Pediatrician (Part-Time, Hybrid) - California
About the role
Join us and put your expertise to work in ways you never imagined possible. We know you’ve honed your career in a fast-moving medical environment. While Gainwell operates with a sense of urgency, you’ll have the opportunity to work more flexible hours. And working at Gainwell carries its rewards. You’ll have an incredible opportunity to grow your career in a company that values work-life balance, continuous learning, and career development.
Responsibilities
- Respond to medical claims, referrals, and inquiries from DHCS that require the expertise of a qualified pediatrician with a strong clinical background within four (4) hours of notification.
- Review policy and attend meetings with DHCS.
- Process suspended claims requiring expertise from a medical specialist and respond to referrals from internal departments.
- Occasionally travel to the Medicaid Operations Center (MOC) located in West Sacramento upon client request.
- Cross-train to help provide coverage for other consultants when required.
Requirements
- A minimum of three (3) years of clinical experience as a pediatrician.
- A current California medical license.
- Strong communication skills, as well as strong interpersonal and analytical skills.
- Comfortable using the following applications: Word, Excel, and Outlook.
Qualifications
Not specified.
Skills
Not specified.
Benefits
Not specified.
Pay
The pay range for this position is $115,000.00 - $129,000.00 per year, however, the base pay offered may vary depending on geographic region, internal equity, job-related knowledge, skills, and experience among other factors.
Schedule
This is primarily a remote position. Occasionally, upon client request, the consultant will travel to the Medicaid Operations Center (MOC) located in West Sacramento.