about UM standards, NCQA requirements, CMS guidelines, Milliman guidelines, and Medicaid/Medicare contracts and benefit systems...
and knowledge in basic to intermediate computer skills. 1. Current BCLS certificate preferred. 2. Knowledge of Milliman Criteria...
and knowledge in basic to intermediate computer skills. 1. Current BCLS certificate preferred. 2. Knowledge of Milliman Criteria...
and client relationship function in Milliman’s Employee Benefits Consulting practice. The successful candidate... We Are Independent for over 75 years, Milliman delivers market-leading services and solutions to clients worldwide. Today, we are helping...
): Conduct thorough clinical reviews using established guidelines (such as Milliman or InterQual) to manage commercial payer... Knowledge: Hands-on experience utilizing InterQual or Milliman Criteria for utilization review. Location and Work Type Work...
or related field preferred. Current BCLS certificate preferred. Knowledge of Milliman Criteria and InterQual Criteria preferred...
in Case Management, BS or BSN or related field preferred. Current BCLS certificate preferred. Knowledge of Milliman Criteria...
toward or completion of CCM/CCP/CDE/MCG certification or Advanced degree Knowledge of Milliman Guidelines or similar...
and operational infrastructure of the Milliman Advanced Risk Adjustersâ„¢ (MARA) software product business. This role provides financial... We Are Independent for over 75 years, Milliman delivers market-leading services and solutions to clients worldwide. Today, we are helping...
Description : Description Milliman’s Tampa Health practice is seeking an Actuarial Analyst who will perform data... analysis and actuarial projections using Excel, SQL, SAS, Python or other tools while working with proprietary Milliman...