-
Essential Duties and Responsibilities:
- Maintain clinical alignment.
- Develop clinical workplans.
- Identify the risks and gaps in the clinical processes and develop solutions.
- Identify new lines of business and growth opportunities.
- Work with the peer review process to evaluate MD quality as well as handle client requests, and appeals.
- Complete clinical reviews with regards to denials and level of care on various contracts.
- Fulfill client's requests for educational trainings, services, and workshops for their staff.
- Work with IT teams to answer clinical questions for systems (questionnaires, algorithm, etc.)
- Oversee quality assurance of nurse and physician work product.
- Conduct quarterly audits of clinical reviews.
- Additional ad hoc client audits as required.
- Other duties as requested.
Minimum Requirements
- Medical degree from an accredited medical school required.
- Active board certification required.
- Minimum 10 years of experience in a similar role.
- Peer review experienced preferred.
- Experience creating and presenting clinical trainings preferred.
- Current on clinical trends.
- Trauma Informed Care knowledge.
- Adherence to accreditation standards.
Additional Requirements:
- Licensed in the state of New Jersey (NJ) or willing to get licensed in NJ within the first 3 months of employment.
- At least five (5) years' full-time experience providing direct clinical care to patients.
- Ability to work up to 29 hours a week between the hours of 8:00am - 5:00pm EST Monday - Friday.
Preferred Skills and Qualifications:
- Auditing experience.
- Licensed in the state of Pennsylvania.
- Previous Medical Director experience.
Please note: For this position Maximus will provide equipment to use.
Home Office Requirements:
- Internet speed of 25mbps or higher required / 50 Mpbs for shared internet connectivity (you can test this by going to www.speedtest.net)
- Minimum 5mpbs upload speed
- Connectivity to the internet via Category 5 or 6 ethernet patch cable to the home router
- Private and secure work area and adequate power source
- Must currently and permanently reside in the Continental US
- Must have a smartphone which will be required to log into Maximus systems
EEO Statement
Maximus is an equal opportunity employer.
We evaluate qualified applicants without regard to race, color, religion, sex, age, national origin, disability, veteran status, genetic information and other legally protected characteristics.
Pay Transparency
Maximus compensation is based on various factors including but not limited to job location, a candidate's education, training, experience, expected quality and quantity of work, required travel (if any), external market and internal value analysis including seniority and merit systems, as well as internal pay alignment.
Annual salary is just one component of Maximus's total compensation package.
Other rewards may include short- and long-term incentives as well as program-speci...
....Read more...
Type: Permanent Location: Des Moines, US-IA
Salary / Rate: Not Specified
Posted: 2026-05-13 08:39:18
-
Essential Duties and Responsibilities:
- Maintain clinical alignment.
- Develop clinical workplans.
- Identify the risks and gaps in the clinical processes and develop solutions.
- Identify new lines of business and growth opportunities.
- Work with the peer review process to evaluate MD quality as well as handle client requests, and appeals.
- Complete clinical reviews with regards to denials and level of care on various contracts.
- Fulfill client's requests for educational trainings, services, and workshops for their staff.
- Work with IT teams to answer clinical questions for systems (questionnaires, algorithm, etc.)
- Oversee quality assurance of nurse and physician work product.
- Conduct quarterly audits of clinical reviews.
- Additional ad hoc client audits as required.
- Other duties as requested.
Minimum Requirements
- Medical degree from an accredited medical school required.
- Active board certification required.
- Minimum 10 years of experience in a similar role.
- Peer review experienced preferred.
- Experience creating and presenting clinical trainings preferred.
- Current on clinical trends.
- Trauma Informed Care knowledge.
- Adherence to accreditation standards.
Additional Requirements:
- Licensed in the state of New Jersey (NJ) or willing to get licensed in NJ within the first 3 months of employment.
- At least five (5) years' full-time experience providing direct clinical care to patients.
- Ability to work up to 29 hours a week between the hours of 8:00am - 5:00pm EST Monday - Friday.
Preferred Skills and Qualifications:
- Auditing experience.
- Licensed in the state of Pennsylvania.
- Previous Medical Director experience.
Please note: For this position Maximus will provide equipment to use.
Home Office Requirements:
- Internet speed of 25mbps or higher required / 50 Mpbs for shared internet connectivity (you can test this by going to www.speedtest.net)
- Minimum 5mpbs upload speed
- Connectivity to the internet via Category 5 or 6 ethernet patch cable to the home router
- Private and secure work area and adequate power source
- Must currently and permanently reside in the Continental US
- Must have a smartphone which will be required to log into Maximus systems
EEO Statement
Maximus is an equal opportunity employer.
We evaluate qualified applicants without regard to race, color, religion, sex, age, national origin, disability, veteran status, genetic information and other legally protected characteristics.
Pay Transparency
Maximus compensation is based on various factors including but not limited to job location, a candidate's education, training, experience, expected quality and quantity of work, required travel (if any), external market and internal value analysis including seniority and merit systems, as well as internal pay alignment.
Annual salary is just one component of Maximus's total compensation package.
Other rewards may include short- and long-term incentives as well as program-speci...
....Read more...
Type: Permanent Location: Sioux City, US-IA
Salary / Rate: Not Specified
Posted: 2026-05-13 08:39:17
-
Essential Duties and Responsibilities:
- Maintain clinical alignment.
- Develop clinical workplans.
- Identify the risks and gaps in the clinical processes and develop solutions.
- Identify new lines of business and growth opportunities.
- Work with the peer review process to evaluate MD quality as well as handle client requests, and appeals.
- Complete clinical reviews with regards to denials and level of care on various contracts.
- Fulfill client's requests for educational trainings, services, and workshops for their staff.
- Work with IT teams to answer clinical questions for systems (questionnaires, algorithm, etc.)
- Oversee quality assurance of nurse and physician work product.
- Conduct quarterly audits of clinical reviews.
- Additional ad hoc client audits as required.
- Other duties as requested.
Minimum Requirements
- Medical degree from an accredited medical school required.
- Active board certification required.
- Minimum 10 years of experience in a similar role.
- Peer review experienced preferred.
- Experience creating and presenting clinical trainings preferred.
- Current on clinical trends.
- Trauma Informed Care knowledge.
- Adherence to accreditation standards.
Additional Requirements:
- Licensed in the state of New Jersey (NJ) or willing to get licensed in NJ within the first 3 months of employment.
- At least five (5) years' full-time experience providing direct clinical care to patients.
- Ability to work up to 29 hours a week between the hours of 8:00am - 5:00pm EST Monday - Friday.
Preferred Skills and Qualifications:
- Auditing experience.
- Licensed in the state of Pennsylvania.
- Previous Medical Director experience.
Please note: For this position Maximus will provide equipment to use.
Home Office Requirements:
- Internet speed of 25mbps or higher required / 50 Mpbs for shared internet connectivity (you can test this by going to www.speedtest.net)
- Minimum 5mpbs upload speed
- Connectivity to the internet via Category 5 or 6 ethernet patch cable to the home router
- Private and secure work area and adequate power source
- Must currently and permanently reside in the Continental US
- Must have a smartphone which will be required to log into Maximus systems
EEO Statement
Maximus is an equal opportunity employer.
We evaluate qualified applicants without regard to race, color, religion, sex, age, national origin, disability, veteran status, genetic information and other legally protected characteristics.
Pay Transparency
Maximus compensation is based on various factors including but not limited to job location, a candidate's education, training, experience, expected quality and quantity of work, required travel (if any), external market and internal value analysis including seniority and merit systems, as well as internal pay alignment.
Annual salary is just one component of Maximus's total compensation package.
Other rewards may include short- and long-term incentives as well as program-speci...
....Read more...
Type: Permanent Location: Chicago, US-IL
Salary / Rate: Not Specified
Posted: 2026-05-13 08:39:15
-
Essential Duties and Responsibilities:
- Maintain clinical alignment.
- Develop clinical workplans.
- Identify the risks and gaps in the clinical processes and develop solutions.
- Identify new lines of business and growth opportunities.
