Serve as liaison between peer reviewer, provider, facility and/or subscriber. * Coordinate and ... Telligen is one of the most respected population health management organizations in the country. We ...
Quick apply
14 Telligen Reviewer Jobs Hiring Near You
Serve as liaison between peer reviewer, provider, facility and/or subscriber. * Coordinate and ... Telligen is one of the most respected population health management organizations in the country. We ...
Serve as liaison between peer reviewer, provider, facility and/or subscriber. * Coordinate and ... Telligen is one of the most respected population health management organizations in the country. We ...
Serve as liaison between peer reviewer, provider, facility and/or subscriber. * Coordinate and ... Telligen is one of the most respected population health management organizations in the country. We ...
Serve as liaison between peer reviewer, provider, facility and/or subscriber. * Coordinate and ... Telligen is one of the most respected population health management organizations in the country. We ...
Quick apply
Serve as liaison between peer reviewer, provider, facility and/or subscriber. * Coordinate and ... Telligen is one of the most respected population health management organizations in the country. We ...
Serve as liaison between peer reviewer, provider, facility and/or subscriber. * Coordinate and ... Telligen is one of the most respected population health management organizations in the country. We ...
Serve as liaison between peer reviewer, provider, facility and/or subscriber. * Coordinate and ... Telligen is one of the most respected population health management organizations in the country. We ...
Serve as liaison between peer reviewer, provider, facility and/or subscriber. * Coordinate and ... Telligen is one of the most respected population health management organizations in the country. We ...
Serve as liaison between peer reviewer, provider, facility and/or subscriber. * Coordinate and ... Telligen is one of the most respected population health management organizations in the country. We ...
... 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 ...
New
Quick apply
... 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 ...
New
Controller
West Des Moines, IA · On-site
... 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 ...
Controller
West Des Moines, IA · On-site
... 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 ...
... 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 ...
... 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 ...
Infrastructure Engineer
West Des Moines, IA · On-site
$105K - $138K/yr
... 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 ...
Infrastructure Engineer
West Des Moines, IA · On-site
$105K - $138K/yr
... 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 ...
Strategic Account Manager
San Bernardino, CA · Remote
$93K - $115K/yr
... 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 ...
Quick apply
Strategic Account Manager
San Bernardino, CA · Remote
$93K - $115K/yr
... 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 ...
Strategic Account Manager
San Bernardino, CA · Remote
$93K - $115K/yr
... 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 ...
Strategic Account Manager
San Bernardino, CA · Remote
$93K - $115K/yr
... 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 ...
Strategic Account Manager
San Bernardino, CA · On-site
$93K - $115K/yr
... 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 ...
Strategic Account Manager
San Bernardino, CA · On-site
$93K - $115K/yr
... 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 ...
Infrastructure Engineer
West Des Moines, IA · On-site
$105K - $138K/yr
... 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 ...
Infrastructure Engineer
West Des Moines, IA · On-site
$105K - $138K/yr
... 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 ...
Infrastructure Engineer
West Des Moines, IA · On-site
$105K - $138K/yr
... 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 ...
Quick apply
Infrastructure Engineer
West Des Moines, IA · On-site
$105K - $138K/yr
... 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 ...
Telligen Jobs Information
Do workers at Telligen get paid breaks?
Sometimes. Only some people get paid breaks.
40% of people say they don’t get paid breaks.
Based on data from 5 people who took the Breakroom Quiz between December 2024 and February 2026.
40% of people say they don’t get paid breaks.
Based on data from 5 people who took the Breakroom Quiz between December 2024 and February 2026.
Does Telligen pay people when they’re sick?
Yes. Most people get paid when they’re sick.
100% of people say they would get paid if they were sick but scheduled to work.
Based on data from 6 people who took the Breakroom Quiz between December 2024 and February 2026.
100% of people say they would get paid if they were sick but scheduled to work.
Based on data from 6 people who took the Breakroom Quiz between December 2024 and February 2026.
Is the health insurance from Telligen affordable enough for their workers?
Most people say the health insurance costs are okay.
80% of people say the health insurance costs are okay
Based on data from 5 people who took the Breakroom Quiz between March 2025 and February 2026.
80% of people say the health insurance costs are okay
Based on data from 5 people who took the Breakroom Quiz between March 2025 and February 2026.
Do workers at Telligen worry about hours?
Most people don’t worry about getting enough hours.
100% of people report they don’t worry about getting enough hours.
Based on data from 5 people who took the Breakroom Quiz between December 2024 and February 2026.
100% of people report they don’t worry about getting enough hours.
Based on data from 5 people who took the Breakroom Quiz between December 2024 and February 2026.
How easy is it to get time off at Telligen?
Most people find it easy to get time off.
83% of people report it’s easy to get time off.
Based on data from 6 people who took the Breakroom Quiz between December 2024 and August 2025.
83% of people report it’s easy to get time off.
Based on data from 6 people who took the Breakroom Quiz between December 2024 and August 2025.
Do Telligen managers change schedules at the last minute?
Most managers don’t change people’s schedules at the last minute.
100% of people say their manager doesn’t change their shift schedule at the last minute.
Based on data from 6 people who took the Breakroom Quiz between December 2024 and February 2026.
100% of people say their manager doesn’t change their shift schedule at the last minute.
Based on data from 6 people who took the Breakroom Quiz between December 2024 and February 2026.
Do jobs at Telligen spill into time workers aren’t paid for?
Rarely. The job doesn't usually spill into unpaid time.
