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Milliman jobs

Viewing 1 - 10 of 1,035 jobs

  • Medical Informatics Director

    Scott & White Healthcare - Temple, TX

    of actuarial and financial reporting (i.e. Monthly Milliman and lag extracts, TDI, and E&Y audit files, CMS and Argus reconciliation files, etc.) *Supports the Underwriting Department rating model by providing initial and on-going...

    9 days ago from Scott & White Healthcare

  • Case Manager - Outpatient, Hinsdale Family Medical Center, Full-Time, Days

    Adventist Midwest Health - Hinsdale, IL

    methodologies, including Interqual or Milliman guidelines. • Excellent verbal communication and interpersonal skills needed to work in a collaborative practice setting with an interdisciplinary team and to interact effectively with...

    30+ days ago from Adventist Midwest Health

  • Per Diem RN III Hospital

    Sharp Healthcare - San Diego, CA

    of clinical criteria for Utilization Review (InterQual or Milliman) * Proficiency with information systems and computer programs inclusive of electronic medical records and clinical information programs Preferred Skills and Qualifications...

    4 days ago from Sharp Healthcare

  • Billing Counselor

    Tenet Healthcare - Anaheim, CA

    referral determination by accurate: · Usage of the Milliman Care Guidelines · Identification of referrals to the medical director for review · Appropriate letter language and coding (denials, deferrals, modifications) · Appropriate...

    24 days ago from Tenet Healthcare

  • Case Manager I

    Sharp Healthcare - San Diego, CA

    of clinical criteria for Utilization Review (InterQual or Milliman)Proficiency with information systems and computer programs inclusive of electronic medical records and clinical information programs Preferred Skills and Qualifications -...

    19 days ago from Sharp Healthcare

  • Actuarial Analyst

    Milliman - Seattle, WA

    5+ Required experience: 0 - 2 years Minimum required education: Bachelor's Degree Job category: Work with consulting actuaries to develop and utilize actuarial models, analyze healthcare cost and utilization data, complete actuarial...

    30+ days ago from Doostang

  • Inpatient Care Manager (RN REQUIRED),Full-Time, 8am - 4:30pm + Wknds as necessary

    Adventist Midwest Health - Hinsdale, IL

    methodologies, including Interqual or Milliman guidelines. •Excellent verbal communication and interpersonal skills needed to work in a collaborative practice settingwith an interdisciplinary team and to interact effectively with...

    30+ days ago from Adventist Midwest Health

  • RN Nurse for Retro Authorizations

    Tenet Healthcare - Lexington, KY

    referral determination by accurate: · Usage of the Milliman Care Guidelines · Identification of referrals to the medical director for review · Appropriate letter language and coding (denials, deferrals, modifications) · Appropriate...

    27 days ago from Tenet Healthcare

  • Actuarial Analyst / Worlds Largest Independent Actuarial And Consulting Firm

    Milliman - Seattle, WA

    Work with consulting actuaries to develop and utilize actuarial models, analyze healthcare cost and utilization data, complete actuarial calculations, and implement software solutions5+Additional informationCompensation: TBDNo recruiters,...

    30+ days ago from Doostang

  • Actuarial Consultant Medicaid

    Milliman - Milwaukee, WI

    Consultants are expected to provide leadership for project teams They accurately diagnose a clients problem, develop project proposals, refine the strategy of a project, outline a project plan and present the results to the...

    30+ days ago from Doostang

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