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Contractual Medical Peer Review Jobs (NOW HIRING)

Telligen

Peer Review Psychiatrist (1099)

Cheyenne, WY · On-site

Direct medical review activities across assigned contracts * Serve as the subject matter expert on peer review processes * Articulate Telligen's policies to diverse medical and non-medical audiences ...

Telligen

Peer Review Psychiatrist (1099)

Jackson, MS · On-site

Direct medical review activities across assigned contracts * Serve as the subject matter expert on peer review processes * Articulate Telligen's policies to diverse medical and non-medical audiences ...

Telligen

Peer Review Psychiatrist (1099)

Edmond, OK · On-site

Direct medical review activities across assigned contracts * Serve as the subject matter expert on peer review processes * Articulate Telligen's policies to diverse medical and non-medical audiences ...

Kaweah Health

RN-Peer Review Coordinator

Visalia, CA · On-site

$46.44 - $69.66/hr

JOB RESPONSIBILITIES Essential Supports and coordinates the Medical Staff Peer Review committees ... and activities as outlined in the Peer Review and Code of Conduct policy including but not limited ...

Kaweahhealth

RN-Peer Review Coordinator

Visalia, CA · On-site

$46.44 - $69.66/hr

JOB RESPONSIBILITIES Essential Supports and coordinates the Medical Staff Peer Review committees ... and activities as outlined in the Peer Review and Code of Conduct policy including but not limited ...

Managed Medical Review Organization

About MMRO Managed Medical Review Organization (MMRO) is a nationally recognized, URAC-accredited Independent Review Organization (IRO) specializing in objective, evidence-based medical peer reviews ...

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Contractual Medical Peer Review information

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$36.5K

$164.7K

$337K

How much do contractual medical peer review jobs pay per year?

As of Sep 3, 2026, the average yearly pay for contractual medical peer review in the United States is $164,731.00, according to ZipRecruiter salary data. Most workers in this role earn between $64,000.00 and $268,500.00 per year, depending on experience, location, and employer.

What is the difference between Contractual Medical Peer Review vs Medical Claims Reviewer?

AspectContractual Medical Peer ReviewMedical Claims Reviewer
CredentialsMedical degree, licensure, certification in peer reviewMedical background, often with coding or claims processing certifications
Work EnvironmentIndependent review organizations, healthcare facilitiesInsurance companies, healthcare providers, claims departments
Industry UsageUsed for evaluating medical necessity, quality, and appropriatenessUsed for processing and approving insurance claims

Contractual Medical Peer Review involves evaluating medical cases for quality and necessity, often for legal or insurance purposes, while Medical Claims Review focuses on assessing insurance claims for accuracy and coverage. Both roles require medical knowledge but serve different functions within the healthcare and insurance industries.

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Contractual Medical Peer Review jobs near you
Infographic showing various Contractual Medical Peer Review job openings in the United States as of August 2026, with employment types broken down into 1% As Needed, 78% Full Time, 15% Part Time, and 6% Contract. Highlights an 92% Physical, 1% Hybrid, and 7% Remote job distribution, with an average salary of $164,731 per year, or $79.2 per hour.

Peer Review Psychiatrist (1099)

Telligen

West Des Moines, IA • On-site

Other

This job post has expired 3 days ago. Applications are no longer accepted.

Telligen rating

7.9

Company rating: 7.9 out of 10

Based on 7 frontline employees who took The Breakroom Quiz

37th of 72 rated business consultants

Job description

As a Peer Review Psychiatrist, you will conduct peer reviews and appeals to ensure the level of care is appropriate and necessary for Concurrent Acute Inpatient Psychiatric requests.
Candidate must possess a California medical license with a psychiatry specialty, or have the ability to obtain one with reimbursement.
This is a 1099 position.
What you'll do:

Evaluate Care Quality:

  • Perform peer reviews to ensure healthcare services meet necessity and appropriateness standards

Manage Contract Reviews:

  • Direct medical review activities across assigned contracts
  • Serve as the subject matter expert on peer review processes
  • Articulate Telligen's policies to diverse medical and non-medical audiences

Required Skills and Experience:
  • Active, unrestricted medical license in California (or willingness to obtain) and the contracted state
  • Board certification in Psychiatry or Neurology by a US board (active and unrestricted)
  • Proven background in utilization management and several years of hands-on clinical practice
  • Working knowledge of MCG or InterQual medical necessity criteria

Preferred Skills and Experience:
  • Mastery of DSM-5 and ICD-10 criteria to accurately evaluate complex mental health conditions
  • Deep understanding of psychiatric medications, side effects, and evidence-based treatment algorithms
  • Comfort with electronic health records (EHRs) and utilization review software
  • Familiarity with state and federal guidelines, HIPAA compliance, and insurance or Medicaid-specific medical necessity criteria
  • Skill in conducting conversations clearly, professionally, and respectfully with treating clinicians
  • Capacity to write clear, concise, and evidence-based rationales for decisions or quality evaluations


Who We Are:
Telligen is one of the most respected population health management organizations in the country. We offer clinical, analytical, and technical expertise to support local, Tribal, and national partners, state and federal government programs, and employers and health plans.
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 help 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.
Telligen is an equal opportunity employer. Qualified applicants will be considered without regard to race, color, religion, creed, sex, sexual orientation, gender identity, marital status, national origin, age, protected veteran status, disability or any other protected class.
Telligen is committed to ensuring that our employment process is open to all individuals, and provides reasonable accommodations to individuals who need assistance during any part of the employment process due to a disability, medical condition, or physical or mental impairment. Reasonable accommodations are considered on a case-by-base basis.
If you need assistance to navigate Telligen's careers website or to apply for a position, please send an email to careers@telligen.com

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