- Work with the peer review process to evaluate MD quality as well as handle client requests, and appeals.
- Complete clinical reviews with regards to denials and level of care on various contracts.
- Fulfill client's requests for educational trainings, services, and workshops for their staff.
- Work with IT teams to answer clinical questions for systems (questionnaires, algorithm, etc.)
- Oversee quality assurance of nurse and physician work product.
- Conduct quarterly audits of clinical reviews.
- Additional ad hoc client audits as required.
- Other duties as requested.
Minimum Requirements
- Medical degree from an accredited medical school required.
- Active board certification required.
- Minimum 10 years of experience in a similar role.
- Peer review experienced preferred.
- Experience creating and presenting clinical trainings preferred.
- Current on clinical trends.
- Trauma Informed Care knowledge.
- Adherence to accreditation standards.
Additional Requirements:
- Licensed in the state of New Jersey (NJ) or willing to get licensed in NJ within the first 3 months of employment.
- At least five (5) years' full-time experience providing direct clinical care to patients.
- Ability to work up to 29 hours a week between the hours of 8:00am - 5:00pm EST Monday - Friday.
Preferred Skills and Qualifications:
- Auditing experience.
- Licensed in the state of Pennsylvania.
- Previous Medical Director experience.
Please note: For this position Maximus will provide equipment to use.
Home Office Requirements:
- Internet speed of 25mbps or higher required / 50 Mpbs for shared internet connectivity (you can test this by going to www.speedtest.net)
- Minimum 5mpbs upload speed
- Connectivity to the internet via Category 5 or 6 ethernet patch cable to the home router
- Private and secure work area and adequate power source
- Must currently and permanently reside in the Continental US
- Must have a smartphone which will be required to log into Maximus systems
EEO Statement
Maximus is an equal opportunity employer.
We evaluate qualified applicants without regard to race, color, religion, sex, age, national origin, disability, veteran status, genetic information and other legally protected characteristics.
Pay Transparency
Maximus compensation is based on various factors including but not limited to job location, a candidate's education, training, experience, expected quality and quantity of work, required travel (if any), external market and internal value analysis including seniority and merit systems, as well as internal pay alignment.
Annual salary is just one component of Maximus's total compensation package.
Other rewards may include short- and long-term incentives as well as program-speci...
....Read more...
Type: Permanent Location: Indianapolis, US-IN
Salary / Rate: Not Specified
Posted: 2026-05-13 08:39:13
-
Essential Duties and Responsibilities:
- Maintain clinical alignment.
- Develop clinical workplans.
- Identify the risks and gaps in the clinical processes and develop solutions.
- Identify new lines of business and growth opportunities.
- Work with the peer review process to evaluate MD quality as well as handle client requests, and appeals.
- Complete clinical reviews with regards to denials and level of care on various contracts.
- Fulfill client's requests for educational trainings, services, and workshops for their staff.
- Work with IT teams to answer clinical questions for systems (questionnaires, algorithm, etc.)
- Oversee quality assurance of nurse and physician work product.
- Conduct quarterly audits of clinical reviews.
- Additional ad hoc client audits as required.
- Other duties as requested.
Minimum Requirements
- Medical degree from an accredited medical school required.
- Active board certification required.
- Minimum 10 years of experience in a similar role.
- Peer review experienced preferred.
- Experience creating and presenting clinical trainings preferred.
- Current on clinical trends.
- Trauma Informed Care knowledge.
- Adherence to accreditation standards.
Additional Requirements:
- Licensed in the state of New Jersey (NJ) or willing to get licensed in NJ within the first 3 months of employment.
- At least five (5) years' full-time experience providing direct clinical care to patients.
- Ability to work up to 29 hours a week between the hours of 8:00am - 5:00pm EST Monday - Friday.
Preferred Skills and Qualifications:
- Auditing experience.
- Licensed in the state of Pennsylvania.
- Previous Medical Director experience.
Please note: For this position Maximus will provide equipment to use.
Home Office Requirements:
- Internet speed of 25mbps or higher required / 50 Mpbs for shared internet connectivity (you can test this by going to www.speedtest.net)
- Minimum 5mpbs upload speed
- Connectivity to the internet via Category 5 or 6 ethernet patch cable to the home router
- Private and secure work area and adequate power source
- Must currently and permanently reside in the Continental US
- Must have a smartphone which will be required to log into Maximus systems
EEO Statement
Maximus is an equal opportunity employer.
We evaluate qualified applicants without regard to race, color, religion, sex, age, national origin, disability, veteran status, genetic information and other legally protected characteristics.
Pay Transparency
Maximus compensation is based on various factors including but not limited to job location, a candidate's education, training, experience, expected quality and quantity of work, required travel (if any), external market and internal value analysis including seniority and merit systems, as well as internal pay alignment.
Annual salary is just one component of Maximus's total compensation package.
Other rewards may include short- and long-term incentives as well as program-speci...
....Read more...
Type: Permanent Location: Idaho Falls, US-ID
Salary / Rate: Not Specified
Posted: 2026-05-13 08:39:11
-
Essential Duties and Responsibilities:
- Maintain clinical alignment.
- Develop clinical workplans.
- Identify the risks and gaps in the clinical processes and develop solutions.
- Identify new lines of business and growth opportunities.
- Work with the peer review process to evaluate MD quality as well as handle client requests, and appeals.
- Complete clinical reviews with regards to denials and level of care on various contracts.
- Fulfill client's requests for educational trainings, services, and workshops for their staff.
- Work with IT teams to answer clinical questions for systems (questionnaires, algorithm, etc.)
- Oversee quality assurance of nurse and physician work product.
- Conduct quarterly audits of clinical reviews.
- Additional ad hoc client audits as required.
- Other duties as requested.
Minimum Requirements
- Medical degree from an accredited medical school required.
- Active board certification required.
- Minimum 10 years of experience in a similar role.
- Peer review experienced preferred.
- Experience creating and presenting clinical trainings preferred.
- Current on clinical trends.
- Trauma Informed Care knowledge.
- Adherence to accreditation standards.
Additional Requirements:
- Licensed in the state of New Jersey (NJ) or willing to get licensed in NJ within the first 3 months of employment.
- At least five (5) years' full-time experience providing direct clinical care to patients.
- Ability to work up to 29 hours a week between the hours of 8:00am - 5:00pm EST Monday - Friday.
Preferred Skills and Qualifications:
- Auditing experience.
- Licensed in the state of Pennsylvania.
- Previous Medical Director experience.
Please note: For this position Maximus will provide equipment to use.
Home Office Requirements:
- Internet speed of 25mbps or higher required / 50 Mpbs for shared internet connectivity (you can test this by going to www.speedtest.net)
- Minimum 5mpbs upload speed
- Connectivity to the internet via Category 5 or 6 ethernet patch cable to the home router
- Private and secure work area and adequate power source
- Must currently and permanently reside in the Continental US
- Must have a smartphone which will be required to log into Maximus systems
EEO Statement
Maximus is an equal opportunity employer.
We evaluate qualified applicants without regard to race, color, religion, sex, age, national origin, disability, veteran status, genetic information and other legally protected characteristics.
Pay Transparency
Maximus compensation is based on various factors including but not limited to job location, a candidate's education, training, experience, expected quality and quantity of work, required travel (if any), external market and internal value analysis including seniority and merit systems, as well as internal pay alignment.
Annual salary is just one component of Maximus's total compensation package.
Other rewards may include short- and long-term incentives as well as program-speci...
....Read more...
Type: Permanent Location: Springfield, US-IL
Salary / Rate: Not Specified
Posted: 2026-05-13 08:39:10
-
Essential Duties and Responsibilities:
- Maintain clinical alignment.
- Develop clinical workplans.
- Identify the risks and gaps in the clinical processes and develop solutions.
- Identify new lines of business and growth opportunities.
- Work with the peer review process to evaluate MD quality as well as handle client requests, and appeals.
- Complete clinical reviews with regards to denials and level of care on various contracts.
