Benefits Account Manager
– Conduct enrollment meetings as necessary Reporting ICAF/Milliman/DMW – Gather Data necessary and submit to carriers...
Lugar: Lubbock, TX | 15/07/2026 21:07:48 PM | Salario: S/. No Especificado | Empresa: Marsh
Registered Nurse Case Manager
upon hire and maintain current;Knowledge of Milliman Criteria and InterQual Criteria preferred. Experience and knowledge...
Lugar: Riverdale, GA | 14/07/2026 19:07:35 PM | Salario: S/. No Especificado | Empresa: Prime Healthcare
Utilization Management Clinical AI Reviewer
-coordination recommendations, and clinical review summaries. Compare AI outputs against InterQual, MCG, or Milliman criteria..., or Milliman clinical review criteria. Well-versed in CMS Two-Midnight Rule, observation status, and inpatient criteria...
Lugar: USA | 12/07/2026 17:07:01 PM | Salario: S/. No Especificado | Empresa: OpenTrain AI
Actuarial & Regulatory Filing Specialist
with prior experience at: Property & Casualty insurance carriers Insurance consulting firms (e.g., Perr & Knight, Milliman...
Lugar: Los Angeles, CA | 12/07/2026 00:07:36 AM | Salario: S/. $100000 - 120000 per year | Empresa: Hankey Group
RN Case Manager - Utilization Review
. preferred CCM or obtained within 1year Knowledge of Milliman Criteria and InterQual Criteria preferred. Current BCLS...
Lugar: Lynwood, CA | 09/07/2026 19:07:48 PM | Salario: S/. No Especificado | Empresa: Prime Healthcare
Benefits Account Manager
– Conduct enrollment meetings as necessary Reporting ICAF/Milliman/DMW – Gather Data necessary and submit to carriers...
RN Case Manager - Utilization Review
. preferred CCM or obtained within 1year Knowledge of Milliman Criteria and InterQual Criteria preferred. Current BCLS...
Lugar: Lynwood, CA | 09/07/2026 17:07:49 PM | Salario: S/. No Especificado | Empresa: St. Francis Medical Center
Case Manager, BSN- Care Coordination, Per Diem, Mullica Hill
. Ability to work independently, setting priorities to coordinate care plans efficiently. Working knowledge of Milliman...
Lugar: Mullica Hill, NJ | 09/07/2026 01:07:10 AM | Salario: S/. No Especificado | Empresa: Inspira Health Network
APPEALS COORDINATOR
each case identified/referred for appeal based on Milliman Care Guidelines (MCG) or InterQual guidelines, determine the...
Lugar: Prince Frederick, MD | 09/07/2026 00:07:34 AM | Salario: S/. No Especificado | Empresa: CalvertHealth
NP or PA - Care at Home - Yakima County OR Tri Cities, WA
about UM standards, NCQA requirements, CMS guidelines, Milliman guidelines, and Medicaid/Medicare contracts and benefit systems...
Lugar: Washington | 09/07/2026 00:07:55 AM | Salario: S/. $109500 - 164000 per year | Empresa: LHC Group