Medical Expert Reviewer
1 month ago
Maximus Federal is seeking a highly skilled Medical Expert Reviewer with expertise in Cardiac Electrophysiology to join our team. As a Medical Expert Reviewer, you will play a critical role in ensuring the quality of healthcare services provided by the Department of Veterans Affairs (VA).
Key Responsibilities- Peer Review for Quality Management: Conduct thorough reviews of clinical decisions and actions to ensure they meet the standard of care.
- Provider Qualifications: Evaluate providers' qualifications, including their licensure, certification, and experience in the relevant specialty.
- Case Review: Review medical records and provide expert opinions on the quality of care provided.
- Communication: Collaborate with healthcare providers, administrators, and other stakeholders to ensure seamless communication and coordination of care.
- Active license in any state
- 20 hours of direct patient care per month
- Board Certification within exact specialty requested
- MUST have National Provider Identifier (NPI) number
- 3-year experience in appropriate specialty post training (non-MD/DO)
- 5-year experience in appropriate specialty post training (MD/DO)
- Veteran Affairs Clinical Peer Review (VACPR)
- $150/cs for Audit Reviews
- $185/cs for Clinical Appeals (rare)
- $150/cs for Executive Summary Reports
- $375/cs for Facility-Requested Review
- $185/cs for Medical Advisory Opinion
- $150/cs for Routine Management Reviews
This is a remote position, and you will be required to obtain a Personal Identify Verification (PIV) card and fingerprints. Maximus Federal will support you with this requirement.
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Medical Expert Reviewer
1 month ago
Bloomington, Illinois, United States Maximus Federal Full timeMedical Expert Reviewer OpportunityMaximus Federal is seeking a highly skilled Medical Expert Reviewer to join our team. As a Medical Expert Reviewer, you will play a critical role in ensuring the quality of healthcare services provided to our clients.Key Responsibilities:Conduct thorough reviews of medical records to ensure compliance with established...
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Bloomington, Illinois, United States Maximus Federal Full timeJob Title: Cardiac Electrophysiologist Medical Expert ReviewerWe are seeking a highly skilled Cardiac Electrophysiologist Medical Expert Reviewer to join our team at Maximus Federal. As a Medical Expert Reviewer, you will be responsible for reviewing medical records and providing expert opinions on cardiac electrophysiology cases.Responsibilities:Review...
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Urologist Expert Medical Reviewer
3 weeks ago
Bloomington, Illinois, United States Maximus Federal Full timeUrologist Medical Reviewer OpportunityMaximus Federal is seeking a Board Certified Urologist to join our Medical Consultant panel as an Expert Medical Reviewer. As a key member of our team, you will conduct medical judgment appeals, peer reviews, and arbitration.Key Highlights:Remote work opportunity with MaximusSupplemental income opportunityPre-approved...
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Bloomington, Illinois, United States Maximus Federal Full timeMedical Expert Reviewer OpportunityMaximus Federal is seeking a highly skilled Medical Expert Reviewer to join our team. As a Medical Expert Reviewer, you will play a critical role in ensuring the quality of healthcare services provided by the VA.Key Responsibilities:Peer review of clinical decisions and actions to ensure they meet the standard of...
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Bloomington, Illinois, United States Maximus Federal Full timeMedical Expert Reviewer OpportunityMaximus Federal is seeking a highly skilled Medical Expert Reviewer to join our team. As a Medical Expert Reviewer, you will play a critical role in ensuring the quality of healthcare services provided by the VA.Key Responsibilities:Peer review of medical records to ensure compliance with quality management standardsReview...
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Hospitalist Physician Expert Medical Reviewer
2 weeks ago
Bloomington, Illinois, United States Maximus Federal Full timeMaximus Federal is seeking a Hospitalist Physician to join the Medical Consultant panel as an Expert Medical Reviewer.Key Highlights:Remote work opportunityTemplates provided for reviewingFlexible scheduleActive medical license and clean disciplinary historyMust provide at least 24 hours of direct patient care weekly5+ years of experience as a Board...
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Expert Plastic Surgeon Medical Reviewer
2 weeks ago
Bloomington, Illinois, United States Maximus Federal Full timeMaximus Federal is seeking a Plastic Surgeon to join its medical consultant panel and conduct medical judgment appeals as an expert medical reviewer.Key Highlights:Remote opportunity with MaximusSupplemental opportunity availableTemplates provided for reviewingFlexible scheduleActive medical license and no history of major disciplinary actionsMust provide at...
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Primary Care Physician Expert Medical Reviewer
2 weeks ago
Bloomington, Illinois, United States Maximus Federal Full timeMaximus Federal is seeking a Primary Care Physician to conduct medical judgment appeals as an Expert Medical Reviewer.Key Highlights:Remote work opportunitySupplemental income potentialFlexible scheduleActive medical license requiredBoard certification in Primary Care for 5 yearsMust provide at least 24 hours of direct patient care weeklyFor more information...