17% of people report that their job takes up time that they don’t get paid for.
Based on data from 6 people who took the Breakroom Quiz between December 2024 and February 2026.
17% of people report that their job takes up time that they don’t get paid for.
Based on data from 6 people who took the Breakroom Quiz between December 2024 and February 2026.
How easy is it to take sick days at Telligen?
Most people find it easy to take sick days.
71% of people report that it’s easy to take time off if they are sick.
Based on data from 7 people who took the Breakroom Quiz between December 2024 and February 2026.
71% of people report that it’s easy to take time off if they are sick.
Based on data from 7 people who took the Breakroom Quiz between December 2024 and February 2026.
Do people at Telligen feel treated with respect by their managers?
Most people feel treated with respect by their managers.
80% of people say they’re treated with respect by their managers.
Based on data from 5 people who took the Breakroom Quiz between December 2024 and August 2025.
80% of people say they’re treated with respect by their managers.
Based on data from 5 people who took the Breakroom Quiz between December 2024 and August 2025.
Do people at Telligen get to take their breaks without interruption?
Most people get breaks without interruption.
86% of people report that they get to take their breaks without interruption.
Based on data from 7 people who took the Breakroom Quiz between December 2024 and February 2026.
86% of people report that they get to take their breaks without interruption.
Based on data from 7 people who took the Breakroom Quiz between December 2024 and February 2026.
Do people at Telligen recommend working with their team?
Not many people recommend working with their team.
86% of people report that they wouldn’t recommend working with their immediate team to a friend.
Based on data from 7 people who took the Breakroom Quiz between December 2024 and February 2026.
86% of people report that they wouldn’t recommend working with their immediate team to a friend.
Based on data from 7 people who took the Breakroom Quiz between December 2024 and February 2026.
Do people get enough training when they start at Telligen?
Some people didn’t get enough training when they started.
57% of people report they didn’t get enough training when they started working here.
Based on data from 7 people who took the Breakroom Quiz between December 2024 and February 2026.
57% of people report they didn’t get enough training when they started working here.
Based on data from 7 people who took the Breakroom Quiz between December 2024 and February 2026.
Do people get support to advance at Telligen?
Only some people are given support to advance their career here.
In the last year, 43% of people report not being given support to advance their career here.
Based on data from 7 people who took the Breakroom Quiz between December 2024 and February 2026.
In the last year, 43% of people report not being given support to advance their career here.
Based on data from 7 people who took the Breakroom Quiz between December 2024 and February 2026.
Do workers feel well informed about how Telligen is doing?
Most people feel well informed about how the company is doing.
100% of people feel that they are kept well informed about how the company is doing as a whole.
Based on data from 5 people who took the Breakroom Quiz between December 2024 and February 2026.
100% of people feel that they are kept well informed about how the company is doing as a whole.
Based on data from 5 people who took the Breakroom Quiz between December 2024 and February 2026.
What other companies are hiring for Reviewer jobs?
What are the most popular jobs at Telligen?
What are the most popular categories at Telligen?
Full-time
Posted 9 days ago
Telligen rating
7.9
Based on 7 frontline employees who took The Breakroom Quiz
35th of 72 rated business consultants
Job description
This position will be responsible for conducting utilization review/medical management for all services including training/mentoring other team members and performing preliminary research on requested topics. In addition, the incumbent may provide technical assistance, medical record review and support to provider staff and physician reviewers.
- Perform prospective, concurrent or retrospective utilization review/medical management for all services including appropriateness of quality of care based on contract, state, or URAC requirements.
- Screen individual situations according to specific criteria to determine if care is appropriate.
- Refer cases that fail to meet screening criteria to peer reviewer.
- Coordinate and participate in peer-to-peer review as warranted. With prior management approval, may deviate from criteria with proper justification to authorize the service.
- Serve as liaison between peer reviewer, provider, facility and/or subscriber.
- Coordinate and participates in appeal process as directed by management.
- Train or serve as a mentor to team members and physician reviewers to ensure reviews and appeals are conducted thoroughly and within specified time frames.
- Performs preliminary research on topics such as experimental or cosmetic services, coverage determinations, coding or standards of care.
- Documents review and special project results in workflow documentation system, ensuring data is accurate and timely.
- Assists in compliance reporting.
- Performs miscellaneous duties as assigned.
- Current RN license that is recognized in the relevant jurisdiction(s)or other certification directly relevant to the type of review performed; Ability to obtain required license(s) in state(s) by timeframe set by business not to exceed 6 months
- Current RN license must be unrestricted and if there is a restriction that is allowed by a relevant jurisdiction, according to the Medical Director, it is of the type that does not affect the health professional’s ability to fulfill the roles and responsibilities of a reviewer
- Four-year degree in health care or two- or three-year degree in nursing or related field and/or equivalent training and/or experience
- 3 – 5 years recent experience working in a clinical environment
- 5% local and/or overnight travel
- Knowledge of URAC standards
- Oncology experience highly preferred
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
We may use artificial intelligence (AI) tools to support parts of the hiring process, such as reviewing applications, analyzing resumes, or assessing responses and identifying potential inconsistencies or verification signals in application materials based on available information. These tools assist our recruitment team but do not replace human judgment. Final hiring decisions are ultimately made by humans. If you would like more information about how your data is processed, please contact us.
About Telligen
Sourced by ZipRecruiter
Company size
501 - 1,000 Employees
Headquarters location
West Des Moines, IA, US
Year founded
1972