Family Medicine, Independent Medical Reviewer roles available for Family Medicine Job at Maximus Federal & VES, McLean, VA

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  • Maximus Federal & VES
  • McLean, VA

Job Description

Job Description

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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. 

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Project Overview:

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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.

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Scope of Work:

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Surveyors will function as independent consultants and complete surveys in three phases:

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  • Pre-Onsite (Remote):
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  • Review plan documents
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  • Complete Technical Assistance Guides (TAGs)
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  • Conduct file reviews using File Review Worksheets (FRWs)
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  • Prepare for onsite interviews
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  • Participate in at least one pre-onsite meeting
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  • Onsite (Travel Required 35 days):
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  • Conduct interviews
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  • Perform additional document reviews
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  • Post-Onsite (Remote):
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  • Document findings
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  • Complete survey reports and required documentation
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Training:

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  • Approximately 20 hours of self-paced review of materials
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  • Shadowing 12 surveys (~12 hours each)
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  • Fully remote and paid
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Level of Effort:

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  • ~100 hours over a 2.5-month period per survey
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  • Flexible, part-time consulting engagement
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Compensation:

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  • $145$200/hour (MD/DO)
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If youre interested in learning more, Id love to connect and discuss details with you.

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Please send your updated CV to breannagonzalez@maximus.com  

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Job Tags

Part time, Remote work, Flexible hours

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