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- Clinical Program Manager - (Remote in Iowa)
Description
Maximus is seeking a Clinical Program Manager to provide clinical leadership and oversight for the Iowa CSA program, ensuring the delivery of highquality, timely, and compliant clinical assessments. This role leads the daytoday operations of the clinical assessments team, ensuring clinical workflows and contact SLAs are met and assessments are completed accurately and within required timeframes. Serving as a clinical subject matter expert, the Clinical Manager supports assessment quality, consistency, and adherence to program standards while guiding clinical staff and addressing complex clinical questions. This position partners closely with senior leadership, IT, and internal stakeholders to identify system or workflow gaps, resolve issues impacting clinical operations, and implement process improvements that support effective clinical service delivery and contract compliance.
**Position is contingent upon contract award.
** This is a fully remote position; however, candidates must reside in the state of Iowa and be willing to travel up to 10% to Des Moines based on business needs.
About the Program: The IA CSA (Iowa Core Standardize Assessments) will conduct clinical assessments for individuals seeking enrollment into all Iowa Medicaid Waivers or to conduct clinical reassessments for Medicaid Waiver Recipients.
Why Maximus?
- 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.
- Unlimited Time Off Package - Enjoy UTO, 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.
- Licensures and Certifications-Maximus assumes the expenses associated with renewing licenses and certifications for its employees.
Essential Duties and Responsibilities:
- Supervise a designated team of unit staff
- Responsible for the training and development of unit staff
- Monitor the activities, schedules, productivity and work product results of the assigned unit
- Review clinical documentation including pending denials for each assigned staff member in real-time
- Collect QA information from assigned staff
- Disseminate policy, protocol change, and ensure implementation
- Lead regular team meetings and act as the point-person for assigned staff
- Conduct scheduled and random post-assessment home visits to ensure customer satisfaction
- Promote project image and goals through public speaking engagements and local professional presentations
- Meet all standards established for this position as outlined in the corresponding annual performance criteria and bonus template for this position
- Perform other duties as may be assigned by Management
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.
- Bachelor’s degree in Human Services, Business Administration, Healthcare Administration, or a related field
- Residency in the state of Iowa required
- Minimum of 3–5 years of experience conducting clinical assessments
- Minimum 1-2 years of progressive management experience
- Proficiency in Microsoft Office applications
Preferred Requirements
- MBA or Master's degree in Social Work
- Proven ability to build, maintain, and strengthen client relationships
- Experience overseeing program operations and managing Service Level Agreements (SLAs)
Home Office Requirements
- Maximus provides company-issued computer equipment
- Reliable high-speed internet service
- Minimum 20 Mpbs download speeds/50 Mpbs for shared internet connectivity
- Minimum 5 Mpbs upload speeds
- Private and secure workspace