Health Plans, Inc. jobs in Westborough, MA - 71 jobs

Description & Requirements Test Essential Duties and Responsibilities: - Responsible for performing analyses of numerous Human Resources programs and initiatives. - Responsible for analyzing and reporting Human Resources staffing initiatives on weekly, monthly, quarterly and annual basis such as: Turnover/Attrition, Headcount and Forecasting and make recommendations for action or improvement based upon results. - Create, maintain, and analyze timely analytics/metrics on Human Resources initiatives. - Create and maintain any additional ad hoc analytics requests. - Responsible for creating and maintaining new/innovative reporting platforms to convey results using the allocated tools. - Responsible for converting complex data into visually appealing presentation formats to be delivered to audiences at all levels. - Assist Human Resources in carrying out various human resources programs and procedures. Minimum Requirements - Bachelor's degree with 3+ years of experience. 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. Accommodations Maximus provides reasonable accommodations to individuals requiring assistance during any phase of the employment process due to a disability, medical condition, or physical or mental impairment. If you require assistance at any stage of the employment process-including accessing job postings, completing assessments, or participating in interviews,-please contact People Operations at **************************. Minimum Salary $ 50,000.00 Maximum Salary $ 50,000.00

Description & Requirements Maximus is currently hiring for a Quality Assurance Manager to support our Missouri Enrollment Broker project. This is a full time remote opportunity. The Quality Manager is responsible for overseeing the daily operations for the Quality Assurance team, and for creating efficient business partnerships to meet business goals. The project will be a multi-channel contact center that will support multiple clients throughout the state of Missouri. *This job is contingent upon contract award.* At Maximus we offer a wide range of benefits to include: - • Competitive Compensation - Quarterly bonuses based on performance included! - • Comprehensive Insurance Coverage - Choose from various plans, including Medical, Dental, Vision, Prescription, and partially funded HSA. Additionally, enjoy Life insurance benefits and discounts on Auto, Home, Renter's, and Pet insurance. - • Future Planning - Prepare for retirement with our 401K Retirement Savings plan and Company Matching. - • Unlimited Time Off Package - Enjoy UTO, Holidays, and sick leave, - • Holistic Wellness Support - Access resources for physical, emotional, and financial wellness through our Employee Assistance Program (EAP). - • Recognition Platform - Acknowledge and appreciate outstanding employee contributions. - • Tuition Reimbursement - Invest in your ongoing education and development. - • Employee Perks and Discounts - Additional benefits and discounts exclusively for employees. - • Maximus Wellness Program and Resources - Access a range of wellness programs and resources tailored to your needs. - • Professional Development Opportunities- Participate in training programs, workshops, and conferences. Essential Duties and Responsibilities: - Oversee the day-to-day functions of the Quality Assurance (QA) department. - Manage an effective quality assurance program that monitors and resolves issues before they become problems. - Supervise the development and regular update of policies and procedures. - Evaluate the need for and ensure the provision of necessary training for project personnel, providing up-to-date information on relevant programs, community resources, and options for consumers. - Arrange staff training on a regular and ongoing basis. Ensure project training program meets all corporate requirements. - Provide project leadership with updates on all issues regarding quality, operations, training, and policy and procedures. - Provide leadership to all staff in the areas of quality improvement as it relates to process improvement, customer service and conflict resolution. - Prepare reports and briefings for project leadership and review monthly and quarterly project status reports provided to the Department. Minimum Requirements - Bachelor's degree in relevant field of study and 5+ years of relevant professional experience required, or equivalent combination of education and experience. - Must be willing and able to travel up to 25% of the time as business need dictates. - Lean Six Sigma experience with a minimum of Yellow Belt Certification required. - Experience managing direct reports remotely required. - Experience with designing, implementing and reporting customer satisfaction surveys required. - Experience with standardized quality tools required. - Experience with call and voice monitoring platforms required. - Experience with a large-scale telephony system required. - Experience with Client Relationship Management (CRM) platforms required. - Experience with contract compliance and quality platforms required. - Experience with statistical processes required. - Premium contact center billing experience required. - Financial experience with Oracle preferred. Home Office Requirements: - Internet speed of 20mbps or higher required (you can test this by going to ******************* - Connectivity to the internet via either Wi-Fi or Category 5 or 6 ethernet patch cable to the home router. - Must currently and permanently reside in the Continental US. #max Priority #LI-Remote 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. Accommodations Maximus provides reasonable accommodations to individuals requiring assistance during any phase of the employment process due to a disability, medical condition, or physical or mental impairment. If you require assistance at any stage of the employment process-including accessing job postings, completing assessments, or participating in interviews,-please contact People Operations at **************************. Minimum Salary $ 80,000.00 Maximum Salary $ 95,000.00

Description & Requirements At Maximus, we lead with purpose-helping government agencies deliver programs that improve lives. We are seeking a Lead Business Analyst to provide strategic leadership in managing requirements, guiding project teams, and ensuring operational excellence. In this role, you will serve as a trusted advisor to clients and internal stakeholders, driving solutions that meet complex business needs and exceed expectations. ***This is a fully remote position. Requires 5% travel. 100% mileage reimbursed at federal rate*** Why Join Maximus? - • Competitive Compensation - Quarterly bonuses based on performance included! - • Comprehensive Insurance Coverage - Choose from various plans, including Medical, Dental, Vision, Prescription, and partially funded HSA. Additionally, enjoy Life insurance benefits and discounts on Auto, Home, Renter's, and Pet insurance. - • Future Planning - Prepare for retirement with our 401K Retirement Savings plan and Company Matching. - • Unlimited Time Off Package - Enjoy UTO, Holidays, and sick leave, - • Holistic Wellness Support - Access resources for physical, emotional, and financial wellness through our Employee Assistance Program (EAP). - • Recognition Platform - Acknowledge and appreciate outstanding employee contributions. - • Tuition Reimbursement - Invest in your ongoing education and development. - • Employee Perks and Discounts - Additional benefits and discounts exclusively for employees. - • Maximus Wellness Program and Resources - Access a range of wellness programs and resources tailored to your needs. - • Professional Development Opportunities- Participate in training programs, workshops, and conferences. Essential Duties and Responsibilities: - Develop and maintain effective processes for managing requirements, developing business processes, and providing production support to the operation. - Lead and implement the design, analysis, interpretation and evaluation of a variety of reports, internal/external resource documents and surveys. - Lead and own activities related to Business Requirement Documents process. - Analyze existing systems, programs, policies, and organizational processes and recommend enhancements and improved solutions. - Design and implement process improvements that enhance customer service and optimize business operational efficiency and quality. - Conduct statistical analyses and evaluates a wide variety of information to assess operational difficulties and develop solutions to complex problems, including escalated issues Independently develop and implement modeling and evaluation processes to determine the effectiveness of current operational activities. - Provide oversight and perform research and gap analysis to determine and improve effectiveness of all operational documentation. - Serve as a liaison between business ops and system team for the planning, implementation and maintenance of programs and contractual changes. - Communicate status, risks, and issues to the Systems Analysis and Design Director, senior management and/or the client, as appropriate. - Monitor BA activities with the Systems Analysis and Design Director to ensure that all business analysis activities are allocated appropriately and executed as planned. - Ensure all business requirements and business processes are adequately documented. - Lead cooperative efforts among members of a project team. - Manage efficient execution of business meetings with internal project staff, client staff, and/or project vendors. - Act as advisor to project team members to resolve problems. - Provide support to operation senior staff, division managers and program managers. - Develop high quality communications suitable for clients. - Work effectively with internal and external business partners in the delivery of solutions. - Maintain extensive and comprehensive working knowledge of all assigned programs and projects. Minimum Requirements - Bachelor's degree in relevant field of study and 7+ years of relevant professional experience required, or equivalent combination of education and experience. Program Specific Requirements: - BABOK certified preferred - Write complex SQL queries preferred - Analyzing provider policy and resulting business process changes or similar experience required - At least 3+ years Medicaid provider experience / Medicaid provider enrollment experience #LI-Remote 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. Accommodations Maximus provides reasonable accommodations to individuals requiring assistance during any phase of the employment process due to a disability, medical condition, or physical or mental impairment. If you require assistance at any stage of the employment process-including accessing job postings, completing assessments, or participating in interviews,-please contact People Operations at **************************. Minimum Salary $ 100,000.00 Maximum Salary $ 150,000.00

