Pediatrician
maximusFalls Church, VA
$150
Apply nowPediatrician
L5
maximusFalls Church, VAtoday
$150
Industries
Offices of Physicians (except Mental Health Specialists)All Other Outpatient Care CentersOffices of Physicians, Mental Health SpecialistsPediatrics - 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 onMedical Necessity Experimental/Investigation EmergencyReviews 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 years24 hours/week of in person patient care. MD/DOCompensation (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 directionsVolume varies based on need. About Maximus Learn more at https://maximus.com/
Apply now
Level
SeniorL5
Salary
$150
Location
Falls Church, VA
Occupation
Physicians, All Other
Industry
Offices of Physicians (except Mental Health Specialists)
Posted
today
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