. Ability to work independently, setting priorities to coordinate care plans efficiently. Working knowledge of Milliman...
, clinical standards of care, NCQA requirements, CMS guidelines, Milliman guidelines, InterQual guidelines, Medicaid/Medicare...
Description : Account Manager Description: Milliman is seeking an Account Manager to work in a fast-growing... skills, and a results-driven mindset. At Milliman we strive to deliver the best products and services so that people can...
(AHA) certificate, preferred. Knowledge of Milliman Criteria and InterQual Criteria preferred. Experience and knowledge...
of medical necessity justification through but not limited to non-physician review guidelines (InterQual and Milliman), Medicare...
within 24 hours of admission and at least every 96 hours utilizing Milliman criteria determining appropriate patient status...
Current BLS (AHA) certificate Knowledge of Milliman Criteria Full benefits at Prime Healthcare: #LI-MP1 Employment...
guidelines, Milliman guidelines, and Medicaid/Medicare contracts and benefit systems Pay is based on several factors including...
Current BLS (AHA) certificate Knowledge of Milliman Criteria and InterQual Criteria Full benefits at Prime Healthcare...
management skills. Minimum of two years of experience utilizing Milliman Care Guidelines to justify Inpatient versus Observation...