Maximus is currently hiring for a Sr. Admin - Appeals to join our QIC Part C team. This is a remote opportunity. The Sr. Admin is responsible for reviewing appeals from Medicare enrollee's with a Part C plan and working the appeal from start to finish. This includes reviewing requests and provided information, reaching out for additional information when needed, and at its conclusion, writing and uploading a decision letter. The Sr. Admin will specifically handle lock-in and cost sharing cases.
This position will require a federal suitability clearance post-hire as mandated by the client. This clearance is required in order to access client-specific systems as needed to complete the job duties.