Milliman jobs in New York, NY

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RN, UAS Assessment, Field, Manhattan
Knowledge of Milliman criteria (MCG) preferred. The Visiting Nurse Service of New York (VNSNY) is the nation's largest not-for-profit home- and community-based...
RN UAS Assessment, Per Diem, Nassau/Suffolk
Brooklyn, NY 11229 (Gravesend-Sheepshead Bay area)
Knowledge of Milliman criteria (MCG) preferred. The Visiting Nurse Service of New York (VNSNY) is the nation's largest not-for-profit home- and community-based...
RN UAS Assessment
Brooklyn, NY 11229 (Gravesend-Sheepshead Bay area)
Knowledge of Milliman criteria (MCG) preferred. The Visiting Nurse Service of New York (VNSNY) is the nation's largest not-for-profit home- and community-based...

Accounting Specialist-Sr

New York, NY 10119 (Chelsea area)
Milliman, a global actuarial and consulting firm, is seeking an accounting specialist with 5 years of experience to process accounts payable and accounts...

Case Manager

New York, NY
Interqual and/or Milliman knowledge. The Case Manager, Utilization Management coordinates the care plan for assigned members and conducts pre-certification,...

Utilization Management Leader

New York, NY
Experience with Milliman Care Guidelines (MCG). Utilization Management Director....

Case Manager, Utilization Management

New York, NY
Interqual and/or Milliman knowledge. The Case Manager, Utilization Management coordinates the care plan for assigned members and conducts pre-certification,...

Inb/Outb Queue Associate (Bilingual: Mandarin)

New York, NY 10016 (Gramercy area)
Uses Aetna Systems such as QNXT, ProFAX, ProPAT, and Milliman Criteria. Supports comprehensive coordination of medical services including intake, screening and...

Coord QM

Teaneck, NJ
Knowledge of Interqual and Milliman guidelines/criteria.5-10 years experience in Quality and Perfromance Improvement processes....

CASE MANAGER

Brooklyn, NY
Utilize standard review criteria, specifically the Milliman Care Guidelines, to justify level of care, medical necessity, expected length of stay, and intensity...

Registered Nurse (Clinical Reviewer)

New York, NY
Analyzes and monitors medical necessity throughout the continuum of care by utilizing Milliman and lnterqual criteria to positively affect the revenue cycle....

Utilization Management Director, Healthcare Digital Operatio...

New York, NY
Experience with Milliman Care Guidelines (MCG). Utilization Management Director....

CASE MANAGER - PART-TIME

Brooklyn, NY
The Case Manager will report to the Supervisor of Case Management and provide critical assistance in discharge planning activities as well as provide clinical...
Clinical Evaluation Manager-UM
Knowledge of Milliman criteria (MCG) preferred. The Visiting Nurse Service of New York (VNSNY) is the nation's largest not-for-profit home- and community-based...
RN UAS Assessment, Per Diem, Manhattan
Brooklyn, NY 11229 (Gravesend-Sheepshead Bay area)
Knowledge of Milliman criteria (MCG) preferred. The Visiting Nurse Service of New York (VNSNY) is the nation's largest not-for-profit home- and community-based...
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