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