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Description & Requirements
Maximus is currently hiring for a Coordinator 2 - Appeals to join our QIC team.
This is a remote opportunity.
The Coordinator 2 is responsible for reviewing Medicare Part C appeals which includes researching rules and regulations, setting up medical reviews, writing decision letters, among other tasks.
This position will require a federal suitability clearance post-hire as mandated by the client.
This clearance is required in order to access client-specific systems as needed to complete the job duties.
Essential Duties and Responsibilities:
Function as a Subject Matter Expert in one or more process areas.
- Analyze data submitted for Independent Medical Review.
- Conduct fact finding and analyses on those cases deemed complex in nature or requiring adjudication; apply established procedures where the nature of the system, feasibility, computer equipment and reporting tools have not already been decided.
- Track and meet required deadlines for complex cases or other assigned tasks.
- Assist leadership through research of data and/or authoring reports.
- Analyze data using all applicable state law, state regulations, process documents, and other sources as defined by the client contract.
- Work independently on specific situations or on a team to resolve problems and deviations according to current established practices; and obtains advice where precedents are unclear or not available from the client.
- Answer and respond to phone calls/emails from participants in the Independent Medical Review process.
- Assist others or provide on-the-job training or act as a mentor to production staff.
Minimum Requirements
- High School Degree or equivalent required.
- 2-4 years of related professional experience required.
- Experience in a medical office and/or with medical insurance preferred.
- Ability to commit to a two (2) week training schedule of 8:30am - 5:00pm EST Monday - Friday required.
Please note: This position requires the use of your personal device for the duration of training.
After training, equipment will be provided.
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 any), external ...
....Read more...
Type: Permanent Location: Boise, US-ID
Salary / Rate: Not Specified
Posted: 2026-01-14 07:43:17
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Description & Requirements
Maximus is currently hiring for a Coordinator 2 - Appeals to join our QIC team.
This is a remote opportunity.
The Coordinator 2 is responsible for reviewing Medicare Part C appeals which includes researching rules and regulations, setting up medical reviews, writing decision letters, among other tasks.
This position will require a federal suitability clearance post-hire as mandated by the client.
This clearance is required in order to access client-specific systems as needed to complete the job duties.
Essential Duties and Responsibilities:
Function as a Subject Matter Expert in one or more process areas.
- Analyze data submitted for Independent Medical Review.
- Conduct fact finding and analyses on those cases deemed complex in nature or requiring adjudication; apply established procedures where the nature of the system, feasibility, computer equipment and reporting tools have not already been decided.
- Track and meet required deadlines for complex cases or other assigned tasks.
- Assist leadership through research of data and/or authoring reports.
- Analyze data using all applicable state law, state regulations, process documents, and other sources as defined by the client contract.
- Work independently on specific situations or on a team to resolve problems and deviations according to current established practices; and obtains advice where precedents are unclear or not available from the client.
- Answer and respond to phone calls/emails from participants in the Independent Medical Review process.
- Assist others or provide on-the-job training or act as a mentor to production staff.
Minimum Requirements
- High School Degree or equivalent required.
- 2-4 years of related professional experience required.
- Experience in a medical office and/or with medical insurance preferred.
- Ability to commit to a two (2) week training schedule of 8:30am - 5:00pm EST Monday - Friday required.
Please note: This position requires the use of your personal device for the duration of training.
After training, equipment will be provided.
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 any), external ...
....Read more...
Type: Permanent Location: Miami, US-FL
Salary / Rate: Not Specified
Posted: 2026-01-14 07:43:16
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Responsible for maintaining and repairing equipment, buildings, and fixtures of the distribution center.
Maintain lift trucks and keep them in good repair.
The company also requires that all employees perform all tasks in a safe manner consistent with corporate policies and state and federal laws.
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
* Ability to read and interpret documents such as safety rules, operating and maintenance instructions, and procedure manuals.
Ability to write routine reports and correspondence.
Ability to effectively present information in one-on-one and small group situations to customers, clients, and other employees of the organization.
* Ability to work with mathematical concepts such as probability and statistical inference and fundamentals...
....Read more...
Type: Permanent Location: Houston, US-TX
Salary / Rate: Not Specified
Posted: 2026-01-14 07:43:15
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Description & Requirements
Maximus is currently hiring for a Coordinator 2 - Appeals to join our QIC team.
This is a remote opportunity.
The Coordinator 2 is responsible for reviewing Medicare Part C appeals which includes researching rules and regulations, setting up medical reviews, writing decision letters, among other tasks.
This position will require a federal suitability clearance post-hire as mandated by the client.
This clearance is required in order to access client-specific systems as needed to complete the job duties.
Essential Duties and Responsibilities:
Function as a Subject Matter Expert in one or more process areas.
- Analyze data submitted for Independent Medical Review.
- Conduct fact finding and analyses on those cases deemed complex in nature or requiring adjudication; apply established procedures where the nature of the system, feasibility, computer equipment and reporting tools have not already been decided.
- Track and meet required deadlines for complex cases or other assigned tasks.
- Assist leadership through research of data and/or authoring reports.
- Analyze data using all applicable state law, state regulations, process documents, and other sources as defined by the client contract.
- Work independently on specific situations or on a team to resolve problems and deviations according to current established practices; and obtains advice where precedents are unclear or not available from the client.
- Answer and respond to phone calls/emails from participants in the Independent Medical Review process.
- Assist others or provide on-the-job training or act as a mentor to production staff.
Minimum Requirements
- High School Degree or equivalent required.
- 2-4 years of related professional experience required.
