Remote Pediatric Clinical Genetics MD/DO Reviewer

Maximus; Falls Church (VA); À distance; Plein temps

Résumé du poste

Maximus is seeking a 100% remote Pediatrics Clinical Genetics physician to serve as a Medical Expert Reviewer for the California DMHC. MD/DO with board certification is required.

You will review denied treatment requests and render final medical determinations based on Medical Necessity and Emergency criteria. Reviews are specialty-driven, completed through a secure web portal, and do not involve direct patient care.

Qualifications

• Board certified in Pediatrics with more than 5 years of experience.
• Experience with Clinical Genetics for at least 5 years.
• MD/DO license required.

Responsabilités

• Review denial of treatment requests and render final medical determinations based on Medical Necessity and Emergency criteria.
• Reviews are specialty-driven, completed through a secure web-based portal, and do not involve direct patient care.

Connaissances

Pediatrics

Clinical Genetics

Medical evaluation

Formation

MD/DO degree

Description du poste

Maximus is seeking a 100% remote Pediatrics Clinical Genetics physician to serve as a Medical Expert Reviewer for the California DMHC. MD/DO with board certification is required.

You will review denied treatment requests and render final medical determinations based on Medical Necessity and Emergency criteria. Reviews are specialty-driven, completed through a secure web portal, and do not involve direct patient care.