Medical Consultant

Title: Medical Consultant

State Role Title: Med Asst Physician Consultant

Hiring Range: $120.00 $125.00

Pay Band: UG

Agency: Dept of Med Assistance Svcs

Location:Dept of Medical Asst Services

Agency Website:

Recruitment Type: General Public G

Job Duties

The Department of Medical Assistance Services (DMAS) is excited to offer a competitive opportunity to serve as the Medical Consultant. The selected competitive candidate will provide exceptional delivery of services to the agencys Office of the Chief Medical Officer.

Job responsibilities will include but are not limited to:

Active Virginia state medical license (M.D. or D.O. and Board Certification or eligibility for Board Certification with experience in Family Medicine or Pediatrics.

This position performs utilization management authorization reviews for select feeforservice (FFS) services provides clinical input on standardized clinical coverage determinations and informs Medicaid policy as it relates to highpriority areas for the agency.

Supports the division by participating in Agency workgroups and services as a designee for external meetings/programs as directed by the Chief Medical Officer.

The position you are applying for is an Hourly/Wage position. Hourly (wage) employees may not work more than an average of 29 hours a week and cannot exceed 1500 hours during their employment year. This position does not include health insurance retirement or leave.

Located in beautiful Central Virginia the Richmond area puts you just 2 hours from the Blue Ridge Mountains Virginia Beach and Washington DC. To learn more about the Richmond VA area visit: Department of Medical Assistance Services (DMAS) is working to improve the health and wellbeing of Virginians through access to high quality health care coverage.

DMAS wants talented individuals who can align their experience with the mission of the agency and its core values service collaboration trust problem solving and adaptability.

At the Department of Medical Assistance Services (DMAS) we encourage and promote that you Come as you are Become who you want to be That is our promise.

Minimum Qualifications

Competitive candidates will meet these minimum qualifications:

Knowledge /Experience in evaluating and synthesizing clinical evidence from multiple sources (i.e. primary literature secondary reviews expert opinion private coverage assessments).

Knowledge/Experience of Medicaid as well as private and public health services delivery and payment programs.

Knowledge/Experience in understanding and adhere to standardized clinical policies to make consistent clinical coverage determinations procedures/processes of the position.

Knowledge and demonstrated skill in the practice of medicine (pediatrics or family medicine).

Knowledge/Experience of utilization management programs and systems.

Knowledge/Experience interpretation and application of federal state laws/regulations.

Experience in meeting deadlines.

Experience with engaging a wide range of stakeholders spanning the policy payer delivery and patient realms (i.e. other state agencies patient interest groups providers etc..

Additional Considerations

There are no additional considerations for this position.

Special Instructions

You will be provided a confirmation of receipt when your application and/or rsum is submitted successfully. Please refer to Your Application in your account to check the status of your application for this position.

The Virginia Department of Medical Assistance Services (DMAS) does not offer employmentbased Sponsorship. Selected candidates will have their work authorization completed using the EVerify Program.

The Department of Medical Assistance Services (DMAS) is an Executive Branch agency that will adhere to all policies and procedures to include the Commonwealths Department of Human Resource Management Policy 1.61 Teleworking.

This position requires a fingerprint based Criminal History Background Check Education Checks if applicable Work History Verification with references.

If you wish to apply for a job with the Department of Medical Assistance Services an application and/or resume for employment must be submitted electronically through this website. Mailed faxed emailed or handdelivered applications/resumes will not be accepted. Consideration for an interview is based solely on the relevant information presented in the state application and/or resume submitted before the closing date.

Applications and/or resumes should include relevant work history which indicates your qualifications for this position.

The Department of Medical Assistance Services practices fair and equal employment opportunity to all employees and applicants in accordance with applicable laws and regulations. It is our policy to prohibit discrimination on the basis of race sex color national origin religion sexual orientation gender identity age veteran status political affiliation genetics or disability in the recruitment selection and hiring of its workforce.

In support of the Commonwealths commitment to inclusion we are encouraging individuals with disabilities to apply through the Commonwealths Alternative Hiring Process. To be considered for this opportunity applicants will need to provide their AHP Letter (formerly called a Certificate of Disability) provided by the Department for Aging & Rehabilitative Services (DARS) or the Department for the Blind & Vision Impaired (DBVI). ServiceConnected Veterans may also apply via the AHP if they also provide an AHP Letter. To request an AHP Letter use this link: or call DARS ator DBVI at

The Department of Medical Assistance Services is a V3 certified state agency that provides hiring preference to veterans and members of the reserves and/or National Guard in support of executive order 29 2010. If you are a Veteran or Spouse of a Veteran or Active Military Member DMAS encourages you to apply and respond accordingly on your state application.

Contact Information

Name: DMAS Talent Acquisition

Phone:

Email:

In support of the Commonwealths commitment to inclusion we are encouraging individuals with disabilities to apply through the Commonwealth Alternative Hiring Process. To be considered for this opportunity applicants will need to provide their AHP Letter (formerly COD) provided by the Department for Aging & Rehabilitative Services (DARS) or the Department for the Blind & Vision Impaired (DBVI). ServiceConnected Veterans are encouraged to answer Veteran status questions and submit their disability documentation if applicable to DARS/DBVI to get their AHP Letter. Requesting an AHP Letter can be found at AHP Letter or by calling DARS at.

Note: Applicants who received a Certificate of Disability from DARS or DBVI dated between April 1 2022 February 29 2024 can still use that COD as applicable documentation for the Alternative Hiring Process.