Milliman jobs in Woodland Park, NJ

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Clinical Review Director
Clover Health - 3 reviews - Jersey City, NJ
You have applicable knowledge of Milliman and Interqual Criteria. Clover is reinventing health insurance by working to keep people healthier....
Easily apply
Director, Care & Utilization Management
Experience applying medical management treatment guidelines, such as InterQual / McKesson, Milliman, or other practical management guidelines required....
Care/Case Manager (RN), Day Shift
Conducts accurate reviews using CMS, Milliman Care Guidelines and the patients chart as the primary source of information....

Benefits Analyst

Milliman - 35 reviews - Township of Little Falls, NJ
Milliman employs more than 2,000 people working in employee benefits, healthcare, life insurance/financial services, and property and casualty insurance....

Healthcare Data Scientist

Milliman - 35 reviews - Township of Little Falls, NJ
Milliman is the world’s premier actuarial consulting firm with over 3,000 employees and $800 million in revenue....

Defined Benefit Administration Team Leader

Milliman - 35 reviews - Township of Little Falls, NJ
Milliman employs more than 2,000 people working in employee benefits, healthcare, life insurance/financial services, and property and casualty insurance....

Actuarial Analyst- Exam

Milliman - 35 reviews - Township of Little Falls, NJ  +1 location
The New York Region Employee Benefits Practice has an opening for a Health & Welfare Actuarial Analyst (Student) in our Little Falls NJ location. Candidates

RN, Utilization Review

Holy Name Medical Center - 58 reviews - Teaneck, NJ
Must have knowledge of Milliman Care. Knowledge of Interqual and Milliman guidelines /criteria, CMS and Joint Commission requirements related to corporate....

Clinical Review Director

Clover Health - 3 reviews - Jersey City, NJ
You have applicable knowledge of Milliman and Interqual Criteria. Clover is reinventing health insurance by working to keep people healthier....
Easily apply

Quality Auditor - RN

Horizon Blue Cross Blue Shield of New Jersey - 372 reviews - Newark, NJ
Responsible for conducting file audits for all areas of clinical operations. These audits review daily business practice compliance to regulatory compliance

IDT MANAGER

CenterLight Health System - 20 reviews - White Plains, NY  +2 locations
Collects appropriate clinical information to make a determination of medical necessity for reviewed service based on Milliman Optimum Recovery Guideline and...

Care Manager

White Plains Hospital - 73 reviews - White Plains, NY
Uses Milliman to determine appropriate level of care (skilled, rehab, etc.). Identifies the estimated discharge date upon admission and documents on whiteboards...

Medicare Advantage Consulting Actuary

Milliman - 35 reviews - New York, NY 10119 (Chelsea area)
Milliman offers competitive compensation and a comprehensive benefits package. The New York Health Practice is looking for an experienced health care actuary to...
Care/Case Manager (RN in ED Observation)
Conducts accurate reviews using CMS, Milliman Care Guidelines and the patients chart as the primary source of information....
Clinical Evaluation Manager, UM MLTC
Knowledge of Milliman criteria (MCG) preferred. Created in 1998, VNSNY CHOICE is the managed care affiliate of the Visiting Nurse Service of New York and shares...

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