About this opportunity
MAXIMUS lists this Pediatrician opportunity in falls church, Virginia. Review the employer’s description below for duties, qualifications and application requirements.
Job description
Pediatrics - Clinical Genetics - MD/DO Reviewer (Remote | 1099)
If the following job requirements and experience match your skills, please ensure you apply promptly.
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 Summa ry 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. xqrzhdi
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
Worksite address
falls church, VA, 22042, US
Who can apply
Review the original listing for work authorization, qualifications and employer requirements.