milliman jobs in Philadelphia

Responsible for clinically assessing all adverse determinations made by insurers through all levels of the appeals process.EducationOther Graduate of an accredited school of nursing RequiredExperienceGeneral Experience and knowledge of InterQual and Milliman criteria. RequiredGeneral Experience and working knowledge of ICD-10 CM coding RequiredGeneral...

Overview Join an award-winning team of dedicated professionals committed to our core values of quality, compassion and community! Roxborough Memorial Hospital, a member of Prime Healthcare, offers incredible opportunities to expand your horizons and be part of a community dedicated to making a difference. Roxborough Memorial Hospital is a...

Responsible for the quality and resource management of all patients that are admitted to the facility from the point of their admission and across the continuum of the health care management. Works on behalf of the advocate, promoting cost containment and demonstrates leadership to integrate the health care providers to achieve a perceived seamless delivery...

Travel RN - Case Management/Utilization Review - Case ManagementAmerican TravelerPhiladelphia, Pennsylvania, United StatesPosition ID: P-753603Position status: OpenAssignment type: travelShift: DaysLength (weeks): 13Openings: 2Start date: 2026-10-19T00:00:00.000Z$2,488.00/week (estimated advertised weekly pay)DescriptionAmerican Traveler is hiring a Case...

OverviewJoin an award-winning team of dedicated professionals committed to our core values of quality, compassion and community! Roxborough Memorial Hospital, a member of Prime Healthcare, offers incredible opportunities to expand your horizons and be part of a community dedicated to making a difference.Roxborough Memorial Hospital is a 131-bed community...

The Executive Assistant will serve as a trusted partner to MARA's leadership team, helping increase our effectiveness, capacity, and decision velocity by reducing friction, improving coordination, and ensuring important work moves forward. This role supports our leaders across a wide range of executive support, project coordination, communications, and...

Job Opportunity At Roxborough Memorial HospitalJoin an award-winning team of dedicated professionals committed to our core values of quality, compassion and community! Roxborough Memorial Hospital, a member of Prime Healthcare, offers incredible opportunities to expand your horizons and be part of a community dedicated to making a difference.Roxborough...

Registered NurseJob DetailsProfession: Registered Nurse Pay: $2,301.00 to $2,531.00 weeklyAssignment Length: 13 Weeks Schedule: 5x8-Hour 08:00 - 16:30 Openings: 2 Start Date: 10/19/2026Experience:3.0 year(s)Degree: BSN Certifications: BLS, BSN Skills: Acute Hospital, Admission Criteria, Care Coordination, CMS: Centers for Medicare and Medicaid Services,...

**Overview** Join an award-winning team of dedicated professionals committed to our core values of quality, compassion and community! Roxborough Memorial Hospital, a member of Prime Healthcare, offers incredible opportunities to expand your horizons and be part of a community dedicated to making a difference. Roxborough Memorial Hospital is a 131-bed...

Join Our TeamJoin an award-winning team of dedicated professionals committed to our core values of quality, compassion and community! Roxborough Memorial Hospital, a member of Prime Healthcare, offers incredible opportunities to expand your horizons and be part of a community dedicated to making a difference.Roxborough Memorial Hospital is a 131-bed...