Description & Requirements Maximus is currently hiring for a Manager - Appeals to join our team. This is a remote... opportunity and contingent upon award of contract. The Manager will be responsible for managing certain work streams and various...
Description & Requirements Maximus is currently hiring for a Director - Appeals (Workers Compensation... Manager that support the overall Project strategies. - Oversee all project administrative operations including budget...
. Position: Provider Support Representative/Provider Experience Reporting Relationships (Job Titles only) Primary Manager...: (include secondary Manager if applicable) Manager of Provider Experience Direct Reports: None Shared Reports (solid...
and providers by providing product and benefit information Assists in the member appeals process by entering authorizations.... Enters data from Medicare Advantage Health Risk Assessments and forwards to Case Manager for review Adheres to CMS...
with care management on referral of members, as appropriate Performs clinical reviews for member and provider appeals related... Management Reporting Relationships (Job Titles only) Primary Manager: (include secondary Manager if applicable) Manager...
Provider Appeals in the research and resolution of the hospital and provider appeals, Assist Provider Relations with inquiries... and Manager to develop contracting strategies, including financial models such as physician fixed payment models, inpatient case...
Appeals, and Network Management Reporting Relationships (Job Titles only) Manager: (include secondary Manager...