with prior experience at: Property & Casualty insurance carriers Insurance consulting firms (e.g., Perr & Knight, Milliman...
about UM standards, NCQA requirements, CMS guidelines, Milliman guidelines, and Medicaid/Medicare contracts and benefit systems...
. Knowledge of Milliman (MCG) criteria. PRI/screen certification. PHYSICAL WORKING CONDITIONS Sitting in a comfortable position... to assess clinical and discharge needs of orthopedic surgical patients. Knowledge of Milliman (MCG) criteria. PRI/screen...
clinical criteria including, but not limited to InterQual, Milliman Care Guidelines (MCG), etc. Collaborates with the Attending...