Physician - Psychiatry

Thank you for your interest in supporting Maximus and the California Department of Managed Healthcare Independent Medical Reviewer Project (CA DMHC IMR).

The medical professional shall be a clinician expert in the treatment of the enrollees medical condition and knowledgeable about the proposed treatment though recent or current actual clinical experience treating patients with similar medical condition(s). Notwithstanding any other provision of law, the medical professional shall hold a non-restricted license in any state of the United States, and for physicians a current certification by a recognized American Medical Specialty Board in the area or areas appropriate to the condition or treatment under review.

The Expert Reviewers are 100% remote and reviewers will complete cases on their own computer. This is a 1099 Independent Contractor position. These are Medical Necessity or Experimental/Investigational Reviews, and the reviewers must be unbiased and have no relationship with the Managed Healthcare Plans or the enrollee.

Independent medical reviews can be one of three types: Medical Necessity, Experimental/ Investigation, and Emergency.

The project team will provide training once provider has completed Maximus Onboarding process.

Minimum Qualifications:

Active license

24 hours of direct patient care per week

Board Certification

5 years experience in appropriate specialty post Board Certification(MD/DO)

3 years experience in appropriate specialty post Certification (non-MD/DO)

Range: $250-$400 per case. 

A $300 new reviewer training bonus will be issued upon completion of the training. For behavioral health reviewers, there is a $300 Bonus to complete the new LOCUS Training Platform (approx. 2-3 hours remote).
The project will provide support when reviewers have questions/challenges. The client may have inquiries regarding your reviews, and may ask for additional records to be reviewed, and/or additional issues to be addressed. Additional compensation for more work is handled on cases by case basis.

If you have any questions, please feel free to reach out at your convenience.

Thank you for your support, we look forward to working with you!