MAXIMUS is the national leader in providing government health plan enrollees and providers with independent appeal decisions of health insurance denials. Since 1989, the Centers for Medicare and Medicaid Services (CMS) have relied upon us for conflict-free resolution of Medicare appeals.
Today we receive more than 600,000 appeals claims a year for Medicare Parts A, B, C, and D. We also serve the US Office of Personnel Management Federal Employees Health Benefits Plan (FEHBP), and more than 30 state health insurance regulatory agencies.
The MAXIMUS Federal team of health appeals professionals includes subject matter experts in quality of care, independent review and human subject protection. We employ full time medical directors, health attorneys, pharmacist-attorneys, nurse-attorneys, nurse professionals and podiatrist-attorneys. Our fully credentialed national panel of more than 500 physicians and other reviewers represent every recognized medical specialty and all major licensed practitioner categories.
Join our National Panel of Health Care Reviewers
MAXIMUS offers a wide range of opportunities for qualified physicians and other practitioners to work as an off-site independent consultant or as an on-site hourly employee in one of our offices. Many of our consultants find case review to be intellectually rewarding and a welcome added dimension to their clinical activities. Learn more...
About MAXIMUS Federal
MAXIMUS Federal Services is part of MAXIMUS, sharing a single focus on Helping Government Serve the People® since 1975. We are a large successful partner with a deep understanding of federal processes and programs, providing operations and program support to help the federal government serve constituents with better outcomes.
MAXIMUS applies our award-winning business process management (BPM) expertise and innovation to government requirements in a systematic methodology, resulting in cost-effective solutions that connect citizens more effectively with services. We are technology independent, financially stable and dedicated solely to government program success.