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Psychiatric Medical Reviewer - 1099 Consultant

Telligen

Cheyenne (WY)
On-site
USD 100,000 - 125,000
Today
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Experienced Electrical Engineer - Energy Production (Power Plant)

Madison Gas & Electric

Madison (WI)
On-site
USD 80,000 - 100,000
Today
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Operator 2, Bakery - Operator

Aspire Bakeries

Alsip (IL)
On-site
USD 10,000 - 60,000
Today
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CAT Scan Technologist | Full-Time Days | Newark Campus

Christiana Care Health System

Newark (DE)
On-site
USD 60,000 - 80,000
Today
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Director of Application Development

Protective Life Insurance Company

United States
On-site
USD 99,000 - 151,000
Today
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Construction Inspector - Road/Bridge

Johnson, Mirmiran & Thompson

Trenton (NJ)
On-site
USD 60,000 - 80,000
Today
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Administrative Assistant

Fincantieri Marine Group - Marinette Marine

Marinette (WI)
On-site
USD 30,000 - 45,000
Today
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Facilities Coordinator

Community Bank, N.A.

Town of De Witt (NY)
On-site
USD 60,000 - 80,000
Today
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Merchandiser

Bimbo Bakeries

Mobile Park Estates (MN)
On-site
USD 10,000 - 60,000
Today
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Software Support Engineer

Echo Global Logistics

Chicago (IL)
On-site
USD 64,000 - 95,000
Today
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CNA-Experienced

Brightview Senior Living

Towson (MD)
On-site
USD 10,000 - 60,000
Today
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Sr Software Developer

Henderson Engineers

Lenexa (KS)
On-site
USD 90,000 - 120,000
Today
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Nurse LPN Community Living

Versability Resources

Newport News (VA)
On-site
USD 45,000 - 60,000
Today
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Hydration Aide - Pt/Prn - $16.64-$21.22 Per Hour

Buscojobs

Colorado
On-site
USD 10,000 - 60,000
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Housekeeping Floor Supervisor

Crescent Hotels & Resorts

New York (NY)
On-site
USD 65,000 - 70,000
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Field Representative - Part Time

RetailData LLC

Madill (OK)
On-site
USD 10,000 - 60,000
Today
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Quality Assurance Engineer

Twin City Fan Companies, Ltd.

Elkton Township (SD)
On-site
USD 70,000 - 90,000
Today
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Data Transformation Lead, Agency, Large Customer Sales

Google Inc.

Chicago (IL)
Hybrid
USD 138,000 - 205,000
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UTILITY WORKER-PUBLIC WORKS

City of Arlington

Arlington (TN)
On-site
USD 30,000 - 40,000
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Land Development Engineer

https:/jobs.gogpac.com/gpac/search/Apply/all/4107/504376756/Land%20Development%20Engineer.html

Detroit (MI)
On-site
USD 80,000 - 110,000
Today
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Registered Nurse Manager

Davita Inc.

Houston (TX)
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USD 80,000 - 100,000
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Registered Nurse (RN) Ambulatory Surgery Center Per Diem Day

RWJBarnabas Health

Communipaw (NJ)
On-site
USD 60,000 - 80,000
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Account Sales Manager

Zoro Tools

Salinas (CA)
On-site
USD 70,000 - 118,000
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Billing Specialist (Chicago)

Taft Stettinius & Hollister LLP

Chicago (IL)
On-site
USD 125,000 - 150,000
Today
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Retail Store Associate

The Sherwin-Williams Company

Copley Township (OH)
On-site
USD 60,000 - 80,000
Today
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Psychiatric Medical Reviewer - 1099 Consultant
Telligen
Cheyenne (WY)
On-site
USD 100,000 - 125,000
Part time
Today
Be an early applicant

Job summary

A leading health management organization in Wyoming seeks a Psychiatric Medical Reviewer to conduct peer reviews and oversee medical review activities. The ideal candidate must be a Board-Certified Child/Adolescent Psychiatrist with a current clinical license and must possess experience in addiction medicine. This role requires a commitment to enhancing healthcare outcomes and supporting Medicaid beneficiaries.

