. At least two years of experience with industry published standards of level of care (i.e. InterQual or Milliman, etc.). A Basic...
and command of iCAF capabilities and services and Milliman capabilities and services. Developing, maintaining and expanding...
BCLS (AHA) certificate, preferred. 5. Knowledge of Milliman Criteria and InterQual Criteria preferred. 6. Experience...
to interpret and apply medical care criteria, such as, but not limited to, InterQual or Milliman Ambulatory Care Guidelines...
to interpret and apply medical care criteria, such as, but not limited to, InterQual or Milliman Ambulatory Care Guidelines...
, preferred Prior experience with Milliman MedInsights, preferred Prior experience with MicroStrategy or other business...
, preferred Prior experience with Milliman MedInsights, preferred Prior experience with MicroStrategy or other business...
. Current BCLS (AHA) certificate, preferred. 5. Knowledge of Milliman Criteria and InterQual Criteria preferred. 6...
and/or Milliman Care Guidelines 2. Demonstrated knowledge of federal and state laws, NCQA and industry regulations related...
InterQual or Milliman/MCG criteria to validate patient status decisions and payer medical necessity compliance. Reviews medical...