Maximus, founded in 1975 and formerly known as Policy Studies, is a leading American provider of health and human service programs. As an employer, Maximus has
Enrollment and Eligibility Team Leader
Location
Worldwide
Posted
52 days ago
Salary
$19 - $23 / hour
Seniority
Lead
No structured requirement data.
Job Description
Enrollment and Eligibility Team Leader
Maximus
Enrollment and Eligibility Team Leader Location: Remote United States Working time: Full-time Job Description: Description & Requirements Maximus is currently hiring Enrollment and Eligibility Team Leaders to support the Missouri Surge Support Project. This is a remote opportunity and open to candidates with previous Arkansas Eligibility Support (AR ES) experience. The Team Lead will be responsible for assisting Supervisors in multiple areas, addressing system related issues, coaching and development of Enrollment Specialist, Quality Control task monitoring, addressing questions verbally and in written form, pulling reports and attendance tracking. The six‑month in role eligibility requirement has been waived for this position. Essential Duties and Responsibilities: - Support the supervisor by overseeing the performance of assigned staff and offering input as needed. - Conduct training sessions and evaluate staff performance as directed by the supervisor. - Contribute to the development and upkeep of processes and procedures within the team. - Foster effective relationships across departments for seamless collaboration. - Facilitate meetings when necessary to ensure productive communication within the team. - Ensure staff members maintain up-to-date knowledge of the program. - Provide the supervisor with comprehensive updates on various operational aspects including quality, training, policies, procedures, staff issues, case determinations, and appeals activity. - Act as the subject matter expert in verifying and researching documentation. - Draft or revise training materials and procedural documentation. - Serve as a facilitator and team leader, delegating tasks and providing guidance and training in specialized areas. - Manage difficult communications with external contacts for escalated matters. - Demonstrate autonomy in determining methods and procedures for new assignments. - Conduct quality assurance checks on team members' work to maintain high standards. - Trouble shoot system issues for Maximus and Department of Social Services systems. - Answer inquiries through Microsoft Teams. Minimum Requirements - High school diploma or GED required and 6+ years of relevant professional experience required, or equivalent combination of education and experience. - 2 years of Arkansas Eligibility Support (AR ES) program experience. - Must be willing and able to work 8:00am-5:00pm CST, Monday - Friday. - The six month time in position policy has been waived for this posting. Home Office Requirements - Desktop or Laptop that runs Windows, Mac, or Linux (no Chromebooks or tablets) . - OS for Windows - Current release of Windows 10 or newer - OS for Mac - Big Sur (11.0.1+); MacOS (10.14) or newer - OS for Linux - Ubuntu (18.04) - Connectivity to the internet via either Wi-Fi or RJ-45 connection for wired network connection to home router (no mobile hotspots). - Internet speed of 25mbps or higher required (you can test this by going to www.speedtest.net). - USB plug and play wired headset with a microphone (no Bluetooth, AirPods or wireless gaming headsets). - Must currently and permanently reside in the Continental US. 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. Minimum Salary $ 19.00 Maximum Salary $ 23.00
Related Guides
Related Categories
Related Job Pages
More Insurance Jobs
BPO Sales Director - Insurance
NTT DATA ServicesNTT DATA is a $30 billion business and technology services leader, serving 75% of the Fortune Global 100. We are committed to accelerating client success and positively impacting society through responsible innovation. We are one of the world's leading AI and digital infrastructure providers, with unmatched capabilities in enterprise-scale AI, cloud, security, connectivity, data centers, and application services. Our consulting and Industry solutions help organizations and society move confidently and sustainably into the digital future. As a Global Top Employer, we have experts in more than 50 countries. We also offer clients access to a robust ecosystem of innovation centers as well as established and start-up partners. NTT DATA is a part of NTT Group, which invests over $3 billion each year in R&D.
Role Description We are seeking experienced and historically successful Contact Center BPO Sales Hunter for our Agentic AI Customer Service business. Successful candidates will be domain subject matter experts in one or more industries, with a proven track record of originating relationships and closing large, complex BPO and BPaaS deals. These senior-level sales professionals will create a market of buyer relationships with decision makers at or proximal to the C-level and will position AI-first BPO/BPaaS transformative service solutions that enable their businesses to achieve their Board-level and Executive level strategic outcome goals. - Market-maker who originates deals proactively. - Subject Matter Expert in the Insurance (P&C, L&A) industry. - Utilize a consultative approach to understand unique challenges, dynamics, constraints, and goals of the prospect organization. - Develop a customized transformative BPO/BPaaS proposition leveraging AI and technology automation. - Lead the end-to-end sales cycle, collaborating with solution architects, pricing teams, legal, operations, etc. - Develop and execute a strategic go-to-market plan to create market awareness and demand. - Build strong executive-level relationships with prospective decision makers and stakeholder influencers. - Stay current on industry and AI/technology trends, competitive positioning, and emerging technologies relevant to BPO and digital operations. - Serve as a thought leader in the market and contribute to brand elevation via participation in industry forums, panels, and client advisory boards. Qualifications - 10+ years of experience in BPO/Business Process Services sales with a deep understanding of transformative outsourcing models. - 7+ years of experience of demonstrated success having sold large, complex, global BPO deals (>$20M TCV). - 5+ years of recent industry experience selling Transformative Customer Experience/Customer Service and Industry Specific Core value chain deals. Requirements - Ability to bridge business value with enabling technologies such as AI (agentic & generative), analytics, core industry specific administrative platforms, and automation. - Entrepreneurial mindset with the ability to navigate matrixed environments and influence cross-functional teams. - Track record of exceeding sales targets and contributing to revenue growth. - Strong financial acumen and ability to structure complex deal constructs. - Exceptional executive presence, communication, and relationship-building skills. Benefits - Starting pay range for this remote role is $155,290 - $287,574. - Actual compensation will depend on a number of factors, including the candidate’s actual work location, relevant experience, technical skills, and other qualifications. - This position may also be eligible for incentive compensation based on individual and/or company performance.