- Fulfill client's requests for educational trainings, services, and workshops for their staff.
- Work with IT teams to answer clinical questions for systems (questionnaires, algorithm, etc.)
- Oversee quality assurance of nurse and physician work product.
- Conduct quarterly audits of clinical reviews.
- Additional ad hoc client audits as required.
- Other duties as requested.
Minimum Requirements
- Medical degree from an accredited medical school required.
- Active board certification required.
- Minimum 10 years of experience in a similar role.
- Peer review experienced preferred.
- Experience creating and presenting clinical trainings preferred.
- Current on clinical trends.
- Trauma Informed Care knowledge.
- Adherence to accreditation standards.
Additional Requirements:
- Licensed in the state of New Jersey (NJ) or willing to get licensed in NJ within the first 3 months of employment.
- At least five (5) years' full-time experience providing direct clinical care to patients.
- Ability to work up to 29 hours a week between the hours of 8:00am - 5:00pm EST Monday - Friday.
Preferred Skills and Qualifications:
- Auditing experience.
- Licensed in the state of Pennsylvania.
- Previous Medical Director experience.
Please note: For this position Maximus will provide equipment to use.
Home Office Requirements:
- Internet speed of 25mbps or higher required / 50 Mpbs for shared internet connectivity (you can test this by going to www.speedtest.net)
- Minimum 5mpbs upload speed
- Connectivity to the internet via Category 5 or 6 ethernet patch cable to the home router
- Private and secure work area and adequate power source
- Must currently and permanently reside in the Continental US
- Must have a smartphone which will be required to log into Maximus systems
EEO Statement
Maximus is an equal opportunity employer.
We evaluate qualified applicants without regard to race, color, religion, sex, age, national origin, disability, veteran status, genetic information and other legally protected characteristics.
Pay Transparency
Maximus compensation is based on various factors including but not limited to job location, a candidate's education, training, experience, expected quality and quantity of work, required travel (if any), external market and internal value analysis including seniority and merit systems, as well as internal pay alignment.
Annual salary is just one component of Maximus's total compensation package.
Other rewards may include short- and long-term incentives as well as program-speci...
....Read more...
Type: Permanent Location: Fort Wayne, US-IN
Salary / Rate: Not Specified
Posted: 2026-05-13 08:39:09
-
Essential Duties and Responsibilities:
- Maintain clinical alignment.
- Develop clinical workplans.
- Identify the risks and gaps in the clinical processes and develop solutions.
- Identify new lines of business and growth opportunities.
- Work with the peer review process to evaluate MD quality as well as handle client requests, and appeals.
- Complete clinical reviews with regards to denials and level of care on various contracts.
- Fulfill client's requests for educational trainings, services, and workshops for their staff.
- Work with IT teams to answer clinical questions for systems (questionnaires, algorithm, etc.)
- Oversee quality assurance of nurse and physician work product.
- Conduct quarterly audits of clinical reviews.
- Additional ad hoc client audits as required.
- Other duties as requested.
Minimum Requirements
- Medical degree from an accredited medical school required.
- Active board certification required.
- Minimum 10 years of experience in a similar role.
- Peer review experienced preferred.
- Experience creating and presenting clinical trainings preferred.
- Current on clinical trends.
- Trauma Informed Care knowledge.
- Adherence to accreditation standards.
Additional Requirements:
- Licensed in the state of New Jersey (NJ) or willing to get licensed in NJ within the first 3 months of employment.
- At least five (5) years' full-time experience providing direct clinical care to patients.
- Ability to work up to 29 hours a week between the hours of 8:00am - 5:00pm EST Monday - Friday.
Preferred Skills and Qualifications:
- Auditing experience.
- Licensed in the state of Pennsylvania.
- Previous Medical Director experience.
Please note: For this position Maximus will provide equipment to use.
Home Office Requirements:
- Internet speed of 25mbps or higher required / 50 Mpbs for shared internet connectivity (you can test this by going to www.speedtest.net)
- Minimum 5mpbs upload speed
- Connectivity to the internet via Category 5 or 6 ethernet patch cable to the home router
- Private and secure work area and adequate power source
- Must currently and permanently reside in the Continental US
- Must have a smartphone which will be required to log into Maximus systems
EEO Statement
Maximus is an equal opportunity employer.
We evaluate qualified applicants without regard to race, color, religion, sex, age, national origin, disability, veteran status, genetic information and other legally protected characteristics.
Pay Transparency
Maximus compensation is based on various factors including but not limited to job location, a candidate's education, training, experience, expected quality and quantity of work, required travel (if any), external market and internal value analysis including seniority and merit systems, as well as internal pay alignment.
Annual salary is just one component of Maximus's total compensation package.
Other rewards may include short- and long-term incentives as well as program-speci...
....Read more...
Type: Permanent Location: Boise, US-ID
Salary / Rate: Not Specified
Posted: 2026-05-13 08:39:09
-
Essential Duties and Responsibilities:
- Maintain clinical alignment.
- Develop clinical workplans.
- Identify the risks and gaps in the clinical processes and develop solutions.
- Identify new lines of business and growth opportunities.
- Work with the peer review process to evaluate MD quality as well as handle client requests, and appeals.
- Complete clinical reviews with regards to denials and level of care on various contracts.
- Fulfill client's requests for educational trainings, services, and workshops for their staff.
- Work with IT teams to answer clinical questions for systems (questionnaires, algorithm, etc.)
- Oversee quality assurance of nurse and physician work product.
- Conduct quarterly audits of clinical reviews.
- Additional ad hoc client audits as required.
- Other duties as requested.
Minimum Requirements
- Medical degree from an accredited medical school required.
- Active board certification required.
- Minimum 10 years of experience in a similar role.
- Peer review experienced preferred.
- Experience creating and presenting clinical trainings preferred.
- Current on clinical trends.
- Trauma Informed Care knowledge.
- Adherence to accreditation standards.
Additional Requirements:
- Licensed in the state of New Jersey (NJ) or willing to get licensed in NJ within the first 3 months of employment.
- At least five (5) years' full-time experience providing direct clinical care to patients.
- Ability to work up to 29 hours a week between the hours of 8:00am - 5:00pm EST Monday - Friday.
Preferred Skills and Qualifications:
- Auditing experience.
- Licensed in the state of Pennsylvania.
- Previous Medical Director experience.
Please note: For this position Maximus will provide equipment to use.
Home Office Requirements:
- Internet speed of 25mbps or higher required / 50 Mpbs for shared internet connectivity (you can test this by going to www.speedtest.net)
- Minimum 5mpbs upload speed
- Connectivity to the internet via Category 5 or 6 ethernet patch cable to the home router
- Private and secure work area and adequate power source
- Must currently and permanently reside in the Continental US
- Must have a smartphone which will be required to log into Maximus systems
EEO Statement
Maximus is an equal opportunity employer.
We evaluate qualified applicants without regard to race, color, religion, sex, age, national origin, disability, veteran status, genetic information and other legally protected characteristics.
Pay Transparency
Maximus compensation is based on various factors including but not limited to job location, a candidate's education, training, experience, expected quality and quantity of work, required travel (if any), external market and internal value analysis including seniority and merit systems, as well as internal pay alignment.
Annual salary is just one component of Maximus's total compensation package.
Other rewards may include short- and long-term incentives as well as program-speci...
....Read more...
Type: Permanent Location: Columbus, US-GA
Salary / Rate: Not Specified
Posted: 2026-05-13 08:39:08
-
Essential Duties and Responsibilities:
- Maintain clinical alignment.
- Develop clinical workplans.
- Identify the risks and gaps in the clinical processes and develop solutions.
- Identify new lines of business and growth opportunities.
- Work with the peer review process to evaluate MD quality as well as handle client requests, and appeals.
- Complete clinical reviews with regards to denials and level of care on various contracts.
- Fulfill client's requests for educational trainings, services, and workshops for their staff.
- Work with IT teams to answer clinical questions for systems (questionnaires, algorithm, etc.)
- Oversee quality assurance of nurse and physician work product.
