BCLS (AHA) certificate, preferred. 5. Knowledge of Milliman Criteria and InterQual Criteria preferred. 6. Experience...
BCLS (AHA) certificate, preferred. 5. Knowledge of Milliman Criteria and InterQual Criteria preferred. 6. Experience...
, Milliman, or other practical management guidelines required Pay Range: USD $154,400.00 - USD $205,800.00 /Yr....
Awareness about UM standards, NCQA requirements, CMS guidelines, Milliman guidelines, and Medicaid/Medicare contracts...
, appropriateness of care and level of care. Use Milliman and Interqual guidelines as necessary. Collaborates with clinical teams...
, utilization management, or regulatory reporting (e.g., HEDIS, NCQA, Milliman) is preferred. To ensure a secure hiring process...
-A and Milliman Guidelines and third party insurance requirements preferred. Experience in gathering information, monitoring...
methodologies Knowledgeable of Milliman analytical suites preferred MS Office Suite Proficient Experience (Word, Excel, PowerPoint...
(AHA) certificate, preferred. Knowledge of Milliman Criteria and InterQual Criteria preferred. Experience and knowledge...
management, preferred. 4. Current BCLS (AHA) certificate, preferred. 5. Knowledge of Milliman Criteria and InterQual Criteria...