Benefits

Employee ownership
Community involvement programs

Qualifications

  • Must be a Board-Certified Child/Adolescent Psychiatrist.
  • Current active board certification in Psychiatry/Neurology is necessary.
  • Experience with addiction medicine is highly desirable.

Responsibilities

  • Conduct peer reviews ensuring healthcare appropriateness.
  • Oversee medical review activities for assigned contracts.
  • Serve as a technical expert on peer review processes.

Skills

Current unrestricted clinical license
Board-Certified Child/Adolescent Psychiatrist
Utilization Management experience
Familiarity with MCG or InterQual guidelines

Education

Board certification in Psychiatry/Neurology
Job description
As a Psychiatric Medical Reviewer -1099 Consultant, you will leverage your medical knowledge and deep understanding of mental health and substance abuse disorders, diagnosis, and standards of care to determine medical necessity and appropriate care for Medicaid beneficiaries.
We are looking for individuals located in Wyoming to join our team. You must either be located in the state of Wyoming or looking to relocate.

Essential Functions
  • Conduct critical peer reviews to ensure the healthcare given is appropriate and necessary. This role will focus on psychiatric and addiction medicine reviews.
  • Oversee and is responsible for the medical review activities for the assigned contract.
  • Serve as a technical expert on the peer review process.
  • Represent Telligen policies and procedures to medical and non-medical persons.
  • Participate in committee meetings as a representative of Telligen.
Requirements
  • Current unrestricted clinical license to practice medicine in the contracted state,or willingness to obtain licensure in the state
  • For WY Must be a Board-Certified Child/Adolescent Psychiatrist.
  • Current and active, unrestricted United States board certification by the American Board of Medical Specialties or Advisory Board of Osteopathic Medicine in Psychiatry/Neurology.
  • Certified Addiction Medicine Physicians are also highly desired.
  • Utilization Management experience.
  • Familiarity with MCG or InterQual medical necessity guidelines or ASAM criteria.
  • Board-Certified Child/Adolescent Psychiatrist preferred.
Who We Are:
Telligen is one of the most respected population health management organizations in the country. We work with state and federal government programs, as well as employers and health plans offering clinical, analytical, and technical expertise.
Over our 50-year history, health care has evolved - and so have we. What hasn't changed is our deep commitment to those we serve. Our success is built on our ability to adapt, respond to client needs and deliver innovative, mission-driven solutions.
Our business is our people and we're seeking talented individuals who share our passion and are ready to take ownership, make an impact and helth shape the future of health.
Are you Ready?
We're on a mission to transform lives and economies by improving health.
Ownership: As a 100% employee-owned company, our employee-owners drive our business and share in our success.
Community: We show up - for our clients, our communities and each other. Being a responsible corporate partner is part of who we are.
Ingenuity: We value bold ideas and calculated risks. Innovation thrives when we challenge the status quo and listen to diverse perspectives.
Integrity: We foster a respectful, inclusive, and collaborative environment built on trust and excellence.
Thank you for your interest in Telligen!
Follow us on Twitter, Facebook, and LinkedIn to learn more about our mission-driven culture and stay up to speed.
While we use artificial intelligence tools to enhance our initial screening process, all applications are thoroughly reviewed by our human recruitment team to ensure a fair and comprehensive evaluation of each candidate.
Telligen and our affiliates are Equal Opportunity Employers and E-Verify Participants.
Telligen will not provide sponsorship for this position. If you will require sponsorship for work authorization now or in the future, we cannot consider your application at this time. We will not accept 3rd party solicitations from outside staffing firms.
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* The salary benchmark is based on the target salaries of market leaders in their relevant sectors. It is intended to serve as a guide to help Premium Members assess open positions and to help in salary negotiations. The salary benchmark is not provided directly by the company, which could be significantly higher or lower.

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