Jobs: milliman

Description POSITION SUMMARY: The Event Strategist is a key member of the Marketing and Communications team, responsible for helping Milliman maximize the impact and enhance the value of our internal and external events. Combining a strong creative vision, excellent marketing skills, and extensive experience planning and executing successful events, this...

POSITION SUMMARY:The Event Strategist is a key member of the Marketing and Communications team, responsible for helping Milliman maximize the impact and enhance the value of our internal and external events. Combining a strong creative vision, excellent marketing skills, and extensive experience planning and executing successful events, this person will...

Description Company Overview: Leading with our core values of Quality, Integrity, and Opportunity, MedInsight is one of the healthcare industry's most trusted solutions for healthcare intelligence. Our company purpose is to empower easy, data-driven decision-making on important healthcare questions. Through our products, education, and services, MedInsight...

Created due to our recent growth, the Financial Analyst will have an important role in the ongoing success of our practice. With annualized organic growth of over 20% for the past 10 years, we have numerous clients and prospects that depend on our co Financial Analyst, Financial, Analyst, Accounting, Banking, Technology

In this role, the successful candidate Coordinates, negotiates, procures, and manages the care of patients by providing focused care coordination across the acute care continuum.Communicates the outcome of chart review and managed care company telephonic review with the health care team as appropriate.Conducts accurate reviews using CMS, Milliman Care...

To monitor adherence to the hospital's utilization review plan to ensure the effective and efficient use of hospital services. Responsible for ensuring the appropriateness of hospital admissions and extended hospital stays. An understanding of the severity of an array of illnesses, intensity of service, and care coordination needs are the key, as the nurse...

Overview As a Utilization Review Nurse, you will work under the direct supervision of the Supervisor, Utilization Review and Clinical Documentation Improvement, this role will be responsible for providing clinically based concurrent and retrospective review of inpatient medical records to evaluate the documentation and utilization of acute care services....

Under the general supervision of the Director of Health Services, the position is responsible for appropriately and successfully executing clinical and administrative health plan denials in accordance with regulatory guidelines and plan policies. ESSENTIAL DUTIES AND RESPONSIBILITIES 1. Is responsible for managing all denials by conducting a comprehensive...

Utilization Management Coordinator (RN) Under the general supervision of the Director of Health Services, the position is responsible for appropriately and successfully executing clinical and administrative health plan denials in accordance with regulatory guidelines and plan policies. ESSENTIAL DUTIES AND RESPONSIBILITIES 1. Is responsible for managing...

Utilization Management Coordinator (RN) Under the general supervision of the Director of Health Services, the position is responsible for appropriately and successfully executing clinical and administrative health plan denials in accordance with regulatory guidelines and plan policies. ESSENTIAL DUTIES AND RESPONSIBILITIES 1. Is responsible for managing...

Utilization Management Coordinator (RN)Under the general supervision of the Director of Health Services, the position is responsible for appropriately and successfully executing clinical and administrative health plan denials in accordance with regulatory guidelines and plan policies. ESSENTIAL DUTIES AND RESPONSIBILITIES 1. Is responsible for managing all...

Utilization Management Coordinator (RN)Under the general supervision of the Director of Health Services, the position is responsible for appropriately and successfully executing clinical and administrative health plan denials in accordance with regulatory guidelines and plan policies. ESSENTIAL DUTIES AND RESPONSIBILITIES 1. Is responsible for managing all...

Under the general supervision of the Director of Health Services, the position is responsible for appropriately and successfully executing clinical and administrative health plan denials in accordance with regulatory guidelines and plan policies. ESSENTIAL DUTIES AND RESPONSIBILITIES 1. Is responsible for managing all denials by conducting a comprehensive...

Under the general supervision of the Director of Health Services, the position is responsible for appropriately and successfully executing clinical and administrative health plan denials in accordance with regulatory guidelines and plan policies. ESSENTIAL DUTIES AND RESPONSIBILITIES 1. Is responsible for managing all denials by conducting a comprehensive...

Under the general supervision of the Director of Health Services, the position is responsible for appropriately and successfully executing clinical and administrative health plan denials in accordance with regulatory guidelines and plan policies. ESSENTIAL DUTIES AND RESPONSIBILITIES 1. Is responsible for managing all denials by conducting a comprehensive...

RESPONSIBLE FOR: The Care Manager is responsible for care coordination, progression of care, and proactive discharge planning and is accountable for expediting the timely and safe discharge for all patients in their case load. #IND789 #GD MINIMUM EDUCATION REQUIRED: Graduate of Nursing Program MINIMUM EXPERIENCE REQUIRED: Two (2) years of experience in...

Now hiring in Miami, FL Utilization Management Coordinator (RN) Under the general supervision of the Director of Health Services, the position is responsible for appropriately and successfully executing clinical and administrative health plan denials in accordance with regulatory guidelines and plan policies. ESSENTIAL DUTIES AND RESPONSIBILITIES 1. Is...

Who We Are: St. Johns Episcopal Hospital is the only hospital providing emergency and ambulatory care to the densely populated, culturally and economically diverse, and medically underserved populations of the Rockaways and Five Towns in southern Queens County and southwestern Nassau County, New York. Celebrating over 110 years of community care, the...

Description:RESPONSIBLE FOR: The Care Manager is responsible for care coordination, progression of care, and proactive discharge planning and is accountable for expediting the timely and safe discharge for all patients in their case load. Qualifications:MINIMUM EDUCATION REQUIRED:Graduate of Nursing ProgramMINIMUM EXPERIENCE REQUIRED:Two (2) years of...

Description: RESPONSIBLE FOR: The Care Manager is responsible for care coordination, progression of care, and proactive discharge planning and is accountable for expediting the timely and safe discharge for all patients in their case load. #IND789 #GD Qualifications: MINIMUM EDUCATION REQUIRED: Graduate of Nursing Program MINIMUM EXPERIENCE...