Aetna - Richmond, VA 3.8

Experience and knowledge required in clinical guidelines, systems/tools i.e., Milliman, Interqual. The Concurrent Review Consultant utilizes clinical skills to...

Estimated: $61,000 - $76,000 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.

Health Care Service Corporation - Chicago, IL 3.9

Knowledge of Milliman Guidelines or similar clinical guidelines. This is a work-from-home position with flexibility to come into the office, or travel to...

Estimated: $58,000 - $79,000 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.

Sponsored

AltaMed - Commerce, CA 3.7

(Interqual and / or Milliman). The RN Case Manager will provide daily care coordination with concurrent review for patient in the hospital or Skilled Nursing...

Estimated: $83,000 - $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.

Sponsored

PROVIDENCE MEDICAL CENTER - Kansas City, KS 3.7

Knowledge of Milliman Criteria Preferred. To provide discharge planning, community resources, emotional support, crisis intervention and counseling for Adults,...

Estimated: $58,000 - $83,000 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.

Sponsored

UnitedHealth Group - Charlotte, NC +15 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...

UnitedHealth Group - Winston-Salem, NC +6 locations3.6

Utilizing Milliman criteria to determine if patients are in the correct hospital setting. Challenge brings out the best in us....

Blue Cross Blue Shield of IL, MT, NM, OK & TX - Chicago, IL 3.9

Knowledge of Milliman Guidelines or similar clinical guidelines. **POSITION IS LOCATED IN THE CHICAGO, HQ....

Estimated: $62,000 - $82,000 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.

Healthfirst - United States 3.5

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

Estimated: $52,000 - $77,000 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.

Luxottica Group - Mason, OH 3.7

Milliman Care guidelines, Interqual or Medicare Local Coverage Determination guidelines). There’s more to EyeMed than meets the eye....

Estimated: $53,000 - $73,000 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 - Windsor, CT 3.7

As an Office Assistant Intern, you will be an integral part of the administrative support of a fast paced staff of employee benefits team. ROLE...

Estimated: $24,000 - $34,000 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 - Brookfield, WI 3.7

Milliman is seeking a Data Scientist to carry out statistical modeling on medical and health insurance data....

Estimated: $81,000 - $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.

naviHealth - Illinois 3.3

Knowledgeable of CMS guidelines and Milliman a plus. NaviHealth is the result of over a decade of dedicated visionary leaders and innovative organizations...

Estimated: $79,000 - $100,000 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.

Ron's Jobs - Des Moines, IA 

Experience using Milliman or InterQual criteria for medical necessity, setting and level of care, and concurrent patient management....

Estimated: $63,000 - $82,000 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.

Humana - Texas 3.7

“Knowledge” of Milliman Care Guidelines (MCG). The Care Manager, Telephonic Nurse 2 , in a telephonic environment, assesses and evaluates members' needs and...

Estimated: $59,000 - $74,000 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.

Riverside Medical Center - Kankakee, IL 3.9

Provide information on a consistent basis to the Emergency Department staff/physicians and hospitalist admitting physicians on InterQual and/or Milliman...

Estimated: $47,000 - $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.

KPMG - Atlanta, GA 4

Experience with Interqual and/or Milliman care guidelines and working knowledge of CPT/HCPCS and ICD coding. Known for being a great place to work and build a...

Estimated: $98,000 - $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.

UnitedHealth Group - Tampa, FL +4 locations3.6

Experience with using Milliman Care Guidelines (MCG) or Interqual. Optum is part of the family of companies that make UnitedHealth Group one of the leaders...

St. Luke's University Health Network - Bethlehem, PA 4.1

St. Luke's is proud of the skills, experience and compassion of its employees. The employees of St. Luke's are our most valuable asset! Individually and...

Estimated: $52,000 - $70,000 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 - Brookfield, WI 3.7

Format, edit, proof, and Adobe PDF client deliverables per Milliman formatting guidelines, such as:. Milliman's healthcare consulting practice in Brookfield,...

Estimated: $54,000 - $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.

UnitedHealth Group - Eden Prairie, MN 3.6

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...

Loyola University Medical Center - Maywood, IL 3.8

Using knowledge of medical necessity and appropriateness of setting as gained through a thorough understanding of milliman and interqual criteria, conducts...

Estimated: $51,000 - $70,000 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.

Premier Health Partners - Troy, OH +1 location3.3

Knowledge of InterQual ISD-A and Milliman Guidelines. FULL TIME/MONDAY-FRIDAY 8A-5P/80 HOURS PER PAY....

Estimated: $53,000 - $70,000 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.

Johns Hopkins Health Care - Glen Burnie, MD 3.5

Proficiency using InterQual and/or Milliman criteria. Authorization Medical Review RN....

Estimated: $72,000 - $95,000 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 - Tampa, FL 3.6

Experience with using Milliman Care Guidelines (MCG) or Interqual. Optum is part of the family of companies that make UnitedHealth Group one of the leaders...

Sponsored

Change Healthcare - Pensacola, FL 

Knowledge of medical appropriateness criteria such as InterQual®, Milliman Care Guidelines®. Empower Your Future....

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.

Sponsored

Change Healthcare - Pensacola, FL 

Knowledge of medical appropriateness criteria such as InterQual®, Milliman Care Guidelines®. Performs initial, concurrent, and/or retrospective review of...

Estimated: $53,000 - $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.

Sponsored