About this opportunity
Maximus lists this Pediatrician opportunity in falls church, va, Virginia. Review the employer’s description below for duties, qualifications and application requirements.
Job description
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 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 Developmental Behavioral - Pediatrics 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 o n need.
About Maximus
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Who can apply
Review the original listing for work authorization, qualifications and employer requirements.