to telecommute intermittently from a home office within normal commuting distance to our New York, NY office. BENEFITS: Milliman... Insurance & AD&D – 100% of premiums covered by Milliman. Short-Term and Long-Term Disability – Fully paid by Milliman...
and/or Medicare regulations required Knowledge of Milliman criteria (MCG) preferred. For UM Only: Experience must be with a Managed...
required Knowledge of Medicaid and/or Medicare regulations required Knowledge of Milliman criteria (MCG) preferred...
of service) within forty-eight hours of admissionKnowledge of Milliman Care Guidelines Knowledge of CMS guidelines for post-acute... needed based on Milliman Care Guidelines for approval of admission, transfer, length of stay, and safe discharge planningIdentifies...
and/or Medicare regulations requiredKnowledge of Milliman criteria (MCG) preferredFor UM Only: Experience must be with a Managed Care...
required Knowledge of Medicaid and/or Medicare regulations required Knowledge of Milliman criteria (MCG) preferred...
and strong typing skills required Knowledge of Medicaid and/or Medicare regulations required Knowledge of Milliman criteria (MCG...
regulations as well as coverage guidelines and benefit limitations. The ability to apply Interqual/ Milliman Care Guidelines...
regulations as well as coverage guidelines and benefit limitations. The ability to apply Interqual/ Milliman Care Guidelines...
, Milliman, or other practical management guidelines required Pay Range: USD $154,400.00 - USD $205,800.00 /Yr....
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...
LOS to other disciplines for timely discharge planning. Provides timely clinical reviews to Third party Payers utilizing Milliman guidelines... planning/quality assurance/infection control. Knowledge of Milliman guidelines and Interqual criteria. Understanding EPIC...
with at least one prominent actuarial modeling software platforms, including but not limited to: Moodys GGY AXIS, FIS Prophet, Milliman ALFA...
Prophet, Milliman ALFA/Integrate, Aon Benfield PathWise, Slope, PolySystems, among others Strong writing, presentation...
but not limited to: Moodys GGY AXIS, FIS Prophet, Milliman ALFA/Integrate, Aon Benfield PathWise, Slope, PolySystems, among...
of Milliman criteria (MCG) preferred For UM Only: Experience must be with a Managed Care Organization or Health Plan...