Company Description Mission Critical Group (MCG) is an end-to-end power solutions and services provider... complex projects online faster - without compromising performance. With a robust U.S. manufacturing network, MCG supports data...
for medical necessity across inpatient and outpatient services, applying CMS guidelines and Milliman Care Guidelines (MCG... (LCD, NCD) to assist in determinations of referrals and utilize Milliman Care Guidelines (MCG) to assist in determinations...
Company Description Mission Critical Group (MCG) is an end-to-end power solutions and services provider... of U.S. manufacturing capacity, MCG supports data centers, power generation, healthcare, oil & gas, pharmaceuticals, semiconductors...
of experience using MCG Preferred: Prior leadership experience preferred Education: Required: Successful completion... at . If you would like to verify the legitimacy of an email sent by or on behalf of Alignment Health’s talent acquisition team, please email ....
thousands of healthcare professionals into organizations seeking high-quality talent and continue to partner with leading health... with established clinical guidelines including MCG or InterQual criteria Collaborate with providers, care teams, and health plan...
of excellence in uniting talent and technology to power the possible for our clients, colleagues, and communities. As a privately... year in Medical Management in a Health Insurance Plan;strong knowledge of managed care industry Experience with MCG...
that attracting the best talent is key to our strategy and success as an organization. As a result, we aim for flexibility... claims. This role applies clinical expertise, medical record analysis, MCG clinical criteria, and payer-specific clinical...
-support resources (e.g., MCG) across the team. Collaborate with BHPS Medical Directors, network providers, behavioral health... implementations, RFPs, growth opportunities, and program redesign initiatives. Leadership & Talent Development Recruit, train...
that attracting the best talent is key to our strategy and success as an organization. As a result, we aim for flexibility... knowledge of Microsoft Office, UR software and EMR. Possesses familiarity with MCG guidelines. Mental, Behavioral and Emotional...
to the appropriate people and teams and holds them accountable. Drives results. Coaching & Building Talent - Achieves... as requested. Obtains familiarity and working knowledge of standard published criteria such as MCG/InterQual and applies...