Psychiatric Medical Reviewer - 1099 Consultant
Wyoming
State Health Solutions /
1099 Consultant /
Remote
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!
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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.
