’s Elwood, KS monoclonal antibody (mAbs) manufacturing facility. The incumbent will oversee small and large-scale expansion projects as well as facility & utility upgrades and improvements. These projects will include the design, purchase, and installation of process equipment.
Your Responsibilities:
* Lead the end-to-end management of all on-site capital projects, from initial planning and scope definition through design, installation, and final commissioning.
* Develop and present business cases for capital justification, ensuring all projects are delivered on time, within budget, and to the highest quality and safety standards.
* Collaborate with and manage external partners, including equipment manufacturers, service providers, and design professionals, while supporting procurement and reporting progress to internal stakeholders.
* Ensure strict adherence to all cGMP standards, safety regulations, and Elanco policies, championing a "Safety First and Quality Always" culture.
* Drive the site's asset recapitalization strategy and provide essential technical coaching and support to maintenance and operational teams.
What You Need to Succeed (minimum qualifications):
* Education: BS in Engineering, Construction Management, or adjacent field; On the job experience may be acceptable in place of degree. Chemical or Mechanical disciplines most preferred
* Experience: 3+ years’ capital project delivery experience.
* Demonstrated success operating in cross-functional teams, excellent verbal, written and interpersonal communication skills, and strong organizational and computer skills
What will give you a competitive edge (preferred qualifications):
* Working knowledge of cGMP and regulatory (USDA, FDA, EU) standards.
* Previous experience in design / delivery of capital project in life sciences industry (medical device, pharmaceutical, biotech).
* Experience negotiating and managing construction contracts and pay apps such...
....Read more...
Type: Permanent Location: Elwood, US-KS
Salary / Rate: 100000
Posted: 2026-02-14 08:37:30
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Essential Duties and Responsibilities:
- Responsible for completing medical and/or behavioral health assessments within contract requirements.
- Conducts on-site, video call and/or telephonic assessments to determine an individual's needs for services and supports, eligibility, level of care or related outcome.
- Perform all job duties in compliance with Person First standards, HIPAA guidelines, and company confidentiality policies and procedures.
- Travel may be required based on program contract requirements.
- Performs other related duties as assigned.
- Preferred knowledge may include community support programs, long-term care assessment and level of care in medical, behavioral health or related programs.
- Knowledge and understanding of medical and/or behavioral health diagnoses and prescribed medications.
- Ability to collect data, define problems, establish facts, and draw valid conclusions.
- Conduct in-person onsite outreach interviews and transitional assessments using person-centered and motivational interviewing techniques
- Educate individuals about their rights, the Outreach & Assessment process, and what to expect in next steps
- Accurately document assessment findings, outcomes, and required data elements in program systems
- Maintain professionalism and strong customer service when working with individuals with complex medical, behavioral health, and social needs
- Perform all job duties in compliance with Person First standards, HIPAA guidelines, and Maximus confidentiality policies and procedures.
- Traveling as required based on program contract requirements.
- Perform other related duties as assigned.
Minimum Requirements
- Education and licensure requirements are based on program contract requirements and are outlined in job posting.
- High School Degree or equivalent required.
- Minimum 2 years of clinical experience required.
- Minimum 5 years' experience in medical, mental health, or combination of both fields.
-Minimum of 3 years of experience conducting medical and/or mental health assessments
One of the following:
- Licensed Practitioner of the Healing Arts (LPHA) or Registered Nurse (RN); or
-Occupational Therapist or Licensed Practical Nurse (LPN) with five years of experience working with individuals in long-term care and/or mental health settings; or
- Master's degree in counseling, social work, psychology, or other highly related field with a minimum of five years' experience working with individuals in long-term care settings and/or mental health settings
- Willingness and ability to travel up to 85% within Northern Cook County and Lake County, Illinois.
Preferred knowledge includes:
- Familiarity with Medicaid, Long-term services and supports, or community-based programs
-Strong interviewing, documentation, and interpersonal skills
- Experience working with individuals with complex medical or behavioral health needs
- Ability to work independently in the field and manage a mobile schedul...
....Read more...
Type: Permanent Location: Waukegan, US-IL
Salary / Rate: Not Specified
Posted: 2026-02-14 08:37:29
-
Essential Duties and Responsibilities:
- Responsible for completing medical and/or behavioral health assessments within contract requirements.
- Conducts on-site, video call and/or telephonic assessments to determine an individual's needs for services and supports, eligibility, level of care or related outcome.
- Perform all job duties in compliance with Person First standards, HIPAA guidelines, and company confidentiality policies and procedures.
- Travel may be required based on program contract requirements.
- Performs other related duties as assigned.
- Preferred knowledge may include community support programs, long-term care assessment and level of care in medical, behavioral health or related programs.
- Knowledge and understanding of medical and/or behavioral health diagnoses and prescribed medications.
- Ability to collect data, define problems, establish facts, and draw valid conclusions.
- Conduct in-person onsite outreach interviews and transitional assessments using person-centered and motivational interviewing techniques
- Educate individuals about their rights, the Outreach & Assessment process, and what to expect in next steps
- Accurately document assessment findings, outcomes, and required data elements in program systems
- Maintain professionalism and strong customer service when working with individuals with complex medical, behavioral health, and social needs
- Perform all job duties in compliance with Person First standards, HIPAA guidelines, and Maximus confidentiality policies and procedures.
- Traveling as required based on program contract requirements.
- Perform other related duties as assigned.
Minimum Requirements
- Education and licensure requirements are based on program contract requirements and are outlined in job posting.
- High School Degree or equivalent required.
- Minimum 2 years of clinical experience required.
