to Third party Payers utilizing Milliman guidelines and Interqual criteria. Coordinates the discharge appeal process... review, discharge planning/quality assurance/infection control. Knowledge of Milliman guidelines and Interqual criteria...
with at least one prominent actuarial modeling software platforms, including but not limited to: Moodys GGY AXIS, FIS Prophet, Milliman ALFA...
but not limited to: Moodys GGY AXIS, FIS Prophet, Milliman ALFA/Integrate, Aon Benfield PathWise, Slope, PolySystems, among...
Prophet, Milliman ALFA/Integrate, Aon Benfield PathWise, Slope, PolySystems, among others Strong writing, presentation...
and apply medical care criteria, such as, but not limited to, InterQual or Milliman Ambulatory Care Guidelines. Shall have a minimum...
and apply medical care criteria, such as, but not limited to, InterQual or Milliman Ambulatory Care Guidelines. Shall have a minimum...
and apply medical care criteria, such as, but not limited to, InterQual or Milliman Ambulatory Care Guidelines. Shall have a minimum...
and apply medical care criteria, such as, but not limited to, InterQual or Milliman Ambulatory Care Guidelines. Shall have a minimum...
and apply medical care criteria, such as, but not limited to, InterQual or Milliman Ambulatory Care Guidelines. Shall have a minimum...
and apply medical care criteria, such as, but not limited to, InterQual or Milliman Ambulatory Care Guidelines. Shall have a minimum...