- Experience in a medical office and/or with medical insurance preferred.
- Ability to commit to a two (2) week training schedule of 8:30am - 5:00pm EST Monday - Friday required.
Please note: This position requires the use of your personal device for the duration of training.
After training, equipment will be provided.
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 any), external ...
....Read more...
Type: Permanent Location: Jacksonville, US-FL
Salary / Rate: Not Specified
Posted: 2026-01-14 07:43:14
-
Description & Requirements
Maximus is currently hiring for a Coordinator 2 - Appeals to join our QIC team.
This is a remote opportunity.
The Coordinator 2 is responsible for reviewing Medicare Part C appeals which includes researching rules and regulations, setting up medical reviews, writing decision letters, among other tasks.
This position will require a federal suitability clearance post-hire as mandated by the client.
This clearance is required in order to access client-specific systems as needed to complete the job duties.
Essential Duties and Responsibilities:
Function as a Subject Matter Expert in one or more process areas.
- Analyze data submitted for Independent Medical Review.
- Conduct fact finding and analyses on those cases deemed complex in nature or requiring adjudication; apply established procedures where the nature of the system, feasibility, computer equipment and reporting tools have not already been decided.
- Track and meet required deadlines for complex cases or other assigned tasks.
- Assist leadership through research of data and/or authoring reports.
- Analyze data using all applicable state law, state regulations, process documents, and other sources as defined by the client contract.
- Work independently on specific situations or on a team to resolve problems and deviations according to current established practices; and obtains advice where precedents are unclear or not available from the client.
- Answer and respond to phone calls/emails from participants in the Independent Medical Review process.
- Assist others or provide on-the-job training or act as a mentor to production staff.
Minimum Requirements
- High School Degree or equivalent required.
- 2-4 years of related professional experience required.
- Experience in a medical office and/or with medical insurance preferred.
- Ability to commit to a two (2) week training schedule of 8:30am - 5:00pm EST Monday - Friday required.
Please note: This position requires the use of your personal device for the duration of training.
After training, equipment will be provided.
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 any), external ...
....Read more...
Type: Permanent Location: Wilmington, US-DE
Salary / Rate: Not Specified
Posted: 2026-01-14 07:43:14
-
Description & Requirements
Maximus is currently hiring for a Coordinator 2 - Appeals to join our QIC team.
This is a remote opportunity.
The Coordinator 2 is responsible for reviewing Medicare Part C appeals which includes researching rules and regulations, setting up medical reviews, writing decision letters, among other tasks.
This position will require a federal suitability clearance post-hire as mandated by the client.
This clearance is required in order to access client-specific systems as needed to complete the job duties.
Essential Duties and Responsibilities:
Function as a Subject Matter Expert in one or more process areas.
- Analyze data submitted for Independent Medical Review.
- Conduct fact finding and analyses on those cases deemed complex in nature or requiring adjudication; apply established procedures where the nature of the system, feasibility, computer equipment and reporting tools have not already been decided.
- Track and meet required deadlines for complex cases or other assigned tasks.
- Assist leadership through research of data and/or authoring reports.
- Analyze data using all applicable state law, state regulations, process documents, and other sources as defined by the client contract.
- Work independently on specific situations or on a team to resolve problems and deviations according to current established practices; and obtains advice where precedents are unclear or not available from the client.
- Answer and respond to phone calls/emails from participants in the Independent Medical Review process.
- Assist others or provide on-the-job training or act as a mentor to production staff.
Minimum Requirements
- High School Degree or equivalent required.
- 2-4 years of related professional experience required.
- Experience in a medical office and/or with medical insurance preferred.
- Ability to commit to a two (2) week training schedule of 8:30am - 5:00pm EST Monday - Friday required.
Please note: This position requires the use of your personal device for the duration of training.
After training, equipment will be provided.
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 any), external ...
....Read more...
Type: Permanent Location: Tallahassee, US-FL
Salary / Rate: Not Specified
Posted: 2026-01-14 07:43:13
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Description & Requirements
Maximus is currently hiring for a Coordinator 2 - Appeals to join our QIC team.
This is a remote opportunity.
The Coordinator 2 is responsible for reviewing Medicare Part C appeals which includes researching rules and regulations, setting up medical reviews, writing decision letters, among other tasks.
This position will require a federal suitability clearance post-hire as mandated by the client.
This clearance is required in order to access client-specific systems as needed to complete the job duties.
Essential Duties and Responsibilities:
Function as a Subject Matter Expert in one or more process areas.
- Analyze data submitted for Independent Medical Review.
- Conduct fact finding and analyses on those cases deemed complex in nature or requiring adjudication; apply established procedures where the nature of the system, feasibility, computer equipment and reporting tools have not already been decided.
- Track and meet required deadlines for complex cases or other assigned tasks.
- Assist leadership through research of data and/or authoring reports.
- Analyze data using all applicable state law, state regulations, process documents, and other sources as defined by the client contract.
- Work independently on specific situations or on a team to resolve problems and deviations according to current established practices; and obtains advice where precedents are unclear or not available from the client.
- Answer and respond to phone calls/emails from participants in the Independent Medical Review process.
- Assist others or provide on-the-job training or act as a mentor to production staff.
Minimum Requirements
- High School Degree or equivalent required.
- 2-4 years of related professional experience required.
- Experience in a medical office and/or with medical insurance preferred.
- Ability to commit to a two (2) week training schedule of 8:30am - 5:00pm EST Monday - Friday required.
Please note: This position requires the use of your personal device for the duration of training.
After training, equipment will be provided.
