Independent Medical Reviewer roles available for Family Medicine

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. 

Project Overview:

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.

Scope of Work:

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

• Pre-Onsite (Remote):
• Review plan documents
• Complete Technical Assistance Guides (TAGs)
• Conduct file reviews using File Review Worksheets (FRWs)
• Prepare for onsite interviews
• Participate in at least one pre-onsite meeting
• Onsite (Travel Required - 3-5 days):
• Conduct interviews
• Perform additional document reviews
• Post-Onsite (Remote):
• Document findings
• Complete survey reports and required documentation

Training:

• Approximately 20 hours of self-paced review of materials
• Shadowing 1-2 surveys (~12 hours each)
• Fully remote and paid

Level of Effort:

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

Compensation:

• $145-$200/hour (MD/DO)

If youre interested in learning more, Id love to connect and discuss details with you.

Please send your updated CV to breannagonzalez@maximus.com