Maximus Federal is seeking a Board-Certified Addiction Psychiatrist Physician to serve as an Independent Medical Reviewer for the California Department of Managed Healthcare (DMHC). This fully remote, flexible opportunity involves conducting impartial reviews of medical records and treatment requests, with no direct patient contact. The role is ideal for physicians interested in case review work, utilizing their clinical expertise to ensure fairness in healthcare decision-making for California enrollees.
Practice Info
• Support the California Department of Managed Healthcare (DMHC)
• Conduct impartial reviews of medical records and treatment requests related to infectious disease conditions
• Case types include Medical Necessity, Experimental/Investigational, and Emergency determinations
• No patient contact
• 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: $250–$400
Shift & Schedule
• 100% remote – work from anywhere
• Flexible scheduling
Requirements
• Board Certification in Psychiatry and Addiction Psychiatry
• Active, non restricted U.S. medical license
• Recent or current clinical experience in infectious disease
• Strong analytical and written communication skills
• Ability to manage case reviews independently
• No visa sponsorship available