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 any), external ...
....Read more...
Type: Permanent Location: Dover, US-DE
Salary / Rate: Not Specified
Posted: 2026-01-14 07:43:12
-
Description & Requirements
Maximus is currently hiring for a Coordinator 2 - Appeals to join our QIC team.
This is a remote opportunity.
The Coordinator 2 is responsible for reviewing Medicare Part C appeals which includes researching rules and regulations, setting up medical reviews, writing decision letters, among other tasks.
This position will require a federal suitability clearance post-hire as mandated by the client.
This clearance is required in order to access client-specific systems as needed to complete the job duties.
Essential Duties and Responsibilities:
Function as a Subject Matter Expert in one or more process areas.
- Analyze data submitted for Independent Medical Review.
- Conduct fact finding and analyses on those cases deemed complex in nature or requiring adjudication; apply established procedures where the nature of the system, feasibility, computer equipment and reporting tools have not already been decided.
- Track and meet required deadlines for complex cases or other assigned tasks.
- Assist leadership through research of data and/or authoring reports.
- Analyze data using all applicable state law, state regulations, process documents, and other sources as defined by the client contract.
- Work independently on specific situations or on a team to resolve problems and deviations according to current established practices; and obtains advice where precedents are unclear or not available from the client.
- Answer and respond to phone calls/emails from participants in the Independent Medical Review process.
- Assist others or provide on-the-job training or act as a mentor to production staff.
Minimum Requirements
- High School Degree or equivalent required.
- 2-4 years of related professional experience required.
- Experience in a medical office and/or with medical insurance preferred.
- Ability to commit to a two (2) week training schedule of 8:30am - 5:00pm EST Monday - Friday required.
Please note: This position requires the use of your personal device for the duration of training.
After training, equipment will be provided.
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 any), external ...
....Read more...
Type: Permanent Location: Tampa, US-FL
Salary / Rate: Not Specified
Posted: 2026-01-14 07:43:12
-
Description & Requirements
Maximus is currently hiring for a Coordinator 2 - Appeals to join our QIC team.
This is a remote opportunity.
The Coordinator 2 is responsible for reviewing Medicare Part C appeals which includes researching rules and regulations, setting up medical reviews, writing decision letters, among other tasks.
This position will require a federal suitability clearance post-hire as mandated by the client.
This clearance is required in order to access client-specific systems as needed to complete the job duties.
Essential Duties and Responsibilities:
Function as a Subject Matter Expert in one or more process areas.
- Analyze data submitted for Independent Medical Review.
- Conduct fact finding and analyses on those cases deemed complex in nature or requiring adjudication; apply established procedures where the nature of the system, feasibility, computer equipment and reporting tools have not already been decided.
- Track and meet required deadlines for complex cases or other assigned tasks.
- Assist leadership through research of data and/or authoring reports.
- Analyze data using all applicable state law, state regulations, process documents, and other sources as defined by the client contract.
- Work independently on specific situations or on a team to resolve problems and deviations according to current established practices; and obtains advice where precedents are unclear or not available from the client.
- Answer and respond to phone calls/emails from participants in the Independent Medical Review process.
- Assist others or provide on-the-job training or act as a mentor to production staff.
Minimum Requirements
- High School Degree or equivalent required.
- 2-4 years of related professional experience required.
- Experience in a medical office and/or with medical insurance preferred.
- Ability to commit to a two (2) week training schedule of 8:30am - 5:00pm EST Monday - Friday required.
Please note: This position requires the use of your personal device for the duration of training.
After training, equipment will be provided.
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 any), external ...
....Read more...
Type: Permanent Location: Sacramento, US-CA
Salary / Rate: Not Specified
Posted: 2026-01-14 07:43:11
-
Description & Requirements
Maximus is currently hiring for a Coordinator 2 - Appeals to join our QIC team.
This is a remote opportunity.
The Coordinator 2 is responsible for reviewing Medicare Part C appeals which includes researching rules and regulations, setting up medical reviews, writing decision letters, among other tasks.
This position will require a federal suitability clearance post-hire as mandated by the client.
This clearance is required in order to access client-specific systems as needed to complete the job duties.
Essential Duties and Responsibilities:
Function as a Subject Matter Expert in one or more process areas.
- Analyze data submitted for Independent Medical Review.
- Conduct fact finding and analyses on those cases deemed complex in nature or requiring adjudication; apply established procedures where the nature of the system, feasibility, computer equipment and reporting tools have not already been decided.
- Track and meet required deadlines for complex cases or other assigned tasks.
- Assist leadership through research of data and/or authoring reports.
- Analyze data using all applicable state law, state regulations, process documents, and other sources as defined by the client contract.
- Work independently on specific situations or on a team to resolve problems and deviations according to current established practices; and obtains advice where precedents are unclear or not available from the client.
- Answer and respond to phone calls/emails from participants in the Independent Medical Review process.
- Assist others or provide on-the-job training or act as a mentor to production staff.
Minimum Requirements
- High School Degree or equivalent required.
- 2-4 years of related professional experience required.
- Experience in a medical office and/or with medical insurance preferred.
- Ability to commit to a two (2) week training schedule of 8:30am - 5:00pm EST Monday - Friday required.
Please note: This position requires the use of your personal device for the duration of training.
After training, equipment will be provided.
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 any), external ...
....Read more...
Type: Permanent Location: Denver, US-CO
Salary / Rate: Not Specified
Posted: 2026-01-14 07:43:10
-
Description & Requirements
Maximus is currently hiring for a Coordinator 2 - Appeals to join our QIC team.
