Senior Product Owner / Product Manager – Clinical Claims Data Products
such as Milliman, MedInsight, Solventum/3M, Optum, Cotiviti, CMS grouping logic, DRG/APC workflows, or similar healthcare claims...
such as Milliman, MedInsight, Solventum/3M, Optum, Cotiviti, CMS grouping logic, DRG/APC workflows, or similar healthcare claims...
and oversee clinical reviews against InterQual, MCG, or Milliman care guidelines to support admission, continued stay, and level... necessity review expertise. Deep knowledge of InterQual, MCG, or Milliman clinical review criteria. Expertise in CMS Two...
and oversee clinical reviews against InterQual, MCG, or Milliman care guidelines to support admission, continued stay, and level... necessity review expertise. Deep knowledge of InterQual, MCG, or Milliman clinical review criteria. Expertise in CMS Two...
and oversee clinical reviews against InterQual, MCG, or Milliman care guidelines to support admission, continued stay, and level... necessity review expertise. Deep knowledge of InterQual, MCG, or Milliman clinical review criteria. Expertise in CMS Two...
against InterQual, MCG, or Milliman care guidelines to support admission and level-of-care determinations. Manage the physician advisor... of InterQual, MCG, or Milliman clinical review criteria. Expertise in CMS Two-Midnight Rule, observation status regulations...