Spec, Utilization Management
% Determines medical necessity and appropriateness by referencing regulatory mandates, contracts, benefit information, Milliman...
% Determines medical necessity and appropriateness by referencing regulatory mandates, contracts, benefit information, Milliman...
of Milliman Criteria and InterQual Criteria preferred. Current BCLS certificate, preferred Pay Transparency: Montclair...
& Sales marketing brochures, presentations, and training materials. Review and complete LIMRA, Eastbridge and Milliman...
or related field preferred. Current BCLS certificate preferred. Knowledge of Milliman Criteria and InterQual Criteria preferred...
Description : Milliman’s Medicaid Finance and Policy Practice is seeking individuals to assist in providing.... Who We Are Milliman’s Medicaid Finance and Policy Practice serves state Medicaid agencies and a wide variety...
Description : POSITION SUMMARY: The Finance team at Milliman Global Corporate Services (GCS) is looking to hire... a Senior Account Support Specialist. This position primarily provides support and training to Milliman employees on custom...
Description : Milliman's Seattle healthcare practice provides consulting services to clients in the healthcare... Specialist to develop and improve upon existing software management processes. About Our Practice Milliman’s Seattle Health...
. Ability to work independently, setting priorities to coordinate care plans efficiently. Working knowledge of Milliman...
on preventing and appealing denials and educates on medical necessity criteria such as InterQual and/or Milliman Care Guidelines...
Description : Overview Milliman’s Indianapolis Health practice is seeking an Actuarial Analyst Intern (Summer 2027... to learn why Milliman is a great place to begin an actuarial career. Responsibilities In this role, you will: Analyze...