- Minimum 5 years' experience in medical, mental health, or combination of both fields.
-Minimum of 3 years of experience conducting medical and/or mental health assessments
One of the following:
- Master's degree in counseling, social work, psychology, or other highly related field with a minimum of five years' experience working with individuals in long-term care settings and/or mental health settings
- Willingness and ability to travel up to 85% within Northern Cook County and Lake County, Illinois.
Preferred knowledge includes:
- Familiarity with Medicaid, Long-term services and supports, or community-based programs
-Strong interviewing, documentation, and interpersonal skills
- Experience working with individuals with complex medical or behavioral health needs
- Ability to work independently in the field and manage a mobile schedule
Home Office Requirements:
- Maximus provides company-issued computer equipment.
- Reliable high-speed internet service (Minimum 20 Mbps download speeds/50 Mbps for shared internet connectivity, Minimum 5 Mbps upload speeds).
- Private and se...
....Read more...
Type: Permanent Location: Waukegan, US-IL
Salary / Rate: Not Specified
Posted: 2026-02-14 08:37:25
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Create an outstanding customer experience through exceptional service.
Establish and maintain a safe and clean environment that encourages our customers to return.
Assist the department manager in reaching sales and profit goals established for the department and monitor all established quality assurance standards.
Embrace the Customer 1st strategy and encourage associates to deliver excellent customer service.
Demonstrate the company's core values of respect, honesty, integrity, diversity, inclusion and safety.Based in Salt Lake City, Utah, Smith's Food and Drug merged with The Kroger Company in 1998.
Today, we're proudly serving Smith's customers in over 140 stores throughout Utah, Nevada, New Mexico, Arizona, Montana, Idaho and Wyoming.
As part of the Kroger family of companies, we take pride in bringing diverse teams with a passion for food and people together with one common purpose: To Feed the Human Spirit.
With a history of innovation, we work tirelessly to create amazing experiences for our customers, communities AND each other, with food at the heart of it all.
Here, people matter.
That's why we strive to provide the ingredients you need to create your own recipe for success at work and in life.
We help feed your future by providing the value and care you need to grow.
If you're caring, purpose-driven and hungry to learn, your potential is unlimited.
Whether you're seeking a part-time position or a new career path, we've got a fresh opportunity for you.
Apply today to become part of our Smith's family!
What you'll receive from us:
The Kroger Family of Companies offers comprehensive benefits to support your Associate Well-Being, including Physical, Emotional, Financial and more.
We'll help you thrive, with access to:
* A wide range of healthcare coverage, including affordable, comprehensive medical, dental, vision and prescription coverage, through company plans or collective bargaining agreement plans.
* Flexible scheduling in full- and part-time roles with paid time off, including holiday and sick pay based on eligibility and length of service.
* Emotional and financial support with free counseling through our Employee Assistance Program and free, confidential financial tools and coaching with Goldman Sachs Ayco.
* Valuable associate discounts on purchases, including food, travel, technology and so much more.
* Up to $21,000 in tuition reimbursement over your career, through our industry-leading Continuing Education program.
* Vast potential for growth, through an abundance of industry-leading training programs and diverse career pathways.
For more information about benefits and eligibility, please visit our Benefits Page ! Minimum
- Ability to handle stressful situations
- Knowledge of basic math (counting, addition, and subtraction)
- Effective communication skills
Desired
- Any retail experience
- Second language (speaking, reading and/or writing)- Promote trust and respect among associates
- ...
....Read more...
Type: Permanent Location: Albuquerque, US-NM
Salary / Rate: Not Specified
Posted: 2026-02-14 08:37:21
-
Essential Duties and Responsibilities:
- Maintain updated knowledge of project and corporate policies and procedures as referenced in the employee manual and other desk procedures for the position
- Function as a Subject Matter Expert in one or more process areas.
- Analyze data submitted for Independent Medical Review.
- Collect and analyze incoming data and reports from treatment providers, facilities, participants, labs and health plans to input necessary information into the system.
- Respond to incoming calls from clients, health plans, providers and enrollees regarding case status, questions about the program, and the appeals process.
- Create arbitration cases in the system.
- Send requests for information to providers and health plans.
- Close arbitration cases in the system.
- Analyze data received from providers and health plans.
Minimum Requirements
- Associate degree with 2+ years' experience.
- Experience in lieu of an Associate degree (HS Diploma or GED and 4+ years of experience) also considered.
- Ability to manage multiple tasks efficiently and maintain accurate records.
- Excellent written and verbal communication skills to interact with healthcare providers and insurance companies.
- Ability to work across multiple platforms.
- Proficiency in Microsoft Office Suite (Word, Excel, Outlook, PowerPoint) and healthcare billing systems.
- Ability to successfully work in a fast-paced, deadline-driven environment.
- High level of accuracy in data entry and document management.
- Ability to work independently as a part of a team remotely.
- Experience with Salesforce platform preferred.
- Understanding of healthcare billing, CPT codes, and the No Surprises Act preferred.
- Experience with healthcare appeals and/or grievances preferred.
- Experience with retroactive claim review highly preferred.
- Familiarity with insurance documentation, explanation of benefits, and/or claim forms highly preferred.
- Ability to commit to a schedule of 8:00am - 5:30pm EST Monday - Friday required.
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
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...
....Read more...
Type: Permanent Location: Rock Springs, US-WY
Salary / Rate: Not Specified
Posted: 2026-02-14 08:37:20
-
Essential Duties and Responsibilities:
- Maintain updated knowledge of project and corporate policies and procedures as referenced in the employee manual and other desk procedures for the position
- Function as a Subject Matter Expert in one or more process areas.
