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Diagnostic Radiology Medical Reviewer

Remote · USA Full-time New today

Maximus Federal is seeking a Board Certified Diagnostic Radiologist for a fully remote, flexible Independent Medical Reviewer position. This role involves conducting impartial reviews of medical records and treatment requests for the California Department of Managed Healthcare (DMHC). The ideal candidate will use their clinical expertise to ensure fairness in healthcare decision-making for California enrollees, with no direct patient contact. Practice Info

  • Support the California Department of Managed Healthcare (DMHC) as an Independent Medical Reviewer
  • Fully remote opportunity
  • No patient contact
  • Case types include Medical Necessity, Experimental/Investigational, and Emergency determinations
  • Work independently using your own secure computer

Responsibilities

  • Conduct impartial reviews of medical records and treatment requests related to infectious disease conditions
  • Review medical documentation and apply evidence based clinical standards
  • Provide clear, unbiased written assessments
  • Maintain strict neutrality and avoid conflicts of interest
  • Manage case reviews independently

Compensation

  • Pay per case: $150–$400

Shift & Schedule

  • Flexible scheduling

Requirements

  • Board Certification in Diagnostic Radiology for more than five years
  • Active medical license
  • Active patient care for more than 24 hours a week
  • Ability to manage case reviews independently
  • No visa sponsorship available

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