Description & Requirements This is a fantastic opportunity to deliver and make a difference online. We are looking for people who are based near one of our delivery locations, Buckinghamshire. If you live within a commutable distance of Buckinghamshire like Oxfordshire or Hertfordshire we can consider you too! Primarily with this role delivery times will be between 5pm - 9pm, so you must feel comfortable working between these times as part of the role. We are looking for candidates who have experience of working with families, young people and Adults. You MUST be free for a group interview on Wednesday 21st January 2026 at 16:30. Be part of something great Maximus is a global organisation that specialises in providing health and employment services to millions of people every year. Here in the UK we employ around 5,000 people across the country to deliver services that have a profound impact on people's lives. From assessments and health services to employability programmes and specialist support, we do work that matters with people who care. The Health and Wellbeing Coach provides personalised support to individuals to empower them take control of their own health and wellbeing with a focus on lifestyle behaviour change, inclusive but not limited to the core areas of: Healthy Eating and Nutrition Smoking Cessation Physical Activity Weight Management Alcohol consumption NHS Health Checks (outreach) As a Health and Wellbeing Coach, you will facilitate people in establishing and attaining health-promoting goals, set by the person to change lifestyle-related behaviours, with the intent of reducing health risks, improving self-management of chronic conditions, and improving quality of life. The Health and Wellbeing Coach is also responsible for delivering face-to-face, telephonic, and digital health coaching support to individuals from a wide range of community and healthcare settings via a combination of one-to-one and group-based support in line with need, location and offer. To provide a health coaching service for eligible participants that supports people to gain and use the knowledge, skills, and confidence to become active participants in their health and wellbeing so that they can reach their self-identified health and wellbeing goals, including, but not limited to: Triage and assessment Agenda setting Lifestyle behaviour change support to (e.g.) stop smoking, move more, achieve a healthy weight/diet, reduce alcohol consumption levels. Problem solving Motivational interviewing Goal setting Signposting Delivery multi-channel, personalised health coaching support to individuals and groups in line with their needs and preferences including: Face-to-face, telephonic, and digital health coaching Multi-mix communications methods including in-app messaging, text, and email. Share helpful and supportive resources in line with goal, stage of journey, confidence, and motivation. Advocate the use of behaviour tracking tools (online or offline) Appraise individuals and population caseloads daily to ensure participants are provided with the right intensity and frequency of support to drive sustained behaviour change. A strength-based approach, that maximising opportunities to utilise local community assets and efficient utilisation of the wider health and wellbeing economy. To deliver services in line with quality standards, national / government guidelines, and role boundaries, with the ability to identify and act accordingly when coaching is not appropriate and being able to sensitively discuss alternatives or escalate appropriately - inclusive on supporting onward referral to wider services. Support with outreach community engagement work inclusive, but not limited to: Screening services (e.g., NHS Health Checks) Community and stakeholder events External meetings and networks Roadshows and pop-ups To deliver services in line with quality standards, national / government guidelines and role boundaries, with the ability to identify and act accordingly when coaching is not appropriate and being able to sensitively discuss alternatives or escalate appropriately - inclusive on supporting onward referral to wider services. Work in line with business and contract performance requirements including: Implementing Standard Operating Procedures (SOP) Fulfilling policies and quality management framework expectations including (but not limited to), data protection, information security, Health and safety and safeguarding. Participate in regular audits and performance observations, with a pro-active commitment to providing high quality services and continuous professional development. A proactive approach to supervision and training with a demonstrated commitment to personal development, achievement of quality standards, high performance in line with agreed objectives and Key Performance Indicators KPIs To ensure accurate reporting and data collection in line with contractual and case management system requirements to ensure: Caseloads can be managed efficiently, effectively and at scale. Team members are able to support in population behaviour change as required and in line with need Wider informal and formal care givers / specialists can complement and enhance the behaviour change journey Service users / participants only have to tell their story once and where behaviour changes occur sequentially or concurrently, we are able to offer a comprehensive and coordinated supportive services Data audits accurately capture activity, productivity, utilisation, and outcomes. Salary Non-London: £24,570 - 28,700 London: £26,000 - £31,000 Qualifications & Experience Essential Relevant health coaching qualification or an accredited health coaching skills programme. A minimum of six months of direct health coaching delivery Experience in delivering behaviour change interventions for specific lifestyle related issues (e.g., smoking cessation, physical activity, NHS Health Checks, weight management, alcohol reduction) Evidence of supporting vulnerable individuals through a change process Experience of caseload management demonstrated via the use of a Case Management System Experience of inputting and processing data where accuracy, targets and time deadlines are operating in the workplace. Experience of supporting vulnerable individuals through a change process Evidence of continuous professional development to ensure the delivery of the most recent and up to date health coaching provision to the correct quality standard. Experience of working in a health, community or social care environment or good understanding of the issues around maintaining a healthy lifestyle Desirable: Membership of professional body (ICF, EMCC, AoC, UKHCA) Experience of managing and supervising individuals and teams. Educated to degree level in a relevant subject e.g., Psychology, Behavioural Science etc. Experience of supporting people remotely / telephonically / digitally Evidence of working with individuals with long term health conditions Individual Competencies Essential A strong understanding of the social determinants of health A strong understanding of population-based approaches including segmentation and risk stratification. A strong understanding of behaviour change principles and methodology including the COM-B model and behaviour change wheel. Excellent oral and written communication skills with people from a wide variety of backgrounds. Demonstrable core skills and competencies as set out in best practice standards including: Select and apply a range of health coaching models, conversation frames and techniques. Detailed knowledge of the core concepts and principles of personalisation, patient activation, health behaviour change, self efficacy, intrinsic motivation, and assets-based approaches. Detailed understanding of self management support and associated techniques. Advanced skills development incorporating practice, reflection and planning for the application of learning to practice. Excellent internal and external stakeholder engagement and management. Good understanding of principles of confidentiality and safeguarding. Strong written and verbal communication skills with the ability capture essential information that supports effective case management. A strong track record of interpersonal relationships including the ability to build, develop and maintain relationships. Effective caseload management inclusive of accurate data collection, data entry, timely recording, and delivery against agreed Service Level Agreements (SLAs) and Standard Operating Procedures (SOPs). Confident in the use of evolving digital technologies to support people through behaviour change processes. The ability to manage time independently and effectively and work to deadlines. Effective safe and sensitive data management in line with information security standards. Excellent Microsoft Office skills and ability to learn quickly when using news systems and processes. Commitment to personal development / training. Commitment to flexible working (including evenings and weekends), ensuring the service is available to all residents including, those who work during the day, shift workers and those with children of school age. Commitment to supporting overall team/contract performance to the highest standards, undertaking a range of duties in line with business requirements. Desirable Experience of delivery health screening services (e.g., NHS Health Check) Effective delivery of programmes in line with contractual requirements and SLAs. Key Business Priorities Internal Co-workers, managers, and wider team Health Division colleagues Maximus central division Maximus companies and associates Colleague forums External Local Authority Integrated Care Partnerships / Boards Community and Voluntary sector Population being served / supported Sub-contractors and key partners Community stakeholders Co-location cooperatives Venue providers Healthcare settings including GP Practices / Primary Care Networks EEO Statement Maximus is committed to developing, maintaining and supporting a culture of diversity, equity and inclusion throughout the recruitment process. We know that feeling included has a dramatic impact on personal wellbeing and are working to ensure that no job applicant receives less favourable treatment due to any personal characteristic. Advertisements for posts will include sufficiently clear and accurate information to enable potential applicants to assess their own suitability for the post. We are a Disability Confident Leader, thanks to our commitment to the recruitment, retention and career development of people with disabilities and long term conditions. The Disability Confident scheme includes a guaranteed interview for any applicant with a disability who meets the minimum requirements for a job. When you complete your job application you will find a question asking you if you would like to apply under the Disability Confident Guaranteed Interview Scheme. If you feel that you have a disability and apply under this scheme, providing that you meet the essential criteria for the job, you will then be invited for interview. YourGuaranteed Interview application will only be shared with the hiring manager and the local resourcing team. Where reasonable, Maximus will review and consider adjustments for those applicants who express a requirement for them during the recruitment process. Minimum Salary £ 24,570.00 Maximum Salary £ 28,700.00

Description & Requirements This federally funded initiative delivers medical readiness services - including physical exams, screenings, dental care, and preventative health - to military personnel in remote or underserved areas. Services are provided through a network of providers and mobile teams, ensuring consistent access to care and compliance with Department of Defense readiness standards. The Regional Medical Officer (RMO) Region 3 Northeast serves as the senior clinical leader overseeing medical readiness operations across a large and highly populated Northeast and Midwest corridor. This role supports a federally funded medical readiness initiative delivering physical exams, screenings, dental services, and preventative care to military personnel, including those in urban centers, remote locations, and underserved communities. Region 3 (Midwest) Coverage: WI, IA, MN, ND, SD, NE, KS, OK, TX, WY, CO ***Please note that this position is contingent upon bid award*** Essential Duties and Responsibilities: - Serve as the regional clinical lead, overseeing medical readiness operations within assigned geographic area. - Coordinate and monitor delivery of services (physical exams, immunizations, dental screenings) to meet DoD readiness requirements. - Ensure compliance with federal regulations, HIPAA, and program protocols. - Collaborate with chief medical officer, clinicians, mobile teams, subcontractors, and scheduling units to optimize service delivery. - Provide clinical oversight, review documentation, and address escalated medical concerns. - Support credentialing, audits, quality assurance reviews, and reporting requirements for federal stakeholders. - Act as a liaison between program leadership and regional providers to maintain operational efficiency and quality of care. Minimum Requirements - Doctor of Medicine (MD) or Doctor of Osteopathy (DO) from an accredited institution. - Active, unrestricted medical license in the U.S. - 5+ years of clinical experience, preferably in occupational health, preventive medicine, or military readiness programs. Additional Minimum Requirements: - Ability to travel frequently within the assigned region, including weekend overnight stays, to support mobile or remote readiness events. - Experience supporting DoD or federal healthcare programs. - Familiarity with medical readiness requirements and electronic health record systems. (Preferred) - Leadership experience managing dispersed clinical teams. (Preferred) - Specialty in Primary Care, Occupational Medicine, Pediatrics, or Preventative Medicine. (Preferred) Region 3 (Midwest) Coverage: WI, IA, MN, ND, SD, NE, KS, OK, TX, WY, CO #LI-AM1 #maxcorp #HotJobs1230LI #HotJobs1230FB #HotJobs1230X #HotJobs1230TH #TrendingJobs #c0rejobs #HotJobs0106LI #HotJobs0106FB #HotJobs0106X #HotJobs0106TH #HotJobs0113LI #HotJobs0113FB #HotJobs0113X #HotJobs0113TH 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. Accommodations Maximus provides reasonable accommodations to individuals requiring assistance during any phase of the employment process due to a disability, medical condition, or physical or mental impairment. If you require assistance at any stage of the employment process-including accessing job postings, completing assessments, or participating in interviews,-please contact People Operations at **************************. Minimum Salary $ 199,920.00 Maximum Salary $ 270,480.00