- Analyze data submitted for Independent Medical Review.
- Collect and analyze incoming data and reports from treatment providers, facilities, participants, labs and health plans to input necessary information into the system.
- Respond to incoming calls from clients, health plans, providers and enrollees regarding case status, questions about the program, and the appeals process.
- Create arbitration cases in the system.
- Send requests for information to providers and health plans.
- Close arbitration cases in the system.
- Analyze data received from providers and health plans.
Minimum Requirements
- Associate degree with 2+ years' experience.
- Experience in lieu of an Associate degree (HS Diploma or GED and 4+ years of experience) also considered.
- Ability to manage multiple tasks efficiently and maintain accurate records.
- Excellent written and verbal communication skills to interact with healthcare providers and insurance companies.
- Ability to work across multiple platforms.
- Proficiency in Microsoft Office Suite (Word, Excel, Outlook, PowerPoint) and healthcare billing systems.
- Ability to successfully work in a fast-paced, deadline-driven environment.
- High level of accuracy in data entry and document management.
- Ability to work independently as a part of a team remotely.
- Experience with Salesforce platform preferred.
- Understanding of healthcare billing, CPT codes, and the No Surprises Act preferred.
- Experience with healthcare appeals and/or grievances preferred.
- Experience with retroactive claim review highly preferred.
- Familiarity with insurance documentation, explanation of benefits, and/or claim forms highly preferred.
- Ability to commit to a schedule of 8:00am - 5:30pm EST Monday - Friday required.
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
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...
....Read more...
Type: Permanent Location: Eau Claire, US-WI
Salary / Rate: Not Specified
Posted: 2026-02-14 08:37:19
-
Essential Duties and Responsibilities:
- Maintain updated knowledge of project and corporate policies and procedures as referenced in the employee manual and other desk procedures for the position
- Function as a Subject Matter Expert in one or more process areas.
- Analyze data submitted for Independent Medical Review.
- Collect and analyze incoming data and reports from treatment providers, facilities, participants, labs and health plans to input necessary information into the system.
- Respond to incoming calls from clients, health plans, providers and enrollees regarding case status, questions about the program, and the appeals process.
- Create arbitration cases in the system.
- Send requests for information to providers and health plans.
- Close arbitration cases in the system.
- Analyze data received from providers and health plans.
Minimum Requirements
- Associate degree with 2+ years' experience.
- Experience in lieu of an Associate degree (HS Diploma or GED and 4+ years of experience) also considered.
- Ability to manage multiple tasks efficiently and maintain accurate records.
- Excellent written and verbal communication skills to interact with healthcare providers and insurance companies.
- Ability to work across multiple platforms.
- Proficiency in Microsoft Office Suite (Word, Excel, Outlook, PowerPoint) and healthcare billing systems.
- Ability to successfully work in a fast-paced, deadline-driven environment.
- High level of accuracy in data entry and document management.
- Ability to work independently as a part of a team remotely.
- Experience with Salesforce platform preferred.
- Understanding of healthcare billing, CPT codes, and the No Surprises Act preferred.
- Experience with healthcare appeals and/or grievances preferred.
- Experience with retroactive claim review highly preferred.
- Familiarity with insurance documentation, explanation of benefits, and/or claim forms highly preferred.
- Ability to commit to a schedule of 8:00am - 5:30pm EST Monday - Friday required.
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
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...
....Read more...
Type: Permanent Location: Milwaukee, US-WI
Salary / Rate: Not Specified
Posted: 2026-02-14 08:37:19
-
Essential Duties and Responsibilities:
- Maintain updated knowledge of project and corporate policies and procedures as referenced in the employee manual and other desk procedures for the position
- Function as a Subject Matter Expert in one or more process areas.
- Analyze data submitted for Independent Medical Review.
- Collect and analyze incoming data and reports from treatment providers, facilities, participants, labs and health plans to input necessary information into the system.
- Respond to incoming calls from clients, health plans, providers and enrollees regarding case status, questions about the program, and the appeals process.
- Create arbitration cases in the system.
- Send requests for information to providers and health plans.
- Close arbitration cases in the system.
- Analyze data received from providers and health plans.
Minimum Requirements
- Associate degree with 2+ years' experience.
- Experience in lieu of an Associate degree (HS Diploma or GED and 4+ years of experience) also considered.
- Ability to manage multiple tasks efficiently and maintain accurate records.
- Excellent written and verbal communication skills to interact with healthcare providers and insurance companies.
- Ability to work across multiple platforms.
- Proficiency in Microsoft Office Suite (Word, Excel, Outlook, PowerPoint) and healthcare billing systems.
- Ability to successfully work in a fast-paced, deadline-driven environment.
- High level of accuracy in data entry and document management.
- Ability to work independently as a part of a team remotely.
- Experience with Salesforce platform preferred.
- Understanding of healthcare billing, CPT codes, and the No Surprises Act preferred.
- Experience with healthcare appeals and/or grievances preferred.
- Experience with retroactive claim review highly preferred.
- Familiarity with insurance documentation, explanation of benefits, and/or claim forms highly preferred.
- Ability to commit to a schedule of 8:00am - 5:30pm EST Monday - Friday required.
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
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...
....Read more...
Type: Permanent Location: Cheyenne, US-WY
Salary / Rate: Not Specified
Posted: 2026-02-14 08:37:18
-
Essential Duties and Responsibilities:
- Maintain updated knowledge of project and corporate policies and procedures as referenced in the employee manual and other desk procedures for the position
- Function as a Subject Matter Expert in one or more process areas.
- Analyze data submitted for Independent Medical Review.