This is a remote opportunity.
The Coordinator 2 is responsible for reviewing Medicare Part C appeals which includes researching rules and regulations, setting up medical reviews, writing decision letters, among other tasks.
This position will require a federal suitability clearance post-hire as mandated by the client.
This clearance is required in order to access client-specific systems as needed to complete the job duties.
Essential Duties and Responsibilities:
Function as a Subject Matter Expert in one or more process areas.
- Analyze data submitted for Independent Medical Review.
- Conduct fact finding and analyses on those cases deemed complex in nature or requiring adjudication; apply established procedures where the nature of the system, feasibility, computer equipment and reporting tools have not already been decided.
- Track and meet required deadlines for complex cases or other assigned tasks.
- Assist leadership through research of data and/or authoring reports.
- Analyze data using all applicable state law, state regulations, process documents, and other sources as defined by the client contract.
- Work independently on specific situations or on a team to resolve problems and deviations according to current established practices; and obtains advice where precedents are unclear or not available from the client.
- Answer and respond to phone calls/emails from participants in the Independent Medical Review process.
- Assist others or provide on-the-job training or act as a mentor to production staff.
Minimum Requirements
- High School Degree or equivalent required.
- 2-4 years of related professional experience required.
- Experience in a medical office and/or with medical insurance preferred.
- Ability to commit to a two (2) week training schedule of 8:30am - 5:00pm EST Monday - Friday required.
Please note: This position requires the use of your personal device for the duration of training.
After training, equipment will be provided.
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 any), external ...
....Read more...
Type: Permanent Location: Bridgeport, US-CT
Salary / Rate: Not Specified
Posted: 2026-01-14 07:43:09
-
Description & Requirements
Maximus is currently hiring for a Coordinator 2 - Appeals to join our QIC team.
This is a remote opportunity.
The Coordinator 2 is responsible for reviewing Medicare Part C appeals which includes researching rules and regulations, setting up medical reviews, writing decision letters, among other tasks.
This position will require a federal suitability clearance post-hire as mandated by the client.
This clearance is required in order to access client-specific systems as needed to complete the job duties.
Essential Duties and Responsibilities:
Function as a Subject Matter Expert in one or more process areas.
- Analyze data submitted for Independent Medical Review.
- Conduct fact finding and analyses on those cases deemed complex in nature or requiring adjudication; apply established procedures where the nature of the system, feasibility, computer equipment and reporting tools have not already been decided.
- Track and meet required deadlines for complex cases or other assigned tasks.
- Assist leadership through research of data and/or authoring reports.
- Analyze data using all applicable state law, state regulations, process documents, and other sources as defined by the client contract.
- Work independently on specific situations or on a team to resolve problems and deviations according to current established practices; and obtains advice where precedents are unclear or not available from the client.
- Answer and respond to phone calls/emails from participants in the Independent Medical Review process.
- Assist others or provide on-the-job training or act as a mentor to production staff.
Minimum Requirements
- High School Degree or equivalent required.
- 2-4 years of related professional experience required.
- Experience in a medical office and/or with medical insurance preferred.
- Ability to commit to a two (2) week training schedule of 8:30am - 5:00pm EST Monday - Friday required.
Please note: This position requires the use of your personal device for the duration of training.
After training, equipment will be provided.
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 any), external ...
....Read more...
Type: Permanent Location: Colorado Springs, US-CO
Salary / Rate: Not Specified
Posted: 2026-01-14 07:43:09
-
Description & Requirements
Maximus is currently hiring for a Coordinator 2 - Appeals to join our QIC team.
This is a remote opportunity.
The Coordinator 2 is responsible for reviewing Medicare Part C appeals which includes researching rules and regulations, setting up medical reviews, writing decision letters, among other tasks.
This position will require a federal suitability clearance post-hire as mandated by the client.
This clearance is required in order to access client-specific systems as needed to complete the job duties.
Essential Duties and Responsibilities:
Function as a Subject Matter Expert in one or more process areas.
- Analyze data submitted for Independent Medical Review.
- Conduct fact finding and analyses on those cases deemed complex in nature or requiring adjudication; apply established procedures where the nature of the system, feasibility, computer equipment and reporting tools have not already been decided.
- Track and meet required deadlines for complex cases or other assigned tasks.
- Assist leadership through research of data and/or authoring reports.
- Analyze data using all applicable state law, state regulations, process documents, and other sources as defined by the client contract.
- Work independently on specific situations or on a team to resolve problems and deviations according to current established practices; and obtains advice where precedents are unclear or not available from the client.
- Answer and respond to phone calls/emails from participants in the Independent Medical Review process.
- Assist others or provide on-the-job training or act as a mentor to production staff.
Minimum Requirements
- High School Degree or equivalent required.
- 2-4 years of related professional experience required.
- Experience in a medical office and/or with medical insurance preferred.
- Ability to commit to a two (2) week training schedule of 8:30am - 5:00pm EST Monday - Friday required.
Please note: This position requires the use of your personal device for the duration of training.
After training, equipment will be provided.
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 any), external ...
....Read more...
Type: Permanent Location: San Francisco, US-CA
Salary / Rate: Not Specified
Posted: 2026-01-14 07:43:08
-
Description & Requirements
Maximus is currently hiring for a Coordinator 2 - Appeals to join our QIC team.
This is a remote opportunity.
The Coordinator 2 is responsible for reviewing Medicare Part C appeals which includes researching rules and regulations, setting up medical reviews, writing decision letters, among other tasks.