Description & Requirements Maximus is seeking Spanish Bilingual Limited Service Customer Service Representative for Virginia Medicaid, SNAP, and TANF Eligibility Assistance. We are seeking dedicated and empathetic Spanish Bilingual Limited Service Customer Service Representative to assist Virginia residents in navigating the Medicaid, SNAP (Supplemental Nutrition Assistance Program), and TANF (Temporary Assistance for Needy Families) application processes. In this fully remote role, you will be the first point of contact, helping individuals understand and determine their eligibility for these vital social services. If you are passionate about helping others, have strong computer skills and are ready to make a meaningful impact, we encourage you to apply! This is a remote role. The start date for this position is February 18, 2026. Why Maximus? •Starting pay: $18.00/hour Work/Life Balance Support - Flexibility tailored to your needs! • Competitive Compensation - Bonuses based on performance included! •Comprehensive Insurance Coverage - Choose from various plans, including Medical, Dental, Vision, Prescription, and partially funded HSA. Additionally, enjoy Life insurance benefits and discounts on Auto, Home, Renter's, and Pet insurance. • Future Planning - Prepare for retirement with our 401K Retirement Savings plan and Company Matching • Paid Time Off Package - Enjoy PTO, Holidays, and extended sick leave, along with Short and Long Term Disability coverage. • Holistic Wellness Support - Access resources for physical, emotional, and financial wellness through our Employee Assistance Program (EAP). • Recognition Platform - Acknowledge and appreciate outstanding employee contributions. • Tuition Reimbursement - Invest in your ongoing education and development. • Employee Perks and Discounts - Additional benefits and discounts exclusively for employees. • Maximus Wellness Program and Resources - Access a range of wellness programs and resources tailored to your needs. •Professional Development Opportunities: Participate in training programs, workshops, and conferences. Essential Duties and Responsibilities: - Provide callers with informed and objective responses to complex concerns in regards to eligibility guidelines and policies, access to care issues, and escalated concerns. - Respond effectively to all forms of inbound and outbound contacts. - Process workflow documents, which include, income, identity, and other eligibility verification documents. - Accept new knowledge to policy and procedures concerning state programs and integrate it with resource materials to answer client concerns. -Guide applicants through the Medicaid, SNAP, and TANF application processes. -Provide clear and accurate information about program eligibility criteria. -Ensure excellent customer service by addressing client concerns with patience and professionalism. -Document interactions notate applications, and work across multiple systems to process eligibility. -Maintain a high standard of confidentiality. Minimum Requirements - High school diploma or GED required and 1+ years of relevant professional experience required, or equivalent combination of education and experience. - Must be fluent in English and specified secondary language. - Must be able to read, write, and speak in English and Spanish. -High volume Call Center experience highly preferred. -Familiarity with Medicaid, SNAP, or TANF or other government healthcare programs preferred. -Strong computer skills, including the ability to navigate and work in multiple systems including but not limited to Call Center Software programs, Microsoft office and other CRM tools highly preferred. -Ability to work independently in a remote environment required. -Strong communication skills, both verbal and written required. -High level of empathy, especially when interacting with individuals in vulnerable situations preferred. -Strong computer skills, including the ability to navigate and work in multiple systems efficiently highly preferred. - Must be willing and able to start work on February 18th, 2026. - Must be willing and able to accept a limited-service position. - Must be willing and able to attend training for 6 weeks on camera with no absences from 8:00am-4:30pm EST, Monday-Friday. - Must be willing and able to work a full-time shift during the hours of operation (8:00am-7:30pm EST Monday-Friday, 9:00am-12:00pm EST Saturday). - Residency in Eastern (EST) or Central (CST) time zones preferred. Home Office Requirements: - Internet speed of 25mbps or higher required (you can test this by going to ******************* -Connectivity to the internet via either Wi-Fi or Category 5 or 6 ethernet patch cable to the home router. - 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. Accommodations Maximus provides reasonable accommodations to individuals requiring assistance during any phase of the employment process due to a disability, medical condition, or physical or mental impairment. If you require assistance at any stage of the employment process-including accessing job postings, completing assessments, or participating in interviews,-please contact People Operations at **************************. Minimum Salary $ 18.46 Maximum Salary $ 18.46

Description & Requirements Be part of something great Maximus is a global organisation that specialises in providing health and employment services to millions of people every year. Here in the UK we employ around 5,000 people across the country to deliver services that have a profound impact on people's lives. From assessments and health services to employability programmes and specialist support, we do work that matters with people who care. The Clinical Informatics Specialist will lead innovation in digital health solutions, working closely with clinical and technical teams to design and implement systems that enhance practitioner efficiency and improve assessment quality. The role includes user acceptance testing, developing clear system guidance, and ensuring clinical content and protocols remain current and evidence-based. You will collaborate across disciplines to identify challenges, develop practical solutions, and drive continuous improvement in clinical informatics. Join a team where respect, innovation, customer focus, compassion, collaboration, and accountability shape everything we do, and contribute to a culture of excellence and growth. This is a United Kingdom, Homebased position. You must be living in the United Kingdom, with the correct Right to Work in the UK (British passport/VISA etc.) to be considered for this role. Any applications from outside of the UK will not be considered. 1.Ensure clinical information within digital platforms is accurate, structured, and optimised for usability, applying evidence-based standards and user feedback to support safe and effective workflows. •Maintain supporting documentation and guidance for system functionality. •Develop and update training resources to enable effective use of digital solutions. 2.Collaborate with clinical and technical teams to analyse requirements, specify solutions, and support the design and development of new or enhanced clinical digital products. 3.Coordinate and contribute to evaluation of clinical IT solutions, gather and analyse feedback, ensure compliance with standards, and apply best practice in healthcare settings. 4.Coordinate and contribute to evaluation of clinical IT solutions, gather and analyse feedback, ensure compliance with standards, and apply best practice in healthcare settings. 5.Monitor and report on clinical risk assessments, maintaining documentation and supporting governance processes for safe deployment of digital solutions. 6.Stakeholder Engagement & Business Development. Respond to business needs and maintain strong customer focus, ensuring effective relationships and quality service delivery. 7.Conduct clinical safety audits and quality assurance reviews of digital health systems, ensuring compliance with DCB0129/0160 and organisational safety standards. Key Contacts & Relationships: Internal Senior Leadership Team Operational Leaders and Teams Quality Leaders and Teams Corporate Functions Commercial Teams Business Development & Bid Teams Other Directorates External NHS England DWP CQC Any other IT suppliers, contractors, or project managers ATOS Qualifications & Experience Essential Full, unconditional registration with GMC/NMC/HCPC (and licence to practise where applicable). Health informatics qualification/certification or demonstrable experience in healthcare IT or related field. Strong IT literacy with understanding of digital health systems and their development. Proficient in Microsoft Office suite (Word, Excel, PowerPoint, Teams, Outlook). Working knowledge of relational databases and logical data structures. Ability to make sound, data-driven decisions. Knowledge of evidence-based medicine and clinical best practice. Desirable IT product development experience Working knowledge or aptitude to learn HTML, CSS, JSON, Python Experience in developing or implementing IT solutions with measurable business impact. Familiarity with healthcare IT environments. Well-developed negotiating and influencing skills Digital Clinical Safety Training Individual Competencies Strict adherence to data confidentiality and integrity. Exceptional attention to detail and accuracy in data handling. Ability to translate theory into practical application. Strong analytical and problem-solving skills, applying evidence-based approaches. Skilled in identifying problems and developing innovative solutions. Clear communicator, able to explain technical concepts to non-technical audiences. Adaptable and flexible to changing priorities and technologies. Effective organisational skills with a methodical approach. Ability to work independently, prioritise workload, and manage competing demands. Customer-focused, building strong relationships and delivering quality service. Motivated and committed to achieving high standards. Knowledge of software development lifecycle and application in clinical informatics Knowledge of data management principles Competence in using data analysis tools Project management awareness and familiarity with principles and methodologies Travel Requirements Ad hoc Additional Information Maximus is a leading provider of outsourced services, committed to delivering exceptional quality and service performance. Our team is dedicated to fostering a culture of continuous improvement, collaboration, and accountability. Maximus is committed to safeguarding and promoting the welfare of children, young people, and adults at risk. We expect all colleagues and post holders to share this commitment. All appointments are subject to safer recruitment practices, including appropriate background checks, verification of qualifications and professional registration, and satisfactory references. Where required, roles will be subject to Disclosure and Barring Service (DBS) checks or equivalent vetting in other jurisdictions. Ongoing compliance with safeguarding policies, mandatory training, and professional standards is a condition of employment. EEO Statement Maximus is committed to developing, maintaining and supporting a culture of diversity, equity and inclusion throughout the recruitment process. We know that feeling included has a dramatic impact on personal well-being and are working to ensure that no job applicant receives less favourable treatment due to any personal characteristic. Advertisements for posts will include sufficiently clear and accurate information to enable potential applicants to assess their own suitability for the post. We are a Disability Confident Leader, thanks to our commitment to the recruitment, retention and career development of people with disabilities and long-term conditions. The Disability Confident scheme includes a guaranteed interview for any applicant with a disability who meets the minimum requirements for a job. When you complete your job application you will find a question asking you if you would like to apply under the Disability Confident Guaranteed Interview Scheme. If you feel that you have a disability and apply under this scheme, providing that you meet the essential criteria for the job, you will then be invited for an interview. YourGuaranteed Interview application will only be shared with the hiring manager and the local resourcing team. Where reasonable, Maximus will review and consider adjustments for those applicants who express a requirement for them during the recruitment process. Minimum Salary £ 52,500.00 Maximum Salary £ 57,500.00

