Sr Admin - Appeals

Description & Requirements

Maximus is currently hiring for a Sr. Admin - Appeals to join our QIC Part C team. This is a remote opportunity. The Sr. Admin is responsible for reviewing appeals from Medicare enrollee's with a Part C plan and working the appeal from start to finish. This includes reviewing requests and provided information, reaching out for additional information when needed, and at its conclusion, writing and uploading a decision letter. The Sr. Admin will specifically handle lock-in and cost sharing cases.

Essential Duties and Responsibilities :

• Maintain updated knowledge of project and corporate policies and procedures as referenced in the employee manual and other desk procedures for the position
• Function as a Subject Matter Expert in one or more process areas.
• Analyze data submitted for Independent Medical Review.
• Collect and analyze incoming data and reports from treatment providers, facilities, participants, labs and health plans to input necessary information into the system.
• Respond to incoming calls from clients, health plans, providers and enrollees regarding case status, questions about the program, and the appeals process.

Minimum Requirements

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

Home Office Requirements :

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.

Accommodations

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 .

Minimum Salary

19.25

Maximum Salary

19.25