-HCC, Milliman, and comparable population risk methodologies for performance evaluation and financial measurement... with population risk models including CMS-HCC and Milliman methodologies (or equivalent). Experience analyzing healthcare claims...
. Additional Qualifications That Are a Plus: Knowledge of Milliman Criteria and InterQual Criteria preferred. Experience...
programs strongly preferred. Experience in use of Milliman/InterQual criteria. General Skills: Essential computer skills...
programs strongly preferred. Experience in use of Milliman/InterQual criteria. General Skills: Essential computer skills...
preferred. Experience in use of Milliman/InterQual criteria. General Skills: Essential computer skills. If you're...
of Utilization Management in a managed care environment required and 1-3 years experience working with Milliman Care Guidelines (MCG...
, such as InterQual or Milliman Ambulatory Care Guidelines. Must possess experience in performing prospective, concurrent...
, Milliman, MCG, and similar guidelines required. Credentials: Licensed to practice medicine in the State of Florida...
in the medical record according to policy guidelines. Utilizes MCG- Milliman criteria to identify severity of illness...
., CMS, Milliman Care Guidelines, InterQual, or health plan specific guidelines/criteria). Examine and evaluate patient...