/Milliman/DMW – Gather Data necessary and submit to carriers. Compile information for Sr. Account Consultant/Executive Team Lead...
and/or Medicare regulations requiredKnowledge of Milliman criteria (MCG) preferredFor UM Only: Experience must be with a Managed Care...
for improvement referring outliers to peer review. ·Reviews medical records for ongoing InterQual/Milliman compliance, quality...
Committee for improvement referring outliers to peer review. · Reviews medical records for ongoing InterQual/Milliman...
for admission, observation, and level of care to comply with federal and state mandates. Uses Milliman and Medicare...
, Milliman guidelines, and Medicaid/Medicare contracts and benefit systems Pay is based on several factors including...
about UM standards, NCQA requirements, CMS guidelines, Milliman guidelines, and Medicaid/Medicare contracts and benefit systems Pay...
, Milliman guidelines, and Medicaid/Medicare contracts and benefit systems Pay is based on several factors including...
, Milliman guidelines, and Medicaid/Medicare contracts and benefit systems Pay is based on several factors including...
. Current BCLS certificate, preferred. 5. Knowledge of Milliman Criteria and InterQual Criteria preferred. 6. Experience...