What are the responsibilities and job description for the Remote Independent Medical Reviewer/Pulmonary Disease position at Maximus Federal?
We are seeking a Medical Review Specialist with experience in pulmonary disease for our Maryland Independent Review Organization (MD IRO-SAE). Join our team to perform Independent Reviews on medical necessity denial disputes for Medicaid beneficiaries.
- Review and analyze cases to determine medical necessity
- Utilize tools like Salesforce, ERIC, and InterQual
- Provide decision write-ups using the IRAC format
This role requires 24 hours of active practice per week, with varying case volumes. If you have a passion for ensuring quality care, apply now!
