medical necessity screening tools such as Milliman Care Guidelines (MCG) are utilized. Ensures initial and continued stay... appropriate medical necessity screening tools such as Milliman Care Guidelines (MCG) are utilized. Ensures clinical reviews...
to come in with it. 5–8 years of relevant experience at a Medicare Advantage health plan or actuarial/consulting firm (Milliman, Wakely...
Description : POSITION SUMMARY: Milliman, Global Corporate Services (GCS) is looking to hire a Senior Software... for employees who meet eligibility criteria. Life Insurance & AD&D – 100% of premiums covered by Milliman. Short-Term and Long...
of clinical experience as a NP or PA Awareness about UM standards, NCQA requirements, CMS guidelines, Milliman guidelines...
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...
Location Candidates hired into this role will be required to work in-person in the Milliman office in Chicago, IL on a weekly... covered by Milliman Short-Term and Long-Term Disability – Fully paid by Milliman Equal Opportunity All qualified...
programs strongly preferred Experience in use of Milliman/InterQual criteria A Care Management certification preferred...
programs strongly preferred Experience in use of Milliman/InterQual criteria A Care Management certification preferred...
): 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...