132 Evaluation Services jobs in the United States

Major Responsibilities. At the direction of the Senior Medical Director, provides clinical leadership for the disability evaluation process. Provides leadership for the disability process for Medicaid agencies and Public Employees Retirement Systems. Medical Director, Evaluation, Director, Valuation, Evaluation, Medical, Healthcare

Job Summary

The Medical Director provides clinical leadership for the Disability Evaluation Services (DES) Program, under the supervision of the Senior Medical Director. As part of the DES senior leadership team, the Medical Director reviews disability regulations, directs internal clinical procedures and provides consultation to state policy makers.

The Medical Director is responsible for supervising and/or overseeing the physician advisors and quality assurance consultants as well as ensuring compliance for contracted network consultative examination providers.

Major Responsibilities

At the direction of the Senior Medical Director, provides clinical leadership for the disability evaluation process.

• Provides leadership for the disability process for Medicaid agencies and Public Employees Retirement Systems.

• Monitors productivity and provides oversight and clinical direction to DES clinicians, including Physician Advisors.

• Participates in creation of physician compensation models in conjunction with leadership team.

• In conjunction with the Senior Medical Director, leads Internal Clinical Consultation Committees for MassHealth, OCA (Office of Clinical Affairs), and other Pension Retirement Contracts, for the handling and decision making of contested cases.

• Assists in formulating and implementing new business development strategies and marketing and sales efforts to achieve growth aligned with the strategic priorities of UMass Chan and ForHealth Consulting.

• Collaborates with DES clinical leadership in the interpretation of disability regulations.

• Participates in the review of regulation and policy changes impacting the disability evaluation process.
  • This may include providing consultation services to state agency out of state client leadership.

• Leads the development of clinical procedural standards and quality evaluations.
• Monitors and provides feedback to DES physicians and psychologists.

• Oversees DES quality management programs, including ongoing quality assurance, program evaluation initiatives, and performance goal management.

• Provides feedback to DES physicians and psychologists as well as other DES clinical staff regarding clinical policies and the outcomes of quality evaluations.

• Participates in the development and training for network providers and DES clinical staff, including physicians and psychologists.

• Advises DES staff on client issues involving sensitive medical information, adverse clinical findings, and safety issues.

• Directs contract compliance initiatives for DES contracted network physicians and psychologists.

• In conjunction with the Physician Network Manager, contributes to the recruitment and credentialing of contracted network physicians and psychologists.

• Provides feedback, quality assurance and disciplinary process of DES contracted network physicians and psychologists.

• Under the direction of the Senior Medical Director, oversees new projects and initiatives at DES for MassHealth or other clients, and explores new business opportunities for DES.

Required Qualifications

• MD, DO or PhD prepared Psychologist licensed to practice

• Board certified in area of specialty

• 5 years experience in direct patient care

Supervision Received

Under the general direction of the Senior Medical Director or designee

Job Summary

The Medical Director provides clinical leadership for the Disability Evaluation Services (DES) Program, under the supervision of the Senior Medical Director. As part of the DES senior leadership team, the Medical Director reviews disability regulations, directs internal clinical procedures and provides consultation to state policy makers.

The Medical Director is responsible for supervising and/or overseeing the physician advisors and quality assurance consultants as well as ensuring compliance for contracted network consultative examination providers.

Major Responsibilities

• At the direction of the Senior Medical Director, provides clinical leadership for the disability evaluation process.

• Provides leadership for the disability process for Medicaid agencies and Public Employees Retirement Systems.

• Monitors productivity and provides oversight and clinical direction to DES clinicians, including Physician Advisors.

• Participates in creation of physician compensation models in conjunction with leadership team.

• In conjunction with the Senior Medical Director, leads Internal Clinical Consultation Committees for MassHealth, OCA (Office of Clinical Affairs), and other Pension Retirement Contracts, for the handling and decision making of contested cases.

• Assists in formulating and implementing new business development strategies and marketing and sales efforts to achieve growth aligned with the strategic priorities of UMass Chan and ForHealth Consulting.

• Collaborates with DES clinical leadership in the interpretation of disability regulations.

• Participates in the review of regulation and policy changes impacting the disability evaluation process.
  • This may include providing consultation services to state agency out of state client leadership.

• Leads the development of clinical procedural standards and quality evaluations.
• Monitors and provides feedback to DES physicians and psychologists.

• Oversees DES quality management programs, including ongoing quality assurance, program evaluation initiatives, and performance goal management.

• Provides feedback to DES physicians and psychologists as well as other DES clinical staff regarding clinical policies and the outcomes of quality evaluations.

