100% Remote | Pulmonology Providers Needed for Medical Reviews

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 company’s 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

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

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.