Canton, OH, United States
The Senior Risk Management Professional identifies and analyzes potential sources of loss to minimize risk for Medicare Appeals. The Senior Risk Management Professional work assignments involve moderately complex to complex issues where the analysis of situations requires an in-depth evaluation of Medicare regulations.
The Senior Risk Management Professional assesses and communicates information regarding business risks with functions across the organization, particularly as it relates to Medicare Appeal requirements. Begins to influence department’s strategy. Makes decisions on moderately complex to complex issues regarding technical approach for project components, and work is performed without direction. Collaborates with operations and medical directors. Exercises considerable latitude in determining objectives and approaches to assignments.
Required Qualifications• Bachelor's degree or 2 years of prior Maximus work experience• Minimum of a high school diploma or equivalent • Experience with Medicare's Independent Review Entity
Preferred Qualifications• MBA or JD• Experience in Managed Care• Experience presenting data and cases to Senior Leadership
Additional InformationInterview Format As part of our hiring process for this opportunity, we will be using an exciting interviewing technology called Montage Voice to enhance our hiring and decision-making ability. Montage Voice allows us to quickly connect and gain valuable information from you pertaining to your relevant skills and experience at a time that is best for your schedule. If you are selected for a first round interview, you will receive an email correspondence (please be sure to check your spam or junk folders often to ensure communication isn’t missed) inviting you to participate in a Montage Voice interview. In this interview, you will listen to a set of interview questions over your phone and you will provide recorded responses to each question. You should anticipate this interview to take about 15 to 30 minutes. Your recorded interview will be reviewed and you will subsequently be informed if you will be moving forward to next round of interviews.
Scheduled Weekly Hours
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