Family Medicine, Independent Medical Reviewer roles available for Family Medicine Job at Maximus Federal & VES, McLean, VA

VU1KNFQvOVlldURadUlGd3ZCdjJBTkdvaXc9PQ==
  • Maximus Federal & VES
  • McLean, VA

Job Description

Job Description

Maximus is currently seeking a BC   Family Practice MD/DO as a Medical Expert Reviewer, supporting the  California Department of Managed Health Care (DMHC) Medical Survey . This is a consulting opportunity with travel required three times a year. 

 

Project Overview:

The CA-DMHC Medical Survey conducts routine (every three years), follow-up, and non-routine surveys of licensed managed health care plans. The goal is to ensure compliance with state regulations and confirm that consumers have access to high-quality healthcare services. DMHC oversees commercial and select Medi-Cal managed care plans.

Scope of Work:

Surveyors will function as independent consultants and complete surveys in three phases:

  • Pre-Onsite (Remote):
  • Review plan documents
  • Complete Technical Assistance Guides (TAGs)
  • Conduct file reviews using File Review Worksheets (FRWs)
  • Prepare for onsite interviews
  • Participate in at least one pre-onsite meeting
  • Onsite (Travel Required 35 days):
  • Conduct interviews
  • Perform additional document reviews
  • Post-Onsite (Remote):
  • Document findings
  • Complete survey reports and required documentation

Training:

  • Approximately 20 hours of self-paced review of materials
  • Shadowing 12 surveys (~12 hours each)
  • Fully remote and paid

Level of Effort:

  • ~100 hours over a 2.5-month period per survey
  • Flexible, part-time consulting engagement

Compensation:

  • $145$200/hour (MD/DO)

If youre interested in learning more, Id love to connect and discuss details with you.

Please send your updated CV to breannagonzalez@maximus.com  

Job Tags

Part time, Flexible hours

Similar Jobs

Mountainside Treatment Center

Recovery Coach Job at Mountainside Treatment Center

 ...Job Type Full-time Description Recovery Coach Wilton, CT About the Position: Mountainside is seeking a compassionate, driven Recovery Coach to join our dedicated team. The Recovery Coach will support clients in defining and achieving... 

PRIME INDUSTRIES INC

Delivery Driver Need it at FedEx Full/Part Time Job at PRIME INDUSTRIES INC

 ...prevent damage. Follow assigned routes for timely deliveries and pickups, while adhering to...  ...such as photographs of deliveries within FEDEX guidelines. Provide exceptional...  ...operations while providing excellent service to our customers! Job Type: Full-time / Part time... 

AppleOne

Probate & Estate Paralegal Job at AppleOne

 ...Job Description Job Description Probate & Estate Administration Paralegal Greenville, SC (Onsite) Direct Hire | $45,000$55,000 A well-established law firm in Greenville is seeking a paralegal to support its estate and trust administration process. This is a... 

Covenant Care, Corp.

Dishwasher Job at Covenant Care, Corp.

We Are Inspired to Serve. Join us! Part of a nation wide family of Continuing Care Retirement Communities is seeking a Dishwasher. The purpose of this position is to operate the dishwashing machine and provides orderly maintenance of all nutrition services storage areas...

Mancan

Car Detailer Job at Mancan

 ...Job Description Job Description Now Hiring: Automotive Dealership Detailer Mancan Mancan is currently hiring for an Automotive Dealership Detailer position with a starting pay of $14/hour. If you take pride in your work and enjoy keeping vehicles looking their...