100% Remote | Hematology/Oncology Providers Needed for Medical Reviews

Maximus Federal State Appeals Medical Expert Needed. 

(Hematology/Oncology) 

Hello,

We have a need within our State Appeals project for a Independent Medical Reviewer with Maximus Federal. As an (IMR) 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.

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

 Requirements:

• Provider has an clear active license in any state
• Provider must be board certified
• Minimum of 5 years of experience within specialty
• Currently conduct Direct Patient Care at least 24 hours/week

The fees for State Appeals East work are as follows:

 Medical Expert Services

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

You will be under Maximus’s coverage but within these reviews you are not liable for anything because you are not diagnosing, seeing any patients, you are merely reviewing a file and providing your medical expert opinion.

If you have questions or need assistance, email us your preferred contact method and best day/time to contact you.

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.