Remote Hematology-Oncology MD/DO Reviewer

Maximus

United States

Remote

USD 165,000 - 248,000

Full time

14 days+

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Job summary

A healthcare consulting firm seeks a 100% Remote Hematology Oncology MD/DO Reviewer to conduct medical expert reviews on treatment coverage for the CA DMHC. Candidates should have at least five years of experience in their specialty and a minimum of 24 hours of direct patient care per week. Responsibilities include assessing medical necessity and determining whether treatments are experimental or investigational. This position offers the flexibility to work on a schedule that fits your needs, with training provided for the initial cases.

Qualifications

  • 5 years’ experience in appropriate specialty post training.
  • 24 hours of direct patient care per week.

Responsibilities

  • Conduct medical expert reviews on treatment coverage.
  • Make final decisions based on treatment necessity and investigational status.
  • Participate in review training for initial cases.

Skills

Medical Expert Review
Patient care
Specialty expertise
Medical necessity assessment

Job description

A healthcare consulting firm seeks a 100% Remote Hematology Oncology MD/DO Reviewer to conduct medical expert reviews on treatment coverage for the CA DMHC. Candidates should have at least five years of experience in their specialty and a minimum of 24 hours of direct patient care per week. Responsibilities include assessing medical necessity and determining whether treatments are experimental or investigational. This position offers the flexibility to work on a schedule that fits your needs, with training provided for the initial cases.
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