Highlights
We are seeking a 100% remote, Pediatric Clinical Genetics Physician MD/DO to serve as a Medical Expert Reviewer for the California Department of Managed Health Care (DMHC). Reviews are specialty-driven, completed through a secure web-based portal, and do not involve direct patient care.
Numbers & Facts
| Location | Falls Church, VA (Remote) |
| Industry | Healthcare Services |
| Company Size | 5,000 to 9,999 employees |
| Website | https://www.maximus.com/ |
Description
Pediatrics - Clinical Genetics - MD/DO Reviewer (Remote | 1099)
We are seeking a100% remote, Pediatric Clinical Genetics Physician MD/DO to serve as a Medical Expert Reviewer for the California Department of Managed Health Care (DMHC).
Role Summary Review denied treatment requests and render final medical determinations based on
- Medical Necessity
- Experimental/Investigation
- Emergency
Reviews are specialty-driven, completed through a secure web-based portal, and do not involve direct patient care.
Requirement
- Board Certified in Pediatrics for more than 5 years
- Experience with Clinical Genetics for at least 5 years
- 24 hours/week of in person patient care.
- MD/DO
Compensation (Per Case)
- $150/cs Standard Medical Necessity
- $250/cs Expedited Medical Necessity (Due in less than 24 hrs. as per directions)
- $300/cs Standard Experimental/Investigational
- $400/cs Expedited Experimental/Investigational (Due in less than 24 hrs. as per directions
Volume varies based on need.
About Maximus
Learn more at https://maximus.com/
About Company
MAXIMUS provides business services to help governments operate health and human services programs, mostly at the state and national levels. The company's health services segment offers outsourced program management and administrative services,