- Conduct quarterly audits of clinical reviews.
- Additional ad hoc client audits as required.
- Other duties as requested.
Minimum Requirements
- Medical degree from an accredited medical school required.
- Active board certification required.
- Minimum 10 years of experience in a similar role.
- Peer review experienced preferred.
- Experience creating and presenting clinical trainings preferred.
- Current on clinical trends.
- Trauma Informed Care knowledge.
- Adherence to accreditation standards.
Additional Requirements:
- Licensed in the state of New Jersey (NJ) or willing to get licensed in NJ within the first 3 months of employment.
- At least five (5) years' full-time experience providing direct clinical care to patients.
- Ability to work up to 29 hours a week between the hours of 8:00am - 5:00pm EST Monday - Friday.
Preferred Skills and Qualifications:
- Auditing experience.
- Licensed in the state of Pennsylvania.
- Previous Medical Director experience.
Please note: For this position Maximus will provide equipment to use.
Home Office Requirements:
- Internet speed of 25mbps or higher required / 50 Mpbs for shared internet connectivity (you can test this by going to www.speedtest.net)
- Minimum 5mpbs upload speed
- Connectivity to the internet via Category 5 or 6 ethernet patch cable to the home router
- Private and secure work area and adequate power source
- Must currently and permanently reside in the Continental US
- Must have a smartphone which will be required to log into Maximus systems
EEO Statement
Maximus is an equal opportunity employer.
We evaluate qualified applicants without regard to race, color, religion, sex, age, national origin, disability, veteran status, genetic information and other legally protected characteristics.
Pay Transparency
Maximus compensation is based on various factors including but not limited to job location, a candidate's education, training, experience, expected quality and quantity of work, required travel (if any), external market and internal value analysis including seniority and merit systems, as well as internal pay alignment.
Annual salary is just one component of Maximus's total compensation package.
Other rewards may include short- and long-term incentives as well as program-speci...
....Read more...
Type: Permanent Location: Jacksonville, US-FL
Salary / Rate: Not Specified
Posted: 2026-05-13 08:39:07
-
Essential Duties and Responsibilities:
- Maintain clinical alignment.
- Develop clinical workplans.
- Identify the risks and gaps in the clinical processes and develop solutions.
- Identify new lines of business and growth opportunities.
- Work with the peer review process to evaluate MD quality as well as handle client requests, and appeals.
- Complete clinical reviews with regards to denials and level of care on various contracts.
- Fulfill client's requests for educational trainings, services, and workshops for their staff.
- Work with IT teams to answer clinical questions for systems (questionnaires, algorithm, etc.)
- Oversee quality assurance of nurse and physician work product.
- Conduct quarterly audits of clinical reviews.
- Additional ad hoc client audits as required.
- Other duties as requested.
Minimum Requirements
- Medical degree from an accredited medical school required.
- Active board certification required.
- Minimum 10 years of experience in a similar role.
- Peer review experienced preferred.
- Experience creating and presenting clinical trainings preferred.
- Current on clinical trends.
- Trauma Informed Care knowledge.
- Adherence to accreditation standards.
Additional Requirements:
- Licensed in the state of New Jersey (NJ) or willing to get licensed in NJ within the first 3 months of employment.
- At least five (5) years' full-time experience providing direct clinical care to patients.
- Ability to work up to 29 hours a week between the hours of 8:00am - 5:00pm EST Monday - Friday.
Preferred Skills and Qualifications:
- Auditing experience.
- Licensed in the state of Pennsylvania.
- Previous Medical Director experience.
Please note: For this position Maximus will provide equipment to use.
Home Office Requirements:
- Internet speed of 25mbps or higher required / 50 Mpbs for shared internet connectivity (you can test this by going to www.speedtest.net)
- Minimum 5mpbs upload speed
- Connectivity to the internet via Category 5 or 6 ethernet patch cable to the home router
- Private and secure work area and adequate power source
- Must currently and permanently reside in the Continental US
- Must have a smartphone which will be required to log into Maximus systems
EEO Statement
Maximus is an equal opportunity employer.
We evaluate qualified applicants without regard to race, color, religion, sex, age, national origin, disability, veteran status, genetic information and other legally protected characteristics.
Pay Transparency
Maximus compensation is based on various factors including but not limited to job location, a candidate's education, training, experience, expected quality and quantity of work, required travel (if any), external market and internal value analysis including seniority and merit systems, as well as internal pay alignment.
Annual salary is just one component of Maximus's total compensation package.
Other rewards may include short- and long-term incentives as well as program-speci...
....Read more...
Type: Permanent Location: Savannah, US-GA
Salary / Rate: Not Specified
Posted: 2026-05-13 08:39:07
-
Essential Duties and Responsibilities:
- Maintain clinical alignment.
- Develop clinical workplans.
- Identify the risks and gaps in the clinical processes and develop solutions.
- Identify new lines of business and growth opportunities.
- Work with the peer review process to evaluate MD quality as well as handle client requests, and appeals.
- Complete clinical reviews with regards to denials and level of care on various contracts.
- Fulfill client's requests for educational trainings, services, and workshops for their staff.
- Work with IT teams to answer clinical questions for systems (questionnaires, algorithm, etc.)
- Oversee quality assurance of nurse and physician work product.
- Conduct quarterly audits of clinical reviews.
- Additional ad hoc client audits as required.
- Other duties as requested.
Minimum Requirements
- Medical degree from an accredited medical school required.
- Active board certification required.
- Minimum 10 years of experience in a similar role.
- Peer review experienced preferred.
- Experience creating and presenting clinical trainings preferred.
- Current on clinical trends.
- Trauma Informed Care knowledge.
- Adherence to accreditation standards.
Additional Requirements:
- Licensed in the state of New Jersey (NJ) or willing to get licensed in NJ within the first 3 months of employment.
- At least five (5) years' full-time experience providing direct clinical care to patients.
- Ability to work up to 29 hours a week between the hours of 8:00am - 5:00pm EST Monday - Friday.
Preferred Skills and Qualifications:
- Auditing experience.
- Licensed in the state of Pennsylvania.
- Previous Medical Director experience.
Please note: For this position Maximus will provide equipment to use.
Home Office Requirements:
- Internet speed of 25mbps or higher required / 50 Mpbs for shared internet connectivity (you can test this by going to www.speedtest.net)
- Minimum 5mpbs upload speed
- Connectivity to the internet via Category 5 or 6 ethernet patch cable to the home router
- Private and secure work area and adequate power source
- Must currently and permanently reside in the Continental US
- Must have a smartphone which will be required to log into Maximus systems
EEO Statement
Maximus is an equal opportunity employer.
We evaluate qualified applicants without regard to race, color, religion, sex, age, national origin, disability, veteran status, genetic information and other legally protected characteristics.
Pay Transparency
Maximus compensation is based on various factors including but not limited to job location, a candidate's education, training, experience, expected quality and quantity of work, required travel (if any), external market and internal value analysis including seniority and merit systems, as well as internal pay alignment.
Annual salary is just one component of Maximus's total compensation package.
Other rewards may include short- and long-term incentives as well as program-speci...
....Read more...
Type: Permanent Location: Miami, US-FL
Salary / Rate: Not Specified
Posted: 2026-05-13 08:39:06
-
Essential Duties and Responsibilities:
- Maintain clinical alignment.
- Develop clinical workplans.
- Identify the risks and gaps in the clinical processes and develop solutions.
- Identify new lines of business and growth opportunities.
- Work with the peer review process to evaluate MD quality as well as handle client requests, and appeals.
- Complete clinical reviews with regards to denials and level of care on various contracts.
- Fulfill client's requests for educational trainings, services, and workshops for their staff.
- Work with IT teams to answer clinical questions for systems (questionnaires, algorithm, etc.)
- Oversee quality assurance of nurse and physician work product.
- Conduct quarterly audits of clinical reviews.
- Additional ad hoc client audits as required.
- Other duties as requested.
Minimum Requirements
- Medical degree from an accredited medical school required.
- Active board certification required.