- Collect and analyze incoming data and reports from treatment providers, facilities, participants, labs and health plans to input necessary information into the system.
- Respond to incoming calls from clients, health plans, providers and enrollees regarding case status, questions about the program, and the appeals process.
- Create arbitration cases in the system.
- Send requests for information to providers and health plans.
- Close arbitration cases in the system.
- Analyze data received from providers and health plans.
Minimum Requirements
- Associate degree with 2+ years' experience.
- Experience in lieu of an Associate degree (HS Diploma or GED and 4+ years of experience) also considered.
- Ability to manage multiple tasks efficiently and maintain accurate records.
- Excellent written and verbal communication skills to interact with healthcare providers and insurance companies.
- Ability to work across multiple platforms.
- Proficiency in Microsoft Office Suite (Word, Excel, Outlook, PowerPoint) and healthcare billing systems.
- Ability to successfully work in a fast-paced, deadline-driven environment.
- High level of accuracy in data entry and document management.
- Ability to work independently as a part of a team remotely.
- Experience with Salesforce platform preferred.
- Understanding of healthcare billing, CPT codes, and the No Surprises Act preferred.
- Experience with healthcare appeals and/or grievances preferred.
- Experience with retroactive claim review highly preferred.
- Familiarity with insurance documentation, explanation of benefits, and/or claim forms highly preferred.
- Ability to commit to a schedule of 8:00am - 5:30pm EST Monday - Friday required.
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
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...
....Read more...
Type: Permanent Location: Morgantown, US-WV
Salary / Rate: Not Specified
Posted: 2026-02-14 08:37:17
-
Essential Duties and Responsibilities:
- Maintain updated knowledge of project and corporate policies and procedures as referenced in the employee manual and other desk procedures for the position
- Function as a Subject Matter Expert in one or more process areas.
- Analyze data submitted for Independent Medical Review.
- Collect and analyze incoming data and reports from treatment providers, facilities, participants, labs and health plans to input necessary information into the system.
- Respond to incoming calls from clients, health plans, providers and enrollees regarding case status, questions about the program, and the appeals process.
- Create arbitration cases in the system.
- Send requests for information to providers and health plans.
- Close arbitration cases in the system.
- Analyze data received from providers and health plans.
Minimum Requirements
- Associate degree with 2+ years' experience.
- Experience in lieu of an Associate degree (HS Diploma or GED and 4+ years of experience) also considered.
- Ability to manage multiple tasks efficiently and maintain accurate records.
- Excellent written and verbal communication skills to interact with healthcare providers and insurance companies.
- Ability to work across multiple platforms.
- Proficiency in Microsoft Office Suite (Word, Excel, Outlook, PowerPoint) and healthcare billing systems.
- Ability to successfully work in a fast-paced, deadline-driven environment.
- High level of accuracy in data entry and document management.
- Ability to work independently as a part of a team remotely.
- Experience with Salesforce platform preferred.
- Understanding of healthcare billing, CPT codes, and the No Surprises Act preferred.
- Experience with healthcare appeals and/or grievances preferred.
- Experience with retroactive claim review highly preferred.
- Familiarity with insurance documentation, explanation of benefits, and/or claim forms highly preferred.
- Ability to commit to a schedule of 8:00am - 5:30pm EST Monday - Friday required.
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
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...
....Read more...
Type: Permanent Location: Charleston, US-WV
Salary / Rate: Not Specified
Posted: 2026-02-14 08:37:16
-
Essential Duties and Responsibilities:
- Maintain updated knowledge of project and corporate policies and procedures as referenced in the employee manual and other desk procedures for the position
- Function as a Subject Matter Expert in one or more process areas.
- Analyze data submitted for Independent Medical Review.
- Collect and analyze incoming data and reports from treatment providers, facilities, participants, labs and health plans to input necessary information into the system.
- Respond to incoming calls from clients, health plans, providers and enrollees regarding case status, questions about the program, and the appeals process.
- Create arbitration cases in the system.
- Send requests for information to providers and health plans.
- Close arbitration cases in the system.
- Analyze data received from providers and health plans.
Minimum Requirements
- Associate degree with 2+ years' experience.
- Experience in lieu of an Associate degree (HS Diploma or GED and 4+ years of experience) also considered.
- Ability to manage multiple tasks efficiently and maintain accurate records.
- Excellent written and verbal communication skills to interact with healthcare providers and insurance companies.
- Ability to work across multiple platforms.
- Proficiency in Microsoft Office Suite (Word, Excel, Outlook, PowerPoint) and healthcare billing systems.
- Ability to successfully work in a fast-paced, deadline-driven environment.
- High level of accuracy in data entry and document management.
- Ability to work independently as a part of a team remotely.
- Experience with Salesforce platform preferred.
- Understanding of healthcare billing, CPT codes, and the No Surprises Act preferred.
- Experience with healthcare appeals and/or grievances preferred.
- Experience with retroactive claim review highly preferred.
- Familiarity with insurance documentation, explanation of benefits, and/or claim forms highly preferred.
- Ability to commit to a schedule of 8:00am - 5:30pm EST Monday - Friday required.
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
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...
....Read more...
Type: Permanent Location: Seattle, US-WA
Salary / Rate: Not Specified
Posted: 2026-02-14 08:37:15
-
Complete a 12-week program designed to provide overview of store operations, marketing, merchandising, purchasing, supply chain management, financial analysis and human resources.
The internship also offers job shadowing with store management, a designated retail project and the experience of working as part of an effective team.
