Maximus

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.)

- 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.

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 applicantaccom@maximus.com.