with external benchmarks (e.g., Milliman, BHI, CMS, HEDIS‑adjacent measures). Experience working with vendor‑based PI programs...
-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...
, etc. Mastery level knowledge and command of iCAF capabilities and services and Milliman capabilities and services. Developing...
. Current BCLS (AHA) certificate, preferred. 5. Knowledge of Milliman Criteria and InterQual Criteria preferred. 6. Experience...
in Benefit Point. Capable of Gathering and Analyzing ICAF, Milliman, Aggregate and DMW reports. Initiate own correspondence...
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...
post-acute clinical payer authorizations. - Utilize InterQual and Milliman guidelines for reviews. - Conduct concurrent...
and maintain current;Knowledge of Milliman Criteria and InterQual Criteria preferred. Experience and knowledge in basic...
no call or floating required MUST HAVE experience with Milliman Care Guidelines and Acute Hospital Experience! The... Authorizations Utilize Milliman Guidelines CMS: Centers for Medicare and Medicaid Services CPT (Current Procedural Terminology...