This position will require a federal suitability clearance post-hire as mandated by the client.
This clearance is required in order to access client-specific systems as needed to complete the job duties.
Essential Duties and Responsibilities:
Function as a Subject Matter Expert in one or more process areas.
- Analyze data submitted for Independent Medical Review.
- Conduct fact finding and analyses on those cases deemed complex in nature or requiring adjudication; apply established procedures where the nature of the system, feasibility, computer equipment and reporting tools have not already been decided.
- Track and meet required deadlines for complex cases or other assigned tasks.
- Assist leadership through research of data and/or authoring reports.
- Analyze data using all applicable state law, state regulations, process documents, and other sources as defined by the client contract.
- Work independently on specific situations or on a team to resolve problems and deviations according to current established practices; and obtains advice where precedents are unclear or not available from the client.
- Answer and respond to phone calls/emails from participants in the Independent Medical Review process.
- Assist others or provide on-the-job training or act as a mentor to production staff.
Minimum Requirements
- High School Degree or equivalent required.
- 2-4 years of related professional experience required.
- Experience in a medical office and/or with medical insurance preferred.
- Ability to commit to a two (2) week training schedule of 8:30am - 5:00pm EST Monday - Friday required.
Please note: This position requires the use of your personal device for the duration of training.
After training, equipment will be provided.
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 any), external ...
....Read more...
Type: Permanent Location: Tucson, US-AZ
Salary / Rate: Not Specified
Posted: 2026-01-14 07:43:07
-
Description & Requirements
Maximus is currently hiring for a Coordinator 2 - Appeals to join our QIC team.
This is a remote opportunity.
The Coordinator 2 is responsible for reviewing Medicare Part C appeals which includes researching rules and regulations, setting up medical reviews, writing decision letters, among other tasks.
This position will require a federal suitability clearance post-hire as mandated by the client.
This clearance is required in order to access client-specific systems as needed to complete the job duties.
Essential Duties and Responsibilities:
Function as a Subject Matter Expert in one or more process areas.
- Analyze data submitted for Independent Medical Review.
- Conduct fact finding and analyses on those cases deemed complex in nature or requiring adjudication; apply established procedures where the nature of the system, feasibility, computer equipment and reporting tools have not already been decided.
- Track and meet required deadlines for complex cases or other assigned tasks.
- Assist leadership through research of data and/or authoring reports.
- Analyze data using all applicable state law, state regulations, process documents, and other sources as defined by the client contract.
- Work independently on specific situations or on a team to resolve problems and deviations according to current established practices; and obtains advice where precedents are unclear or not available from the client.
- Answer and respond to phone calls/emails from participants in the Independent Medical Review process.
- Assist others or provide on-the-job training or act as a mentor to production staff.
Minimum Requirements
- High School Degree or equivalent required.
- 2-4 years of related professional experience required.
- Experience in a medical office and/or with medical insurance preferred.
- Ability to commit to a two (2) week training schedule of 8:30am - 5:00pm EST Monday - Friday required.
Please note: This position requires the use of your personal device for the duration of training.
After training, equipment will be provided.
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 any), external ...
....Read more...
Type: Permanent Location: Hartford, US-CT
Salary / Rate: Not Specified
Posted: 2026-01-14 07:43:07
-
Description & Requirements
Maximus is currently hiring for a Coordinator 2 - Appeals to join our QIC team.
This is a remote opportunity.
The Coordinator 2 is responsible for reviewing Medicare Part C appeals which includes researching rules and regulations, setting up medical reviews, writing decision letters, among other tasks.
This position will require a federal suitability clearance post-hire as mandated by the client.
This clearance is required in order to access client-specific systems as needed to complete the job duties.
Essential Duties and Responsibilities:
Function as a Subject Matter Expert in one or more process areas.
- Analyze data submitted for Independent Medical Review.
- Conduct fact finding and analyses on those cases deemed complex in nature or requiring adjudication; apply established procedures where the nature of the system, feasibility, computer equipment and reporting tools have not already been decided.
- Track and meet required deadlines for complex cases or other assigned tasks.
- Assist leadership through research of data and/or authoring reports.
- Analyze data using all applicable state law, state regulations, process documents, and other sources as defined by the client contract.
- Work independently on specific situations or on a team to resolve problems and deviations according to current established practices; and obtains advice where precedents are unclear or not available from the client.
- Answer and respond to phone calls/emails from participants in the Independent Medical Review process.
- Assist others or provide on-the-job training or act as a mentor to production staff.
Minimum Requirements
- High School Degree or equivalent required.
- 2-4 years of related professional experience required.
- Experience in a medical office and/or with medical insurance preferred.
- Ability to commit to a two (2) week training schedule of 8:30am - 5:00pm EST Monday - Friday required.
Please note: This position requires the use of your personal device for the duration of training.
After training, equipment will be provided.
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 any), external ...
....Read more...
Type: Permanent Location: Phoenix, US-AZ
Salary / Rate: Not Specified
Posted: 2026-01-14 07:43:06
-
Description & Requirements
Maximus is currently hiring for a Coordinator 2 - Appeals to join our QIC team.
This is a remote opportunity.
The Coordinator 2 is responsible for reviewing Medicare Part C appeals which includes researching rules and regulations, setting up medical reviews, writing decision letters, among other tasks.
This position will require a federal suitability clearance post-hire as mandated by the client.
This clearance is required in order to access client-specific systems as needed to complete the job duties.
Essential Duties and Responsibilities:
Function as a Subject Matter Expert in one or more process areas.
- Analyze data submitted for Independent Medical Review.
