about UM standards, NCQA requirements, CMS guidelines, Milliman guidelines, and Medicaid/Medicare contracts and benefit systems...
, but not limited to InterQual, Milliman Care Guidelines (MCG), etc. Collaborates with the Attending of record and the Physician Advisor...
about UM standards, NCQA requirements, CMS guidelines, Milliman guidelines, and Medicaid/Medicare contracts and benefit systems...
Utilize Milliman Guidelines to assist in determinations of referrals. Knowledge of CMS chapter 13 Maintain goals... application of UM / clinical criteria (i.e., Milliman, MCG, InterQual, Apollo, CMS National and Local Coverage Determinations...
management, preferred. 4. Current BCLS (AHA) certificate, preferred. 5. Knowledge of Milliman Criteria and InterQual Criteria...
Description : Overview Milliman's Indianapolis Health practice is looking for a Healthcare Policy Consultant.... Location This role is based out of the Milliman office in Indianapolis, IN but candidates hired into this role may work...
management) Working toward or completion of CCM/CCP/CDE/MCG certification or Advanced degree Knowledge of Milliman Guidelines...
guidelines (LCD, NCD) to assist in determinations of referrals Utilize Milliman Guidelines to assist in determinations... criteria (i.e., Milliman, MCG, InterQual, Apollo, CMS National and Local Coverage Determinations, etc.) required. Transplant...
of Milliman Guidelines or similar clinical guidelines Knowledge of medical management policies and procedures This position...
Description : About Us Milliman IntelliScript is a group of a few hundred experts in fields ranging from actuarial... unit within Milliman, Inc., a respected consultancy with offices around the world. Candidates who have their pick...