Medical Review Officer (MRO) - Bid - Job Listing

Essential Duties and Responsibilities:
- As a physician consultant, access a secure portal to retrieve and work clinical cases; review each set of case records for the clinical history, diagnoses, current symptomatology, and current requested treatment(s).
- Research patient records for any relevant information consistent with the requested treatment(s) to obtain an accurate clinical picture of the status of the condition(s) present.
- Access the online version of the evidence-based state guidelines to decide which guideline pertains to the requested treatment, and then determine if there are associated criteria or circumstances when the requested medical treatment is appropriate.
- Analyse and compare the guideline to the pertinent case records to determine if the case meets, or does not meet, the criteria for the requested treatment.
- In cases where no state guideline pertains to the requested treatment, the physician must research for other approved secondary sources of peer-reviewed literature to support the decision, and then review and interpret that scientific literature to determine if it supports, or doesn’t support, the requested treatment in that respective case.
- After completing all research, the physician must write a case rationale in the correct format that introduces the question at hand, summarizes the correct guideline, analyses the pertinent case details related to the guideline, and then make a final determination as to the medical necessity of the requested service.

- Serve as the designated Medical Review Officer (MRO) for drug and alcohol testing conducted within job readiness and Drug‑Free Workplace Program (DFWP) activities.

- Review and interpret laboratory test results to determine compliance and accuracy in accordance with federal and program standards.

- Conduct medical assessments or obtain additional medical information from participants when necessary to determine if there is a legitimate medical explanation for test results.

- Document all evaluations and final determinations in compliance with regulatory and program requirements.

- Ensure timely reporting of verified results to authorized program or case management personnel.

- Maintain strict confidentiality and adherence to HIPAA and other applicable privacy laws.

- Stay current with HHS, DOT, and other regulatory guidelines governing MRO responsibilities.

- Provide updated proof of all required licenses and certifications at proposal submission and at required six‑month intervals.

- Collaborate with program leadership or testing vendors to address result discrepancies, regulatory questions, or process improvements.

Minimum Requirements

- Bachelor’s Degree and minimum of 12 years of experience required.
- Must be an MD or DO with an active license to practice medicine with no disciplinary history.

- Medical License: Permanent, full, and unrestricted license to practice medicine in a U.S. jurisdiction.

- Board Certification: Board certified Doctor of Medicine (MD) or Doctor of Osteopathy (DO).

- Experience:

o Minimum of five (5) years of experience providing MRO services to Drug Free Workplace Programs.

o At least three (3) of those years within the last three (3) years of this requirement.

- Certification:

o Current HHS approved MRO certification, provided at time of proposal and at six-month intervals thereafter.

o Current medical board certification, also provided at time of proposal and at six-month intervals.

- Strong knowledge of federal drug testing regulations and MRO protocols.

- Excellent analytical, communication, and documentation skills.

EEO Statement

Maximus is an equal opportunity employer. We evaluate qualified applicants without regard to race, color, religion, sex, age, national origin, disability, veteran status, genetic information and other legally protected characteristics.

Pay Transparency

Maximus compensation is based on various factors including but not limited to job location, a candidate's education, training, experience, expected quality and quantity of work, required travel (if any), external market and internal value analysis including seniority and merit systems, as well as internal pay alignment. Annual salary is just one component of Maximus's total compensation package. Other rewards may include short- and long-term incentives as well as program-specific awards. Additionally, Maximus provides a variety of benefits to employees, including health insurance coverage, life and disability insurance, a retirement savings plan, paid holidays and paid time off. Compensation ranges may differ based on contract value but will be commensurate with job duties and relevant work experience. An applicant's salary history will not be used in determining compensation. Maximus will comply with regulatory minimum wage rates and exempt salary thresholds in all instances.

Accommodations

Maximus provides reasonable accommodations to individuals requiring assistance during any phase of the employment process due to a disability, medical condition, or physical or mental impairment. If you require assistance at any stage of the employment process—including accessing job postings, completing assessments, or participating in interviews,—please contact People Operations at applicantaccom@maximus.com.