- Conduct fact finding and analyses on those cases deemed complex in nature or requiring adjudication; apply established procedures where the nature of the system, feasibility, computer equipment and reporting tools have not already been decided.
- Track and meet required deadlines for complex cases or other assigned tasks.
- Assist leadership through research of data and/or authoring reports.
- Analyze data using all applicable state law, state regulations, process documents, and other sources as defined by the client contract.
- Work independently on specific situations or on a team to resolve problems and deviations according to current established practices; and obtains advice where precedents are unclear or not available from the client.
- Answer and respond to phone calls/emails from participants in the Independent Medical Review process.
- Assist others or provide on-the-job training or act as a mentor to production staff.
Minimum Requirements
- High School Degree or equivalent required.
- 2-4 years of related professional experience required.
- Experience in a medical office and/or with medical insurance preferred.
- Ability to commit to a two (2) week training schedule of 8:30am - 5:00pm EST Monday - Friday required.
Please note: This position requires the use of your personal device for the duration of training.
After training, equipment will be provided.
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 any), external ...
....Read more...
Type: Permanent Location: San Diego, US-CA
Salary / Rate: Not Specified
Posted: 2026-01-14 07:43:05
-
Description & Requirements
Maximus is currently hiring for a Coordinator 2 - Appeals to join our QIC team.
This is a remote opportunity.
The Coordinator 2 is responsible for reviewing Medicare Part C appeals which includes researching rules and regulations, setting up medical reviews, writing decision letters, among other tasks.
This position will require a federal suitability clearance post-hire as mandated by the client.
This clearance is required in order to access client-specific systems as needed to complete the job duties.
Essential Duties and Responsibilities:
Function as a Subject Matter Expert in one or more process areas.
- Analyze data submitted for Independent Medical Review.
- Conduct fact finding and analyses on those cases deemed complex in nature or requiring adjudication; apply established procedures where the nature of the system, feasibility, computer equipment and reporting tools have not already been decided.
- Track and meet required deadlines for complex cases or other assigned tasks.
- Assist leadership through research of data and/or authoring reports.
- Analyze data using all applicable state law, state regulations, process documents, and other sources as defined by the client contract.
- Work independently on specific situations or on a team to resolve problems and deviations according to current established practices; and obtains advice where precedents are unclear or not available from the client.
- Answer and respond to phone calls/emails from participants in the Independent Medical Review process.
- Assist others or provide on-the-job training or act as a mentor to production staff.
Minimum Requirements
- High School Degree or equivalent required.
- 2-4 years of related professional experience required.
- Experience in a medical office and/or with medical insurance preferred.
- Ability to commit to a two (2) week training schedule of 8:30am - 5:00pm EST Monday - Friday required.
Please note: This position requires the use of your personal device for the duration of training.
After training, equipment will be provided.
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 any), external ...
....Read more...
Type: Permanent Location: Fort Smith, US-AR
Salary / Rate: Not Specified
Posted: 2026-01-14 07:43:04
-
Description & Requirements
Maximus is currently hiring for a Coordinator 2 - Appeals to join our QIC team.
This is a remote opportunity.
The Coordinator 2 is responsible for reviewing Medicare Part C appeals which includes researching rules and regulations, setting up medical reviews, writing decision letters, among other tasks.
This position will require a federal suitability clearance post-hire as mandated by the client.
This clearance is required in order to access client-specific systems as needed to complete the job duties.
Essential Duties and Responsibilities:
Function as a Subject Matter Expert in one or more process areas.
- Analyze data submitted for Independent Medical Review.
- Conduct fact finding and analyses on those cases deemed complex in nature or requiring adjudication; apply established procedures where the nature of the system, feasibility, computer equipment and reporting tools have not already been decided.
- Track and meet required deadlines for complex cases or other assigned tasks.
- Assist leadership through research of data and/or authoring reports.
- Analyze data using all applicable state law, state regulations, process documents, and other sources as defined by the client contract.
- Work independently on specific situations or on a team to resolve problems and deviations according to current established practices; and obtains advice where precedents are unclear or not available from the client.
- Answer and respond to phone calls/emails from participants in the Independent Medical Review process.
- Assist others or provide on-the-job training or act as a mentor to production staff.
Minimum Requirements
- High School Degree or equivalent required.
- 2-4 years of related professional experience required.
- Experience in a medical office and/or with medical insurance preferred.
- Ability to commit to a two (2) week training schedule of 8:30am - 5:00pm EST Monday - Friday required.
Please note: This position requires the use of your personal device for the duration of training.
After training, equipment will be provided.
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 any), external ...
....Read more...
Type: Permanent Location: Little Rock, US-AR
Salary / Rate: Not Specified
Posted: 2026-01-14 07:43:04
-
Description & Requirements
Maximus is currently hiring for a Coordinator 2 - Appeals to join our QIC team.
This is a remote opportunity.
The Coordinator 2 is responsible for reviewing Medicare Part C appeals which includes researching rules and regulations, setting up medical reviews, writing decision letters, among other tasks.
This position will require a federal suitability clearance post-hire as mandated by the client.
This clearance is required in order to access client-specific systems as needed to complete the job duties.
Essential Duties and Responsibilities:
Function as a Subject Matter Expert in one or more process areas.
- Analyze data submitted for Independent Medical Review.
- Conduct fact finding and analyses on those cases deemed complex in nature or requiring adjudication; apply established procedures where the nature of the system, feasibility, computer equipment and reporting tools have not already been decided.
- Track and meet required deadlines for complex cases or other assigned tasks.
