Job Details

Enrollment Case Manager

Maximus is currently hiring for Enrollment Case Managers to support the Pennsylvania Independent Enrollment Broker (PA IEB) program. This role is a hybrid remote opportunity servicing homes across Indiana, Armstrong, Elk, McClean, Clearfield, Cameron, Mifflin, Juanita, Bucks, and Beaver counties and requires daily travel. The Enrollment Case Manager is responsible for being in the community supporting applicants as they complete documents as well as providing education & connecting applicants to resources related to the Pennsylvania Waiver program. In addition, they support in other capacities to meet the contractual obligations of the PA IEB program. We are seeking dedicated and detail-oriented individuals to join our team in supporting individuals applying for waiver programs. This role involves conducting in-home intake assessments, processing applications, and facilitating eligibility determinations to ensure timely enrollment and access to services.

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 PTO, 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:

• Travels throughout assigned counties, working primarily in applicants' places of residence
• Conducts intake visits for program applicants and acts as a facilitator for the eligibility determination process, providing assistance from the time individuals are identified as potential participants in specified program to the time they are enrolled as participants or are terminated from the intake process
• Presents and discusses the concept of the programs, and advises applicants of their rights and responsibilities
• Assists applicants with selecting options that best meet their needs, ensuring consumer control is maintained throughout the application process
• Assists with developing relationships with community-based organizations, advocates and stakeholders to gather feedback on improving the application process and removing barriers to enrolling in waiver programs
• Fosters and maintains relationships with parties serving our mutual consumers, including physicians, County Assistance Offices, providers, nursing homes and rehabilitation facilities
• Attends regularly scheduled meetings
• Reports on schedule availability at regular intervals
• Assists with application submission, including data entry of the Compass Application
• Facilitates the efficiency of the application process, ensuring any stalled cases receive extra attention and support
• Conduct 3--4 in-person intake visits daily in applicants' homes
• Process applications through COMPASS and coordinate with eligibility teams to ensure timely and accurate determinations
• Provide comprehensive case management support from initial referral through program enrollment or case closure
• Maintain accurate records and track applicant data using Microsoft Excel
• Utilize Microsoft Word for documentation and Microsoft Teams for internal communication and collaboration

Minimum Requirements:

• High School diploma or equivalent with 4+ years of experience, or Associate degree with 2+ years' experience.
• Bachelor's Degree in social services or related field highly preferred.
• Residency in one of the following Pennsylvania counties is required: Indiana, Armstrong, Elk, McClean, Clearfield, Cameron, Mifflin, Juanita, Bucks, Beaver.
• Strong communication skills desired.
• Government systems experience desired.
• Ability to handle high level of client home visits.
• Ability to work in various home environments and in a fast-paced setting.
• Comfortable adapting to frequently changing processes due to contractual requirements.
• Reliable, independent transportation required for daily home visits.
• Strong problem-solving skills, with the ability to work independently while knowing when to escalate issues to a supervisor.
• Ability to pivot between tasks and projects while maintaining focus and meeting deadlines.
• Strong time management skills and flexibility to meet evolving program needs.
• Availability required between 8:30 AM -- 5:00 PM, Monday through Friday.
• Experience in case management, social services, or a related field highly preferred.
• Proficiency in Microsoft Excel, Word, and Teams.
• Familiarity with COMPASS or similar eligibility systems preferred.
• Strong organizational and documentation skills.
• Home Office Requirements:
• Internet speed of 20mbps or higher required.
• 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