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Plastic Surgeon Medical Reviewer Position
3 weeks ago
Bloomington, Illinois, United States Maximus Full timeMaximus Federal is seeking a highly skilled Plastic Surgeon to join their medical consultant panel and provide expert medical review services. The ideal candidate will have a strong background in plastic surgery and excellent communication skills.Key Responsibilities:Conduct medical judgment appeals with expertise in plastic surgeryReview medical cases and...
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Bloomington, Illinois, United States Maximus Federal Full timeMaximus Federal is seeking a skilled Pediatric Infectious Disease Specialist to review medical cases and provide expert opinions.As a Pediatric Infectious Disease Reviewer and Medical Expert, you will be responsible for reviewing medical necessity and experimental/investigational reviews for clients. You will use your expertise to determine whether a...
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Urologist Expert Medical Reviewer
3 weeks ago
Bloomington, Illinois, United States Maximus Full timepMaximusisseekingaUrologisttoconductmedicaljudgmentappeals,peerreviews,andarbitrationasanExpertMedicalReviewer./ppbKeyHighlights:/b/pulliRemoteworkopportunitywithMaximus/liliSupplementalincomeopportunity/liliTemplatesprovidedforreviewing/liliFlexibleschedule/liliActivelicenseandnohistoryofmajordisciplinaryorlegalactions/liliBoardCertifiedinUrologyfor5yearspo...
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Orthopedic Surgery Expert
2 weeks ago
Bloomington, Illinois, United States Maximus Federal Full timeMedical Consultant OpportunityMaximus Federal is seeking medical professionals to provide expert medical reviews for the Montana Independent Medical Review (IMR) Project.The IMR Project reviews cases to determine if medical benefits should be reopened. The process begins when an injured worker petitions for a reopening of their medical benefits.As a medical...
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Orthopedic Surgeon Expert
3 weeks ago
Bloomington, Illinois, United States Maximus Federal Full timeMaximus Federal is seeking medical professionals to join their Medical Consultant panel as Expert Medical Reviewers. The Montana Independent Medical Review (IMR) Project reviews cases to determine if medical benefits should be reopened. The process begins when an injured worker petitions for a reopening of their medical benefits. Medical benefits can only be...
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Pediatric Rehabilitation Medical Reviewer
3 weeks ago
Bloomington, Illinois, United States Maximus Federal Full timePediatric Rehabilitation Medical Reviewer OpportunityWe are seeking a highly skilled and experienced Pediatric Rehabilitation Medical Reviewer to join our team on a 100% remote basis.Key Responsibilities:Review Medical Judgment Reviews related to Pediatric Rehabilitation MedicineUtilize expertise in treating patients with similar medical conditions to...
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Orthopedic Surgery Expert
2 weeks ago
Bloomington, Illinois, United States Maximus Federal Full timeMaximus Federal is seeking medical professionals to participate in the Montana Independent Medical Review (IMR) Project as Expert Medical Reviewers.The IMR Project reviews cases to determine if medical benefits should be reopened. The process begins when an injured worker petitions for a reopening of their medical benefits. Benefits can only be reopened if...
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Pulmonology Medical Reviewer Position
3 weeks ago
Bloomington, Illinois, United States Maximus Federal Full timeMaximus Federal is seeking a Pulmonology Medical Reviewer to conduct medical judgment appeals. Key highlights include:Remote work opportunitySupplemental income potentialFlexible scheduleActive license and no history of major disciplinary actionsBoard Certification in Pulmonology for 5 years1099 contractFor more information, please visit Maximus.com to learn...
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Communications System Expert
1 month ago
Bloomington, Illinois, United States Peraton Full timeJob Title: Communications System ExpertWe are seeking an experienced Communications System Expert to join our team of technical and business experts providing key operational and mission support to a SI/SETA mission for a customer in Virginia.Job Summary:The Communications System Expert will play a crucial role within various subject areas and communications...
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Communications System Expert
2 months ago
Bloomington, Illinois, United States Peraton Full timeJob Title: Communications System ExpertWe are seeking an experienced Communications System Expert to join our team of technical and business experts providing key operational and mission support to a SI/SETA mission for a customer in Virginia.Job SummaryThe Communications System Expert will play a crucial role within various subject areas and communications...
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Pediatric Rehabilitation Medical Specialist
3 weeks ago
Bloomington, Illinois, United States Maximus Federal Full timePediatric Rehabilitation Medical Reviewer OpportunityWe are seeking a highly skilled and experienced medical professional to join our team as a 100% remote Independent Medical Reviewer for Pediatric Rehabilitation. This role involves reviewing Medical Judgment Reviews and requires a strong clinical background in Pediatric Rehabilitation Medicine.Key...
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HUMINT Policy Staff Officer II
3 weeks ago
Bloomington, Illinois, United States Sancorp Consulting LLC Full timeJob SummarySancorp Consulting LLC is seeking a highly skilled HUMINT Policy Staff Officer II to provide expert support to the Office of the Under Secretary of Defense for Intelligence and Security Sensitive Activities & Special Programs (SASP).The ideal candidate will have a strong background in policy development for DoD HUMINT operations and a minimum of 3...