Independent Medical Reviewer roles available for Family Medicine
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 - 3-5 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 1-2 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 [email protected]
Remote
About the Company:
Maximus Federal & VES
Apply tot his job
Apply To this Job
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 - 3-5 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 1-2 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 [email protected]
Remote
About the Company:
Maximus Federal & VES
Apply tot his job
Apply To this Job