Description & Requirements Join our team as a Senior Capture Manager, where you will lead strategic pursuits and develop winning solutions for state and local government programs. This role requires strong leadership, analytical skills, and the ability to collaborate across multiple business units to deliver compliant, competitive proposals. ***This is a fully remote position. Requires 10% travel. 100% mileage reimbursed at federal rate*** Why Maximus? - • Competitive Compensation - Quarterly bonuses based on performance included! - • Comprehensive Insurance Coverage - Choose from various plans, including Medical, Dental, Vision, Prescription, and partially funded HSA. Additionally, enjoy Life insurance benefits and discounts on Auto, Home, Renter's, and Pet insurance. - • Future Planning - Prepare for retirement with our 401K Retirement Savings plan and Company Matching. - • Paid Time Off Package - Enjoy Unlimited Time Off, Holidays, and sick leave, along with Short- and Long-Term Disability coverage. - • Holistic Wellness Support - Access resources for physical, emotional, and financial wellness through our Employee Assistance Program (EAP). - • Recognition Platform - Acknowledge and appreciate outstanding employee contributions. - • Tuition Reimbursement - Invest in your ongoing education and development. - • Employee Perks and Discounts - Additional benefits and discounts exclusively for employees. - • Maximus Wellness Program and Resources - Access a range of wellness programs and resources tailored to your needs. - • Professional Development Opportunities- Participate in training programs, workshops, and conferences. Essential Duties and Responsibilities: - Manage opportunities through capture lifecycle. - Lead pursuit teams to develop winning solutions aligned with RFP requirements - Work with sales to identify client needs. - Evaluate the competitive landscape. - Develop capture plan and strategy. - Lead competitive analysis, price-to-win analysis, and establish team cost targets based on segment pricing structure and in alignment with budgets. - Coordinate, collaborate and negotiate with operations, IT, pricing, and other internal stakeholders to drive compliant solutions. - Interact routinely with all levels of management, infrastructure and technology teams, HR, finance, consultants, and proposal resources and follow through on task assignments - Perform gap analysis of capabilities against customer requirements. - Review proposal drafts to ensure alignment with planned solution model and identify improvements in messaging and graphics to better align with win strategies - Conduct after action reviews for all business opportunities, lessons learned, and identify necessary adjustments to techniques, strategy, and actions. Minimum Requirements - Bachelor's degree in related field required. - 7-10 years of relevant professional experience required. - Equivalent combination of education and experience considered in lieu of degree. Program Specific Requirements: Bachelor's degree or equivalent combination of education, technical training or work experience considered in lieu of degree. Minimum of 7 years of related experience required in capture, business development, proposal development or project management - Required Successful track record of capture management and/or management for U.S. state and local government organizations, specifically in health and human services (such as Medicaid, Health Insurance Exchanges, SNAP, TANF and CHIP) is highly preferred Experience working in a matrixed environment, collaborating with business development, legal, operations, IT systems and infrastructure, human resources, implementation teams, finance and other business units to develop comprehensive, winning solutions Working knowledge of U.S. state and local government procurement practices required Experience working with remote teams preferred Experience in operations, such as running call centers or account management, is a plus Exceptional decision-making, analytical and presentation skills Strong interpersonal skills with the ability to manage deadlines, take initiative, research and understand business practices and processes Strong leadership, presentation and project management skills Proven track record working with all levels of management Strong writing and communication skills Experience mentoring junior team members #c0rejobs 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. Accommodations Maximus provides reasonable accommodations to individuals requiring assistance during any phase of the employment process due to a disability, medical condition, or physical or mental impairment. If you require assistance at any stage of the employment process-including accessing job postings, completing assessments, or participating in interviews,-please contact People Operations at **************************. Minimum Salary $ 90,000.00 Maximum Salary $ 160,000.00

Pay Range: $73,500.00 - $110,300.00 Please email HR_Talent_************************** if you are a candidate seeking a reasonable accommodation for the application and/or interview process. At BCBSRI, our greatest resource is our people. We come from varying backgrounds, different cultures, and unique experiences. We are hard-working, caring, and creative individuals who collaborate, support one another, and grow together. Passion, empathy, and understanding are at the forefront of everything we do-not just for our members, but for our employees as well. We recognize that to do your best work, you have to be your best self. It's why we offer flexible work arrangements that include remote and hybrid opportunities and paid time off. We provide tuition reimbursement and assist with student-loan repayment. We offer health, dental, and vision insurance as well as programs that support your mental health and well-being. We pay competitively, offer bonuses and investment plans, and are committed to growing and developing our employees. Our culture is one of belonging. We strive to be transparent and accountable. We believe in equipping our associates with the knowledge and resources they need to be successful. No matter where you're at in the organization, you're an integral part of our team and your input, thoughts, and ideas are valued. Join others who value a workplace for all. We appreciate and celebrate everything that makes us unique, from personal characteristics to past experiences. Our different perspectives strengthen us as an organization and help us better serve all Rhode Islanders. We're dedicated to serving Rhode Islanders. Our focus extends beyond providing access to high-quality, affordable, and equitable care. To further improve the health and well-being of our fellow Rhode Islanders, we regularly roll up our sleeves and get to work (literally) in communities all across the state-building homes, working in food pantries, revitalizing community centers, and transforming outdoor spaces for children and adults. Because we believe it is our collective responsibility to uplift our fellow Rhode Islanders when and where we can, our associates receive additional paid time to volunteer. What you will do: Conduct pre and post payment review of inpatient admissions, outpatient services, and other procedures to assess the appropriateness and continuity of care. Apply all aspects of the medical review function, including pre-authorization, concurrent review, screening for quality-of-care issues, and discharge planning. Document rationale for medical decisions made. Identify at-risk members who would benefit from health management programs through comprehensive health assessments. Monitor and evaluate patient's plan of care and identify potential issues through telephonic outreach. Recommend appropriate interventions. Promote member and provider satisfaction. Provide continuity and consistency of care by building positive relationships between member and family, physicians, provider, care coordinator, and health care plan. Represent corporation in a responsible and professional manner. Participate in department initiatives and projects. Perform other duties as assigned. What you'll need to succeed: Active and unrestricted RN license issued by a state participating in the Nurse Licensure Compact (NLC) Three to five years acute medical or clinical experience or experience in utilization reviewed. Valid Driver's License (On-site only) Understanding of utilization review techniques including all aspects of the medical review function, including pre-authorization, concurrent review and discharge planning Understanding of health care delivery system access points and services Correct application of health care management guidelines Ability to navigate the healthcare delivery system Advanced analytical skills, with the ability to interpret and synthesize complex data sets Good business acumen and political savvy Knowledge of business process improvement techniques and strategies Excellent verbal and written communications skills Negotiation skills Presentation skills Decision-making skills Good problem-solving skills Ability to interface with employees at all levels Ability to effectively navigate ambiguous situations with limited direction Excellent organizational skills and ability to successfully prioritize multiple tasks Ability to handle multiple priorities/projects The extras: Bachelor's Degree in Nursing Certified Case Management certification, Certified Professional Utilization Review certification Experience working in a managed care/health maintenance organization Location: BCBSRI is headquartered in downtown Providence, conveniently located near the train station and bus terminal. We actively support associate well-being and work/life balance and offer the following schedules, based on role: In-office: onsite 5 days per week Hybrid: onsite 2-4 days per week Remote: onsite 0-1 days per week. Permitted to reside in the following states, pending approval from the Human Resources Department: Arizona, Connecticut, Florida, Georgia, Louisiana, Massachusetts, North Carolina, Oklahoma, Rhode Island, South Carolina, Texas, Virginia Our culture of belonging at Blue Cross & Blue Shield of Rhode Island (BCBSRI) is at the core of all we do, and it strengthens our ability to meet the challenges of today's healthcare industry. BCBSRI is an equal opportunity employer. The law requires an employer to post notices describing the Federal laws. Please visit ************************************************************** to view the "Know Your Rights" poster.

Pay Range: $64,600.00 - $96,800.00 Please email HR_Talent_************************** if you are a candidate seeking a reasonable accommodation for the application and/or interview process. At BCBSRI, our greatest resource is our people. We come from varying backgrounds, different cultures, and unique experiences. We are hard-working, caring, and creative individuals who collaborate, support one another, and grow together. Passion, empathy, and understanding are at the forefront of everything we do-not just for our members, but for our employees as well. We recognize that to do your best work, you have to be your best self. It's why we offer flexible work arrangements that include remote and hybrid opportunities and paid time off. We provide tuition reimbursement and assist with student-loan repayment. We offer health, dental, and vision insurance as well as programs that support your mental health and well-being. We pay competitively, offer bonuses and investment plans, and are committed to growing and developing our employees. Our culture is one of belonging. We strive to be transparent and accountable. We believe in equipping our associates with the knowledge and resources they need to be successful. No matter where you're at in the organization, you're an integral part of our team and your input, thoughts, and ideas are valued. Join others who value a workplace for all. We appreciate and celebrate everything that makes us unique, from personal characteristics to past experiences. Our different perspectives strengthen us as an organization and help us better serve all Rhode Islanders. We're dedicated to serving Rhode Islanders. Our focus extends beyond providing access to high-quality, affordable, and equitable care. To further improve the health and well-being of our fellow Rhode Islanders, we regularly roll up our sleeves and get to work (literally) in communities all across the state-building homes, working in food pantries, revitalizing community centers, and transforming outdoor spaces for children and adults. Because we believe it is our collective responsibility to uplift our fellow Rhode Islanders when and where we can, our associates receive additional paid time to volunteer. What you will do: Pharmacy Benefit Expertise Serve as a subject matter expert on pharmacy benefit design and trend management; respond to inquiries regarding prescription coverage and member utilization. Cross-Functional Collaboration Work with internal teams (Sales, Marketing, Customer Service & Care Management) to triage and research customer needs, analyze market dynamics, and integrate strategies into the pharmacy benefit toolkit. Employer Group Support Deliver in person presentations and program performance updates; analyze data and track adoption of benefit options and coordinate cost-saving initiatives across departments. PBM Partnership, Program Optimization & RFP Compliance Collaborate with PBM and internal teams to enhance reporting tools, optimize programs, and ensure compliance with benefit design and regulatory requirements. Gather and validate data for RFPs, ensuring accurate, timely responses to assigned questions. Claims Adjudication Oversight Review pharmacy benefit rules, resolve coverage issues, and ensure accurate adjudication of claims in alignment with benefit design. Administrative & Communication Management Support P&T Committee functions, manage internal requests and member outreach, and facilitate communication between pharmacists and providers for care coordination. In Person Presentations and Department Meeting Must have the ability to work onsite for internal department meetings and offsite for external client meetings and presentations. Additional Responsibilities Perform other duties as assigned to maintain high-quality, cost-effective pharmacy benefit operations. What you'll need to succeed: Knowledge of formularies, drug rebate contracts, and pharmacy benefit design Knowledge of cost containment and utilization review strategies Analytical skills specific to pharmacy utilization management and/or project management. Strong communication, interpersonal and presentation skills. Proficient in Microsoft Office applications (i.e. Excel, PowerPoint) The extras: Combination of education and applicable experience Three to five years' experience in managed care or a pharmacy or related healthcare field. Specific knowledge and exposure to prescription drugs, pharmacy benefits, utilization review, cost containment strategies, and emerging technology. Experience with group level presentation and financial analysis reporting on pharmacy trends and benefit performance. Location: BCBSRI is headquartered in downtown Providence, conveniently located near the train station and bus terminal. We actively support associate well-being and work/life balance and offer the following schedules, based on role: In-office: onsite 5 days per week Hybrid: onsite 2-4 days per week Remote: onsite 0-1 days per week. Permitted to reside in the following states, pending approval from the Human Resources Department: Arizona, Connecticut, Florida, Georgia, Louisiana, Massachusetts, North Carolina, Oklahoma, Rhode Island, South Carolina, Texas, Virginia Our culture of belonging at Blue Cross & Blue Shield of Rhode Island (BCBSRI) is at the core of all we do, and it strengthens our ability to meet the challenges of today's healthcare industry. BCBSRI is an equal opportunity employer. The law requires an employer to post notices describing the Federal laws. Please visit ************************************************************** to view the "Know Your Rights" poster.

