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 o n need. About Maximus Learn m ore at
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...and DevelopmentSupportive Team and ResourcesScope Provides genetics counseling and education to individuals with a family history... ...training program. Minimum five years as a practicing genetics counselor preferred, oncology experience preferred. Board certified (or...
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...difficult to find (e.g. a petitioner might not have had contact with a respondent for decades, a respondent or witness might live in a foreign country or might not use electronic communication.) Tribunal staff must be resourceful (e.g., use social media) and persevere to...