Description : POSITION SUMMARY: The Finance team at Milliman, Global Corporate Services (GCS) is looking to hire... covered by Milliman. Short-Term and Long-Term Disability – Fully paid by Milliman. ABOUT MILLIMAN: Independent for over...
adult patients. 6. Knowledge of InterQual or Milliman Care Guidelines preferred. Why Mercy? From day one, Mercy...
biannual MCG-IRR testing (Milliman Care Guidelines-Inter Rator Reliability) that is administered to clinical and medical...
, clinical standards of care, NCQA requirements, CMS guidelines, Milliman guidelines, InterQual guidelines, Medicaid/Medicare... requirements, CMS guidelines, Milliman guidelines, InterQual guidelines, and Medicaid/Medicare contracts and benefit systems. Pref...
) Working toward or completion of CCM/CCP/CDE certification or Advanced degree Knowledge of Milliman Guidelines or similar...
of medical necessity justification through but not limited to non-physician review guidelines (InterQual and Milliman), Medicare...
exam. Recent documented experience with Milliman experience....
, conflict resolution skills and assertive communication skills required. Knowledge of InterQual ISD-A and Milliman Guidelines...
Progressive knowledge of InterQual Level of Care Criteria or Milliman Care Guidelines and knowledge of local and national coverage...
Level of Care Criteria or Milliman Care Guidelines and knowledge of local and national coverage determinations. ?Recent...