- Minimum 10 years of experience in a similar role.
- Peer review experienced preferred.
- Experience creating and presenting clinical trainings preferred.
- Current on clinical trends.
- Trauma Informed Care knowledge.
- Adherence to accreditation standards.
Additional Requirements:
- Licensed in the state of New Jersey (NJ) or willing to get licensed in NJ within the first 3 months of employment.
- At least five (5) years' full-time experience providing direct clinical care to patients.
- Ability to work up to 29 hours a week between the hours of 8:00am - 5:00pm EST Monday - Friday.
Preferred Skills and Qualifications:
- Auditing experience.
- Licensed in the state of Pennsylvania.
- Previous Medical Director experience.
Please note: For this position Maximus will provide equipment to use.
Home Office Requirements:
- Internet speed of 25mbps or higher required / 50 Mpbs for shared internet connectivity (you can test this by going to www.speedtest.net)
- Minimum 5mpbs upload speed
- Connectivity to the internet via Category 5 or 6 ethernet patch cable to the home router
- Private and secure work area and adequate power source
- Must currently and permanently reside in the Continental US
- Must have a smartphone which will be required to log into Maximus systems
EEO Statement
Maximus is an equal opportunity employer.
We evaluate qualified applicants without regard to race, color, religion, sex, age, national origin, disability, veteran status, genetic information and other legally protected characteristics.
Pay Transparency
Maximus compensation is based on various factors including but not limited to job location, a candidate's education, training, experience, expected quality and quantity of work, required travel (if any), external market and internal value analysis including seniority and merit systems, as well as internal pay alignment.
Annual salary is just one component of Maximus's total compensation package.
Other rewards may include short- and long-term incentives as well as program-speci...
....Read more...
Type: Permanent Location: Tampa, US-FL
Salary / Rate: Not Specified
Posted: 2026-05-13 08:39:04
-
Essential Duties and Responsibilities:
- Maintain clinical alignment.
- Develop clinical workplans.
- Identify the risks and gaps in the clinical processes and develop solutions.
- Identify new lines of business and growth opportunities.
- Work with the peer review process to evaluate MD quality as well as handle client requests, and appeals.
- Complete clinical reviews with regards to denials and level of care on various contracts.
- Fulfill client's requests for educational trainings, services, and workshops for their staff.
- Work with IT teams to answer clinical questions for systems (questionnaires, algorithm, etc.)
- Oversee quality assurance of nurse and physician work product.
- Conduct quarterly audits of clinical reviews.
- Additional ad hoc client audits as required.
- Other duties as requested.
Minimum Requirements
- Medical degree from an accredited medical school required.
- Active board certification required.
- Minimum 10 years of experience in a similar role.
- Peer review experienced preferred.
- Experience creating and presenting clinical trainings preferred.
- Current on clinical trends.
- Trauma Informed Care knowledge.
- Adherence to accreditation standards.
Additional Requirements:
- Licensed in the state of New Jersey (NJ) or willing to get licensed in NJ within the first 3 months of employment.
- At least five (5) years' full-time experience providing direct clinical care to patients.
- Ability to work up to 29 hours a week between the hours of 8:00am - 5:00pm EST Monday - Friday.
Preferred Skills and Qualifications:
- Auditing experience.
- Licensed in the state of Pennsylvania.
- Previous Medical Director experience.
Please note: For this position Maximus will provide equipment to use.
Home Office Requirements:
- Internet speed of 25mbps or higher required / 50 Mpbs for shared internet connectivity (you can test this by going to www.speedtest.net)
- Minimum 5mpbs upload speed
- Connectivity to the internet via Category 5 or 6 ethernet patch cable to the home router
- Private and secure work area and adequate power source
- Must currently and permanently reside in the Continental US
- Must have a smartphone which will be required to log into Maximus systems
EEO Statement
Maximus is an equal opportunity employer.
We evaluate qualified applicants without regard to race, color, religion, sex, age, national origin, disability, veteran status, genetic information and other legally protected characteristics.
Pay Transparency
Maximus compensation is based on various factors including but not limited to job location, a candidate's education, training, experience, expected quality and quantity of work, required travel (if any), external market and internal value analysis including seniority and merit systems, as well as internal pay alignment.
Annual salary is just one component of Maximus's total compensation package.
Other rewards may include short- and long-term incentives as well as program-speci...
....Read more...
Type: Permanent Location: Atlanta, US-GA
Salary / Rate: Not Specified
Posted: 2026-05-13 08:39:03
-
Essential Duties and Responsibilities:
- Maintain clinical alignment.
- Develop clinical workplans.
- Identify the risks and gaps in the clinical processes and develop solutions.
- Identify new lines of business and growth opportunities.
- Work with the peer review process to evaluate MD quality as well as handle client requests, and appeals.
- Complete clinical reviews with regards to denials and level of care on various contracts.
- Fulfill client's requests for educational trainings, services, and workshops for their staff.
- Work with IT teams to answer clinical questions for systems (questionnaires, algorithm, etc.)
- Oversee quality assurance of nurse and physician work product.
- Conduct quarterly audits of clinical reviews.
- Additional ad hoc client audits as required.
- Other duties as requested.
Minimum Requirements
- Medical degree from an accredited medical school required.
- Active board certification required.
- Minimum 10 years of experience in a similar role.
- Peer review experienced preferred.
- Experience creating and presenting clinical trainings preferred.
- Current on clinical trends.
- Trauma Informed Care knowledge.
- Adherence to accreditation standards.
Additional Requirements:
- Licensed in the state of New Jersey (NJ) or willing to get licensed in NJ within the first 3 months of employment.
- At least five (5) years' full-time experience providing direct clinical care to patients.
- Ability to work up to 29 hours a week between the hours of 8:00am - 5:00pm EST Monday - Friday.
Preferred Skills and Qualifications:
- Auditing experience.
- Licensed in the state of Pennsylvania.
- Previous Medical Director experience.
Please note: For this position Maximus will provide equipment to use.
Home Office Requirements:
- Internet speed of 25mbps or higher required / 50 Mpbs for shared internet connectivity (you can test this by going to www.speedtest.net)
- Minimum 5mpbs upload speed
- Connectivity to the internet via Category 5 or 6 ethernet patch cable to the home router
- Private and secure work area and adequate power source
- Must currently and permanently reside in the Continental US
- Must have a smartphone which will be required to log into Maximus systems
EEO Statement
Maximus is an equal opportunity employer.
We evaluate qualified applicants without regard to race, color, religion, sex, age, national origin, disability, veteran status, genetic information and other legally protected characteristics.
Pay Transparency
Maximus compensation is based on various factors including but not limited to job location, a candidate's education, training, experience, expected quality and quantity of work, required travel (if any), external market and internal value analysis including seniority and merit systems, as well as internal pay alignment.
Annual salary is just one component of Maximus's total compensation package.
Other rewards may include short- and long-term incentives as well as program-speci...
....Read more...
Type: Permanent Location: Tallahassee, US-FL
Salary / Rate: Not Specified
Posted: 2026-05-13 08:39:03
-
Essential Duties and Responsibilities:
- Maintain clinical alignment.
- Develop clinical workplans.
- Identify the risks and gaps in the clinical processes and develop solutions.
- Identify new lines of business and growth opportunities.
- Work with the peer review process to evaluate MD quality as well as handle client requests, and appeals.
- Complete clinical reviews with regards to denials and level of care on various contracts.
- Fulfill client's requests for educational trainings, services, and workshops for their staff.
- Work with IT teams to answer clinical questions for systems (questionnaires, algorithm, etc.)
- Oversee quality assurance of nurse and physician work product.
- Conduct quarterly audits of clinical reviews.
- Additional ad hoc client audits as required.
- Other duties as requested.
Minimum Requirements
- Medical degree from an accredited medical school required.
- Active board certification required.
- Minimum 10 years of experience in a similar role.
- Peer review experienced preferred.
- Experience creating and presenting clinical trainings preferred.
- Current on clinical trends.
- Trauma Informed Care knowledge.