- Assist leadership through research of data and/or authoring reports.
- Analyze data using all applicable state law, state regulations, process documents, and other sources as defined by the client contract.
- Work independently on specific situations or on a team to resolve problems and deviations according to current established practices; and obtains advice where precedents are unclear or not available from the client.
- Answer and respond to phone calls/emails from participants in the Independent Medical Review process.
- Assist others or provide on-the-job training or act as a mentor to production staff.
Minimum Requirements
- High School Degree or equivalent required.
- 2-4 years of related professional experience required.
- Experience in a medical office and/or with medical insurance preferred.
- Ability to commit to a two (2) week training schedule of 8:30am - 5:00pm EST Monday - Friday required.
Please note: This position requires the use of your personal device for the duration of training.
After training, equipment will be provided.
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 any), external ...
....Read more...
Type: Permanent Location: Los Angeles, US-CA
Salary / Rate: Not Specified
Posted: 2026-01-14 07:43:03
-
Description & Requirements
Maximus is currently hiring for a Coordinator 2 - Appeals to join our QIC team.
This is a remote opportunity.
The Coordinator 2 is responsible for reviewing Medicare Part C appeals which includes researching rules and regulations, setting up medical reviews, writing decision letters, among other tasks.
This position will require a federal suitability clearance post-hire as mandated by the client.
This clearance is required in order to access client-specific systems as needed to complete the job duties.
Essential Duties and Responsibilities:
Function as a Subject Matter Expert in one or more process areas.
- Analyze data submitted for Independent Medical Review.
- Conduct fact finding and analyses on those cases deemed complex in nature or requiring adjudication; apply established procedures where the nature of the system, feasibility, computer equipment and reporting tools have not already been decided.
- Track and meet required deadlines for complex cases or other assigned tasks.
- Assist leadership through research of data and/or authoring reports.
- Analyze data using all applicable state law, state regulations, process documents, and other sources as defined by the client contract.
- Work independently on specific situations or on a team to resolve problems and deviations according to current established practices; and obtains advice where precedents are unclear or not available from the client.
- Answer and respond to phone calls/emails from participants in the Independent Medical Review process.
- Assist others or provide on-the-job training or act as a mentor to production staff.
Minimum Requirements
- High School Degree or equivalent required.
- 2-4 years of related professional experience required.
- Experience in a medical office and/or with medical insurance preferred.
- Ability to commit to a two (2) week training schedule of 8:30am - 5:00pm EST Monday - Friday required.
Please note: This position requires the use of your personal device for the duration of training.
After training, equipment will be provided.
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 any), external ...
....Read more...
Type: Permanent Location: Montgomery, US-AL
Salary / Rate: Not Specified
Posted: 2026-01-14 07:43:02
-
Description & Requirements
Maximus is seeking a qualified Sr.
Technical/Security Analyst for multiple projects, current and upcoming.
The qualified candidate will be involved in technical/security planning and assessment projects with potentially multiple state agencies.
The position requires the candidate to produce/review security relevant documentation, such as system security plans, POA&Ms, assessment plans, etc., produce technical/security analyses, develop estimates, review and contribute to requirements for large systems-planning efforts in the Child Support, Child Welfare and/or Integrated Eligibility public-sector domains.
The individual will report directly to a Senior Manager.
Maximus is a matrix-managed organization, which means the individual will have secondary reporting relationships to one or more Project Managers, depending on which projects they are assigned.
*This role is remote but requires working standard business hours in the US time zone of the client.
*
Essential Duties and Responsibilities:
- Collaborate with project managers on various initiatives and projects to track progress and provide support as necessary.
- Support leadership in ensuring that the project is delivered to specifications, is on time, and within budget.
- Work closely with management and work groups to create and maintain work plan documents.
- Track the status and due dates of projects.
- Manage relationships with project staff responsible for projects.
- Produce regular weekly and monthly status reports that could include; work plan status, target dates, budget, resource capacity, and other reports as needed.
- Facilitate regular meetings and reviews.
- Adhere to contract requirements and comply with all corporate policies and procedures.
Job Specific Duties and Responsibilities:
-Perform duties independently under the direction of their direct manager and/or Project Managers on specific projects.
-Review project documentation and client materials and provide analysis of technical and security related topics.
-Participate in client meetings and offer observations and insight on technical and security related topics.
-Identify risk areas and potential problems that require proactive attention.
-Review and author artifacts and other project documents and identify potential gaps, inconsistencies, or other issues that may put the project at risk.
Such artifacts and documents may include but are not limited to:
*System Security Plan
*Plan of Action and Milestones (POA&M)
*Security Assessment Plan
*Risk Assessment reports
*CMS ARC-AMPE forms and documentation
*Data Conversion and Migration Management Plan
*Deployment and/or roll-out plans
-Perform security assessments, lead security audit and assessment activities, and provide direct security oversight support to assigned clients and projects.
-Identify and escalate to the Senior Manager / Project Manager risks, alternatives, and potential quality issues.
-Attend interviews, f...
....Read more...
Type: Permanent Location: Cheyenne, US-WY
Salary / Rate: Not Specified
Posted: 2026-01-14 07:43:02
-
Description & Requirements
Maximus is currently hiring for a Coordinator 2 - Appeals to join our QIC team.
This is a remote opportunity.
The Coordinator 2 is responsible for reviewing Medicare Part C appeals which includes researching rules and regulations, setting up medical reviews, writing decision letters, among other tasks.
This position will require a federal suitability clearance post-hire as mandated by the client.
This clearance is required in order to access client-specific systems as needed to complete the job duties.
