required Knowledge of Medicaid and/or Medicare regulations required Knowledge of Milliman criteria (MCG) preferred...
Description : What We Do Milliman IntelliScript is a group of a few hundred experts in fields ranging... unit within Milliman, Inc., a respected consultancy with offices around the world. Candidates who have their pick...
setting required. Minimum of 2+ years utilization review or claims auditing experience required. Experience with Milliman...
planning or nursing management, preferred. 4. Current BCLS certificate, preferred. 5. Knowledge of Milliman Criteria...
Description : What We Do Milliman IntelliScript is a group of a few hundred experts in fields ranging..., software-as-a-service (SaaS) products for a broad spectrum of insurance clients. We’re a business unit within Milliman, Inc...
. GENERAL DUTIES/RESPONSIBILITIES: 1. Processes second level reviews in compliance with Medicare/CMS: NCD, LCD and Milliman... classifications as well as continued stay reviews in compliance with CMS and Milliman guidelines. 3. Acts as a liaison between the...
. Current BCLS certificate, preferred. 5. Knowledge of Milliman Criteria and InterQual Criteria preferred. 6. Experience...
of medical necessity justification through but not limited to non-physician review guidelines (InterQual and Milliman), Medicare...
Description : POSITION SUMMARY: The Marketing Technology Team at Milliman, Global Corporate Services (GCS... covered by Milliman. Short-Term and Long-Term Disability – Fully paid by Milliman. ABOUT MILLIMAN: Independent for over...
programs strongly preferred Experience in use of Milliman/InterQual criteria A Care Management certification preferred...