- Adherence to accreditation standards.
Additional Requirements:
- Licensed in the state of New Jersey (NJ) or willing to get licensed in NJ within the first 3 months of employment.
- At least five (5) years' full-time experience providing direct clinical care to patients.
- Ability to work up to 29 hours a week between the hours of 8:00am - 5:00pm EST Monday - Friday.
Preferred Skills and Qualifications:
- Auditing experience.
- Licensed in the state of Pennsylvania.
- Previous Medical Director experience.
Please note: For this position Maximus will provide equipment to use.
Home Office Requirements:
- Internet speed of 25mbps or higher required / 50 Mpbs for shared internet connectivity (you can test this by going to www.speedtest.net)
- Minimum 5mpbs upload speed
- Connectivity to the internet via Category 5 or 6 ethernet patch cable to the home router
- Private and secure work area and adequate power source
- Must currently and permanently reside in the Continental US
- Must have a smartphone which will be required to log into Maximus systems
EEO Statement
Maximus is an equal opportunity employer.
We evaluate qualified applicants without regard to race, color, religion, sex, age, national origin, disability, veteran status, genetic information and other legally protected characteristics.
Pay Transparency
Maximus compensation is based on various factors including but not limited to job location, a candidate's education, training, experience, expected quality and quantity of work, required travel (if any), external market and internal value analysis including seniority and merit systems, as well as internal pay alignment.
Annual salary is just one component of Maximus's total compensation package.
Other rewards may include short- and long-term incentives as well as program-speci...
....Read more...
Type: Permanent Location: Bridgeport, US-CT
Salary / Rate: Not Specified
Posted: 2026-05-13 08:39:02
-
Essential Duties and Responsibilities:
- Maintain clinical alignment.
- Develop clinical workplans.
- Identify the risks and gaps in the clinical processes and develop solutions.
- Identify new lines of business and growth opportunities.
- Work with the peer review process to evaluate MD quality as well as handle client requests, and appeals.
- Complete clinical reviews with regards to denials and level of care on various contracts.
- Fulfill client's requests for educational trainings, services, and workshops for their staff.
- Work with IT teams to answer clinical questions for systems (questionnaires, algorithm, etc.)
- Oversee quality assurance of nurse and physician work product.
- Conduct quarterly audits of clinical reviews.
- Additional ad hoc client audits as required.
- Other duties as requested.
Minimum Requirements
- Medical degree from an accredited medical school required.
- Active board certification required.
- Minimum 10 years of experience in a similar role.
- Peer review experienced preferred.
- Experience creating and presenting clinical trainings preferred.
- Current on clinical trends.
- Trauma Informed Care knowledge.
- Adherence to accreditation standards.
Additional Requirements:
- Licensed in the state of New Jersey (NJ) or willing to get licensed in NJ within the first 3 months of employment.
- At least five (5) years' full-time experience providing direct clinical care to patients.
- Ability to work up to 29 hours a week between the hours of 8:00am - 5:00pm EST Monday - Friday.
Preferred Skills and Qualifications:
- Auditing experience.
- Licensed in the state of Pennsylvania.
- Previous Medical Director experience.
Please note: For this position Maximus will provide equipment to use.
Home Office Requirements:
- Internet speed of 25mbps or higher required / 50 Mpbs for shared internet connectivity (you can test this by going to www.speedtest.net)
- Minimum 5mpbs upload speed
- Connectivity to the internet via Category 5 or 6 ethernet patch cable to the home router
- Private and secure work area and adequate power source
- Must currently and permanently reside in the Continental US
- Must have a smartphone which will be required to log into Maximus systems
EEO Statement
Maximus is an equal opportunity employer.
We evaluate qualified applicants without regard to race, color, religion, sex, age, national origin, disability, veteran status, genetic information and other legally protected characteristics.
Pay Transparency
Maximus compensation is based on various factors including but not limited to job location, a candidate's education, training, experience, expected quality and quantity of work, required travel (if any), external market and internal value analysis including seniority and merit systems, as well as internal pay alignment.
Annual salary is just one component of Maximus's total compensation package.
Other rewards may include short- and long-term incentives as well as program-speci...
....Read more...
Type: Permanent Location: Dover, US-DE
Salary / Rate: Not Specified
Posted: 2026-05-13 08:39:02
-
Essential Duties and Responsibilities:
- Maintain clinical alignment.
- Develop clinical workplans.
- Identify the risks and gaps in the clinical processes and develop solutions.
- Identify new lines of business and growth opportunities.
- Work with the peer review process to evaluate MD quality as well as handle client requests, and appeals.
- Complete clinical reviews with regards to denials and level of care on various contracts.
- Fulfill client's requests for educational trainings, services, and workshops for their staff.
- Work with IT teams to answer clinical questions for systems (questionnaires, algorithm, etc.)
- Oversee quality assurance of nurse and physician work product.
- Conduct quarterly audits of clinical reviews.
- Additional ad hoc client audits as required.
- Other duties as requested.
Minimum Requirements
- Medical degree from an accredited medical school required.
- Active board certification required.
- Minimum 10 years of experience in a similar role.
- Peer review experienced preferred.
- Experience creating and presenting clinical trainings preferred.
- Current on clinical trends.
- Trauma Informed Care knowledge.
- Adherence to accreditation standards.
Additional Requirements:
- Licensed in the state of New Jersey (NJ) or willing to get licensed in NJ within the first 3 months of employment.
- At least five (5) years' full-time experience providing direct clinical care to patients.
- Ability to work up to 29 hours a week between the hours of 8:00am - 5:00pm EST Monday - Friday.
Preferred Skills and Qualifications:
- Auditing experience.
- Licensed in the state of Pennsylvania.
- Previous Medical Director experience.
Please note: For this position Maximus will provide equipment to use.
Home Office Requirements:
- Internet speed of 25mbps or higher required / 50 Mpbs for shared internet connectivity (you can test this by going to www.speedtest.net)
- Minimum 5mpbs upload speed
- Connectivity to the internet via Category 5 or 6 ethernet patch cable to the home router
- Private and secure work area and adequate power source
- Must currently and permanently reside in the Continental US
- Must have a smartphone which will be required to log into Maximus systems
EEO Statement
Maximus is an equal opportunity employer.
We evaluate qualified applicants without regard to race, color, religion, sex, age, national origin, disability, veteran status, genetic information and other legally protected characteristics.
Pay Transparency
Maximus compensation is based on various factors including but not limited to job location, a candidate's education, training, experience, expected quality and quantity of work, required travel (if any), external market and internal value analysis including seniority and merit systems, as well as internal pay alignment.
Annual salary is just one component of Maximus's total compensation package.
Other rewards may include short- and long-term incentives as well as program-speci...
....Read more...
Type: Permanent Location: Colorado Springs, US-CO
Salary / Rate: Not Specified
Posted: 2026-05-13 08:39:00
-
Essential Duties and Responsibilities:
- Maintain clinical alignment.
- Develop clinical workplans.
- Identify the risks and gaps in the clinical processes and develop solutions.
- Identify new lines of business and growth opportunities.
- Work with the peer review process to evaluate MD quality as well as handle client requests, and appeals.
- Complete clinical reviews with regards to denials and level of care on various contracts.
- Fulfill client's requests for educational trainings, services, and workshops for their staff.
- Work with IT teams to answer clinical questions for systems (questionnaires, algorithm, etc.)
- Oversee quality assurance of nurse and physician work product.
- Conduct quarterly audits of clinical reviews.
- Additional ad hoc client audits as required.
- Other duties as requested.
Minimum Requirements
- Medical degree from an accredited medical school required.
- Active board certification required.
- Minimum 10 years of experience in a similar role.
- Peer review experienced preferred.
- Experience creating and presenting clinical trainings preferred.
- Current on clinical trends.
- Trauma Informed Care knowledge.
- Adherence to accreditation standards.
Additional Requirements:
- Licensed in the state of New Jersey (NJ) or willing to get licensed in NJ within the first 3 months of employment.
