Allegiance Benefit Plan Mgmt. - Missoula, MT +2 locations

As a Medical Review Nurse your experience working with Milliman care, Medi-cal and Medicare guidelines will be keys to success in landing this great opportunity...

Estimated: $94,000 - $120,000 a year

Please note that all salary figures are approximations based upon third party submissions to SimplyHired or its affiliates. These figures are given to the SimplyHired users for the purpose of generalized comparison only. Minimum wage may differ by jurisdiction and you should consult the employer for actual salary figures.

Christus Health - Santa Fe, NM 3.8

Ablility to apply InterQual and Milliman Care Guidelines (MCG) medical necessity criteria to a case as applicable....

Estimated: $66,000 - $85,000 a year

Please note that all salary figures are approximations based upon third party submissions to SimplyHired or its affiliates. These figures are given to the SimplyHired users for the purpose of generalized comparison only. Minimum wage may differ by jurisdiction and you should consult the employer for actual salary figures.

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Signature Performance, Inc - North Pole, AK 3.3

Knowledge, skills and computer literacy to interpret and apply medical care criteria, such as InterQual or Milliman Ambulatory Care Guidelines....

Estimated: $45,000 - $60,000 a year

Please note that all salary figures are approximations based upon third party submissions to SimplyHired or its affiliates. These figures are given to the SimplyHired users for the purpose of generalized comparison only. Minimum wage may differ by jurisdiction and you should consult the employer for actual salary figures.

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Aetna - Topeka, KS 3.8

Experience and knowledge in clinical guidelines, systems and tools i.e. Milliman, Interqual. Develop, implement, support, and promote Health Services strategies...

Estimated: $61,000 - $89,000 a year

Please note that all salary figures are approximations based upon third party submissions to SimplyHired or its affiliates. These figures are given to the SimplyHired users for the purpose of generalized comparison only. Minimum wage may differ by jurisdiction and you should consult the employer for actual salary figures.

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Berkeley Research Group, LLC - United States 3.2

Overview Berkeley Research Group works with standalone community hospitals, multihospital health systems, and major academic medical centers to achieve...

Estimated: $90,000 - $120,000 a year

Please note that all salary figures are approximations based upon third party submissions to SimplyHired or its affiliates. These figures are given to the SimplyHired users for the purpose of generalized comparison only. Minimum wage may differ by jurisdiction and you should consult the employer for actual salary figures.

eviCore healthcare - Remote 3.2

Utilize CMS guidelines, NCDs, LCDs, and appropriate guidelines (InterQual, Milliman and Robbins) in medical necessity determinations....

Estimated: $100,000 - $140,000 a year

Please note that all salary figures are approximations based upon third party submissions to SimplyHired or its affiliates. These figures are given to the SimplyHired users for the purpose of generalized comparison only. Minimum wage may differ by jurisdiction and you should consult the employer for actual salary figures.

NCI Information Systems, Inc. - Baltimore, MD 3.6

Overview NCI is a leading provider of enterprise solutions and services to U.S. defense, intelligence, health and civilian government agencies. Coupled with a...

Estimated: $100,000 - $150,000 a year

Please note that all salary figures are approximations based upon third party submissions to SimplyHired or its affiliates. These figures are given to the SimplyHired users for the purpose of generalized comparison only. Minimum wage may differ by jurisdiction and you should consult the employer for actual salary figures.

Aetna - Sunrise, FL 3.8

Uses Aetna Systems such as QNXT, ProFAX, ProPAT, and Milliman Criteria. The Prior Authorization Representative supports comprehensive coordination of medical...

Estimated: $29,000 - $37,000 a year

Please note that all salary figures are approximations based upon third party submissions to SimplyHired or its affiliates. These figures are given to the SimplyHired users for the purpose of generalized comparison only. Minimum wage may differ by jurisdiction and you should consult the employer for actual salary figures.

Milliman - Seattle, WA 3.7

Leadership Ability to manage multiple projects simultaneously to ensure successful delivery Ability to have both tactical discussions with clients and...

Estimated: $78,000 - $110,000 a year

Please note that all salary figures are approximations based upon third party submissions to SimplyHired or its affiliates. These figures are given to the SimplyHired users for the purpose of generalized comparison only. Minimum wage may differ by jurisdiction and you should consult the employer for actual salary figures.

Change Healthcare - Pensacola, FL 3.3

Knowledge of medical appropriateness criteria such as InterQual®, Milliman Care Guidelines®. Transforming the future of healthcare isn’t something we take...

Estimated: $65,000 - $90,000 a year

Please note that all salary figures are approximations based upon third party submissions to SimplyHired or its affiliates. These figures are given to the SimplyHired users for the purpose of generalized comparison only. Minimum wage may differ by jurisdiction and you should consult the employer for actual salary figures.

Milliman - Indianapolis, IN +1 location3.7

The health care consulting practice located in the Indianapolis office of Milliman provides health consulting services to a broad array of clients in the...

Estimated: $57,000 - $81,000 a year

Please note that all salary figures are approximations based upon third party submissions to SimplyHired or its affiliates. These figures are given to the SimplyHired users for the purpose of generalized comparison only. Minimum wage may differ by jurisdiction and you should consult the employer for actual salary figures.

Milliman - Seattle, WA 3.7

Responsibilities: Work with teammates and business stakeholders to drive content management strategies and knowledge sharing behaviors that deliver a...

Estimated: $63,000 - $84,000 a year

Please note that all salary figures are approximations based upon third party submissions to SimplyHired or its affiliates. These figures are given to the SimplyHired users for the purpose of generalized comparison only. Minimum wage may differ by jurisdiction and you should consult the employer for actual salary figures.