Insurance Follow Up Rep
Mountain Management ServicesCommonSpirit Medical Group (Mountain Management Services) is a leading provider of comprehensive office management services and affiliated physicians in Southeast Tennessee and North Georgia. Our award-winning, faith-based organization is dedicated to supporting the delivery of exceptional healthcare in the region. We are proud to be consistently recognized for excellence by organizations like U.S. News & World Report, PINC AI™, CMS, Healthgrades®, Leapfrog, and as one of the Best Places to Work in Tennessee. We are honored to be your trusted ally in health, dedicated to serving our community with compassion and excellence.
Role Description As an Insurance Follow Up Rep, you will resolve unpaid insurance claims and collect outstanding balances from third-party payers. Every day you will: - Review denials - Initiate follow-up with insurers - Rectify billing errors - Submit appeals - Negotiate for maximum reimbursement To be successful, you will understand billing regulations, possess strong problem-solving skills, and communicate effectively to optimize revenue recovery. - Follow up with insurance payers to research and resolve unpaid insurance accounts receivable; make necessary corrections in the practice management system to ensure appropriate reimbursement is received for all FMG providers. - Apply a thorough understanding/interpretation of Explanation of Benefits (EOBs) and remittance advices, including when and how to ensure that correct and appropriate payment has been received. - Communicate effectively over the phone and through written correspondence to explain why a balance is outstanding, denied and/or underpaid using accurate and supported reasoning based on EOBs, reimbursement, and payer specific requirements. - Resubmit claims with necessary information when requested through paper or electronic methods. - Anticipate potential areas of concern within the follow-up function; identify issues/trends and conduct staff training to address and rectify. - Recognize when additional assistance is needed to resolve insurance balances and escalate appropriately and timely through defined communication and escalation channels. Qualifications - High School Graduate or High School GED - Graduation from a post-high school program in medical billing or other business-related field (preferred) - Two years of revenue cycle or related work experience that demonstrates attainment of the requisite job knowledge and abilities (preferred) Company Description CommonSpirit Medical Group (Mountain Management Services) is a leading provider of comprehensive office management services and affiliated physicians in Southeast Tennessee and North Georgia. Our award-winning, faith-based organization is dedicated to supporting the delivery of exceptional healthcare in the region. We are proud to be consistently recognized for excellence by organizations like U.S. News & World Report, PINC AI™, CMS, Healthgrades®, Leapfrog, and as one of the Best Places to Work in Tennessee. We are honored to be your trusted ally in health, dedicated to serving our community with compassion and excellence.
Loss Control Inspector Trainee
Munich Re CareersAt The Hartford Steam Boiler, a subsidiary of Munich Re, we see Diversity and Inclusion as a solution to the challenges and opportunities all around us. Our goal is to foster an inclusive culture and build a workforce that reflects the customers we serve and the communities in which we live and work. We strive to provide a workplace where all of our colleagues feel respected, valued and empowered to achieve their very best every day. We recruit and develop talent with a focus on providing our customers the most innovative products and services. We are an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability or protected veteran status.