- At least five (5) years' full-time experience providing direct clinical care to patients.
- Ability to work up to 29 hours a week between the hours of 8:00am - 5:00pm EST Monday - Friday.
Preferred Skills and Qualifications:
- Auditing experience.
- Licensed in the state of Pennsylvania.
- Previous Medical Director experience.
Please note: For this position Maximus will provide equipment to use.
Home Office Requirements:
- Internet speed of 25mbps or higher required / 50 Mpbs for shared internet connectivity (you can test this by going to www.speedtest.net)
- Minimum 5mpbs upload speed
- Connectivity to the internet via Category 5 or 6 ethernet patch cable to the home router
- Private and secure work area and adequate power source
- Must currently and permanently reside in the Continental US
- Must have a smartphone which will be required to log into Maximus systems
EEO Statement
Maximus is an equal opportunity employer.
We evaluate qualified applicants without regard to race, color, religion, sex, age, national origin, disability, veteran status, genetic information and other legally protected characteristics.
Pay Transparency
Maximus compensation is based on various factors including but not limited to job location, a candidate's education, training, experience, expected quality and quantity of work, required travel (if any), external market and internal value analysis including seniority and merit systems, as well as internal pay alignment.
Annual salary is just one component of Maximus's total compensation package.
Other rewards may include short- and long-term incentives as well as program-speci...
....Read more...
Type: Permanent Location: Denver, US-CO
Salary / Rate: Not Specified
Posted: 2026-05-13 08:38:58
-
Essential Duties and Responsibilities:
- Maintain clinical alignment.
- Develop clinical workplans.
- Identify the risks and gaps in the clinical processes and develop solutions.
- Identify new lines of business and growth opportunities.
- Work with the peer review process to evaluate MD quality as well as handle client requests, and appeals.
- Complete clinical reviews with regards to denials and level of care on various contracts.
- Fulfill client's requests for educational trainings, services, and workshops for their staff.
- Work with IT teams to answer clinical questions for systems (questionnaires, algorithm, etc.)
- Oversee quality assurance of nurse and physician work product.
- Conduct quarterly audits of clinical reviews.
- Additional ad hoc client audits as required.
- Other duties as requested.
Minimum Requirements
- Medical degree from an accredited medical school required.
- Active board certification required.
- Minimum 10 years of experience in a similar role.
- Peer review experienced preferred.
- Experience creating and presenting clinical trainings preferred.
- Current on clinical trends.
- Trauma Informed Care knowledge.
- Adherence to accreditation standards.
Additional Requirements:
- Licensed in the state of New Jersey (NJ) or willing to get licensed in NJ within the first 3 months of employment.
- At least five (5) years' full-time experience providing direct clinical care to patients.
- Ability to work up to 29 hours a week between the hours of 8:00am - 5:00pm EST Monday - Friday.
Preferred Skills and Qualifications:
- Auditing experience.
- Licensed in the state of Pennsylvania.
- Previous Medical Director experience.
Please note: For this position Maximus will provide equipment to use.
Home Office Requirements:
- Internet speed of 25mbps or higher required / 50 Mpbs for shared internet connectivity (you can test this by going to www.speedtest.net)
- Minimum 5mpbs upload speed
- Connectivity to the internet via Category 5 or 6 ethernet patch cable to the home router
- Private and secure work area and adequate power source
- Must currently and permanently reside in the Continental US
- Must have a smartphone which will be required to log into Maximus systems
EEO Statement
Maximus is an equal opportunity employer.
We evaluate qualified applicants without regard to race, color, religion, sex, age, national origin, disability, veteran status, genetic information and other legally protected characteristics.
Pay Transparency
Maximus compensation is based on various factors including but not limited to job location, a candidate's education, training, experience, expected quality and quantity of work, required travel (if any), external market and internal value analysis including seniority and merit systems, as well as internal pay alignment.
Annual salary is just one component of Maximus's total compensation package.
Other rewards may include short- and long-term incentives as well as program-speci...
....Read more...
Type: Permanent Location: Hartford, US-CT
Salary / Rate: Not Specified
Posted: 2026-05-13 08:38:57
-
Essential Duties and Responsibilities:
- Maintain clinical alignment.
- Develop clinical workplans.
- Identify the risks and gaps in the clinical processes and develop solutions.
- Identify new lines of business and growth opportunities.
- Work with the peer review process to evaluate MD quality as well as handle client requests, and appeals.
- Complete clinical reviews with regards to denials and level of care on various contracts.
- Fulfill client's requests for educational trainings, services, and workshops for their staff.
- Work with IT teams to answer clinical questions for systems (questionnaires, algorithm, etc.)
- Oversee quality assurance of nurse and physician work product.
- Conduct quarterly audits of clinical reviews.
- Additional ad hoc client audits as required.
- Other duties as requested.
Minimum Requirements
- Medical degree from an accredited medical school required.
- Active board certification required.
- Minimum 10 years of experience in a similar role.
- Peer review experienced preferred.
- Experience creating and presenting clinical trainings preferred.
- Current on clinical trends.
- Trauma Informed Care knowledge.
- Adherence to accreditation standards.
Additional Requirements:
- Licensed in the state of New Jersey (NJ) or willing to get licensed in NJ within the first 3 months of employment.
- At least five (5) years' full-time experience providing direct clinical care to patients.
- Ability to work up to 29 hours a week between the hours of 8:00am - 5:00pm EST Monday - Friday.
Preferred Skills and Qualifications:
- Auditing experience.
- Licensed in the state of Pennsylvania.
- Previous Medical Director experience.
Please note: For this position Maximus will provide equipment to use.
Home Office Requirements:
- Internet speed of 25mbps or higher required / 50 Mpbs for shared internet connectivity (you can test this by going to www.speedtest.net)
- Minimum 5mpbs upload speed
- Connectivity to the internet via Category 5 or 6 ethernet patch cable to the home router
- Private and secure work area and adequate power source
- Must currently and permanently reside in the Continental US
- Must have a smartphone which will be required to log into Maximus systems
EEO Statement
Maximus is an equal opportunity employer.
We evaluate qualified applicants without regard to race, color, religion, sex, age, national origin, disability, veteran status, genetic information and other legally protected characteristics.
Pay Transparency
Maximus compensation is based on various factors including but not limited to job location, a candidate's education, training, experience, expected quality and quantity of work, required travel (if any), external market and internal value analysis including seniority and merit systems, as well as internal pay alignment.
Annual salary is just one component of Maximus's total compensation package.
Other rewards may include short- and long-term incentives as well as program-speci...
....Read more...
Type: Permanent Location: San Diego, US-CA
Salary / Rate: Not Specified
Posted: 2026-05-13 08:38:56
-
Essential Duties and Responsibilities:
- Maintain clinical alignment.
- Develop clinical workplans.
- Identify the risks and gaps in the clinical processes and develop solutions.
- Identify new lines of business and growth opportunities.
- Work with the peer review process to evaluate MD quality as well as handle client requests, and appeals.
- Complete clinical reviews with regards to denials and level of care on various contracts.
- Fulfill client's requests for educational trainings, services, and workshops for their staff.
- Work with IT teams to answer clinical questions for systems (questionnaires, algorithm, etc.)
- Oversee quality assurance of nurse and physician work product.
- Conduct quarterly audits of clinical reviews.
- Additional ad hoc client audits as required.
- Other duties as requested.
Minimum Requirements
- Medical degree from an accredited medical school required.
- Active board certification required.
- Minimum 10 years of experience in a similar role.
- Peer review experienced preferred.
- Experience creating and presenting clinical trainings preferred.
- Current on clinical trends.
- Trauma Informed Care knowledge.
- Adherence to accreditation standards.
Additional Requirements:
- Licensed in the state of New Jersey (NJ) or willing to get licensed in NJ within the first 3 months of employment.
- At least five (5) years' full-time experience providing direct clinical care to patients.
- Ability to work up to 29 hours a week between the hours of 8:00am - 5:00pm EST Monday - Friday.
Preferred Skills and Qualifications:
- Auditing experience.