• Participates in the development and training for network providers and DES clinical staff, including physicians and psychologists.

• Advises DES staff on client issues involving sensitive medical information, adverse clinical findings, and safety issues.

• Directs contract compliance initiatives for DES contracted network physicians and psychologists.

• In conjunction with the Physician Network Manager, contributes to the recruitment and credentialing of contracted network physicians and psychologists.

• Provides feedback, quality assurance and disciplinary process of DES contracted network physicians and psychologists.

• Under the direction of the Senior Medical Director, oversees new projects and initiatives at DES for MassHealth or other clients, and explores new business opportunities for DES.

Required Qualifications

• MD, DO or PhD prepared Psychologist licensed to practice

• Board certified in area of specialty

• 5 years experience in direct patient care

Supervision Received

Under the general direction of the Senior Medical Director or designee

Maximus is currently hiring for a Clinic Assistant to join our Veterans Evaluation Services (VES) team in Lakewood, CO. The Clinic Assistant is responsible for assisting providers and veterans on exam days in any manner needed, general problem solving in a solutions-oriented manner for both providers and veterans and updating case statuses as available. The ideal candidate possesses the desire to assist our wounded veterans with a caring, positive, and patriotic attitude.

Due to contract requirements, only US Citizen or a Green Card holder can be considered for this opportunity.

Essential Duties and Responsibilities:
- Perform all job functions in compliance with HIPAA policies and adhere to local and externally relevant health and safety laws and policies.
- Gather and provide necessary information to providers; may include gathering forms, documents, and vital signs necessary to the evaluation.
- Provide a high level of customer service by greeting and directing all visitors, answering inquiries, confirming contact and appointment information, and otherwise facilitating a positive experience.
- Document all actions taken and other pertinent information as it relates to veteran and provider interaction.
- Clean exam rooms between each appointment and otherwise maintain stock and cleanliness of the clinic throughout the day.

- Ability to work onsite in the Lakewood, CO clinic required

- Must be willing and able to travel to other clinics as needed (locations include greater Colorado, Arizona, Oregon, Washington, and Wyoming among others)

- Must be willing and able to work some weekend shifts (Saturday) as needed

- Valid Driver License required (not currently suspended/revoked/expired)

- Must have reliable transportation to drive to other locations in the region

Minimum Requirements

- High School Diploma or GED required.

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

For positions on this contract, Maximus will pay the prevailing wage rate for the location in which the employee is working, as determined by the Department of Labor. That wage rate will vary depending on locality. An applicant's salary history will not be used in determining compensation.

Maximus is currently hiring for a Medical Office Assistant to join our Veterans Evaluation Services (VES) Team in Detroit, MI. The Medical Office Assistant is responsible for assisting providers and veterans on exam days in any manner needed, general problem solving in a solutions-oriented manner for both providers and veterans and updating case statuses as available. The ideal candidate possesses the desire to assist our wounded veterans with a caring, positive, and patriotic attitude.

Due to contract requirements, only US Citizen or a Green Card holder can be considered for this opportunity.

Essential Duties and Responsibilities:
- Perform all job functions in compliance with HIPAA policies and adhere to local and externally relevant health and safety laws and policies.
- Gather and provide necessary information to providers; may include gathering forms, documents, and vital signs necessary to the evaluation.
- Provide a high level of customer service by greeting and directing all visitors, answering inquiries, confirming contact and appointment information, and otherwise facilitating a positive experience.
- Document all actions taken and other pertinent information as it relates to veteran and provider interaction.
- Clean exam rooms between each appointment and otherwise maintain stock and cleanliness of the clinic throughout the day.

- Must live in or near Detroit, MI.

- Must be willing and able to travel to provide support to other clinics in the Central region

- Must be willing and able to work weekend shifts (Saturday and Sunday) as needed

- Must be willing to work onsite in our Detroit, MI. location

- Must have reliable transportation to drive to other locations in the Central region

- Valid driver's license is required

- Arrive 30 minutes prior to scheduled exam

- Greet each veteran immediately, obtain medical history, any diagnostic results or medical records and provide sign-in sheet

- Provide information to the providers (worksheets/HX forms/day/face sheets), and assist with vitals (weight, height, blood pressure)

- Document and update OMS comments for everything you do pertaining to veterans and providers

- Adhere to local and externally relevant health and safety laws and policies

- Maintain cleanliness of the clinic/per-diem and exam rooms

- Intermediate knowledge of pertinent medical terminology

Minimum Requirements

- High School Diploma or GED required.