Description & Requirements We are seeking a Federal OneStream (OS) Junior Developer to support our Internal Revenue Service (IRS) client. Essential Duties and Responsibilities: - Design, develop, and maintain web-based applications as a Front-End Web Developer. - Work closely with technical end users to develop resolution of software problems. Job-Specific Essential Duties and Responsibilities: -Participate in working sessions to develop detailed technical and functional design specifications. -Support documentation of functional design and technical approach. -Support configuration of OneStream budgeting application based on detailed requirements -Support functionality testing, reporting, and integration -Support User Acceptance Testing of OneStream tool -Support training for end-users including work step instructions. Job-Specific Minimum Requirements: - Bachelor's Degree (or equivalent additional experience) from an accredited college or university. - At least two (2) to five (5) years of related experience required. - Experience and knowledge in configuration of OneStream (OS) budgeting tool. - Experience with testing OneStream application. - Experience with Agile software development methodology and continuous integration. - Strong interpersonal, communication, and writing skills. Minimum Requirements - Bachelor's degree in relevant field of study and 3+ years of relevant professional experience required, or equivalent combination of education and experience. Job-Specific Preferred Skills: - Possess OneStream certification(s) - Experience configuring OneStream budgeting application in a federal environment - Experience with Budget Formulation, Budget Execution, and People Planning #techjobs #clearance #veterans Page #LI-Remote 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. Accommodations Maximus provides reasonable accommodations to individuals requiring assistance during any phase of the employment process due to a disability, medical condition, or physical or mental impairment. If you require assistance at any stage of the employment process-including accessing job postings, completing assessments, or participating in interviews,-please contact People Operations at **************************. Minimum Salary $ 95,000.00 Maximum Salary $ 105,000.00

Description & Requirements Maximus is currently seeking a Director, Finance & Accounting. In this role, you will be responsible for performing and providing financial oversight to the business. . Essential Duties and Responsibilities: - Prepare financial budgeting, forecasting and reporting on a monthly, quarterly, and annual basis, while performing variance analysis between forecast and actual. - Ensure effectiveness of accuracy and timeliness of forecasting, reporting, accruals, and other financial related processes and systems on a weekly and monthly basis. - Provide direct financial leadership and support for assessing service allocation rates, composition of cost pools for new allocations. - Work with group and project finance teams to develop, administer, and implement process improvements and methodologies and cost allocation expectations. Job-Specific Essential Duties and Responsibilities: - Lead a team of financial professionals to develop and implement a financial strategy that is effective, consistent and aligns with the organization's overall financial strategy. - Responsible for oversight and maintenance of project financial records and forecasts. - Provide strategic pricing leadership to support a new business area. - Participate in all internal and external audits. - Oversee the monthly and quarterly financial close process for assigned businesses. - Coordinates with Project Management to develop operational productivity analysis and tracking of metrics to identify where cost efficiencies can be achieved. - Reviews contract modifications, maintain financial contract files and prepares reports, documentation and presentations as appropriate. - Ensure client invoices are compliant with MAXIMUS policy and client requirement to ensure projects are billed accurately and timely. - Manages Direct Sales Outstanding by expediting collections and keeping unbilled as low as possible. - Ensure compliance with applicable policies and procedures as well as US GAAP, FAR, CAS and statutory regulations, acting as a champion of the company policy and procedures. - Provide monthly, quarterly and annual forecasting for financial and business planning with Project Management and Division finance and works closely to track performance and provides timely variance and Risk and Opportunity analysis. - Prepares routine and ad-hoc financial reports and analysis using MAXIMUS proprietary tools, Enterprise solutions, CostPoint, Cognos Reporting, and Excel - Lead cooperative effort among members of a team. - Provides ongoing supervision too assigned staff. - Responsible for identifying and resolving issues, problems and concerns. - Receives assignments in the form of objectives and determines how to use resources to meet schedules and recommends changes to policies and establishes procedures. - Interacts with different levels of external and internal customers. - Ensures the confidentiality and security of all corporate information. - Other duties as assigned. Minimum Requirements - Bachelor's degree in related field required. - 10-12 years of relevant professional experience required. Job-Specific Minimum Requirements: - Bachelor's degree in accounting or finance from an accredited college or university or equivalent experience in lieu of degree. Master's Degree preferred. - Due to customer requirements, United States Citizenship is required. - The ability to obtain or maintain a government issued security clearance is required. -10+ years of relevant professional experience required. - At least 5 years of experience in project accounting, financial control/management or similar discipline. - 2-3 years management experience required. - Must have DoD financial experience. - Must have strategic pricing experience. - Ability to coach, develop and mentor team members. - Proficient in Microsoft Office (strong Word and Excel skills). - Excellent organizational, interpersonal, verbal, and written communication skills, ability to perform quantitative and qualitative analyses of existing business processes. - Ability to perform comfortably in a fast-paced, deadline-oriented work environment. - Ability to work under standards-based performance measures. - Ability to successfully execute many complex tasks simultaneously. - Ability to work as a team member, as well as independently. - Ability to be a self-starter. #techjobs #LI-PN1 #max ITFin #veterans Page #LI-Remote 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. Accommodations Maximus provides reasonable accommodations to individuals requiring assistance during any phase of the employment process due to a disability, medical condition, or physical or mental impairment. If you require assistance at any stage of the employment process-including accessing job postings, completing assessments, or participating in interviews,-please contact People Operations at **************************. Minimum Salary $ 145,000.00 Maximum Salary $ 160,000.00

Description & Requirements Maximus is currently hiring for a remote Enrollment and Eligibility Subject Matter Expert. The Enrollment and Eligibility Subject Matter Expert delivers consulting services for medium- to long-term engagements, applying a combination of technical expertise, interpersonal skills, and subject matter expertise in SNAP, TANF, and Medicaid policies and processes. This role focuses on the planning, development, delivery, deployment, and oversight of Integrated Eligibility systems to support HHS modernization initiatives. *This position is contingent upon contract award. * Why Maximus? - • Competitive Compensation - Quarterly bonuses based on performance included! - • Comprehensive Insurance Coverage - Choose from various plans, including Medical, Dental, Vision, Prescription, and partially funded HSA. Additionally, enjoy Life insurance benefits and discounts on Auto, Home, Renter's, and Pet insurance. - • Future Planning - Prepare for retirement with our 401K Retirement Savings plan and Company Matching. - • Paid Time Off Package - Enjoy UTO, Holidays, and sick leave, along with Short and Long Term Disability coverage. - • Holistic Wellness Support - Access resources for physical, emotional, and financial wellness through our Employee Assistance Program (EAP). - • Recognition Platform - Acknowledge and appreciate outstanding employee contributions. - • Tuition Reimbursement - Invest in your ongoing education and development. - • Employee Perks and Discounts - Additional benefits and discounts exclusively for employees. - • Maximus Wellness Program and Resources - Access a range of wellness programs and resources tailored to your needs. - • Professional Development Opportunities- Participate in training programs, workshops, and conferences. Essential Duties and Responsibilities: - Collaborate with project managers on various initiatives and projects to track progress and provide support as necessary. - Support leadership in ensuring that the project is delivered to specifications, is on time, and within budget. - Work closely with management and work groups to create and maintain work plan documents. - Track the status and due dates of projects. - Manage relationships with project staff responsible for projects. - Produce regular weekly and monthly status reports that could include; work plan status, target dates, budget, resource capacity, and other reports as needed. - Facilitate regular meetings and reviews. - Adhere to contract requirements and comply with all corporate policies and procedures. - Provide ad hoc support as needed to project team, developers, and stakeholders as requested by project team. - Provide assistance responding to federal partners' requests for information. - Consult on federal or state initiatives or policy changes. Minimum Requirements - Bachelor's degree in related field. - 7-10 years of relevant professional experience required. - Equivalent combination of education and experience considered in lieu of degree. - Experience with CMS Medicaid Streamline Modular Certification (SMC) and related outcomes and metrics. - Experience researching state Medicaid , federal, and state eligibility and enrollment documentation and regulations. - Experience defining and designing Medicaid enrollment and reconciliation solutions. - Experience speaking with the client/users to understand their specific eligibility business processes - Minimum three (3) years' experience within the last five (5) years in a comparable role on a similar project. - Must be willing and able to work a shift that supports the Alaska Standard time zone. Home Office Requirements: - Internet speed of 20mbps or higher required (you can test this by going to ******************* - Connectivity to the internet via either Wi-Fi or Category 5 or 6 ethernet patch cable to the home router. - 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. Accommodations Maximus provides reasonable accommodations to individuals requiring assistance during any phase of the employment process due to a disability, medical condition, or physical or mental impairment. If you require assistance at any stage of the employment process-including accessing job postings, completing assessments, or participating in interviews,-please contact People Operations at **************************. Minimum Salary $ 90,000.00 Maximum Salary $ 110,000.00

