Maximus

Customer Support

• Support the Health Texas project through customer care and benefit enrollment services
• Answer customer inquiries by telephone, IVR, web chat, and other approved channels
• Provide accurate information about programs and services to consumers, enrollees, health plans, and providers
• Track, document, and record customer interactions, inquiries, complaints, comments, actions, and transactions
• Complete related tasks and transactions accurately according to established guidelines
• Navigate multiple computer systems and perform accurate data entry
• Fulfill customer requests for materials via mail, email, or electronic delivery
• Transfer or refer customers to appropriate internal or external entities
• Resolve routine customer issues and complete required updates
• Escalate unresolved, complex, sensitive, or grievance-related issues
• Facilitate translation or interpretation services for non-English-speaking customers
• Communicate service delivery needs, concerns, and issues to supervisors
• Meet quality assurance, productivity, and other key performance metrics
• Attend required meetings and training and maintain current knowledge of programs, systems, policies, and procedures
• Perform other related duties assigned by management

Bilingual Customer Service Specialist

Administration

• 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
• Enter 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

Senior Administrator – Appeals

• Support the Health Texas project by providing customer care and benefit enrollment services
• Answer incoming customer inquiries via telephone, IVR, web chat, or other approved channels
• Provide accurate information about programs and services to consumers, enrollees, health plans, and providers
• Track, document, and record customer interactions, inquiries, complaints, comments, actions, and transactions
• Complete related tasks and transactions according to established guidelines
• Navigate multiple computer systems and perform accurate data entry while interacting with customers
• Fulfill customer requests for materials via mail, email, or electronic delivery
• Transfer or refer customers to appropriate internal or external entities
• Address inquiries and resolve routine issues
• Escalate unresolved, complex, or sensitive issues and grievances
• Facilitate translation or interpretation services for non-English-speaking customers
• Communicate with supervisors about service-delivery needs, concerns, or issues
• Meet quality assurance, productivity, and other performance metrics
• Attend required meetings and training; maintain current knowledge of programs, systems, policies, and procedures
• Perform other related duties assigned by management

Customer Service Specialist

QA Engineer

• Conduct quality reviews of assessments and clinical documentation completed by Nurse Assessors
• Analyze reports and quality metrics to identify trends, ensure compliance, and support operational excellence
• Utilize proprietary quality assurance tools to evaluate performance and maintain program standards
• Provide constructive feedback and guidance to clinical staff
• Gather and report data to drive program improvements and support regulatory and contractual requirements
• Help ensure individuals receive appropriate services and supports through accurate and compliant assessment processes
• Collect data related to assessments and assessment outcomes
• Complete quality audits using proprietary QA tools
• Review QA data and report on trends and scores identified through quality audits
• Analyze recommended scores in relation to Clinical Assessor determinations
• Develop and complete reports tracking and trending activities and outcomes
• May provide QA training to staff
• Perform other assigned duties

Clinical QA Analyst, LPN

• Answer customer inquiries via telephone, IVR, web chat, and other approved channels
• Provide accurate information about programs and services to consumers, enrollees, health plans, and providers
• Track and document customer interactions, inquiries, complaints, actions, and transactions
• Complete customer service tasks and transactions accurately according to established guidelines
• Navigate multiple computer systems and perform accurate data entry
• Fulfill requests for materials via mail, email, or electronic delivery
• Transfer or refer customers to appropriate internal or external entities
• Resolve routine customer issues and complete required updates
• Escalate complex, sensitive, unresolved issues and grievances
• Facilitate translation or interpretation services for non-English-speaking customers
• Communicate service delivery needs and concerns to supervisors
• Meet quality assurance, productivity, and other performance metrics
• Attend required meetings and trainings and maintain current program, system, policy, and procedure knowledge
• Perform other related duties assigned by management
• Support the Health Texas project through customer care and benefit enrollment services

• Support the Health Texas project through customer care and benefit enrollment services
• Answer incoming customer inquiries by telephone, IVR, web chat, and other approved channels
• Provide accurate information about programs and services to consumers, enrollees, health plans, and providers
• Track, document, and record customer interactions, inquiries, complaints, actions, and transactions
• Complete associated tasks and transactions accurately according to established guidelines
• Navigate multiple computer systems and perform accurate data entry while interacting with customers
• Fulfill customer requests for materials via mail, email, or electronic delivery
• Transfer or refer customers to appropriate internal or external entities
• Address inquiries and resolve routine issues
• Escalate unresolved, complex, sensitive issues, or grievances for further investigation or resolution
• Facilitate translation or interpretation services for non-English-speaking customers
• Communicate with supervisors regarding service delivery needs, concerns, or issues
• Meet quality assurance, productivity, and other performance metrics
• Attend required meetings and trainings and maintain current knowledge of programs, systems, policies, and procedures
• Perform other related duties assigned by management

