100% Remote | Pulmonology Providers Needed for Medical Reviews

job
  • Maximus Federal
Job Summary
Location
,VA 22102
Job Type
Contract
Visa
Any Valid Visa
Salary
PayRate
Qualification
BCA
Experience
2Years - 10Years
Posted
03 Feb 2025
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Job Description

Become A 100% Remote Medical Expert Reviewer with Maximus Federal. 

As an Medical Expert Reviewer you would be conducting Medical Judgement Appeal reviews remotely, which you would provide a written review addressing the dispute either agreeing to uphold the insurance companys decision or deciding in favor of the consumer by overturning all or part of the health plans decision.

 

Requirements:

  • Provider must have a clear active Medical License
  • Provider must be Board Certified in specialty requested
  • Minimum of 5 years of experience within specialty
  • Currently conduct Direct Patient Care at least 24 hours/week

 

Review Time:

Consultant must complete the written review within 7 calendar days
Consultant must complete the review of additional practitioner statements within 3 calendar days
Consultant must revise written work products within 3 calendar days
Consultant must propose at least 3 dates for panel conference; must reply within 48 hours of receiving a request

 

The Compensation for Medical Legal Risk Management work are as follows:

 

 Medical Expert Services

Description

Price Per Case

Standard Case-up to 7 days to complete

$429.00

Bonus for completing VA onboarding and completing first case

$350.00

 Extra compensation is provided on a per case basis if complicated/complex.