Pediatrician

Pediatrics - Clinical Genetics - MD/DO Reviewer (Remote | 1099)

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).

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/