Profile: Maximus Inc (MMS)
14 Jun 2019
MAXIMUS, Inc., incorporated on October 18, 2007, provides business process services (BPS) to government health and human services agencies. The Company operates through three segments: U.S. Federal Services, Health Services and Human Services. The Company provides Medicaid enrollment and the Children's Health Insurance Program (CHIP) services in the United States. It is an operator of the United States health insurance exchange customer contact centers. It provides government-sponsored health benefit appeals and assessments in the United States and the United Kingdom. It provides occupational health services in the United Kingdom. It also provides disability and long-term sick support services in the United Kingdom. It provides welfare-to-work services throughout all of its geographies, including the United States, the United Kingdom, Australia, Canada, Saudi Arabia and New Zealand.
U.S. Federal Services
The U.S. Federal Services segment provides BPS and program management for large government programs, independent health review and appeals services for both the United States Federal Government, and state-based programs and technology solutions for civilian federal programs. In this segment, its government program administration services include centralized customer contact centers and support services; documents and records management, and case management, citizen engagement and consumer education. Its independent health review services include independent medical reviews and worker's compensation benefit appeals; health benefit appeals, and eligibility appeals. Its technology solutions include modernization of systems and information technology (IT) infrastructure; infrastructure operations and support; software development, operations and management, and data analytics.
The Health Services segment provides a range of BPS, as well as related consulting services, for state, provincial and national government programs. These programs include Medicaid, CHIP and the Affordable Care Act (ACA) in the United States; Health Insurance British Columbia in Canada, and the Health Assessment Advisory Service (HAAS) and Fit for Work Service in the United Kingdom. The segment's services help people access, navigate and use health benefit and other government programs. The segment also helps governments to engage with program recipients. Its administrative and program operations services for government health benefits programs include health insurance exchange customer contact center operations and support services; health insurance program eligibility and enrollment services to help beneficiaries make the choice for their health insurance coverage, and beneficiary outreach and education, including multilingual customer contact centers and multi-channel self-service options, such as Web-based portals for enrollment.
The Health Services segment's administrative and program operations services also include application assistance and independent health plan enrollment counseling to beneficiaries; premium payment processing and administration, such as invoicing and reconciliation; health plan oversight, and eHealth solutions with the Medigent product suite. The Company's independent health review services include independent disability, long-term sick and other health assessments, and occupational health clinical assessments. It also provides specialized consulting services, including Medicaid Management Information System (MMIS) planning.
The Human Services segment provides national, state and local human services agencies with a range of BPS and related consulting services for welfare-to-work, child support, higher education and K-12 special education programs. The segment's services include welfare-to-work services to help disadvantaged individuals transition from government assistance programs to employment and economic independence, including eligibility determination, case management, job-readiness preparation, job search and employer outreach, job retention and career advancement, and selected educational and training services; specialized child support case management services, customer contact center operations, and program and systems consulting services, and management tools and professional consulting services for higher education institutions. Its services also include program consulting services, such as independent verification and validation, cost allocation plans and other specialized consulting offerings, and tax credit and employer services.
The Company competes with Xerox, HP, Automated Health Systems, Fanuel, Serco, General Dynamics Information Technology, FCi, IBM, Oracle, CSRA, Atos, Capita, Interserve, Virgin Care, Optum, Ingeus, Staffline, Shaw Trust, Sarina Russon, Advanced Placement Management, The Salvation Army and Goodwill Industries.
1891 Metro Center Dr
RESTON VA 20190-5287