Demonstrate the company's core values of respect, honesty, integrity, diversity, inclusion and safety.From one tiny Cincinnati grocery store more than a century ago, we've grown into what today is the nation's largest grocer with nearly 2,800 stores in 35 states operating under 28 different names.
As America's grocer, we take pride in bringing diverse teams with a passion for food and people together with one common purpose: To Feed the Human Spirit.
With a history of innovation, we work tirelessly to create amazing experiences for our customers, communities AND each other, with food at the heart of it all.
Here, people matter.
That's why we strive to provide the ingredients you need to create your own recipe for success at work and in life.
We help feed your future by providing the value and care you need to grow.
If you're caring, purpose-driven and hungry to learn, your potential is unlimited.
Whether you're seeking a part-time position or a new career path, we've got a fresh opportunity for you.
Apply today to become part of our Kroger family!
What you'll receive from us:
The Kroger Family of Companies offers comprehensive benefits to support your Associate Well-Being, including Physical, Emotional, Financial and more.
We'll help you thrive, with access to:
* A wide range of healthcare coverage, including affordable, comprehensive medical, dental, vision and prescription coverage, through company plans or collective bargaining agreement plans.
* Flexible scheduling in full- and part-time roles with paid time off, including holiday and sick pay based on eligibility and length of service.
* Emotional and financial support with free counseling through our Employee Assistance Program and free, confidential financial tools and coaching with Goldman Sachs Ayco.
* Valuable associate discounts on purchases, including food, travel, technology and so much more.
* Up to $21,000 in tuition reimbursement over your career, through our industry-leading Continuing Education program.
* Vast potential for growth, through an abundance of industry-leading training programs and diverse career pathways.
For more information about benefits and eligibility, please visit our Benefits Page ! Minimum
* Enrolled in an accredited college or university.
* Excellent oral and written communication skills.
* Ability to navigate change and respond to challenges with a positive demeanor.
* Demonstrate initiative and to work independently, as well as collaboratively, in a team environment.
* Commitment to providing superior customer service.
Desired
* Involvement in leadership and com...
....Read more...
Type: Permanent Location: Alpharetta, US-GA
Salary / Rate: Not Specified
Posted: 2026-02-14 08:37:15
-
Essential Duties and Responsibilities:
- Maintain updated knowledge of project and corporate policies and procedures as referenced in the employee manual and other desk procedures for the position
- Function as a Subject Matter Expert in one or more process areas.
- Analyze data submitted for Independent Medical Review.
- Collect and analyze incoming data and reports from treatment providers, facilities, participants, labs and health plans to input necessary information into the system.
- Respond to incoming calls from clients, health plans, providers and enrollees regarding case status, questions about the program, and the appeals process.
- Create arbitration cases in the system.
- Send requests for information to providers and health plans.
- Close arbitration cases in the system.
- Analyze data received from providers and health plans.
Minimum Requirements
- Associate degree with 2+ years' experience.
- Experience in lieu of an Associate degree (HS Diploma or GED and 4+ years of experience) also considered.
- Ability to manage multiple tasks efficiently and maintain accurate records.
- Excellent written and verbal communication skills to interact with healthcare providers and insurance companies.
- Ability to work across multiple platforms.
- Proficiency in Microsoft Office Suite (Word, Excel, Outlook, PowerPoint) and healthcare billing systems.
- Ability to successfully work in a fast-paced, deadline-driven environment.
- High level of accuracy in data entry and document management.
- Ability to work independently as a part of a team remotely.
- Experience with Salesforce platform preferred.
- Understanding of healthcare billing, CPT codes, and the No Surprises Act preferred.
- Experience with healthcare appeals and/or grievances preferred.
- Experience with retroactive claim review highly preferred.
- Familiarity with insurance documentation, explanation of benefits, and/or claim forms highly preferred.
- Ability to commit to a schedule of 8:00am - 5:30pm EST Monday - Friday required.
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
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...
....Read more...
Type: Permanent Location: Richmond, US-VA
Salary / Rate: Not Specified
Posted: 2026-02-14 08:37:14
-
Essential Duties and Responsibilities:
- Maintain updated knowledge of project and corporate policies and procedures as referenced in the employee manual and other desk procedures for the position
- Function as a Subject Matter Expert in one or more process areas.
- Analyze data submitted for Independent Medical Review.
- Collect and analyze incoming data and reports from treatment providers, facilities, participants, labs and health plans to input necessary information into the system.
- Respond to incoming calls from clients, health plans, providers and enrollees regarding case status, questions about the program, and the appeals process.
- Create arbitration cases in the system.
- Send requests for information to providers and health plans.
- Close arbitration cases in the system.
- Analyze data received from providers and health plans.
Minimum Requirements
- Associate degree with 2+ years' experience.
- Experience in lieu of an Associate degree (HS Diploma or GED and 4+ years of experience) also considered.
- Ability to manage multiple tasks efficiently and maintain accurate records.
- Excellent written and verbal communication skills to interact with healthcare providers and insurance companies.
- Ability to work across multiple platforms.
- Proficiency in Microsoft Office Suite (Word, Excel, Outlook, PowerPoint) and healthcare billing systems.
- Ability to successfully work in a fast-paced, deadline-driven environment.
- High level of accuracy in data entry and document management.
- Ability to work independently as a part of a team remotely.
- Experience with Salesforce platform preferred.
- Understanding of healthcare billing, CPT codes, and the No Surprises Act preferred.
- Experience with healthcare appeals and/or grievances preferred.
- Experience with retroactive claim review highly preferred.
- Familiarity with insurance documentation, explanation of benefits, and/or claim forms highly preferred.
- Ability to commit to a schedule of 8:00am - 5:30pm EST Monday - Friday required.
