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 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/
