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General information

Job Posting Title
Sr Admin - Appeals
Date
Tuesday, May 6, 2025
City
Remote
Country
United States
Working time
Full-time

Description & Requirements

Maximus is looking to fill a Sr Admin -This position requires a Subject Matter Expert who maintains current knowledge of project and corporate policies, analyzes Independent Medical Review data, manages incoming healthcare information, and provides responsive support to clients, providers, and enrollees.

Essential Duties and Responsibilities:
- Maintain updated knowledge of project and corporate policies and procedures as referenced in the employee manual and other desk procedures for the position

- Function as a Subject Matter Expert in one or more process areas.

- Analyze data submitted for Independent Medical Review.

- Collect and analyze incoming data and reports from treatment providers, facilities, participants, labs and health plans to input necessary information into the system.

- Respond to incoming calls from clients, health plans, providers and enrollees regarding case status, questions about the program, and the appeals process.


Home Office Requirements
         - Internet speed of 25mbps or higher required (you can test this by going to [1] www.speedtest.net)
         - Preferred Windows or Mac (no Chromebooks)
             - OS for Windows - Windows 10 or Windows 11
             - OS for Mac - Big Sur (11.0.1+); Catalina (10.15); Monterey (12.3)
         - Hardwired internet (ethernet) connection
         - Private and secure work area and adequate power source
Minimum Requirements

- Associate degree with 2+ years' experience.

- Experience in lieu of an Associate degree (HS Diploma or GED and 4+ years of experience) also considered.

EEO Statement
Maximus is an equal opportunity employer. We evaluate qualified applicants without regard to race, color, religion, sex, age, national origin, disability, veteran status, genetic information and other legally protected characteristics.
Pay Transparency
Maximus compensation is based on various factors including but not limited to job location, a candidate's education, training, experience, expected quality and quantity of work, required travel (if any), external market and internal value analysis including seniority and merit systems, as well as internal pay alignment. Annual salary is just one component of Maximus's total compensation package. Other rewards may include short- and long-term incentives as well as program-specific awards. Additionally, Maximus provides a variety of benefits to employees, including health insurance coverage, life and disability insurance, a retirement savings plan, paid holidays and paid time off. Compensation ranges may differ based on contract value but will be commensurate with job duties and relevant work experience. An applicant's salary history will not be used in determining compensation. Maximus will comply with regulatory minimum wage rates and exempt salary thresholds in all instances.
Minimum Salary
$
18.58
Maximum Salary
$
18.58