Senior Administrator – Appeals

🔥 0 minutes ago

🏄 California – Remote

🏄 California – Remote

💵 $24 / hour

⏰ Full Time

🟠 Senior

🖥️ Administration

👻 Ghost score 0%

What it means: how likely this posting is sitting open without active hiring.How to read it: 60% or higher means we think this is a ghost. Lower scores are less of a worry.How we score it: age, reposts, open roles vs team size, how fast jobs close, and whether pay is listed.Fine print: an estimate from public data, not a judgment of the company. Real jobs can score high, so treat it as a hint, not a fact.

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Maximus

WebsiteLinkedInAll Job Openings

10,000+ employees

🏛️ Government

🏥 Healthcare

💼 Consulting

💰 $7.9M Post-IPO Equity - Maximus on 2010-12

Government • Healthcare • Consulting

Maximus is a public-sector services firm that partners with government agencies to modernize and operate programs across health, human services, defense, national security, and civilian agencies. The company combines technology (AI, analytics, cloud, cybersecurity), omnichannel contact center and eligibility/enrollment systems, clinical and Medicaid enterprise services, and consulting and program-delivery capabilities to improve citizen experience and program outcomes. Backed by decades of government experience and scale, Maximus supports federal, state, and local clients with human-centered operational support and end-to-end digital modernization.

📋 Description

• Maintain updated knowledge of project and corporate policies and procedures • 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 • Input necessary information into the system • Respond to incoming calls from clients, health plans, providers, and enrollees regarding case status, program questions, and the appeals process • Follow established guidelines and directions while proactively meeting objectives and deadlines

🎯 Requirements

• Associate degree with 2+ years' experience • Experience in lieu of an Associate degree: HS Diploma or GED and 4+ years of experience • 2 years' experience in healthcare, medical office administration, or a related field • Proficient in computer usage, including daily operation of web-based applications • Strong analytical skills • Detail- and solution-oriented • Excellent written and verbal communication • Knowledge of medical terminology • Experience reviewing and processing medical records or other healthcare documentation with a high degree of accuracy and attention to detail • Ability to work independently • Private and secure workspace • Reliable high-speed internet service: minimum 20 Mbps download/50 Mbps for shared internet connectivity and 5 Mbps upload

🏖️ Benefits

• Flexible schedule • Comprehensive medical, dental, vision, and life insurance • Discounts on auto, home, renter's, and pet insurance • 401K retirement savings plan with company matching • Paid time off, holidays, and extended sick leave • Short- and long-term disability coverage • Employee Assistance Program supporting physical, emotional, and financial wellness • Recognition platform • Diversity, equity, and inclusion initiatives • Tuition reimbursement • Employee perks and discounts • Maximus Wellness Program and resources • Professional development opportunities, including training programs, workshops, and conferences • Company-provided computer equipment • Comprehensive training