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 https://maximus.com/
Kindly,
Antonia Ruane
Clinical Recruiter
Maximus Federal antoniaruane@maximus.com