• Support the Health Texas project through customer care and benefit enrollment services
• Answer customer inquiries via telephone, IVR, web chat, and other approved channels
• Provide accurate information about programs and services to consumers, enrollees, health plans, and providers
• Track, document, and record customer interactions, inquiries, complaints, actions, and transactions
• Complete related tasks and transactions accurately according to established guidelines
• Navigate multiple computer systems and perform accurate data entry
• Fulfill customer requests for materials by mail, email, or electronic delivery
• Transfer or refer customers to appropriate internal or external entities
• Resolve routine customer inquiries and issues
• Escalate unresolved, complex, sensitive issues, and grievances
• Facilitate translation or interpretation services for non-English-speaking customers
• Communicate with supervisors about service delivery needs and issues
• Meet quality assurance, productivity, and other performance metrics
• Attend required meetings and training and maintain current knowledge of programs, systems, policies, and procedures
• Perform other related duties assigned by management

• Support the Health Texas project through customer care and benefit enrollment services
• Answer customer inquiries by telephone, IVR, web chat, and other approved channels
• Provide accurate information about programs and services to consumers, enrollees, health plans, and providers
• Track, document, and record customer interactions, inquiries, complaints, comments, actions, and transactions
• Complete associated tasks and transactions accurately according to established guidelines
• Navigate multiple computer systems and perform accurate data entry while interacting with customers
• Fulfill customer requests for materials by mail, email, or electronic delivery
• Transfer or refer customers to appropriate internal or external entities
• Address inquiries and resolve routine issues
• Escalate unresolved, complex, sensitive, or grievance-related issues
• Facilitate translation or interpretation services for non-English-speaking customers
• Communicate with supervisors about service-delivery needs, concerns, or issues
• Meet quality assurance, productivity, and other key performance metrics
• Attend required meetings and trainings and maintain current knowledge of programs, systems, policies, and procedures
• Perform other related duties assigned by management

• Support the Health Texas project by providing customer care and benefit enrollment services
• Answer incoming customer inquiries by telephone, Interactive Voice Response (IVR), web chat, or other approved channels
• Provide accurate information about programs and services to consumers, prospective enrollees, representatives, health plans, and providers
• Track, document, and record customer interactions, inquiries, complaints, comments, actions, and transactions
• Complete related tasks and transactions according to established guidelines
• Navigate multiple computer systems and perform accurate data entry while interacting with customers
• Fulfill customer requests for materials via mail, email, or electronic delivery
• Transfer or refer customers to appropriate internal or external entities
• Address inquiries and resolve routine issues
• Escalate unresolved, complex, sensitive issues, and grievances for further investigation or resolution
• Facilitate translation or interpretation services for non-English-speaking customers
• Communicate with supervisors about service-delivery needs, concerns, or issues
• Meet quality assurance, productivity, and other key performance metrics
• Attend required meetings and trainings and maintain current knowledge of programs, systems, policies, and procedures
• Perform other related duties assigned by management

Program Coordinator

• Coordinate day-to-day assigned business operational activities under moderate supervision
• Identify routine operational issues, make minor adjustments when appropriate, and escalate concerns with recommended solutions
• Coordinate assigned project task activities and track basic status updates
• Support timely completion of deliverables within established timelines
• Gather information and document observations to evaluate operational performance
• Recommend routine process improvements within established procedures
• Follow standard operating procedures and work instructions
• Maintain clear and accurate quality management system documents and procedures
• Update assigned records, check completeness, and route changes for review and approval
• Coordinate schedules, manage communications, maintain accurate records, support project activities, and serve as a key stakeholder contact
• Work with program leadership to resolve issues, track program performance, facilitate process improvements, ensure policy compliance, and deliver a high-quality customer experience

Program Support Coordinator

General

• Provide advanced verbal and written clinical inquiry responses to consumers, educators, medical and health professionals, state and local health departments, and government offices
• Provide medical subject matter expertise on CDC-INFO topics, including HIV/AIDS, immunizations, environmental health, NIOSH, tuberculosis, and statistics
• Respond to inquiries related to current events, including food outbreaks, natural disasters, bioterrorism, first responders, and national emergency situations
• Perform advanced database searches
• Perform assigned work in accordance with quality assurance measures
• Compose documents, reports, and correspondence
• Document all incoming inquiries
• Participate in special projects as required
• Respond to medical personnel and clinicians in verbal and written formats

