Aetna - New York, NY

Uses Aetna Systems such as QNXT, ProFAX, ProPAT, and Milliman Criteria. Provide comprehensive healthcare management to facilitate delivery of appropriate...

Estimated: $31,000 - $43,000 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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Emerald City Recruiting - Seattle, WA

Awareness about UM standards, NCQA requirements, CMS and Milliman guidelines, and Medicaid/Medicare contracts and benefit systems is helpful. Schedule M-F, 8-5....

$110,000 - $120,000 a yearSponsored

Fidelis Care - New York, NY

Job Summary As a mission-driven health plan serving all 62 counties of New York State, Fidelis Care provides quality, affordable health insurance coverage...

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.

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Career Sparks - Dover, NH

Case management training in acute care and case management Interqual and Milliman knowledge. Manager of Case Management Seacoast, New Hampshire Opportunity for...

$85,000 - $100,000 a yearSponsored1d

University Hospital - Newark, NJ

Knowledge of Interqual and Milliman criteria a plus. Licensure as a Registered Nurse in the State of New Jersey is required and a Bachelor's Degree in Nursing...

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Hawaii Pacific Health - Honolulu, HI

Knowledge of InterQual, Milliman or other nationally recognized Utilization Management criteria. The Case Management team puts great emphasis on helping each...

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.

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Alignment Healthcare - Tampa, FL

Experience with the application of clinical criteria (i.e., Milliman, Interqual, Apollo, CMS National and Local Coverage Determinations, etc.)....

Estimated: $63,000 - $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.

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TalentCare LLC - Rhinebeck, NY

Awareness of UM standards, NCQA requirements, CMS guidelines, Milliman guidelines, and Medicaid/Medicare contracts and benefit systems is helpful....

Estimated: $97,000 - $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.

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TalentCare LLC - Hemet, CA

Awareness about UM standards, NCQA requirements, CMS guidelines, Milliman guidelines, and Medicaid/Medicare contracts and benefit systems is helpful....

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.

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TalentCare LLC - Allentown, PA

Awareness of UM standards, NCQA requirements, CMS guidelines, Milliman guidelines, and Medicaid/Medicare contracts and benefit systems is helpful....

Estimated: $95,000 - $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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Managed Resources - Remote

Interqual and Milliman Care Guidelines:.  Working knowledge of InterQual and Milliman Care Guidelines as well as payer specific medical guidelines and how to...

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.

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Cox Health - Branson, MO

Bachelor's of Nursing with knowledge of InterQual Level of Care Criteria and/or Milliman Care Guidelines and of local/national coverage determinations;...

Estimated: $54,000 - $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.

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UnitedHealth Group - San Antonio, TX

InterQual or Milliman Knowledge / experience. There's an energy and excitement here, a shared mission to improve the lives of others as well as our own....

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UnitedHealth Group - Gonzales, TX

InterQual or Milliman Knowledge / experience. There's an energy and excitement here, a shared mission to improve the lives of others as well as our own....

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UnitedHealth Group - Texas

InterQual or Milliman Knowledge / experience. There's an energy and excitement here, a shared mission to improve the lives of others as well as our own....

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UnitedHealth Group - New Braunfels, TX

InterQual or Milliman Knowledge / experience. There's an energy and excitement here, a shared mission to improve the lives of others as well as our own....

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UnitedHealth Group - Seguin, TX

InterQual or Milliman Knowledge / experience. There's an energy and excitement here, a shared mission to improve the lives of others as well as our own....

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County of San Mateo - Redwood City, CA

InterQual or Milliman, etc.).A Basic Life Support (BLS) certificate.Experience working with diverse, underserved populations....

$58 - $68 an hourToday

Central California Alliance for Health - Merced, CA

Working knowledge of Milliman Care Guidelines in review determination process. Accepting applications through Thursday, December 21, 2017 at 5:00PM....

Estimated: $59,000 - $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.

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Agilon Health - Corona, CA

Coordinates high-volume telephone calls, giving and receiving information, which requires accuracy and a knowledge of contracted health plan’s benefits and...

Estimated: $68,000 - $87,000 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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TalentCare LLC - Reading, PA

Awareness about UM standards, NCQA requirements, CMS guidelines, Milliman guidelines, and Medicaid/Medicare contracts and benefit systems is helpful....

Estimated: $100,000 - $130,000 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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West Park Hospital - Cody, WY

The Case Manager (CM) plans, organizes, implements, and directs care coordination, discharge planning and utilization review activities at West Park Hospital....

$28 - $34 an hour1d

Evolent Health - Austin, TX

LVN, UM Your Future Evolves Here Evolent Health has a bold mission to change the health of the nation by changing the way health care is delivered. Our...

Estimated: $44,000 - $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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Fidelis Care - Buffalo, NY

Job Summary As a mission-driven health plan serving all 62 counties of New York State, Fidelis Care provides quality, affordable health insurance coverage...

Estimated: $68,000 - $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.

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PremierOne Plus MSO - Anaheim, CA

Knowledge of or experience with Milliman Care Guidelines. PremierOne Plus MSO (POPMSO) is a management service organization serving the needs of providers in a...

Estimated: $54,000 - $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.

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Prospect Medical Systems - Orange, CA

The Referral Nurse is responsible for providing support to health network providers. Responsible to review Treatment Authorization Requests (TAR's)/Cerecons...

Estimated: $53,000 - $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.

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