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
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...
....Read more...
Type: Permanent Location: Roanoke, US-VA
Salary / Rate: Not Specified
Posted: 2026-02-14 08:37:13
-
Essential Duties and Responsibilities:
- Maintain updated knowledge of project and corporate policies and procedures as referenced in the employee manual and other desk procedures for the position
- Function as a Subject Matter Expert in one or more process areas.
- Analyze data submitted for Independent Medical Review.
- Collect and analyze incoming data and reports from treatment providers, facilities, participants, labs and health plans to input necessary information into the system.
- Respond to incoming calls from clients, health plans, providers and enrollees regarding case status, questions about the program, and the appeals process.
- Create arbitration cases in the system.
- Send requests for information to providers and health plans.
- Close arbitration cases in the system.
- Analyze data received from providers and health plans.
Minimum Requirements
- Associate degree with 2+ years' experience.
- Experience in lieu of an Associate degree (HS Diploma or GED and 4+ years of experience) also considered.
- Ability to manage multiple tasks efficiently and maintain accurate records.
- Excellent written and verbal communication skills to interact with healthcare providers and insurance companies.
- Ability to work across multiple platforms.
- Proficiency in Microsoft Office Suite (Word, Excel, Outlook, PowerPoint) and healthcare billing systems.
- Ability to successfully work in a fast-paced, deadline-driven environment.
- High level of accuracy in data entry and document management.
- Ability to work independently as a part of a team remotely.
- Experience with Salesforce platform preferred.
- Understanding of healthcare billing, CPT codes, and the No Surprises Act preferred.
- Experience with healthcare appeals and/or grievances preferred.
- Experience with retroactive claim review highly preferred.
- Familiarity with insurance documentation, explanation of benefits, and/or claim forms highly preferred.
- Ability to commit to a schedule of 8:00am - 5:30pm EST Monday - Friday required.
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
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...
....Read more...
Type: Permanent Location: Bennington, US-VT
Salary / Rate: Not Specified
Posted: 2026-02-14 08:37:13
-
Essential Duties and Responsibilities:
- Maintain updated knowledge of project and corporate policies and procedures as referenced in the employee manual and other desk procedures for the position
- Function as a Subject Matter Expert in one or more process areas.
- Analyze data submitted for Independent Medical Review.
- Collect and analyze incoming data and reports from treatment providers, facilities, participants, labs and health plans to input necessary information into the system.
- Respond to incoming calls from clients, health plans, providers and enrollees regarding case status, questions about the program, and the appeals process.
- Create arbitration cases in the system.
- Send requests for information to providers and health plans.
- Close arbitration cases in the system.
- Analyze data received from providers and health plans.
Minimum Requirements
- Associate degree with 2+ years' experience.
- Experience in lieu of an Associate degree (HS Diploma or GED and 4+ years of experience) also considered.
- Ability to manage multiple tasks efficiently and maintain accurate records.
- Excellent written and verbal communication skills to interact with healthcare providers and insurance companies.
- Ability to work across multiple platforms.
- Proficiency in Microsoft Office Suite (Word, Excel, Outlook, PowerPoint) and healthcare billing systems.
- Ability to successfully work in a fast-paced, deadline-driven environment.
- High level of accuracy in data entry and document management.
- Ability to work independently as a part of a team remotely.
- Experience with Salesforce platform preferred.
- Understanding of healthcare billing, CPT codes, and the No Surprises Act preferred.
- Experience with healthcare appeals and/or grievances preferred.
- Experience with retroactive claim review highly preferred.
- Familiarity with insurance documentation, explanation of benefits, and/or claim forms highly preferred.
- Ability to commit to a schedule of 8:00am - 5:30pm EST Monday - Friday required.
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
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...
....Read more...
Type: Permanent Location: Tysons, US-VA
Salary / Rate: Not Specified
Posted: 2026-02-14 08:37:12
-
Essential Duties and Responsibilities:
- Maintain updated knowledge of project and corporate policies and procedures as referenced in the employee manual and other desk procedures for the position
- Function as a Subject Matter Expert in one or more process areas.
- Analyze data submitted for Independent Medical Review.
- Collect and analyze incoming data and reports from treatment providers, facilities, participants, labs and health plans to input necessary information into the system.
- Respond to incoming calls from clients, health plans, providers and enrollees regarding case status, questions about the program, and the appeals process.
- Create arbitration cases in the system.
- Send requests for information to providers and health plans.
- Close arbitration cases in the system.
- Analyze data received from providers and health plans.
Minimum Requirements
- Associate degree with 2+ years' experience.
- Experience in lieu of an Associate degree (HS Diploma or GED and 4+ years of experience) also considered.
- Ability to manage multiple tasks efficiently and maintain accurate records.
- Excellent written and verbal communication skills to interact with healthcare providers and insurance companies.
- Ability to work across multiple platforms.
- Proficiency in Microsoft Office Suite (Word, Excel, Outlook, PowerPoint) and healthcare billing systems.
- Ability to successfully work in a fast-paced, deadline-driven environment.
- High level of accuracy in data entry and document management.
- Ability to work independently as a part of a team remotely.
- Experience with Salesforce platform preferred.
- Understanding of healthcare billing, CPT codes, and the No Surprises Act preferred.
- Experience with healthcare appeals and/or grievances preferred.
- Experience with retroactive claim review highly preferred.
- Familiarity with insurance documentation, explanation of benefits, and/or claim forms highly preferred.
- Ability to commit to a schedule of 8:00am - 5:30pm EST Monday - Friday required.
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
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...
....Read more...