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

For positions on this contract, Maximus will pay the prevailing wage rate for the location in which the employee is working, as determined by the Department of Labor. That wage rate will vary depending on locality. An applicant's salary history will not be used in determining compensation.

Maximus is currently hiring for New Provider Liaisons to join our Veterans Evaluation Services (VES) team. This is a remote opportunity. The New Provider Liaison (NPL) is responsible for supporting and guiding newly contracted medical providers on an individually assigned basis. NPLs are the new provider's first point of contact ultimately there to equip our providers with the tools required to become proficient in the performance of Compensation and Pension examinations. Some of the assistance may include providing specified guidance on DBQ worksheets and a comprehensive understanding of VA rating criteria, technical support for providers in the use of the Portal (to include access and research of medical records, and aiding in report completion and submission), and expand upon the initial training, given by the Provider Development and Retention Department, into a broader and more complete overview of each provider's function within VES.

- Due to contract requirements, only US Citizen or a Green Card holder can be considered for this opportunity.

#VeteransPage

Essential Duties and Responsibilities:
- Conduct an orientation training with newly contracted providers via a communication platform.

- Analyze the first 5 to 10 submitted reports for newly contracted or reactivated providers on an individual basis.
- Conduct report review sessions with providers.
- Detect and summarize trends of errors in reports.
- Conduct remedial retraining sessions with providers that have been identified as needing improvement in report quality by either VA, Medical Advisory Board or VES Leadership.
- Provide in depth feedback on progress to providers via phone correspondence.
- Evaluate and approve providers to open scheduling when appropriate.
- Work closely in cooperation with the Quality Control, Scheduling, and Recruiting departments.

- Ability to work a shift of 8:00am-5:00pm CT Monday-Friday required

Home Office Requirements:
- Please note upon hire, Veteran Evaluation Services (VES), a Maximus Co. will provide all necessary computer equipment that is to be utilized to fulfil the duties of your role. New hires will not be exempt from using company provided equipment.
Home Office Requirements Using Maximus-Provided Equipment:

• Internet speed of 20mbps or higher required (you can test this by going to (1)
• Connectivity to the internet via either Wi-Fi or Category 5 or 6 ethernet patch cable to the home router
• Private work area and adequate power source
• Must currently and permanently reside in the Continental US

- Associate degree required; Bachelor's degree preferred.
- 1 year previous VES Quality Analyst 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.

Minimum Salary

$

23.00

Maximum Salary

$

30.30

Maximus is currently hiring for New Provider Liaisons to join our Veterans Evaluation Services (VES) team. This is a remote opportunity. The New Provider Liaison (NPL) is responsible for supporting and guiding newly contracted medical providers on an individually assigned basis. NPLs are the new provider's first point of contact ultimately there to equip our providers with the tools required to become proficient in the performance of Compensation and Pension examinations. Some of the assistance may include providing specified guidance on DBQ worksheets and a comprehensive understanding of VA rating criteria, technical support for providers in the use of the Portal (to include access and research of medical records, and aiding in report completion and submission), and expand upon the initial training, given by the Provider Development and Retention Department, into a broader and more complete overview of each provider's function within VES.

- Due to contract requirements, only US Citizen or a Green Card holder can be considered for this opportunity.

#VeteransPage

Essential Duties and Responsibilities:
- Conduct an orientation training with newly contracted providers via a communication platform.

- Analyze the first 5 to 10 submitted reports for newly contracted or reactivated providers on an individual basis.
- Conduct report review sessions with providers.
- Detect and summarize trends of errors in reports.
- Conduct remedial retraining sessions with providers that have been identified as needing improvement in report quality by either VA, Medical Advisory Board or VES Leadership.
- Provide in depth feedback on progress to providers via phone correspondence.
- Evaluate and approve providers to open scheduling when appropriate.
- Work closely in cooperation with the Quality Control, Scheduling, and Recruiting departments.

- Ability to work a shift of 8:00am-5:00pm CT Monday-Friday required

Home Office Requirements:
- Please note upon hire, Veteran Evaluation Services (VES), a Maximus Co. will provide all necessary computer equipment that is to be utilized to fulfil the duties of your role. New hires will not be exempt from using company provided equipment.
Home Office Requirements Using Maximus-Provided Equipment:

• Internet speed of 20mbps or higher required (you can test this by going to (1)
• Connectivity to the internet via either Wi-Fi or Category 5 or 6 ethernet patch cable to the home router
• Private work area and adequate power source
• Must currently and permanently reside in the Continental US

- Associate degree required; Bachelor's degree preferred.
- 1 year previous VES Quality Analyst 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.

