certificate preferred. Knowledge of Milliman Criteria and InterQual Criteria preferred. Employment Status Full Time Shift...
within 1year BS or BSN or related field preferred. Current BCLS certificate preferred. Knowledge of Milliman Criteria...
programs strongly preferred Experience in use of Milliman/InterQual criteria A Care Management certification preferred...
programs strongly preferred Experience in use of Milliman/InterQual criteria A Care Management certification preferred...
such as Excel, Power BI, and RStudio Monitor and analyze Milliman MedInsight data and reports, translating findings into actionable...
applications, specifically Word, Excel, and Outlook Proficiency using Milliman Care Guidelines (MCG) and/ or InterQual criteria...
strongly preferred. Hands-on experience with ZeOmega Jiva strongly preferred;experience with Milliman Care Guidelines (MCG...
Experience working with Milliman guidelines or other regulatory protocols, claims processing, medical coding and interpreting...
in accordance with the Utilization Management Plan and regulatory requirements. Apply Milliman Care Guidelines and payer-specific...
(AHA) certificate, preferred. Knowledge of Milliman Criteria and InterQual Criteria preferred. Experience and knowledge...