experience Awareness about UM standards, NCQA requirements, CMS guidelines, Milliman guidelines, and Medicaid/Medicare contracts...
guidelines, Milliman guidelines, and Medicaid/Medicare contracts and benefit systems Physical Demands: While performing the...
is a subsidiary of Milliman; a global, employee-owned consultancy providing actuarial consulting, retirement funding and healthcare... to education, work experience, certifications, etc. Location: This role is based out of the Milliman office in Seattle, WA...
We Are Independent for over 75 years, Milliman delivers market-leading services and solutions to clients worldwide. Today, we are helping..., risk management and regulatory compliance, data analytics and business transformation. Milliman invests in skills...
Description : Who We Are Independent for over 75 years, Milliman delivers market-leading services and solutions... transformation. Milliman invests in skills training and career development, and gives all employees access to a variety of learning...
Knowledge of state, local, and federal programs strongly preferred Experience in use of Milliman/InterQual criteria Registered...
, local, and federal programs strongly preferred Experience in use of Milliman/InterQual criteria Registered Nurse (RN) NYS...
and efficient prior authorization services. * Training Participate in Milliman and Hayes Technology Assessments training...
, as well as communication of results verbally and in writing. Who We Are Independent for over 75 years, Milliman delivers market-leading... analytics and business transformation. Milliman invests in skills training and career development and gives all employees...
of Milliman Care Guidelines, InterQual Criteria, and CMS Criteria Knowledge of self-funded health plans, ERISA and HIPAA...