About this opportunity
Maximus lists this Reproductive Endocrinologist opportunity in falls church, va, Virginia. Review the employer’s description below for duties, qualifications and application requirements.
Job description
Reproductive Endocrinologist- MD/DO Reviewer (Remote | 1099) We are seeking a 100% remote, 1099 Reproductive Endocrinologist MD/D O 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 Reproductive Endocrinologist for more than 5 years
Experience with Infertility 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
Learn m ore at
Kindly,
Antonia Ruane
Clinical Recruiter
Maximus Federal
Who can apply
Review the original listing for work authorization, qualifications and employer requirements.