, Milliman guidelines, and Medicaid/Medicare contracts and benefit systems Compensation for this specialty generally ranges...
, Milliman guidelines, and Medicaid/Medicare contracts and benefit systems Compensation for this specialty generally ranges...
of medical necessity justification through but not limited to non-physician review guidelines (InterQual and Milliman), Medicare...
with Life team at IHL, Milliman, and IRIX. Medical investigation and follow up for policies pending for further medical review...
of Milliman criteria (MCG) preferred For UM Only: Experience must be with a Managed Care Organization or Health Plan...
with Life team at IHL, Milliman, and IRIX. Medical investigation and follow up for policies pending for further medical review...
in a health plan setting. (Preferred) Prior use of clinical criteria sets and clinical pathways, such as MCG ( Milliman Care...
, discharge planning or management, preferred. 3. Current BCLS (AHA) certificate preferred. 4. Knowledge of Milliman Criteria...
and new processes, on our state-of-the-art Milliman Integrate Actuarial platform Develop and maintain testing tools for new...
Social Worker (LCSW), or Licensed Social Worker (LSW). 2. Current BCLS certificate preferred. 3. Knowledge of Milliman...