Minimum Salary

$

23.00

Maximum Salary

$

30.30

Maximus is currently hiring for New Provider Liaisons to join our Veterans Evaluation Services (VES) team. This is a remote opportunity. The New Provider Liaison (NPL) is responsible for supporting and guiding newly contracted medical providers on an individually assigned basis. NPLs are the new provider's first point of contact ultimately there to equip our providers with the tools required to become proficient in the performance of Compensation and Pension examinations. Some of the assistance may include providing specified guidance on DBQ worksheets and a comprehensive understanding of VA rating criteria, technical support for providers in the use of the Portal (to include access and research of medical records, and aiding in report completion and submission), and expand upon the initial training, given by the Provider Development and Retention Department, into a broader and more complete overview of each provider's function within VES.

- Due to contract requirements, only US Citizen or a Green Card holder can be considered for this opportunity.

#VeteransPage

Essential Duties and Responsibilities:
- Conduct an orientation training with newly contracted providers via a communication platform.

- Analyze the first 5 to 10 submitted reports for newly contracted or reactivated providers on an individual basis.
- Conduct report review sessions with providers.
- Detect and summarize trends of errors in reports.
- Conduct remedial retraining sessions with providers that have been identified as needing improvement in report quality by either VA, Medical Advisory Board or VES Leadership.
- Provide in depth feedback on progress to providers via phone correspondence.
- Evaluate and approve providers to open scheduling when appropriate.
- Work closely in cooperation with the Quality Control, Scheduling, and Recruiting departments.

- Ability to work a shift of 8:00am-5:00pm CT Monday-Friday required

Home Office Requirements:
- Please note upon hire, Veteran Evaluation Services (VES), a Maximus Co. will provide all necessary computer equipment that is to be utilized to fulfil the duties of your role. New hires will not be exempt from using company provided equipment.
Home Office Requirements Using Maximus-Provided Equipment:

• Internet speed of 20mbps or higher required (you can test this by going to (1)
• Connectivity to the internet via either Wi-Fi or Category 5 or 6 ethernet patch cable to the home router
• Private work area and adequate power source
• Must currently and permanently reside in the Continental US

- Associate degree required; Bachelor's degree preferred.
- 1 year previous VES Quality Analyst 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.

Minimum Salary

$

23.00

Maximum Salary

$

30.30

Maximus is currently hiring for New Provider Liaisons to join our Veterans Evaluation Services (VES) team. This is a remote opportunity. The New Provider Liaison (NPL) is responsible for supporting and guiding newly contracted medical providers on an individually assigned basis. NPLs are the new provider's first point of contact ultimately there to equip our providers with the tools required to become proficient in the performance of Compensation and Pension examinations. Some of the assistance may include providing specified guidance on DBQ worksheets and a comprehensive understanding of VA rating criteria, technical support for providers in the use of the Portal (to include access and research of medical records, and aiding in report completion and submission), and expand upon the initial training, given by the Provider Development and Retention Department, into a broader and more complete overview of each provider's function within VES.

- Due to contract requirements, only US Citizen or a Green Card holder can be considered for this opportunity.

#VeteransPage

Essential Duties and Responsibilities:
- Conduct an orientation training with newly contracted providers via a communication platform.

- Analyze the first 5 to 10 submitted reports for newly contracted or reactivated providers on an individual basis.
- Conduct report review sessions with providers.
- Detect and summarize trends of errors in reports.
- Conduct remedial retraining sessions with providers that have been identified as needing improvement in report quality by either VA, Medical Advisory Board or VES Leadership.
- Provide in depth feedback on progress to providers via phone correspondence.
- Evaluate and approve providers to open scheduling when appropriate.
- Work closely in cooperation with the Quality Control, Scheduling, and Recruiting departments.

- Ability to work a shift of 8:00am-5:00pm CT Monday-Friday required

Home Office Requirements:
- Please note upon hire, Veteran Evaluation Services (VES), a Maximus Co. will provide all necessary computer equipment that is to be utilized to fulfil the duties of your role. New hires will not be exempt from using company provided equipment.
Home Office Requirements Using Maximus-Provided Equipment:

• Internet speed of 20mbps or higher required (you can test this by going to (1)
• Connectivity to the internet via either Wi-Fi or Category 5 or 6 ethernet patch cable to the home router
• Private work area and adequate power source
• Must currently and permanently reside in the Continental US

- Associate degree required; Bachelor's degree preferred.
- 1 year previous VES Quality Analyst 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.

Minimum Salary

$

23.00

Maximum Salary

$

30.30