Role Description The Hartford Steam Boiler Inspection and Insurance Company is looking for an Inspector to join our Engineering Team! In this position you will perform inspections to include low to medium complexity risk exposures, but not limited to, commercial, industrial, and non-manufacturing locations for the purposes of jurisdictional certification, loss prevention, risk assessment, OnSights and claims investigations. May be utilized for fee service engineering inspections. Qualifications - High school diploma or equivalent - 2 years’ experience with boilers, UPV, industrial, mechanical and electrical equipment is required - Engineering degree (BSME, BSEE or BSChE) may be substituted for practical experience - National Board Commission required - Successful completion of Company required training Requirements - Planning and organizational skills - Self-motivated with the ability to work without direct supervision and adaptability - Interpersonal skills - Customer service skills - Communicates effectively (both verbally and written) - Problem solving skills - Computer technology skills including the Microsoft Office Suite - Physical Requirements: - Ability to crawl through 11” X 15” openings into confined spaces - Ability to climb vertical ladders and several stories of stairs - Ability to climb and function at heights of at least 30 feet, and up to eight (8) to ten (10) stories - Ability to perform bending, stretching and twisting motions - Ability to withstand temperature variations (up to 70 degrees) - Ability to walk 3-5 miles - Ability to stand for long periods of time and remain in a stationary position 50% of the time - Ability to lift own body weight while hanging or entering a confined space with associated safety equipment - Ability to lift equipment up to 50 lbs. - Visual acuity of 20/20 (natural or corrected) and identify colors - Ability to hear (corrected) the sounds of equipment operation Benefits - We see Diversity and Inclusion as a solution to the challenges and opportunities all around us. - Our goal is to foster an inclusive culture and build a workforce that reflects the communities in which we live and work. - We strive to provide a workplace where all of our colleagues feel respected, valued and empowered to achieve their very best every day. - We recruit and develop talent with a focus on providing our customers the most innovative products and services. - We are an equal opportunity employer. - Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
Company OverviewAt Motorola Solutions, we believe that everything starts with our people. We’re a global close-knit community, united by the relentless pursuit to help keep people safer everywhere. We build and connect technologies to help protect people, property and places. Our solutions foster the collaboration that’s critical for safer communities, safer schools, safer hospitals, safer businesses, and ultimately, safer nations. Connect with a career that matters, and help us build a safer future. Department OverviewSilvus Technologies, a Motorola Solutions company, is dedicated to one mission: connecting those who keep us safe. We do so by delivering the most advanced Mobile Ad-hoc Network (MANET) radios powered by our custom and ever evolving Mobile-Networked MIMO waveform. Together, our radios and waveform provide vital communications for mission-critical applications in the harshest environments from underground tunnels to high-altitude balloons. Silvus StreamCaster™ radios are being rapidly adopted by customers all over the world ranging from the U.S. and Allied Nations Departments of Defense to International, Federal, State, and Local Law Enforcement agencies, all the way to the Superbowl, Grammys, and industry-leading drone, robot, and unmanned systems manufacturers. Would you like to join an incredibly talented group of people, doing very challenging work, with the prime directive of “Keeping Our Heroes Connected”? Silvus’ rapid growth is fueled by a focus on research and innovation and a team of the most passionate, skilled, and creative thinking individuals. If you are looking for a challenging experience, you owe it to yourself to learn how Silvus can be the next chapter of your career. Job DescriptionWe are seeking an International Field Service Representative (IFSR) to work closely with the international Silvus team to provide our customers with tailored solutions to meet their needs. This role participates in technical demonstrations, support, and sales of the Silvus family of advanced multi- antenna MIMO radio and mesh networking solutions. This position plays a key role in influencing product development. This position reports to the Senior Sales Engineer and is a 100% remote role. Candidates must be based in Europe to be eligible for remote work. The following is a list of at least some of the current essential job functions of the position. Management may assign or reassign duties and responsibilities at any time at its discretion. Role and responsibilities: - Provide pre-sales and post-sales technical support including system planning, customer training, system optimization, etc. - Become an expert on the operation and application of Silvus' unique radio and networking solutions and its advantages over competing technologies. - Prepare and conduct product demonstrations for customer visits and equipment evaluations. - Visit customer sites to provide technical support and deliver training. - Troubleshoot failures and abnormal situations in the field. - Collect and analyze field failures and abnormalities and provide feedback to the development team. - Help the Design Engineers reproduce and troubleshoot problems. - Travel up to 75% of the time and work on-site at the customer's location. Basic Requirements - Completion of secondary education (such as GCSEs or an equivalent national qualification; High School Diploma or GED) is required. - Experience as a Field Service Representative or equivalent. - Experience in supporting the Ministry of Defense tactical communications with a focus on data networks and radios. - Proficiency with TCP/IP protocol and networking. - Basic proficiency in English (reading and writing) is required. - Excellent organizational skills and attention to detail. - Must be based in Europe. - Willingness to travel to potential conflict areas in support of radios. - All employment is contingent upon the successful clearance of a background check. Preferred knowledge, skills and abilities: - Proficiency with radio frequency instruments such as signal generators and spectrum analyzers. - Experience with operating and testing IP radios/modems is a huge plus. - Knowledge of wireless communication systems, radio frequency signal propagation, and digital communication technologies. - Proficiency with programming languages such as C/C++. - Familiarity with Linux. - Preferred Military background. Working conditions& physical requirements: - Trade shows. - Outdoor environment for demonstrations. - Occasional exposure to heat, cold, and allergens while performing tests or demonstrations in the field. - Lift equipment up to 50 lbs. for the set-up of demonstrations and testing. Travel Requirements50-75% Relocation ProvidedNone Position TypeExperienced Referral Payment PlanNo CompanyMotorola Solutions Systems Polska Sp.z.o.oEEO Statement Motorola Solutions is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion or belief, sex, sexual orientation, gender identity, national origin, disability, veteran status or any other legally-protected characteristic. We are proud of our people-first and community-focused culture, empowering every Motorolan to be their most authentic self and to do their best work to deliver on the promise of a safer world. If you’d like to join our team but feel that you don’t quite meet all of the preferred skills, we’d still love to hear why you think you’d be a great addition to our team.