Essential Duties and Responsibilities:
Function as a Subject Matter Expert in one or more process areas.
- Analyze data submitted for Independent Medical Review.
- Conduct fact finding and analyses on those cases deemed complex in nature or requiring adjudication; apply established procedures where the nature of the system, feasibility, computer equipment and reporting tools have not already been decided.
- Track and meet required deadlines for complex cases or other assigned tasks.
- Assist leadership through research of data and/or authoring reports.
- Analyze data using all applicable state law, state regulations, process documents, and other sources as defined by the client contract.
- Work independently on specific situations or on a team to resolve problems and deviations according to current established practices; and obtains advice where precedents are unclear or not available from the client.
- Answer and respond to phone calls/emails from participants in the Independent Medical Review process.
- Assist others or provide on-the-job training or act as a mentor to production staff.
Minimum Requirements
- High School Degree or equivalent required.
- 2-4 years of related professional experience required.
- Experience in a medical office and/or with medical insurance preferred.
- Ability to commit to a two (2) week training schedule of 8:30am - 5:00pm EST Monday - Friday required.
Please note: This position requires the use of your personal device for the duration of training.
After training, equipment will be provided.
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 any), external ...
....Read more...
Type: Permanent Location: Mobile, US-AL
Salary / Rate: Not Specified
Posted: 2026-01-14 07:43:01
-
Description & Requirements
Maximus is seeking a qualified Sr.
Technical/Security Analyst for multiple projects, current and upcoming.
The qualified candidate will be involved in technical/security planning and assessment projects with potentially multiple state agencies.
The position requires the candidate to produce/review security relevant documentation, such as system security plans, POA&Ms, assessment plans, etc., produce technical/security analyses, develop estimates, review and contribute to requirements for large systems-planning efforts in the Child Support, Child Welfare and/or Integrated Eligibility public-sector domains.
The individual will report directly to a Senior Manager.
Maximus is a matrix-managed organization, which means the individual will have secondary reporting relationships to one or more Project Managers, depending on which projects they are assigned.
*This role is remote but requires working standard business hours in the US time zone of the client.
*
Essential Duties and Responsibilities:
- Collaborate with project managers on various initiatives and projects to track progress and provide support as necessary.
- Support leadership in ensuring that the project is delivered to specifications, is on time, and within budget.
- Work closely with management and work groups to create and maintain work plan documents.
- Track the status and due dates of projects.
- Manage relationships with project staff responsible for projects.
- Produce regular weekly and monthly status reports that could include; work plan status, target dates, budget, resource capacity, and other reports as needed.
- Facilitate regular meetings and reviews.
- Adhere to contract requirements and comply with all corporate policies and procedures.
Job Specific Duties and Responsibilities:
-Perform duties independently under the direction of their direct manager and/or Project Managers on specific projects.
-Review project documentation and client materials and provide analysis of technical and security related topics.
-Participate in client meetings and offer observations and insight on technical and security related topics.
-Identify risk areas and potential problems that require proactive attention.
-Review and author artifacts and other project documents and identify potential gaps, inconsistencies, or other issues that may put the project at risk.
Such artifacts and documents may include but are not limited to:
*System Security Plan
*Plan of Action and Milestones (POA&M)
*Security Assessment Plan
*Risk Assessment reports
*CMS ARC-AMPE forms and documentation
*Data Conversion and Migration Management Plan
*Deployment and/or roll-out plans
-Perform security assessments, lead security audit and assessment activities, and provide direct security oversight support to assigned clients and projects.
-Identify and escalate to the Senior Manager / Project Manager risks, alternatives, and potential quality issues.
-Attend interviews, f...
....Read more...
Type: Permanent Location: Rock Springs, US-WY
Salary / Rate: Not Specified
Posted: 2026-01-14 07:43:00
-
Description & Requirements
Maximus is currently hiring for a Coordinator 2 - Appeals to join our QIC team.
This is a remote opportunity.
The Coordinator 2 is responsible for reviewing Medicare Part C appeals which includes researching rules and regulations, setting up medical reviews, writing decision letters, among other tasks.
This position will require a federal suitability clearance post-hire as mandated by the client.
This clearance is required in order to access client-specific systems as needed to complete the job duties.
Essential Duties and Responsibilities:
Function as a Subject Matter Expert in one or more process areas.
- Analyze data submitted for Independent Medical Review.
- Conduct fact finding and analyses on those cases deemed complex in nature or requiring adjudication; apply established procedures where the nature of the system, feasibility, computer equipment and reporting tools have not already been decided.
- Track and meet required deadlines for complex cases or other assigned tasks.
- Assist leadership through research of data and/or authoring reports.
- Analyze data using all applicable state law, state regulations, process documents, and other sources as defined by the client contract.
- Work independently on specific situations or on a team to resolve problems and deviations according to current established practices; and obtains advice where precedents are unclear or not available from the client.
- Answer and respond to phone calls/emails from participants in the Independent Medical Review process.
- Assist others or provide on-the-job training or act as a mentor to production staff.
Minimum Requirements
- High School Degree or equivalent required.
- 2-4 years of related professional experience required.
- Experience in a medical office and/or with medical insurance preferred.
- Ability to commit to a two (2) week training schedule of 8:30am - 5:00pm EST Monday - Friday required.
Please note: This position requires the use of your personal device for the duration of training.
After training, equipment will be provided.
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 any), external ...
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Type: Permanent Location: Birmingham, US-AL
Salary / Rate: Not Specified
Posted: 2026-01-14 07:42:59