Description & Requirements The Contract Sr Manager will oversee all contractual activities for a major program with the U.S. Department of Veterans Affairs (VA) and support engagements with the Defense Health Agency (DHA). This role requires deep expertise in FAR/DFARS-governed federal contracts, strong leadership in contract administration, and active participation in proposal development. The Contract Sr Manager will serve as the primary point of contact for contractual matters, ensuring compliance, mitigating risk, and supporting program success. Key Responsibilities Contract Administration & Compliance: -Manage the full lifecycle of prime contracts and subcontracts for major VA and DHA programs. -Ensure strict compliance with Federal Acquisition Regulation (FAR), DFARS, and agency-specific requirements. -Maintain accurate records for audits and reporting. Proposal Support: -Partner with business development and proposal teams to review RFPs, RFQs, and solicitations. -Provide contractual guidance during proposal preparation, including compliance checks and risk assessments. -Assist in developing cost narratives, certifications, and representations. -Program Support & Risk Management: -Serve as the primary contractual liaison with VA and DHA contracting officers and internal stakeholders. -Identify and mitigate contractual risks, ensuring timely resolution of issues. -Support program managers in interpreting contract terms and obligations. Negotiation & Change Management: -Lead negotiations for contract modifications, extensions, and pricing adjustments. -Manage change orders and ensure alignment with program objectives and compliance requirements. Process Improvement: -Develop best practices for contract management and compliance monitoring. -Train internal teams on contract policies and procedures. Skills and Qualifications -Minimum 8+ years in federal contract management, with at least 3 years in a leadership or program-focused role. -Proven experience managing FAR/DFARS contracts for major federal programs. -Direct experience with VA and DHA customers is required. -Demonstrated success supporting proposal development and compliance reviews. -Excellent negotiation, analytical, and communication skills-. -Proficiency in contract management systems and Microsoft Office Suite. -Ability to independently manage multiple priorities in a fast-paced environment. Essential Duties and Responsibilities: - Manage the policies for the company, ensuring compliance with FAR, DFARS, and other regulations and company directives. - Oversee review of proposals and contract actions processed for the company prior to signature or negotiation, and ensure that all factors have been considered and all necessary information has been gathered. - Implement contract policies, procedures, and other business and contractual or compliance matters affecting the business unit. - Manage and direct subcontract completions and close-out process. - Oversee, manage, and provide guidance and direction to direct reports by reviewing all change notices and amendments to major contracts (including all contracts with development effort) affecting period of performance, funding, cost or changes to technical specifications and ensuring proper risk evaluation and mitigation. - Oversee and monitor negotiation of contractual agreements on terms and conditions that are in the best interest of the company and its client. Minimum Requirements - Manage activities of two or more sections or departments. - Exercise supervision in terms of costs, methods, and staffing. - In some instances this manager may have subordinate supervisors and/or managers. - Work on issues where analysis of situations or data requires an in-depth knowledge of organizational objectives. - Implement strategic policies when selecting methods, techniques, and evaluation criteria for obtaining results. - Establish and assures adherence to budgets, schedules, work plans, and performance requirements. - Regularly interact with senior management or executive levels on matters concerning several functional areas, divisions, and/or customers. - Require the ability to change the thinking of, or gain acceptance from, others in sensitive situations, without damage to the relationship. - Establish operational objectives and work plans and delegates assignments to subordinates. - Senior management reviews objectives to determine success of operation. - Involved in developing, modifying and executing company policies that affect immediate operations and may also have company-wide effect. Certified Federal Contracts Manager (CFCM) or Certified Professional Contracts Manager (CPCM) is a plus. #HotJobs1223LI #HotJobs1223FB #HotJobs1223X #HotJobs1223TH #TrendingJobs #c0rejobs 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. Accommodations Maximus provides reasonable accommodations to individuals requiring assistance during any phase of the employment process due to a disability, medical condition, or physical or mental impairment. If you require assistance at any stage of the employment process-including accessing job postings, completing assessments, or participating in interviews,-please contact People Operations at **************************. Minimum Salary $ 111,605.00 Maximum Salary $ 150,880.00

Description & Requirements Maximus is seeking a qualified Sr. Technical Analyst for multiple projects, current and upcoming. The qualified candidate will be involved in technical planning and assessment projects with multiple state agencies. The position requires the candidate to produce technical analyses, develop estimates, review and contribute to requirements for large systems-planning efforts in the Child Support, Child Welfare, and Integrated Eligibility (SNAP, TANF, Medicaid) public-sector domains. The individual will report directly to a Senior Manager. Maximus is a matrix-managed organization, which means the individual will have secondary reporting relationships to one or more Project Managers, depending on which projects they are assigned. *This role is remote but requires working standard business hours in the US time zone of the client. This position is contingent upon award. * Essential Duties and Responsibilities: - Collaborate with project managers on various initiatives and projects to track progress and provide support as necessary. - Support leadership in ensuring that the project is delivered to specifications, is on time, and within budget. - Work closely with management and work groups to create and maintain work plan documents. - Track the status and due dates of projects. - Manage relationships with project staff responsible for projects. - Produce regular weekly and monthly status reports that could include; work plan status, target dates, budget, resource capacity, and other reports as needed. - Facilitate regular meetings and reviews. - Adhere to contract requirements and comply with all corporate policies and procedures. Job Specific Duties and Responsibilities: -Perform duties independently under the direction of their direct manager and/or Project Managers on specific projects. -Review project documentation and client materials and provide analysis of technical and business topics. -Participate in client meetings and offer observations and insight of technical and business topics. -Identify risk areas and potential problems that require proactive attention. -Review artifacts and other project documents and identify potential gaps, inconsistencies, or other issues that may put the project at risk. Such artifacts and documents include but are not limited to: *Application Lifecycle Management Plan *System Security Plan *System Architecture Document *Database Development Plan *Configuration Management Plan *System Requirements *Functional Design Documents *Technical System Design *Data Conversion and Migration Management Plan *Deployment and/or roll-out plans -Identify and escalate to the Senior Manager / Project Manager risks, alternatives, and potential quality issues. -Attend interviews, focus groups, or other meetings necessary to gather information for project deliverables in accordance with the project scope of work. -Attend project meetings with the client, subcontractors, project stakeholders, or other Maximus Team members, as requested by the Senior Manager / Project Manager. -Complete project work in compliance with Maximus standards and procedures. -Support team to complete assigned responsibilities as outlined in the Project schedule. -Support all other tasks assigned by Senior Manager / Project Manager. Minimum Requirements - Bachelor's degree in related field. - 7-10 years of relevant professional experience required. - Equivalent combination of education and experience considered in lieu of degree. Job Specific Requirements: -Be available to work during standard client business hours. Projects may involve clients from any US time zone, so it is possible that work outside of the individual's local business hours will be required. -Bachelor's degree in computer science, engineering, or science from an accredited college or university, or equivalent work experience. -8+ years of progressive technical experience in technical disciplines and roles. E.g.: *Software Developer to Architect to Manager *Business Analyst to Project Manager to Senior Manager -3+ years working on/with large Health & Human Services (HHS) system modernization projects, to include Child Support, Child Welfare, or Integrated Eligibility (SNAP, TANF, and Medicaid). -Familiar with multiple computer languages. -Familiar with mainframe technologies (e.g. CICS COBOL, NATURAL / ADABAS, VMS, etc.) -Familiar with operating systems: Windows, Linux/UNIX, OS/X. -Familiar with AI tools, capabilities. -Familiar with databases and database tools: DB2, Oracle, MS SQL Server, TOAD. -Strong command of cloud computing topics. -Strong command of agile software development practices as well as waterfall development practices. -Strong desktop software skills: proficient in MS Office, Excel, Word, Project. -Ability to explain and communicate technical subjects to non-technical audiences. -Ability to develop solutions to highly complex problems which require a high degree of ingenuity and innovation. -Ability to ensure solutions are consistent with organization, client, and project objectives and constraints. -Ability to develop advanced concepts, techniques, and standards requiring a high level of interpersonal and technical skills. -Ability to work independently. -Good organizational skills and the ability to manage multiple tasks and deadlines simultaneously. -Strong interpersonal and team building skills, as well as an understanding of client relationship building are essential. -Excellent verbal and writing skills and be comfortable working with customers. -Ability to multi-task with supervision. -Self-motivated fast learner. 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. Accommodations Maximus provides reasonable accommodations to individuals requiring assistance during any phase of the employment process due to a disability, medical condition, or physical or mental impairment. If you require assistance at any stage of the employment process-including accessing job postings, completing assessments, or participating in interviews,-please contact People Operations at **************************. Minimum Salary $ 120,000.00 Maximum Salary $ 140,000.00