R1 RCM - Remote 3.2

Experience with Milliman (MCG Criteria). Perform initial admission and continued stay reviews utilizing InterQual and Milliman using evidenced-based criteria in...

Milliman - Indianapolis, IN 3.7

Job Description Milliman’s Indianapolis health care consulting practice is seeking a Junior Creative Intern. We provide healthcare consulting services to a...

Estimated: $11,000 - $15,000 a year

Please note that all salary figures are approximations based upon third party submissions to SimplyHired or its affiliates. These figures are given to the SimplyHired users for the purpose of generalized comparison only. Minimum wage may differ by jurisdiction and you should consult the employer for actual salary figures.

KPMG - Raleigh, NC +2 locations4

Experience with Interqual and/or Milliman care guidelines and working knowledge of CPT/HCPCS and ICD coding is desirable....

Estimated: $65,000 - $92,000 a year

Please note that all salary figures are approximations based upon third party submissions to SimplyHired or its affiliates. These figures are given to the SimplyHired users for the purpose of generalized comparison only. Minimum wage may differ by jurisdiction and you should consult the employer for actual salary figures.

Optima Health - Virginia Beach, VA 3.7

Will utilize knowledge of correct coding guidelines, CMS Correct Coding Initiative edits, Optima Health Coding policies, Milliman Criteria, Clinical Care...

Estimated: $51,000 - $67,000 a year

Please note that all salary figures are approximations based upon third party submissions to SimplyHired or its affiliates. These figures are given to the SimplyHired users for the purpose of generalized comparison only. Minimum wage may differ by jurisdiction and you should consult the employer for actual salary figures.

Sentara Healthcare - Virginia Beach, VA 3.9

Will utilize knowledge of correct coding guidelines, CMS Correct Coding Initiative edits, Optima Health Coding policies, Milliman Criteria, Clinical Care...

Estimated: $49,000 - $69,000 a year

Please note that all salary figures are approximations based upon third party submissions to SimplyHired or its affiliates. These figures are given to the SimplyHired users for the purpose of generalized comparison only. Minimum wage may differ by jurisdiction and you should consult the employer for actual salary figures.

Milliman - Indianapolis, IN 3.7

Milliman is among the world’s largest independent consulting and actuarial firms. Overview and Job Description....

Estimated: $49,000 - $71,000 a year

Please note that all salary figures are approximations based upon third party submissions to SimplyHired or its affiliates. These figures are given to the SimplyHired users for the purpose of generalized comparison only. Minimum wage may differ by jurisdiction and you should consult the employer for actual salary figures.

Milliman - Indianapolis, IN 3.7

Milliman is among the world's largest independent consulting and actuarial firms. The Milliman Indianapolis Health Practice serves a broad array of clients,...

Estimated: $48,000 - $61,000 a year

Please note that all salary figures are approximations based upon third party submissions to SimplyHired or its affiliates. These figures are given to the SimplyHired users for the purpose of generalized comparison only. Minimum wage may differ by jurisdiction and you should consult the employer for actual salary figures.

UnitedHealth Group - Montana +5 locations3.6

Utilizing Milliman criteria to determine if patients are in the correct hospital setting. For those who want to invent the future of health care, here's your...

Anthem, Inc. - Austin, TX 3.8

MSN, MPH, MPA, MSW or MBA with Healthcare concentration is preferred.Minimum 5 years' Health Care Management experience required.Minimum of 3 years' acute care...

Estimated: $73,000 - $99,000 a year

Please note that all salary figures are approximations based upon third party submissions to SimplyHired or its affiliates. These figures are given to the SimplyHired users for the purpose of generalized comparison only. Minimum wage may differ by jurisdiction and you should consult the employer for actual salary figures.

Evergreen Healthcare - Kirkland, WA 3.8

Knowledge of Milliman (MCG), Interqual or other admission guideline tools. Responsible for the review and resolution of clinical claim denials and audit...

Estimated: $87,000 - $110,000 a year

Please note that all salary figures are approximations based upon third party submissions to SimplyHired or its affiliates. These figures are given to the SimplyHired users for the purpose of generalized comparison only. Minimum wage may differ by jurisdiction and you should consult the employer for actual salary figures.

Milliman - Indianapolis, IN 3.7

The health care consulting practice located in the Indianapolis office of Milliman provides health consulting services to a broad array of clients in the...

Estimated: $53,000 - $66,000 a year

Please note that all salary figures are approximations based upon third party submissions to SimplyHired or its affiliates. These figures are given to the SimplyHired users for the purpose of generalized comparison only. Minimum wage may differ by jurisdiction and you should consult the employer for actual salary figures.

Career Sparks - Dover, NH 4.7

Proficiency with InterQual & Milliman software. Manager of Case Management*....

$110,000 - $120,000 a yearSponsored

LOWER BUCKS HOSPITAL - Bristol, PA 3.7

Knowledge of Milliman Criteria and InterQual Criteria preferred. The Director of Case Management is responsible for the development of staff and systems to...

Estimated: $87,000 - $120,000 a year

Please note that all salary figures are approximations based upon third party submissions to SimplyHired or its affiliates. These figures are given to the SimplyHired users for the purpose of generalized comparison only. Minimum wage may differ by jurisdiction and you should consult the employer for actual salary figures.

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Prime Healthcare - La Palma, CA 3.7

Knowledge of Milliman Criteria and InterQual Criteria preferred. Responsible for the quality and resource management of all patients that are admitted to the...

Estimated: $74,000 - $96,000 a year

Please note that all salary figures are approximations based upon third party submissions to SimplyHired or its affiliates. These figures are given to the SimplyHired users for the purpose of generalized comparison only. Minimum wage may differ by jurisdiction and you should consult the employer for actual salary figures.

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