Appeals Supervisor Job at Maximus

Maximus Remote

Job Description Summary:

The Appeals Supervisor will oversee a team of Appeals Specialists and Pre-Conference Hearings Specialists. The successful Supervisor will have experience analyzing reports (operations, quality, performance, etc.) and using them to identify opportunities to improve contract performance through identifying anomalies in performance. After identifying opportunities for improvement, you’ll direct the efforts of the team to fix those performance issues (primarily within the Appeals and Eligibility spaces).

Job Summary:

Essential Duties and Responsibilities:
  • Oversee functions associated with healthcare applications processing, complaints, and appeals.
  • Assist management with department/project objectives.
  • Provide supervision to assigned staff.
  • Responsible for reporting issues, problems and concerns to management.
  • Complete daily and weekly reports.
  • Participate in the training of new staff.
  • Compile and analyze daily production statistics.
  • Monitor workload and coordinate schedules with Work Force Management.
  • Responsible for coaching team, setting expectations, conducting performance appraisals, providing career development, corrective action and recognition for assigned staff.
  • Monitor team performance to ensure team/project meets Service Level Agreements.
  • Provide staff performance feedback and mentoring to continuously meet and exceed individual goals.
  • Evaluate the need for training to ensure specialists maintain current knowledge of multiple programs.
  • Provide the Manager with updates on all issues regarding quality, training, policy, procedures, personnel, and departmental performance levels.

Minimum Requirements:
  • Associate degree or equivalent combination of education, technical training or work experience considered in lieu of degree.
  • Minimum of two (2) years of related experience.
  • Ensure compliance with company Wage & Hour policy, including ensuring non-exempt employees get the rest & meal breaks.
  • Comply with all company required policies, procedures and processes including but not limited to required training.
  • Provides immediate supervision to a unit or group of employees, assigning tasks, checking work at frequent intervals, and maintaining schedules.
  • A portion of time is normally spent performing individual tasks related to the unit or sub-unit.
  • Generally supervises semi-skilled employees or a few individual professional contributors.
  • Works on issues of limited scope.
  • Follows established practices and procedures in analyzing situations or data from which answers can be readily obtained.
  • Monitors daily operations of a unit or sub-unit. Requires full knowledge of own area of functional responsibility.
  • Frequently interacts with subordinate employees and functional peer groups.
  • Interaction normally requires the ability to gain cooperation of others, conducting presentations concerning specific projects or schedules.
  • Receives predetermined work assignments that are subject to a moderate level of control and review.
  • Directs subordinates to complete assignments using established guidelines, procedures and policies.
  • Develop work schedules and assign duties to subordinates to ensure efficiency.
  • Evaluate subordinates' job performance and recommend appropriate personnel action.
  • Discuss job performance concerns with subordinates to identify causes and issues and works closely with the Human Resources department on resolving problems.
  • Identify training needs and development opportunities for subordinates.

MAXIMUS Introduction: Since 1975, Maximus has operated under its founding mission of Helping Government Serve the People, enabling citizens around the globe to successfully engage with their governments at all levels and across a variety of health and human services programs. Maximus delivers innovative business process management and technology solutions that contribute to improved outcomes for citizens and higher levels of productivity, accuracy, accountability and efficiency of government-sponsored programs. With more than 30,000 employees worldwide, Maximus is a proud partner to government agencies in the United States, Australia, Canada, Saudi Arabia, Singapore and the United Kingdom. For more information, visit https://www.maximus.com. EEO Statement: EEO Statement: Active military service members, their spouses, and veteran candidates often embody the core competencies Maximus deems essential, and bring a resiliency and dependability that greatly enhances our workforce. We recognize your unique skills and experiences, and want to provide you with a career path that allows you to continue making a difference for our country. We’re proud of our connections to organizations dedicated to serving veterans and their families. If you are transitioning from military to civilian life, have prior service, are a retired veteran or a member of the National Guard or Reserves, or a spouse of an active military service member, we have challenging and rewarding career opportunities available for you. A committed and diverse workforce is our most important resource. Maximus is an Affirmative Action/Equal Opportunity Employer. Maximus provides equal employment opportunities to all qualified applicants without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, protected veteran status or disabled status. 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. Posted Max: USD $61,152.00/Yr. Posted Min: USD $42,400.00/Yr.



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