Health Specialist, RN

Supervisor

• Oversee Clinic Intake schedules weekly and daily to ensure clinics are staffed
• Support, guide, and provide ongoing training to Clinic Intake Specialists and Senior Clinic Intake Specialists
• Address Clinic Intake staff issues and concerns and communicate necessary follow-up to the RCM
• Conduct new Clinic Intake onboarding and training
• Identify training needs and development opportunities for subordinates
• Develop work schedules and assign duties to ensure efficiency
• Discuss job performance concerns with subordinates and work with HR to resolve problems
• Evaluate subordinate job performance and recommend appropriate personnel actions
• Ensure compliance with company Wage & Hour policy, including rest and meal breaks for non-exempt employees
• Frequently travel to clinics within Texas and other clinics in the region as needed
• Work onsite at brick-and-mortar clinic locations in Houston, TX and El Paso, TX, as well as remotely from home

Regional Clinic Supervisor – Region 3 Central/Plains

Analyst

• Perform cost allocation and cost of service studies for state and local governments
• Support projects and initiatives by analyzing costs, processes, and procedures for government agencies
• Gather client financial information, analyze accounts, and prepare reports documenting findings
• Facilitate meetings and conduct interviews with clients, customers, and teammates
• Produce project deliverables meeting scope, financial, and timeline requirements
• Analyze complex data to identify patterns, recommend actions, and measure outcomes
• Present findings verbally and in writing
• Research existing and new state and federal regulations
• Manage project activities in accordance with company policies and procedures
• Develop strong client relationships
• Participate in responding to public solicitations
• Identify additional product and service opportunities
• Travel up to 25%
• Perform other duties assigned by management

Junior Cost Analyst

Marketing

• Support development and execution of enterprise brand and integrated marketing strategy
• Lead defined campaigns, initiatives, and workstreams from strategy through execution
• Develop campaign briefs, messaging frameworks, audience strategies, competitive insights, and recommendations
• Partner with web and digital teams to connect campaign strategy to digital experiences and customer journeys
• Monitor market trends, competitors, and campaign performance and recommend improvements
• Develop strategies to increase consumer awareness, understanding, and engagement in government programs
• Lead integrated communications strategies and tactics across print, digital, and social media
• Collaborate with project teams and stakeholders to develop, manage, and deliver communication products and services
• Support business development initiatives and high-level meetings with current and prospective clients
• Manage business development activities for target accounts and markets, including capture planning, proposal writing, pricing, and partnerships
• Develop briefs and presentations for new business opportunities
• Maintain understanding of trends affecting target health and human service markets
• Manage projects, client delivery scope, approaches, timelines, budgets, resources, and quality
• Manage P&L for assigned accounts, markets, or territories
• Manage direct staff, consultants, vendors, and subcontractors

Senior Branding and Marketing Manager

Clinical Operations

• Provide strategic and operational leadership for the Ohio PASRR Program
• Oversee program operations and ensure contractual compliance
• Maintain partnerships with state stakeholders and serve as the primary point of contact for the state client
• Lead program initiatives, manage escalations, monitor performance, and drive continuous process improvements
• Supervise a designated team of unit staff
• Train and develop unit staff
• Monitor staff activities, schedules, productivity, and work-product results
• Review clinical documentation, including pending denials, for assigned staff in real time
• Collect quality-assurance information from assigned staff
• Disseminate policy and protocol changes and ensure implementation
• Lead regular team meetings and act as the point person for assigned staff
• Conduct scheduled and random post-assessment home visits to ensure customer satisfaction
• Promote project image and goals through public speaking engagements and local professional presentations
• Manage financial review, client management, and effective delivery of service-level expectations
• Prepare and manage reporting, documentation, and communication processes
• Perform other duties as assigned by Management

Bilingual Customer Service Specialist

Senior Administrator – Appeals

Customer Service Specialist

Clinical QA Analyst, LPN

Bilingual Customer Service Specialist

Bilingual Customer Service Specialist

Bilingual Customer Service Specialist

Customer Service Specialist

Customer Service Specialist

Program Support Coordinator

Health Specialist, RN

Regional Clinic Supervisor – Region 3 Central/Plains

Junior Cost Analyst

Senior Branding and Marketing Manager

Clinical Program Manager