TekAssembly Apply Now Position Title:

Medical Consultant / Disability Medical Consultant Indianapolis, IN, US

• Posted 7 hours ago
• Updated 7 hours ago Contract Independent Contract W2 12 Months No Travel Required On-site Depends on Experience Fitment Dice Job Match Score™ To see how well you match this job, please log in or create an account .

Once logged in, be sure to complete your profile to get the most accurate match score. Job Details Skills MD or DO / qualified physician Indiana medical license adult and pediatric body systems SSA disability-program requirements Social Security Disability/SSA/DDS/DDB medical consultant disability determination consultant utilization reviewer independent medical reviewer medical chart review and clinical documentation MD or DO / qualified physician Indiana medical license adult and pediatric body systems SSA disability-program requirements Social Security Disability/SSA/DDS/DDB medical consultant disability determination consultant utilization reviewer independent medical reviewer medical chart review and clinical documentation Show more

Summary Position Title:

Medical Consultant /

Disability Medical Consultant Client:

Indiana Family and Social Services Administration (FSSA)

• Disability Determination Bureau (DDB)

Contract:

RFP 26-87343

• Medical Consultation Services Primary Responsibilities Review and evaluate medical evidence and case files associated with Social Security Disability claims .

Provide medical consultation and professional medical opinions to the DDB. Apply medical knowledge, training, and experience in accordance with the Social Security Administration (SSA) Program Operations Manual for the Evaluation of Social Security Disability Claims . Review cases involving all adult and child body systems, except mental/behavioral health . Complete assigned cases and return them to the DDB workflow within 48 hours of receipt . Maintain a minimum 95% accuracy rate , as measured through Social Security Administration Disability Quality Branch (DQB) reviews. Correct deficient work products at no additional cost when the work does not meet SSA standards or internal quality requirements. Complete required time/activity reports and other reports requested by the State. Attend or review training provided by SSA/DDB and, when agreed upon, provide training to State personnel. Respond to DDB communications within 48 hours . Maintain confidentiality and comply with HIPAA, HITECH, and applicable State/Federal privacy requirements when handling PHI/PII. Disclose potential conflicts of interest and maintain impartiality in disability case evaluations. Mandatory Candidate Requirement The most important qualification explicitly stated in the Scope of Work is: The candidate must maintain an unrestricted and non-probationary medical license issued by the State of Indiana. Work Arrangement The consultant may work: At the Indiana DDB office or At a State/SSA-approved remote location , subject to SSA approval. Remote reviews must use SSA-provided equipment and secured VPN . The consultant must be willing to report to the DDB office with minimal notice when required. The work is not full-time , and the consultant is allowed to provide services to other organizations, subject to the conflict-of-interest requirements. Required MD or DO / qualified physician. Current unrestricted, non-probationary Indiana medical license . Experience reviewing medical records and making clinical/medical determinations. Ability to evaluate medical evidence across adult and pediatric body systems . Ability to interpret medical documentation and determine functional/medical implications relevant to disability claims. Strong written clinical documentation skills. Ability to complete cases within 48 hours . Ability to maintain 95%+ accuracy . Ability to work independently and meet DDB workflow requirements. Ability to comply with SSA disability-program requirements. Ability to maintain strict confidentiality when handling PHI/PII. Strongly Preferred Previous experience with Social Security Disability/SSA/DDS/DDB case review. Experience as a medical consultant, disability determination consultant, utilization reviewer, independent medical reviewer, or similar role . Experience reviewing both adult and pediatric cases. Familiarity with SSA''''s disability evaluation framework/POMS. Experience with medical chart review and clinical documentation. Employers have access to artificial intelligence language tools ("AI") that help generate and enhance job descriptions and AI may have been used to create this description. The position description has been reviewed for accuracy and Dice believes it to correctly reflect the job opportunity.

Dice Id:

91008435

Position Id:

9065174 Posted 7 hours ago Contact the job poster Surya Tek Recruiter @ TekAssembly View Profile Create job alert Never miss an opportunity! Create an alert based on the job you applied for. Create alert Similar Jobs Radiant System, Inc Public Health Data Reviewer Indianapolis, Indiana

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Today Job Title:

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Location:

Fully remote

• candidates must reside in:

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Hours:

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• 8-5 PST)

Start Date:

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Client Overview:

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