programs strongly preferred Experience in use of Milliman/InterQual criteria A Care Management certification preferred...
of treatments (e.g., CMS, Milliman Care Guidelines, InterQual, or health plan specific guidelines/criteria). Examine and evaluate...
of UM standards, NCQA requirements, CMS guidelines, Milliman guidelines, and Medicaid/Medicare contracts and benefit systems...
criteria and guidelines, ensuring the medical necessity of treatments (e.g., CMS, Milliman Care Guidelines, InterQual...
criteria and guidelines, ensuring the medical necessity of treatments (e.g., CMS, Milliman Care Guidelines, InterQual...
, CMS guidelines, Milliman guidelines, and Medicaid/Medicare contracts and benefit systems Bilingual in English/Spanish...
such as Milliman Care Guidelines or Interqual. Minimum of three (3) years related case management experience. Minimum of three (3...
Description : What We Do Milliman IntelliScript is a group of a few hundred experts in fields ranging... unit within Milliman, Inc., a respected consultancy with offices around the world. Candidates who have their pick...
(e.g., InterQual, Milliman) to ensure optimal resource utilization and quality outcomes. Collaborate...
. 4. Knowledge of Milliman Criteria and InterQual Criteria preferred. #LI-JB4...