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Milliman jobs in New York, NY

Care Manager Senior
Brooklyn, NY 11201
Ability to apply Milliman Care Guidelines and other applicable, evidenced-based clinical guidelines. Responsible for the assessment, reassessment, care planning...
RN Care Manager, Special Needs Program
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...
Senior Care Manager - RN
Brooklyn, NY 11201
Ability to apply Milliman Care Guidelines and other applicable, evidenced-based clinical guidelines. Bilingual candidates strongly preferred....

Inb/Outb Queue Assoc

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...

Accountable Care Manager - 00041149 (Q)

New York, NY
Prior experience with All Scrip (ACM), Milliman and Mckesson guidelines preferred. Queens Hospital Center is making good on its promise to the people of...

Admin Assistant

Garden City, NY
Independent for over 70 years, Milliman delivers market-leading services and solutions to clients worldwide. Today, we are helping companies take on some of the...

Field-Based High Risk Care Manager

New York, NY
Position: RN Care Manager High Risk Description: As a mission-driven health plan serving all 62 counties of New York State, Fidelis Care provides quality,...

CASE MANAGER

Brooklyn, NY
$30,820 - $64,814 a year
The Case Manager will report to the Supervisor of Case Management and provide critical assistance in discharge planning activities as well as provide clinical...

IDT MANAGER

Bronx, NY
Collects appropriate clinical information to make a determination of medical necessity for reviewed service based on Milliman Optimum Recovery Guideline and...

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....

Behavioral Health Coordinator (Utilization Management)

Bronx, NY
Milliman or InterQual:. Indeed Hire in partnership with the Bronx Lebanon Hospital is currently hiring for a Behavioral Health Coordinator.*....
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RN/Case Manager - Full Time Variable

New York, NY
Strength Through Diversity Ground breaking science. Advancing medicine. Healing made personal. Registered Nurse/Case Manager - 2271020 Roles &...

QA Clinical Review Specialist - Appeals and Grievances

New Hyde Park, NY 11042
Knowledge in areas such as InterQual Level of Care Criteria and Milliman & Robertson Criteria as well as knowledge of third party payer regulations related to...
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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...
Field-Based RN Care Manager
Bronx, NY 10460 (South Bronx area)
*Job Summary: * As a mission-driven health plan serving all 62 counties of New York State, Fidelis Care provides quality, affordable health insurance...
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