Maximus

Essential Duties and Responsibilities:

- Ensure project compliance with all operational requirements of the contract as well as corporate policies.

- Screen members via phone for risk factors, coordination of care needs, and properly refer members to community-based resources based on assessed need.

- Advance the recruitment and training of community resources and develop strong relationships with those resources to drive positive outcomes for members. 

- Think strategically about developing the network to help extend the program. 

- Establish and maintain a network of community resources. Act as a liaison between the client, members, key community partners and resources to ensure continuity of care, as well as assist members and caregivers in navigating community resources to reduce barriers to care and improve health outcomes.

- Perform all project tasks to ensure cost-effective operations.

- Oversee audits of operations.

- Navigate visions of multiple stakeholders including the health system, community resources, government leadership, and local program management while focusing on ensuring success of the program.

- Administer the development and implementation of innovative methodologies to improve service levels and overall operation efficiency.

- Collaborate with other functional internal areas to ensure effective coordination of activities and compliance.

- Oversee assessments, surveys, data and share member specific information with the assigned managed care organization. 

- Perform data collection and analysis in support of the project.

- Provide a monthly program report analysis of data, trends, and resources to the client. 

- Produce any ad hoc reporting as requested by the client.

- Generate solutions to issues or complex problems.
- Perform other duties as assigned.

- Bachelor's degree in related field required.

- 3-5 years of related professional experience required.

-  Bachelor's degree in related field required; equivalent combination of education and experience considered. 
- Three (3) years’ experience with data management, analysis, auditing, and reporting required.
- Two (2) years’ experience with health insurance and/or government operations preferred.
- Two (2) years’ experience developing and managing complex project plans demonstrating ability to manage all Social Determinants of Health aspects of the contract involving organization and/or community change required.
- Three (3) years’ experience providing customer service in an over the phone capacity required.
- Excellent organizational, interpersonal, written, and verbal communication skills
- Proficient in Microsoft Office products such as Microsoft Access, Microsoft Word, and Microsoft Excel
- Conflict resolution and problem-solving skills and abilities.
- Excellent written, verbal, and interpersonal communication skills, including a track record of interacting with all levels of staff, management and/or government
- Ability to successfully execute many complex tasks simultaneously.
- Ability to work collaboratively, as well as independently
- Ability to perform comfortably in a fast-paced, deadline-oriented work environment
- West Virginia residency preferred.
- Must be willing and able to travel one week per quarter as business need dictates.

Active military service members, their spouses, and veteran candidates often embody the core competencies Maximus deems essential, and bring a resiliency and dependability that greatly enhances our workforce. We recognize your unique skills and experiences, and want to provide you with a career path that allows you to continue making a difference for our country. We’re proud of our connections to organizations dedicated to serving veterans and their families. If you are transitioning from military to civilian life, have prior service, are a retired veteran or a member of the National Guard or Reserves, or a spouse of an active military service member, we have challenging and rewarding career opportunities available for you. A committed and diverse workforce is our most important resource. Maximus is an Affirmative Action/Equal Opportunity Employer. Maximus provides equal employment opportunities to all qualified applicants without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, protected veteran status or disabled status.