Description & Requirements Are you ready to drive strategic growth by leading innovative solution design for high-priority government pursuits? Maximus is seeking a Senior Solution Architect to lead solution design and strategy while driving technical innovation across the organization. This strategic role is vital to our growth engine as you'll bridge deep technical expertise with business strategy to develop differentiated solutions that address complex customer challenges. You will shape opportunities through customer engagement, lead cross-functional solution teams, and ensure alignment between technical solutions and business objectives. The ideal candidate combines extensive technical knowledge with strategic business acumen to identify and prioritize critical problems, applying cutting-edge technologies to make real impacts on important government missions and challenges. Your leadership will power Maximus' growth by creating compelling, differentiated solutions that maximize business and mission impacts. This position is remote. Essential Duties and Responsibilities: - Design and develop specific solutions leveraging technologies and design practices that enable a scalable, extensible and flexible solution. - Develop and provide presentations and demonstrations of technology solutions to both internal and external stakeholders as needed. - Extend and partner with internal/external resources to identify and contribute to continuous improvements of open source projects across multiple open source technologies/projects. - Engage with internal teams to understand and architect technical solutions, facilitate solutions design and manage implementations. - Collaborate with delivery teams to ensure solutions can be effectively implemented by operations teams. - Mentor Solution Architects and integrate contributions across the team. Provide guidance, coaching, and training to technical employees across the company. - Interface with pricing and delivery teams to ensure solution viability and cost realism. - Lead major solution components or technical volumes as part of a capture team. - Translate client requirements into viable solution elements and architecture views. - Lead large complex initiatives of strategic importance to the organization, which involve large cross-functional teams. - Work closely with business leaders, customers, or other stakeholders to understand priorities and constraints. Facilitate collaboration across organizations and act as a bridge between technical teams and non-technical stakeholders. - Work directly with customers to understand their needs and design tailored solutions. Build trust and credibility through consistent delivery and transparency. - Help guide teams through technology transitions. Support training and adoption efforts to ensure successful implementation. - Review, guide and support RFIs, RFPs and RFQs, response development including writing of whitepapers and concept development. - Provide technical solution support during proposal process, to include technology stack, solution architecture, and implementation methodology. Job-Specific Essential Duties: - Lead solution design and strategy for high-priority government pursuits - Define technical win themes and differentiators for competitive proposals - Incorporate capabilities from Maximus Accelerators and reusable components - Drive innovation through emerging technologies and industry best practices - Conduct competitive analysis and develop strategies to address market trends - Lead solution reviews with executives and subject matter experts - Technical Leadership & Business Alignment - Design scalable, extensible solutions leveraging cutting-edge technologies - Develop estimation models and solution pricing strategies - Collaborate with capture managers to shape opportunities pre-RFP - Mentor junior architects and provide technical guidance across teams - Ensure solutions meet compliance requirements and align with customer needs - Develop transition plans addressing operational readiness and implementation Minimum Requirements - Bachelor's degree in related field. - 10-12 years of relevant professional experience required. - Equivalent combination of education and experience considered in lieu of degree. Job-Specific Requirements: - 10+ years of technical IT experience including solution development - Additional relevant experience may be considered in lieu of degree requirements - Deep understanding of government IT landscape and compliance requirements - Experience with estimation techniques and competitive solution development - Expertise in one or more technology domains (cloud, cybersecurity, AI/ML, etc.) - Knowledge of security standards, compliance frameworks, and risk management - Experience with government proposal processes and competitive analysis Preferred Qualifications: - Master's degree #techjobs #veterans Page #LI-Remote 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. Accommodations Maximus provides reasonable accommodations to individuals requiring assistance during any phase of the employment process due to a disability, medical condition, or physical or mental impairment. If you require assistance at any stage of the employment process-including accessing job postings, completing assessments, or participating in interviews,-please contact People Operations at **************************. Minimum Salary $ 188,160.00 Maximum Salary $ 282,240.00

Pay Range: $98,100.00 - $163,400.00 Please email HR_Talent_************************** if you are a candidate seeking a reasonable accommodation for the application and/or interview process. At BCBSRI, our greatest resource is our people. We come from varying backgrounds, different cultures, and unique experiences. We are hard-working, caring, and creative individuals who collaborate, support one another, and grow together. Passion, empathy, and understanding are at the forefront of everything we do-not just for our members, but for our employees as well. We recognize that to do your best work, you have to be your best self. It's why we offer flexible work arrangements that include remote and hybrid opportunities and paid time off. We provide tuition reimbursement and assist with student-loan repayment. We offer health, dental, and vision insurance as well as programs that support your mental health and well-being. We pay competitively, offer bonuses and investment plans, and are committed to growing and developing our employees. Our culture is one of belonging. We strive to be transparent and accountable. We believe in equipping our associates with the knowledge and resources they need to be successful. No matter where you're at in the organization, you're an integral part of our team and your input, thoughts, and ideas are valued. Join others who value a workplace for all. We appreciate and celebrate everything that makes us unique, from personal characteristics to past experiences. Our different perspectives strengthen us as an organization and help us better serve all Rhode Islanders. We're dedicated to serving Rhode Islanders. Our focus extends beyond providing access to high-quality, affordable, and equitable care. To further improve the health and well-being of our fellow Rhode Islanders, we regularly roll up our sleeves and get to work (literally) in communities all across the state-building homes, working in food pantries, revitalizing community centers, and transforming outdoor spaces for children and adults. Because we believe it is our collective responsibility to uplift our fellow Rhode Islanders when and where we can, our associates receive additional paid time to volunteer. What you will do: Lead the extraction and analysis of health care data for specific studies and corporate initiatives related to the Total Cost of Care. Lead data intensive projects related to data exchanges with contracted clinical vendors; Serve as a technical resource to department staff and management on technical issues; Develop and improve automated processes to increase the efficiency and accuracy of work products. What you'll need to succeed: Develop deep understanding of claims, eligibility and provider data to support clinical vendor implementations and ongoing relationships. Perform data extraction and mapping activities in alignment with vendor program specifications. Collaborate with vendors to define necessary inbound data elements and facilitate their integration into BCBSRI data structures. Drive data discussions to ensure “minimum necessary” data is provided to fully support clinical programs. Present and defend data requirements at internal Data Governance Committee. Triage data discrepancies and expeditiously resolve inconsistencies. Perform complex analytical work of health care data. Utilize data to provide insights about customers and prospects to support the growth of various market segments. Initiate and lead data intensive projects; translate quantitative findings into practical insights through the interpretation of data, trends and other sources. Prepare project results or recommendations for a wide range of audiences using written reports and presentation exhibits/graphics. Conduct special data extraction and analysis studies. Summarize results and provide recommendations where appropriate. Design, implement, and maintain various databases as assigned; develop reporting capabilities and ensure data quality and documentation is adequate. Identify areas where operational efficiency can be improved through enhanced automation. Collaborate with technical staff on implementation of enhancements. Communicate necessary changes and enhancements to all internal/external customers. Represent the organization at external meetings. Provide recommendations and input to new contract provisions for performance guarantees. Respond to various Requests for Implementation as requested by marketing staff. Perform special studies as needed. Perform other duties as assigned. Bachelor's degree in Computer Science, Mathematics, Economics, or related field; or an equivalent combination of education and experience Seven to ten years health data analysis, business analysis, software application, database design, and technical documentation experience, preferably in the health insurance industry Successfully pass the Wolfe Spence Programmer Aptitude test Knowledge of claims processing and membership processing for all BCBSRI lines of business The extras: Knowledge of applied statistics Knowledge of econometric modeling Knowledge of marketing analytic principles and modeling Experience utilizing competitive intelligence Knowledge of CPT-4 and ICD-9 coding and covered benefits Understanding of SAS programming, spreadsheet, and database software and other application development tools Knowledge of general mathematical principals Working knowledge of Business Objects and Windows Understanding of micro and mainframe computer systems Strong business acumen and political savvy Ability to lead and manage projects Ability to collaborate while dealing with complex situations Ability to think creatively and to drive innovation Ability to motivate, lead and inspire a diverse group to a common goal/solution with multiple stakeholders Ability to convert business strategy into action-oriented objectives and measurable results Strong negotiating, influencing, and consensus-building skills Ability to mentor, coach and provide guidance to others Location: BCBSRI is headquartered in downtown Providence, conveniently located near the train station and bus terminal. We actively support associate well-being and work/life balance and offer the following schedules, based on role: In-office: onsite 5 days per week Hybrid: onsite 2-4 days per week Remote: onsite 0-1 days per week. Permitted to reside in the following states, pending approval from the Human Resources Department: Arizona, Connecticut, Florida, Georgia, Louisiana, Massachusetts, North Carolina, Oklahoma, Rhode Island, South Carolina, Texas, Virginia Our culture of belonging at Blue Cross & Blue Shield of Rhode Island (BCBSRI) is at the core of all we do, and it strengthens our ability to meet the challenges of today's healthcare industry. BCBSRI is an equal opportunity employer. The law requires an employer to post notices describing the Federal laws. Please visit ************************************************************** to view the "Know Your Rights" poster.

