Hematology Oncology Medical Expert Reviewer
reputed company is seeking a 100% remote Hematology Oncology MD/DO Reviewer to reputed company medical expert judgment reviews. This role involves making final decisions on treatment coverage denials by the CA DMHC, based on medical necessity and whether the treatment is experimental or investigational. The position offers an opportunity to provide thorough and professional medical reviews from a remote setting. Practice Info
- 100% Remote, 1099 position
- Reviews are based on Medical Necessity and Experimental/Investigational criteria
- Templates will be used to complete reviews
Responsibilities
- Determine final decision based off enrollee’s denial of treatment-coverage denied by the CA DMHC
- Conduct reviews based off Medical Necessity and Experimental/Investigational criteria
- Utilize a personal computer to access a web-based portal
- Complete reviews using provided templates
Compensation
- Rates per case $150 to $400 per review
Shift & Schedule
- Scheduled Training- based on reviewer’s schedule
Requirements
- Active license
- 24 hours of direct patient care per week
- 5 years’ experience in appropriate specialty post training
- Board Certification
- No reputed company sponsorship available
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