Type: Permanent Location: Salt Lake City, US-UT
Salary / Rate: Not Specified
Posted: 2026-02-14 08:37:11
-
Essential Duties and Responsibilities:
- Maintain updated knowledge of project and corporate policies and procedures as referenced in the employee manual and other desk procedures for the position
- Function as a Subject Matter Expert in one or more process areas.
- Analyze data submitted for Independent Medical Review.
- Collect and analyze incoming data and reports from treatment providers, facilities, participants, labs and health plans to input necessary information into the system.
- Respond to incoming calls from clients, health plans, providers and enrollees regarding case status, questions about the program, and the appeals process.
- Create arbitration cases in the system.
- Send requests for information to providers and health plans.
- Close arbitration cases in the system.
- Analyze data received from providers and health plans.
Minimum Requirements
- Associate degree with 2+ years' experience.
- Experience in lieu of an Associate degree (HS Diploma or GED and 4+ years of experience) also considered.
- Ability to manage multiple tasks efficiently and maintain accurate records.
- Excellent written and verbal communication skills to interact with healthcare providers and insurance companies.
- Ability to work across multiple platforms.
- Proficiency in Microsoft Office Suite (Word, Excel, Outlook, PowerPoint) and healthcare billing systems.
- Ability to successfully work in a fast-paced, deadline-driven environment.
- High level of accuracy in data entry and document management.
- Ability to work independently as a part of a team remotely.
- Experience with Salesforce platform preferred.
- Understanding of healthcare billing, CPT codes, and the No Surprises Act preferred.
- Experience with healthcare appeals and/or grievances preferred.
- Experience with retroactive claim review highly preferred.
- Familiarity with insurance documentation, explanation of benefits, and/or claim forms highly preferred.
- Ability to commit to a schedule of 8:00am - 5:30pm EST Monday - Friday required.
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
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...
....Read more...
Type: Permanent Location: Spokane, US-WA
Salary / Rate: Not Specified
Posted: 2026-02-14 08:37:11
-
Essential Duties and Responsibilities:
- Maintain updated knowledge of project and corporate policies and procedures as referenced in the employee manual and other desk procedures for the position
- Function as a Subject Matter Expert in one or more process areas.
- Analyze data submitted for Independent Medical Review.
- Collect and analyze incoming data and reports from treatment providers, facilities, participants, labs and health plans to input necessary information into the system.
- Respond to incoming calls from clients, health plans, providers and enrollees regarding case status, questions about the program, and the appeals process.
- Create arbitration cases in the system.
- Send requests for information to providers and health plans.
- Close arbitration cases in the system.
- Analyze data received from providers and health plans.
Minimum Requirements
- Associate degree with 2+ years' experience.
- Experience in lieu of an Associate degree (HS Diploma or GED and 4+ years of experience) also considered.
- Ability to manage multiple tasks efficiently and maintain accurate records.
- Excellent written and verbal communication skills to interact with healthcare providers and insurance companies.
- Ability to work across multiple platforms.
- Proficiency in Microsoft Office Suite (Word, Excel, Outlook, PowerPoint) and healthcare billing systems.
- Ability to successfully work in a fast-paced, deadline-driven environment.
- High level of accuracy in data entry and document management.
- Ability to work independently as a part of a team remotely.
- Experience with Salesforce platform preferred.
- Understanding of healthcare billing, CPT codes, and the No Surprises Act preferred.
- Experience with healthcare appeals and/or grievances preferred.
- Experience with retroactive claim review highly preferred.
- Familiarity with insurance documentation, explanation of benefits, and/or claim forms highly preferred.
- Ability to commit to a schedule of 8:00am - 5:30pm EST Monday - Friday required.
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
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...
....Read more...
Type: Permanent Location: Lubbock, US-TX
Salary / Rate: Not Specified
Posted: 2026-02-14 08:37:10
-
Essential Duties and Responsibilities:
- Maintain updated knowledge of project and corporate policies and procedures as referenced in the employee manual and other desk procedures for the position
- Function as a Subject Matter Expert in one or more process areas.
- Analyze data submitted for Independent Medical Review.
- Collect and analyze incoming data and reports from treatment providers, facilities, participants, labs and health plans to input necessary information into the system.
- Respond to incoming calls from clients, health plans, providers and enrollees regarding case status, questions about the program, and the appeals process.
- Create arbitration cases in the system.
- Send requests for information to providers and health plans.
- Close arbitration cases in the system.
- Analyze data received from providers and health plans.
Minimum Requirements
- Associate degree with 2+ years' experience.
- Experience in lieu of an Associate degree (HS Diploma or GED and 4+ years of experience) also considered.
- Ability to manage multiple tasks efficiently and maintain accurate records.
- Excellent written and verbal communication skills to interact with healthcare providers and insurance companies.
- Ability to work across multiple platforms.
- Proficiency in Microsoft Office Suite (Word, Excel, Outlook, PowerPoint) and healthcare billing systems.
- Ability to successfully work in a fast-paced, deadline-driven environment.
- High level of accuracy in data entry and document management.
- Ability to work independently as a part of a team remotely.
- Experience with Salesforce platform preferred.
- Understanding of healthcare billing, CPT codes, and the No Surprises Act preferred.
- Experience with healthcare appeals and/or grievances preferred.
- Experience with retroactive claim review highly preferred.
- Familiarity with insurance documentation, explanation of benefits, and/or claim forms highly preferred.
- Ability to commit to a schedule of 8:00am - 5:30pm EST Monday - Friday required.
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
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...
....Read more...
