BCLS (AHA) certificate, preferred. 5. Knowledge of Milliman Criteria and InterQual Criteria preferred. 6. Experience...
planning or nursing management, preferred. 4. Current BCLS (AHA) certificate, preferred. 5. Knowledge of Milliman Criteria...
served include ICU, PCU, ED, Family Birth, Adult Medical. Nice to have Milliman Guidelines or InterQual Criteria Avg Daily...
Reporting ICAF/Milliman/DMW – Gather Data necessary and submit to carriers. Compile information for Sr. Account Consultant...
: Certification in Case or Care Management;experience using InterQual or Milliman;Master's degree preferred. Business Unit...
. SSRS knowledge a plus Expert in Excel (with data management, formulas, graphs) Experience with Milliman Medlnsight...
on workflows in Benefit Point. Capable of Gathering and Analyzing ICAF, Milliman, Aggregate and DMW reports. Initiate own...
requirements, CMS guidelines, Milliman guidelines, and Medicaid/Medicare contracts and benefit systems Compensation...
requirements, CMS guidelines, Milliman guidelines, and Medicaid/Medicare contracts and benefit systems Compensation...
. Ability to work independently, setting priorities to coordinate care plans efficiently. Working knowledge of Milliman...