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 you’re interested in learning more, I’d love to connect and discuss details with you.

Please send your updated CV to breannagonzalez@maximus.com 

As a leading strategic partner to governments across the globe, Maximus helps improve the delivery of public services amid complex technology, health, economic, environmental, and social challenges. With a deep understanding of program service delivery, acute insights that achieve operational excellence, and an extensive awareness of the needs of the people being served, our employees advance the critical missions of our partners. Maximus delivers innovative business process management, impactful consulting services, and technology solutions that provide improved outcomes for the public and higher levels of productivity and efficiency of government-sponsored programs. For more information, visit maximus.com.