- Licensed in the state of Pennsylvania.
- Previous Medical Director experience.
Please note: For this position Maximus will provide equipment to use.
Home Office Requirements:
- Internet speed of 25mbps or higher required / 50 Mpbs for shared internet connectivity (you can test this by going to www.speedtest.net)
- Minimum 5mpbs upload speed
- Connectivity to the internet via Category 5 or 6 ethernet patch cable to the home router
- Private and secure work area and adequate power source
- Must currently and permanently reside in the Continental US
- Must have a smartphone which will be required to log into Maximus systems
EEO Statement
Maximus is an equal opportunity employer.
We evaluate qualified applicants without regard to race, color, religion, sex, age, national origin, disability, veteran status, genetic information and other legally protected characteristics.
Pay Transparency
Maximus compensation is based on various factors including but not limited to job location, a candidate's education, training, experience, expected quality and quantity of work, required travel (if any), external market and internal value analysis including seniority and merit systems, as well as internal pay alignment.
Annual salary is just one component of Maximus's total compensation package.
Other rewards may include short- and long-term incentives as well as program-speci...
....Read more...
Type: Permanent Location: Wilmington, US-DE
Salary / Rate: Not Specified
Posted: 2026-05-13 08:38:56
-
Essential Duties and Responsibilities:
- Maintain clinical alignment.
- Develop clinical workplans.
- Identify the risks and gaps in the clinical processes and develop solutions.
- Identify new lines of business and growth opportunities.
- Work with the peer review process to evaluate MD quality as well as handle client requests, and appeals.
- Complete clinical reviews with regards to denials and level of care on various contracts.
- Fulfill client's requests for educational trainings, services, and workshops for their staff.
- Work with IT teams to answer clinical questions for systems (questionnaires, algorithm, etc.)
- Oversee quality assurance of nurse and physician work product.
- Conduct quarterly audits of clinical reviews.
- Additional ad hoc client audits as required.
- Other duties as requested.
Minimum Requirements
- Medical degree from an accredited medical school required.
- Active board certification required.
- Minimum 10 years of experience in a similar role.
- Peer review experienced preferred.
- Experience creating and presenting clinical trainings preferred.
- Current on clinical trends.
- Trauma Informed Care knowledge.
- Adherence to accreditation standards.
Additional Requirements:
- Licensed in the state of New Jersey (NJ) or willing to get licensed in NJ within the first 3 months of employment.
- At least five (5) years' full-time experience providing direct clinical care to patients.
- Ability to work up to 29 hours a week between the hours of 8:00am - 5:00pm EST Monday - Friday.
Preferred Skills and Qualifications:
- Auditing experience.
- Licensed in the state of Pennsylvania.
- Previous Medical Director experience.
Please note: For this position Maximus will provide equipment to use.
Home Office Requirements:
- Internet speed of 25mbps or higher required / 50 Mpbs for shared internet connectivity (you can test this by going to www.speedtest.net)
- Minimum 5mpbs upload speed
- Connectivity to the internet via Category 5 or 6 ethernet patch cable to the home router
- Private and secure work area and adequate power source
- Must currently and permanently reside in the Continental US
- Must have a smartphone which will be required to log into Maximus systems
EEO Statement
Maximus is an equal opportunity employer.
We evaluate qualified applicants without regard to race, color, religion, sex, age, national origin, disability, veteran status, genetic information and other legally protected characteristics.
Pay Transparency
Maximus compensation is based on various factors including but not limited to job location, a candidate's education, training, experience, expected quality and quantity of work, required travel (if any), external market and internal value analysis including seniority and merit systems, as well as internal pay alignment.
Annual salary is just one component of Maximus's total compensation package.
Other rewards may include short- and long-term incentives as well as program-speci...
....Read more...
Type: Permanent Location: San Francisco, US-CA
Salary / Rate: Not Specified
Posted: 2026-05-13 08:38:55
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Essential Duties and Responsibilities:
- Maintain clinical alignment.
- Develop clinical workplans.
- Identify the risks and gaps in the clinical processes and develop solutions.
- Identify new lines of business and growth opportunities.
- Work with the peer review process to evaluate MD quality as well as handle client requests, and appeals.
- Complete clinical reviews with regards to denials and level of care on various contracts.
- Fulfill client's requests for educational trainings, services, and workshops for their staff.
- Work with IT teams to answer clinical questions for systems (questionnaires, algorithm, etc.)
- Oversee quality assurance of nurse and physician work product.
- Conduct quarterly audits of clinical reviews.
- Additional ad hoc client audits as required.
- Other duties as requested.
Minimum Requirements
- Medical degree from an accredited medical school required.
- Active board certification required.
- Minimum 10 years of experience in a similar role.
- Peer review experienced preferred.
- Experience creating and presenting clinical trainings preferred.
- Current on clinical trends.
- Trauma Informed Care knowledge.
- Adherence to accreditation standards.
Additional Requirements:
- Licensed in the state of New Jersey (NJ) or willing to get licensed in NJ within the first 3 months of employment.
- At least five (5) years' full-time experience providing direct clinical care to patients.
- Ability to work up to 29 hours a week between the hours of 8:00am - 5:00pm EST Monday - Friday.
Preferred Skills and Qualifications:
- Auditing experience.
- Licensed in the state of Pennsylvania.
- Previous Medical Director experience.
Please note: For this position Maximus will provide equipment to use.
Home Office Requirements:
- Internet speed of 25mbps or higher required / 50 Mpbs for shared internet connectivity (you can test this by going to www.speedtest.net)
- Minimum 5mpbs upload speed
- Connectivity to the internet via Category 5 or 6 ethernet patch cable to the home router
- Private and secure work area and adequate power source
- Must currently and permanently reside in the Continental US
- Must have a smartphone which will be required to log into Maximus systems
EEO Statement
Maximus is an equal opportunity employer.
We evaluate qualified applicants without regard to race, color, religion, sex, age, national origin, disability, veteran status, genetic information and other legally protected characteristics.
Pay Transparency
Maximus compensation is based on various factors including but not limited to job location, a candidate's education, training, experience, expected quality and quantity of work, required travel (if any), external market and internal value analysis including seniority and merit systems, as well as internal pay alignment.
Annual salary is just one component of Maximus's total compensation package.
Other rewards may include short- and long-term incentives as well as program-speci...
....Read more...
Type: Permanent Location: Fort Smith, US-AR
Salary / Rate: Not Specified
Posted: 2026-05-13 08:38:54
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"A different kind of care that ensures you're surrounded by people who make a difference in your life"
Position:RN, Registered Nurse - NHC HomeCare Knoxville
Licensure:
* Unencumbered current Registered Nurse license in the state where the HomeCare agency is located or compact state, if applicable.
* Minimum one (1) year experience as a RN / professional nurse.
* Experience in home care is desirable.
RN Position Highlights:
* Utilizes the nursing process to identify and achieve patient goals: assessment, planning, implementation, and evaluation.
* Assesses the physical, psychosocial, and environmental factors that affect a patient's health to develop a comprehensive nursing care plan which will attain the patients desired health outcomes in a culturally comfortable way.
* Collaborates with the interdisciplinary team to assure personal care, medical care and rehabilitation provide for optimal patient health and well-being.
* Teaches patient/caregiver in various aspects of health care and disease management appropriate to needs/level of education and understanding and documents continuing needs and levels of patients/caregivers understanding.
Benefits:Competitive Wages, Insurance, 401K Match, Dental, Vision (All Optional), Fun, Fast Paced Work Environment
NHC HomeCare Knoxville is located at 9050 Executive Park Dr.
Suite B100, Knoxville, TN 37923
If you are interested in working for a leader in senior care and share NHC's values of honesty and integrity, please apply today and find out more about us at nhccare.com/locations/homecare-knoxville/
We look forward to talking with you!! NHC is an Equal Opportunity Employer.
....Read more...
Type: Permanent Location: Knoxville, US-TN
Salary / Rate: Not Specified
Posted: 2026-05-13 08:38:54
