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Maximus
Maximus
HukumatKonsaltingSog‘liqni saqlash
Maximus davlat idoralariga sog‘liqni saqlash, ijtimoiy xizmatlar, mudofaa, milliy xavfsizlik va fuqarolik xizmatlari sohalaridagi muhim davlat dasturlarini amalga oshirish va modernizatsiya qilishda yordam beradi. Kompaniya faoliyati sun’iy intellekt va tahlil, bulutli texnologiyalar va kiberxavfsizlik, raqamli platformalar, aloqa markazlari, muvofiqlikni aniqlash va ro‘yxatdan o‘tkazish tizimlari, klinik xizmatlar, Medicaid uchun korporativ yechimlar, konsalting va dastur operatsiyalarini qamrab oladi. Federal, shtat va mahalliy darajadagi mijozlarni qo‘llab-quvvatlaydigan jamoalari bilan Maximus odamlarga davlat xizmatlaridan foydalanishni va idoralarga o‘z maqsadlariga erishishni yaxshilash uchun texnologiyani amaliy ijro tajribasi bilan uyg‘unlashtiradi.
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Kompaniyadagi ish o‘rinlari

Senior Appeals Administrator – California Remote

Maximus is hiring a Senior Appeals Administrator to process California workers’ compensation medical review appeals remotely. The role involves analyzing healthcare records, maintaining case data, and supporting stakeholders throughout the appeals process.

USAmerika Qo‘shma ShtatlariCAKaliforniya
24 $ / soat
MasofaviyTo‘liq stavkaSeniorTalab Qilinadigan Til: inglizchaMa'muriyat

Tavsif

  • Stay current on project and corporate policies and procedures
  • Serve as a subject matter expert in one or more process areas
  • Review and analyze data submitted for Independent Medical Review
  • Gather and assess reports from treatment providers, facilities, participants, laboratories, and health plans
  • Record required information accurately in the case management system
  • Handle calls from clients, health plans, providers, and enrollees about case status, program questions, and the appeals process
  • Work within established guidelines while taking initiative to meet objectives and deadlines

Talablar

  • Associate degree and at least two years of experience
  • A high school diploma or GED with at least four years of experience may substitute for an associate degree
  • At least two years of experience in healthcare, medical office administration, or a related field
  • Proficiency with computers and daily use of web-based applications
  • Strong analytical abilities
  • Detail-oriented and solution-focused approach
  • Excellent written and verbal communication skills
  • Knowledge of medical terminology
  • Experience accurately reviewing and processing medical records or other healthcare documentation
  • Ability to work independently
  • Private and secure workspace
  • Reliable high-speed internet with at least 20 Mbps download and 5 Mbps upload, or 50 Mbps download for shared connectivity

Imtiyozlar

  • Flexible work schedule
  • Medical, dental, vision, and life insurance coverage
  • Discounts on auto, home, renters, and pet insurance
  • 401(k) retirement plan with company matching
  • Paid time off, holidays, and extended sick leave
  • Short- and long-term disability coverage
  • Employee Assistance Program offering physical, emotional, and financial wellness resources
  • Employee recognition platform
  • Diversity, equity, and inclusion initiatives
  • Tuition reimbursement
  • Employee discounts and perks
  • Maximus Wellness Program and related resources
  • Professional development through training, workshops, and conferences
  • Company-provided computer equipment
  • Comprehensive training
  • Private and secure workspace requirements
  • Reliable high-speed internet service

O‘xshash ish o‘rinlari

EY

AI Software Engineer, Financial Advisory

EY
H1B vizasi homiysiHuquqMarketingSog‘liqni saqlash
AEBirlashgan Arab AmirliklariMasofaviyTo‘liq stavkaO‘rta darajaSeniorTalab Qilinadigan Til: inglizchaDasturiy ta’minot muhandisiFull-stack muhandisi
AWSAzureBulutGoogle Cloud PlatformPythonPyTorchTensorFlow

Build and deploy GenAI, LLM, and MLOps solutions for EY financial advisory clients across the Middle East and North Africa. Contribute to AI strategy, production delivery, and business development.

Ochish