Sr. Admin - Appeals

Job Description Summary

1. Create decision letters, in accordance with established policies and procedures, ensuring completeness and qualify of finished product.2. Perform quality checks (QC) on auto-generated decision letters. 3. Accurately update job aids and work instructions as directed by adjudication manager.4. Perform triage for specific appeal types.5. Communicates with all departments across the project.6. Monitor multiple email inboxes for incoming requests and process accordingly.7. Provide administrative support to project.8. Provide support to the clinical adjudication team.9. Collaborate with management and team to develop improvements in workflow process.10. Performs other duties as assigned by management.

Job Summary

Essential Duties and Responsibilities:- Maintains updated knowledge of project and corporate policies and procedures as referenced in the employee manual and other desk procedures for the position- Perform other duties as may be assigned by management.Minimum Requirements:- High School diploma or equivalent  with 4 years of experience, or Associate degree with 2 years' experience.- May have additional training or education in area of specialization.- Work on assignments that are moderately difficult, requiring judgement in resolving issues.- Understand implications or work and make recommendations for solutions.- Communicate on complex or sensitive issues or draft such responses for supervisor or team lead.

MAXIMUS Introduction

Since 1975, Maximus has operated under its founding mission of Helping Government Serve the People, enabling citizens around the globe to successfully engage with their governments at all levels and across a variety of health and human services programs. Maximus delivers innovative business process management and technology solutions that contribute to improved outcomes for citizens and higher levels of productivity, accuracy, accountability and efficiency of government-sponsored programs. With more than 30,000 employees worldwide, Maximus is a proud partner to government agencies in the United States, Australia, Canada, Saudi Arabia, Singapore and the United Kingdom. For more information, visit https://www.maximus.com.

EEO Statement

EEO Statement: 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.

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.

Posted Max

USD $35.19/Hr.

Posted Min

USD $15.53/Hr.

Salary : $35 - $0