Senior Administrator – Appeals

Maximus

. Maintain updated knowledge of project and corporate policies and procedures .

Posted 10/2/2026full-timeRemote • California • United StatesSenior💰 $24 per hourWebsite

Core Competencies

Role fit

Core Competencies

Use this summary to align your resume positioning with the role.

Demonstrates expertise in healthcare data analysis and medical terminology, with a strong focus on accuracy and attention to detail in processing medical records. Proficient in communication and independent work, ensuring compliance with established guidelines and deadlines.

Highest-signal resume keywords

Healthcare Data AnalysisMedical Terminology KnowledgeExperience in Medical Office AdministrationStrong Analytical SkillsExcellent Written and Verbal Communication

ATS Keywords

Tailor your resume

Applicant Tracking System Keywords

Tip: use these terms in your resume and cover letter to boost ATS matches.

Hard Skills

Data AnalysisMedical Record ProcessingWeb-Based Application ProficiencyAttention to DetailIndependent Work

Soft Skills

Detail OrientedSolution OrientedEffective Communication

Tools & Technologies

Computer UsageWeb-Based Applications

Industry Keywords

Independent Medical ReviewHealthcare DocumentationMedical Office AdministrationClient InteractionAppeals Process

About the role

Key responsibilities & impact

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

Requirements

What you’ll need

Associate degree with 2+ years' experience
Experience in lieu of an Associate degree also considered: 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
Must maintain a private and secure workspace
Reliable high-speed internet: minimum 20 Mbps download/50 Mbps for shared internet connectivity and minimum 5 Mbps upload

Benefits

Comp & perks

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-term and long-term disability coverage
Employee Assistance Program (EAP) with physical, emotional, and financial wellness resources
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-issued computer equipment
Comprehensive training
Private and secure workspace requirements
Reliable high-speed internet service