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General information

Job Posting Title
Case Management Team Lead
Date
Wednesday, April 23, 2025
City
Remote
Country
United States
Working time
Full-time

Description & Requirements

Maximus is currently hiring for a Case Management Team Lead to join our QIC Part C team. This is a remote opportunity. The Case Management Team Lead is responsible for answering help desk and team member questions, assisting with training team members when needed, and assisting in the queue for the process of creating and closing appeals. Additionally, the Team Lead must be comfortable with technology, as the role requires the use of bots for processing.

Essential Duties and Responsibilities:

- Ensure individual and service level standards are met or exceeded, and staff members are appropriately trained.

- Responsible for ensuring processes are working to support customer needs.

- Ensure the overall volume of work produced meets or exceeds quality standards.

- Ensure staff maintains an updated knowledge of all programs.

- Ensure the confidentiality and security of all information.

- Monitor the performance of staff and provide feedback and education to improve performance.

- Provide management with updates on all issues regarding quality, training, policy, procedures, and staff issues.

Minimum Requirements

- High school diploma or GED required and 6+ years of relevant professional experience required, or equivalent combination of education and experience.

- Experience processing medical insurance preferred.
- Experience processing claims preferred. 
- Knowledge of medical terminology preferred. 
- Experience with Virtual Desktop or Automation Anywhere highly preferred.
- Minimum of 1 year of QIC experience preferred. 
- Ability to commit to a training schedule of 8:00am - 5:00pm EST Monday - Friday required.
- Ability to work a schedule of 10:30am - 7:00pm EST Monday - Friday required.

Please note: For this position Maximus will provide equipment to use.

Home Office Requirements:
- Internet speed of 20mbps 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 either Wi-Fi or Category 5 or 6 ethernet patch cable to the home router
- Private 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 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
$
19.00
Maximum Salary
$
19.50