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Pediatrician

$150 per hour

MAXIMUS

Charleston, SC

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 Clinical Genetics 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 on need.

About Maximus

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Vacancy posted 1 day ago
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