Description & Requirements This is a fantastic opportunity to deliver and make a difference online. We are looking for people who are based near one of our delivery locations, Buckinghamshire. If you live within a commutable distance of Buckinghamshire like Oxfordshire or Hertfordshire we can consider you too! Primarily with this role delivery times will be between 5pm - 9pm, so you must feel comfortable working between these times as part of the role. We are looking for candidates who have experience of working with families, young people and Adults. You MUST be free for a group interview on Wednesday 21st January 2026 at 16:30. Be part of something great Maximus is a global organisation that specialises in providing health and employment services to millions of people every year. Here in the UK we employ around 5,000 people across the country to deliver services that have a profound impact on people's lives. From assessments and health services to employability programmes and specialist support, we do work that matters with people who care. The Health and Wellbeing Coach provides personalised support to individuals to empower them take control of their own health and wellbeing with a focus on lifestyle behaviour change, inclusive but not limited to the core areas of: Healthy Eating and Nutrition Smoking Cessation Physical Activity Weight Management Alcohol consumption NHS Health Checks (outreach) As a Health and Wellbeing Coach, you will facilitate people in establishing and attaining health-promoting goals, set by the person to change lifestyle-related behaviours, with the intent of reducing health risks, improving self-management of chronic conditions, and improving quality of life. The Health and Wellbeing Coach is also responsible for delivering face-to-face, telephonic, and digital health coaching support to individuals from a wide range of community and healthcare settings via a combination of one-to-one and group-based support in line with need, location and offer. To provide a health coaching service for eligible participants that supports people to gain and use the knowledge, skills, and confidence to become active participants in their health and wellbeing so that they can reach their self-identified health and wellbeing goals, including, but not limited to: Triage and assessment Agenda setting Lifestyle behaviour change support to (e.g.) stop smoking, move more, achieve a healthy weight/diet, reduce alcohol consumption levels. Problem solving Motivational interviewing Goal setting Signposting Delivery multi-channel, personalised health coaching support to individuals and groups in line with their needs and preferences including: Face-to-face, telephonic, and digital health coaching Multi-mix communications methods including in-app messaging, text, and email. Share helpful and supportive resources in line with goal, stage of journey, confidence, and motivation. Advocate the use of behaviour tracking tools (online or offline) Appraise individuals and population caseloads daily to ensure participants are provided with the right intensity and frequency of support to drive sustained behaviour change. A strength-based approach, that maximising opportunities to utilise local community assets and efficient utilisation of the wider health and wellbeing economy. To deliver services in line with quality standards, national / government guidelines, and role boundaries, with the ability to identify and act accordingly when coaching is not appropriate and being able to sensitively discuss alternatives or escalate appropriately - inclusive on supporting onward referral to wider services. Support with outreach community engagement work inclusive, but not limited to: Screening services (e.g., NHS Health Checks) Community and stakeholder events External meetings and networks Roadshows and pop-ups To deliver services in line with quality standards, national / government guidelines and role boundaries, with the ability to identify and act accordingly when coaching is not appropriate and being able to sensitively discuss alternatives or escalate appropriately - inclusive on supporting onward referral to wider services. Work in line with business and contract performance requirements including: Implementing Standard Operating Procedures (SOP) Fulfilling policies and quality management framework expectations including (but not limited to), data protection, information security, Health and safety and safeguarding. Participate in regular audits and performance observations, with a pro-active commitment to providing high quality services and continuous professional development. A proactive approach to supervision and training with a demonstrated commitment to personal development, achievement of quality standards, high performance in line with agreed objectives and Key Performance Indicators KPIs To ensure accurate reporting and data collection in line with contractual and case management system requirements to ensure: Caseloads can be managed efficiently, effectively and at scale. Team members are able to support in population behaviour change as required and in line with need Wider informal and formal care givers / specialists can complement and enhance the behaviour change journey Service users / participants only have to tell their story once and where behaviour changes occur sequentially or concurrently, we are able to offer a comprehensive and coordinated supportive services Data audits accurately capture activity, productivity, utilisation, and outcomes. Salary Non-London: £24,570 - 28,700 London: £26,000 - £31,000 Qualifications & Experience Essential Relevant health coaching qualification or an accredited health coaching skills programme. A minimum of six months of direct health coaching delivery Experience in delivering behaviour change interventions for specific lifestyle related issues (e.g., smoking cessation, physical activity, NHS Health Checks, weight management, alcohol reduction) Evidence of supporting vulnerable individuals through a change process Experience of caseload management demonstrated via the use of a Case Management System Experience of inputting and processing data where accuracy, targets and time deadlines are operating in the workplace. Experience of supporting vulnerable individuals through a change process Evidence of continuous professional development to ensure the delivery of the most recent and up to date health coaching provision to the correct quality standard. Experience of working in a health, community or social care environment or good understanding of the issues around maintaining a healthy lifestyle Desirable: Membership of professional body (ICF, EMCC, AoC, UKHCA) Experience of managing and supervising individuals and teams. Educated to degree level in a relevant subject e.g., Psychology, Behavioural Science etc. Experience of supporting people remotely / telephonically / digitally Evidence of working with individuals with long term health conditions Individual Competencies Essential A strong understanding of the social determinants of health A strong understanding of population-based approaches including segmentation and risk stratification. A strong understanding of behaviour change principles and methodology including the COM-B model and behaviour change wheel. Excellent oral and written communication skills with people from a wide variety of backgrounds. Demonstrable core skills and competencies as set out in best practice standards including: Select and apply a range of health coaching models, conversation frames and techniques. Detailed knowledge of the core concepts and principles of personalisation, patient activation, health behaviour change, self efficacy, intrinsic motivation, and assets-based approaches. Detailed understanding of self management support and associated techniques. Advanced skills development incorporating practice, reflection and planning for the application of learning to practice. Excellent internal and external stakeholder engagement and management. Good understanding of principles of confidentiality and safeguarding. Strong written and verbal communication skills with the ability capture essential information that supports effective case management. A strong track record of interpersonal relationships including the ability to build, develop and maintain relationships. Effective caseload management inclusive of accurate data collection, data entry, timely recording, and delivery against agreed Service Level Agreements (SLAs) and Standard Operating Procedures (SOPs). Confident in the use of evolving digital technologies to support people through behaviour change processes. The ability to manage time independently and effectively and work to deadlines. Effective safe and sensitive data management in line with information security standards. Excellent Microsoft Office skills and ability to learn quickly when using news systems and processes. Commitment to personal development / training. Commitment to flexible working (including evenings and weekends), ensuring the service is available to all residents including, those who work during the day, shift workers and those with children of school age. Commitment to supporting overall team/contract performance to the highest standards, undertaking a range of duties in line with business requirements. Desirable Experience of delivery health screening services (e.g., NHS Health Check) Effective delivery of programmes in line with contractual requirements and SLAs. Key Business Priorities Internal Co-workers, managers, and wider team Health Division colleagues Maximus central division Maximus companies and associates Colleague forums External Local Authority Integrated Care Partnerships / Boards Community and Voluntary sector Population being served / supported Sub-contractors and key partners Community stakeholders Co-location cooperatives Venue providers Healthcare settings including GP Practices / Primary Care Networks EEO Statement Maximus is committed to developing, maintaining and supporting a culture of diversity, equity and inclusion throughout the recruitment process. We know that feeling included has a dramatic impact on personal wellbeing and are working to ensure that no job applicant receives less favourable treatment due to any personal characteristic. Advertisements for posts will include sufficiently clear and accurate information to enable potential applicants to assess their own suitability for the post. We are a Disability Confident Leader, thanks to our commitment to the recruitment, retention and career development of people with disabilities and long term conditions. The Disability Confident scheme includes a guaranteed interview for any applicant with a disability who meets the minimum requirements for a job. When you complete your job application you will find a question asking you if you would like to apply under the Disability Confident Guaranteed Interview Scheme. If you feel that you have a disability and apply under this scheme, providing that you meet the essential criteria for the job, you will then be invited for interview. YourGuaranteed Interview application will only be shared with the hiring manager and the local resourcing team. Where reasonable, Maximus will review and consider adjustments for those applicants who express a requirement for them during the recruitment process. Minimum Salary £ 24,570.00 Maximum Salary £ 28,700.00

Description & Requirements Maximus is seeking a qualified Sr. Technical/Security Analyst for multiple projects, current and upcoming. The qualified candidate will be involved in technical/security planning and assessment projects with potentially multiple state agencies. The position requires the candidate to produce/review security relevant documentation, such as system security plans, POA&Ms, assessment plans, etc., produce technical/security analyses, develop estimates, review and contribute to requirements for large systems-planning efforts in the Child Support, Child Welfare and/or Integrated Eligibility public-sector domains. The individual will report directly to a Senior Manager. Maximus is a matrix-managed organization, which means the individual will have secondary reporting relationships to one or more Project Managers, depending on which projects they are assigned. *This role is remote but requires working standard business hours in the US time zone of the client. This position is contingent upon award. * Essential Duties and Responsibilities: - Collaborate with project managers on various initiatives and projects to track progress and provide support as necessary. - Support leadership in ensuring that the project is delivered to specifications, is on time, and within budget. - Work closely with management and work groups to create and maintain work plan documents. - Track the status and due dates of projects. - Manage relationships with project staff responsible for projects. - Produce regular weekly and monthly status reports that could include; work plan status, target dates, budget, resource capacity, and other reports as needed. - Facilitate regular meetings and reviews. - Adhere to contract requirements and comply with all corporate policies and procedures. Job Specific Duties and Responsibilities: -Perform duties independently under the direction of their direct manager and/or Project Managers on specific projects. -Review project documentation and client materials and provide analysis of technical and security related topics. -Participate in client meetings and offer observations and insight on technical and security related topics. -Identify risk areas and potential problems that require proactive attention. -Review and author artifacts and other project documents and identify potential gaps, inconsistencies, or other issues that may put the project at risk. Such artifacts and documents may include but are not limited to: *System Security Plan *Plan of Action and Milestones (POA&M) *Security Assessment Plan *Risk Assessment reports *CMS ARC-AMPE forms and documentation *Data Conversion and Migration Management Plan *Deployment and/or roll-out plans -Perform security assessments, lead security audit and assessment activities, and provide direct security oversight support to assigned clients and projects. -Identify and escalate to the Senior Manager / Project Manager risks, alternatives, and potential quality issues. -Attend interviews, focus groups, or other meetings necessary to gather information for project deliverables in accordance with the project scope of work. -Attend project meetings with the client, subcontractors, project stakeholders, or other Maximus Team members, as requested by the Senior Manager / Project Manager. -Complete project work in compliance with Maximus standards and procedures. -Support team to complete assigned responsibilities as outlined in the Project schedule. -Support all other tasks assigned by Senior Manager / Project Manager. Minimum Requirements - Bachelor's degree in related field. - 7-10 years of relevant professional experience required. - Equivalent combination of education and experience considered in lieu of degree. Job Specific Requirements: -Be available to work during standard client business hours. Projects may involve clients from any US time zone, so it is possible that work outside of the individual's local business hours will be required. -Bachelor's degree from an accredited college or university, or equivalent work experience. -7+ years of experience in information security, with at least 3 years of security-compliance work in a regulated industry. -5+ years of experience working with HIPAA, NIST 800-53 and/or CMS MARS-E or ARC-AMPE security frameworks. -Familiar with operating systems: Windows, Linux/UNIX, OS/X. -Familiar with AI tools, capabilities. -Strong command of cloud computing topics. -Strong command of agile software development practices as well as waterfall development practices. -Strong desktop software skills: proficient in MS Office, Excel, Word, Project. -Ability to explain and communicate technical subjects to non-technical audiences. -Ability to develop advanced concepts, techniques, and standards requiring a high level of interpersonal and technical skills. -Ability to work independently. -Good organizational skills and the ability to manage multiple tasks and deadlines simultaneously. -Strong interpersonal and team building skills, as well as an understanding of client relationship building are essential. -Excellent verbal and writing skills and be comfortable working with customers. -Ability to multi-task with supervision. -Self-motivated fast learner. Preferred Skills: -Prefer a candidate with experience in the Health & Human Services industry, which may include working with programs such as Child Support, Child Welfare, or Integrated Eligibility (SNAP, TANF, and Medicaid). -Preference for security related certifications, such as the CISSP (Certified Information Systems Security Professional). 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. Accommodations Maximus provides reasonable accommodations to individuals requiring assistance during any phase of the employment process due to a disability, medical condition, or physical or mental impairment. If you require assistance at any stage of the employment process-including accessing job postings, completing assessments, or participating in interviews,-please contact People Operations at **************************. Minimum Salary $ 120,000.00 Maximum Salary $ 140,000.00