REQUIRED Experience: Related experience- 3 years Health Plan OR Utilization Management experience preferred JIVA and Milliman Care..., Utilization Review, Medical Necessity, JIVA, Milliman...
covered by Milliman. Short-Term and Long-Term Disability – Fully paid by Milliman. Equal Opportunity All qualified...
, Milliman, MCG, and similar guidelines required. Credentials: Licensed to practice medicine in the State of Florida...
Description : Milliman's Seattle Health Practice is looking for an ASA with experience in health actuarial work... in consulting skills and advanced actuarial techniques. About Our Practice Milliman’s Seattle Health Practice partners...
Management Proficiency with Milliman Care Guidelines or Interqual Bilingual skills to communicate effectively with patients...
Awareness about UM standards, NCQA requirements, CMS guidelines, Milliman guidelines, and Medicaid/Medicare contracts...
;Discharge Planning;Utilize InterQual Criteria;Utilize Milliman Guidelines;UR Admission Criteria;UR Appeals and Denials;UR... Utilize Milliman Guidelines;CMS: Centers for Medicare and Medicaid Services;CPT (Current Procedural Terminology) coding...
;Utilize InterQual Criteria;Utilize Milliman Guidelines;UR Admission Criteria;UR Appeals and Denials;UR Concurrent Review... Milliman Guidelines;CMS: Centers for Medicare and Medicaid Services;CPT (Current Procedural Terminology) coding and billing...
in the medical record according to policy guidelines. Utilizes MCG- Milliman criteria to identify severity of illness...
Sharp Health Plan Medical Policies in conjunction with Milliman Care Guidelines for medical necessity approvals...