Occupational Medicine Physicians Needed

Maximus Federal is currently seeking Occupational Medicine to join the Medical Consultant panel to be an Expert Medical Reviewer.

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

The average review takes approximately 1-2 hours and is due within approximately 7 calendar days, expedited reviews (life-threatening) are due within 24 hours. You have the ability to accept or decline cases within 24 hours based on your availability.

Requirements:

• Provider must have a clear active Medical License
• Provider must be Board Certified in the specialty requested
• Minimum of 5 years of experience within the specialty
• Currently conduct Direct Patient Care at least 24 hours/week
• Neurology, Anesthesia, or Physical Medicine & Rehabilitation with Pain Medicine fellowship.

The Compensation for California Department of Workers Compensation work is as follows:

Medical Expert Services Price Per Case Standard Case-up to 3 days to complete

• Rationale $60/treatment (typically 1-2 treatments per case)
• Case Summary $30 (Rare, the project typically completes)
• Only take 15-20 minutes per case review

Please contact Antonia Ruane by email: antoniaruane@maximus.com. 

As a leading strategic partner to governments across the globe, Maximus helps improve the delivery of public services amid complex technology, health, economic, environmental, and social challenges. With a deep understanding of program service delivery, acute insights that achieve operational excellence, and an extensive awareness of the needs of the people being served, our employees advance the critical missions of our partners. Maximus delivers innovative business process management, impactful consulting services, and technology solutions that provide improved outcomes for the public and higher levels of productivity and efficiency of government-sponsored programs. For more information, visit maximus.com.