Maximus

Essential Duties and Responsibilities:

- Process applications and initial as well as re-credentialing paperwork.

- Maintain knowledge of current health plan requirements for credentialing providers including managing delegated health plans.

- Complete provider credentialing and recredentialing applications in accordance with guidelines; monitor applications and follow up as needed.

- Set up and maintain provider information in online credentialing databases and system.

- Collect credentials of incoming providers as per work instructions.

- Perform primary source verifications of all practitioner credentials.

- Perform data enter into various systems used to credential and recredentiale staff.

- Maintain necessary logs, lists, records, and current documentation required for provider credentialing.

- Provide regular reports on pending staff and those who have cleared credentialing.

- High school diploma or GED required and 0-2 years of relevant professional experience required, or equivalent combination of education and experience.

- Strong data entry and telephone skills preferred.
- Previous experience in claims review or claims auditor preferred.
- Previous experience in customer service and call center preferred.

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.

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.

Maximus provides reasonable accommodations to individuals requiring assistance during any phase of the employment process due to a disability, medical condition, or physical or mental impairment. If you require assistance at any stage of the employment process—including accessing job postings, completing assessments, or participating in interviews,—please contact People Operations at applicantaccommodations@maximus.com.