such as Excel, Power BI, and RStudio Monitor and analyze Milliman MedInsight data and reports, translating findings into actionable...
(AHA) certificate, preferred Knowledge of Milliman Criteria and InterQual Criteria preferred Experience and knowledge...
(AHA) certificate, preferred Knowledge of Milliman Criteria and InterQual Criteria preferred Experience and knowledge...
of service by applying Milliman (MCG) criteria sets to properly determine NICU levels of care. Work collaboratively with payors...
(AHA) certificate, preferred. Knowledge of Milliman Criteria and InterQual Criteria preferred. Experience and knowledge...
applications, specifically Word, Excel, and Outlook Proficiency using Milliman Care Guidelines (MCG) and/ or InterQual criteria...
strongly preferred. Hands-on experience with ZeOmega Jiva strongly preferred;experience with Milliman Care Guidelines (MCG...
Experience working with Milliman guidelines or other regulatory protocols, claims processing, medical coding and interpreting...
in accordance with the Utilization Management Plan and regulatory requirements. Apply Milliman Care Guidelines and payer-specific...
(AHA) certificate, preferred. Knowledge of Milliman Criteria and InterQual Criteria preferred. Experience and knowledge...