Type: Permanent Location: Dallas, US-TX
Salary / Rate: Not Specified
Posted: 2026-02-14 08:37:09
-
Essential Duties and Responsibilities:
- Maintain updated knowledge of project and corporate policies and procedures as referenced in the employee manual and other desk procedures for the position
- Function as a Subject Matter Expert in one or more process areas.
- Analyze data submitted for Independent Medical Review.
- Collect and analyze incoming data and reports from treatment providers, facilities, participants, labs and health plans to input necessary information into the system.
- Respond to incoming calls from clients, health plans, providers and enrollees regarding case status, questions about the program, and the appeals process.
- Create arbitration cases in the system.
- Send requests for information to providers and health plans.
- Close arbitration cases in the system.
- Analyze data received from providers and health plans.
Minimum Requirements
- Associate degree with 2+ years' experience.
- Experience in lieu of an Associate degree (HS Diploma or GED and 4+ years of experience) also considered.
- Ability to manage multiple tasks efficiently and maintain accurate records.
- Excellent written and verbal communication skills to interact with healthcare providers and insurance companies.
- Ability to work across multiple platforms.
- Proficiency in Microsoft Office Suite (Word, Excel, Outlook, PowerPoint) and healthcare billing systems.
- Ability to successfully work in a fast-paced, deadline-driven environment.
- High level of accuracy in data entry and document management.
- Ability to work independently as a part of a team remotely.
- Experience with Salesforce platform preferred.
- Understanding of healthcare billing, CPT codes, and the No Surprises Act preferred.
- Experience with healthcare appeals and/or grievances preferred.
- Experience with retroactive claim review highly preferred.
- Familiarity with insurance documentation, explanation of benefits, and/or claim forms highly preferred.
- Ability to commit to a schedule of 8:00am - 5:30pm EST Monday - Friday required.
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
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...
....Read more...
Type: Permanent Location: St. George, US-UT
Salary / Rate: Not Specified
Posted: 2026-02-14 08:37:09
-
Essential Duties and Responsibilities:
- Maintain updated knowledge of project and corporate policies and procedures as referenced in the employee manual and other desk procedures for the position
- Function as a Subject Matter Expert in one or more process areas.
- Analyze data submitted for Independent Medical Review.
- Collect and analyze incoming data and reports from treatment providers, facilities, participants, labs and health plans to input necessary information into the system.
- Respond to incoming calls from clients, health plans, providers and enrollees regarding case status, questions about the program, and the appeals process.
- Create arbitration cases in the system.
- Send requests for information to providers and health plans.
- Close arbitration cases in the system.
- Analyze data received from providers and health plans.
Minimum Requirements
- Associate degree with 2+ years' experience.
- Experience in lieu of an Associate degree (HS Diploma or GED and 4+ years of experience) also considered.
- Ability to manage multiple tasks efficiently and maintain accurate records.
- Excellent written and verbal communication skills to interact with healthcare providers and insurance companies.
- Ability to work across multiple platforms.
- Proficiency in Microsoft Office Suite (Word, Excel, Outlook, PowerPoint) and healthcare billing systems.
- Ability to successfully work in a fast-paced, deadline-driven environment.
- High level of accuracy in data entry and document management.
- Ability to work independently as a part of a team remotely.
- Experience with Salesforce platform preferred.
- Understanding of healthcare billing, CPT codes, and the No Surprises Act preferred.
- Experience with healthcare appeals and/or grievances preferred.
- Experience with retroactive claim review highly preferred.
- Familiarity with insurance documentation, explanation of benefits, and/or claim forms highly preferred.
- Ability to commit to a schedule of 8:00am - 5:30pm EST Monday - Friday required.
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
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...
....Read more...
Type: Permanent Location: Burlington, US-VT
Salary / Rate: Not Specified
Posted: 2026-02-14 08:37:08
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Essential Duties and Responsibilities:
- Maintain updated knowledge of project and corporate policies and procedures as referenced in the employee manual and other desk procedures for the position
- Function as a Subject Matter Expert in one or more process areas.
- Analyze data submitted for Independent Medical Review.
- Collect and analyze incoming data and reports from treatment providers, facilities, participants, labs and health plans to input necessary information into the system.
- Respond to incoming calls from clients, health plans, providers and enrollees regarding case status, questions about the program, and the appeals process.
- Create arbitration cases in the system.
- Send requests for information to providers and health plans.
- Close arbitration cases in the system.
- Analyze data received from providers and health plans.
Minimum Requirements
- Associate degree with 2+ years' experience.
- Experience in lieu of an Associate degree (HS Diploma or GED and 4+ years of experience) also considered.
- Ability to manage multiple tasks efficiently and maintain accurate records.
- Excellent written and verbal communication skills to interact with healthcare providers and insurance companies.
- Ability to work across multiple platforms.
- Proficiency in Microsoft Office Suite (Word, Excel, Outlook, PowerPoint) and healthcare billing systems.
- Ability to successfully work in a fast-paced, deadline-driven environment.
- High level of accuracy in data entry and document management.
- Ability to work independently as a part of a team remotely.
- Experience with Salesforce platform preferred.
- Understanding of healthcare billing, CPT codes, and the No Surprises Act preferred.
- Experience with healthcare appeals and/or grievances preferred.
- Experience with retroactive claim review highly preferred.
- Familiarity with insurance documentation, explanation of benefits, and/or claim forms highly preferred.
- Ability to commit to a schedule of 8:00am - 5:30pm EST Monday - Friday required.
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
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...
....Read more...
Type: Permanent Location: Rapid City, US-SD
Salary / Rate: Not Specified
Posted: 2026-02-14 08:37:07
