Required Experience using InterQual or Milliman Required Licenses and Certifications Licensure or eligible for licensure, in the...
Rounds, Resource Allocation, InterQual Criteria, Milliman Care Guidelines (MCG), Allscripts, Epic Case Management, CMS...
adult patients. 6. Knowledge of InterQual or Milliman Care Guidelines preferred. Why Mercy? From day one, Mercy...
in Integrate Manage and strengthen vendor relationships, including Milliman, to support effective use of ALFA/ Integrate...
, and brokers Maintain accurate and timely documentation in internal systems and CRM platforms Contribute to Milliman’s service... in office and based at the Milliman Omaha office. Candidates must be able to work on-site in Omaha, Nebraska on a full-time...
criteria (InterQual and/or Milliman). 2 years Experience requirement above, to include, 2 years of demonstrated leadership...
that require strong attention to detail, empathy, and clear communication. Embody Milliman’s values at every touchpoint... of the enrollment season. About MillimanMilliman ( ) is an international consulting firm with over 5,100 employees...
of Milliman Criteria and InterQual Criteria preferred. 6. Experience and knowledge in basic to intermediate computer skills...
(Milliman, InterQual, CMS NCD / LCD) to conduct objective medical necessity reviews and make appeal determination... authorizations. Experience with the application of clinical criteria (i.e., Milliman, InterQual, Apollo, CMS National and Local...
requirements for production actuarial models in Integrate Manage and strengthen vendor relationships, including Milliman...