Health surgeon
$150 per hourMaximus Federal & VES
We are looking for a 100% Remote, 1099, Supplemental Income, Thoracic and Cardiac Surgery MD/DO Reviewer
Medical Expert Reviewer-Medical Expert Judgement Reviews determining final decision based off enrollees denial of treatment-coverage denied by the CA DMHC.
Reviews-are based off Medical Necessity and Experimental/Investigational
This service involves getting a thorough and professional medical review from an expert provider. The review is done to make a final decision on whether a particular treatment should be covered by the CA DMHC (Department of Managed Health Care) or not. The reviews are based on two main factors: medical necessity (whether the treatment is necessary for the patient's health) and whether the treatment is experimental or investigational.
Expert Reviewers must use their own personal computer to access a web-based portal
Training:
Review Training -Trainer will work closely with reviewer for the first 3-5 cases
Scheduled Training- based on reviewers schedule
Thoracic and Cardiac Surgery
5 years experience in appropriate specialty post training
Vacancy posted 4 days ago
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