The Practice Finance & Operations Manager position will support and strengthen the financial and operational infrastructure of the Milliman Advanced Risk Adjusters (MARA) software product business. This role provides financial, operational, and analytical support across a rapidly
Description The DC Compliance Analyst will be responsible for working in a team environment, completing assigned tasks, retaining information, and building knowledge in the field. As knowledge about the field increases, responsibilities and tasks will grow,
Job Description SummaryConducts utilization reviews to determine if patients are receiving care appropriate to illness or condition. Monitors patient charts and records to evaluate care concurrent with the patients treatment. Reviews treatment plans and status of
What We Do Milliman IntelliScript is a group of a few hundred experts in fields ranging from actuarial science to information technology to clinical practice. Together, we develop and deploy category-defining, data-driven, software-as-a-service (SaaS) products for a
Who We Are Independent for over 75 years, Milliman delivers market-leading services and solutions to clients worldwide. Today, we are helping companies take on some of the world’s most critical and complex issues, including retirement funding and
Job Description A Bit About This Role: We are seeking a highly skilled and analytically driven Medicare Advantage Bid Strategy & Analytics Associate Director to join the team responsible for designing, pricing, and optimizing Devoted Health’s
Millimans Seattle Health Practice is looking for an Actuary with extensive experience in Medicare Part D. The position requires creative actuarial capabilities, good communication and interpersonal skills, and organizational talents. A high degree of self-motivation and the
Millimans Seattle Health Practice is looking for an Associate Actuary with extensive experience in Medicare Part D. The position requires creative actuarial capabilities, good communication and interpersonal skills, and organizational talents. A high degree of self-motivation and
Overview As a Part-Time Physician Reviewer, you will conduct utilization reviews to determine medical necessity across our different lines of business, including Post-Acute Care, Home Health, Durable Medical Equipment (DME), Home Infusion Therapy, Sleep services. In
Job DetailsJob Location: Southfield, MI 48076Position Type: Full TimeSalary Range: $26.50 - $31.00 HourlyTravel Percentage: NoneThis role is designed for licensed nursing professionals. To be considered, you must hold an active RN, LPN, or LVN license.
What We Do Milliman IntelliScript is a group of a few hundred experts in fields ranging from actuarial science to information technology to clinical practice. Together, we develop and deploy category-defining, data-driven, software-as-a-service (SaaS) products for a
This position is available fully remote in Washington State Who we are Community Health Plan of Washington is an equal opportunity employer committed to a diverse and inclusive workforce. All qualified applicants will receive consideration for
Individuals must be legally authorized to work in the United States without the need for immigration support or sponsorship from Milliman now or in the future. Milliman’s Health Research Team (HRT) is seeking an experienced and driven Data
About Us Milliman IntelliScript is a group of a few hundred experts in fields ranging from actuarial science to information technology to clinical practice. Together, we develop and deploy category-defining, data-driven, software-as-a-service (SaaS) products for a broad
Description The Regulatory Consulting Associate has primary responsibility for preparation of plan documents, plan amendments, resolutions, SPDs, SMMs and certain IRS / DOL filings. Works under general supervision of Principal & Senior Regulatory Compliance Consultant and
The Manager of Utilization Management provides daily oversight for Case Management teams (which includes RN’s, Social Workers, and Coordinators). The Manager of Utilization Management is responsible for ensuring high quality, cost-effective, and appropriate allocation of member
Position Summary: The Appeals & Grievances (A&G) unit manages Healthfirst member complaints, grievances and appeals that are presented by the member or provider pertaining to the authorization of or delivery of clinical and non-clinical services. A&G
As a team member in Finance at Nationwide, a Fortune 100 company with nearly $70 billion in annual sales, the opportunities are endless! Let Nationwide help create your career journey! At Nationwide®, “on your side” goes
Description The Systems Support Analyst is primarily responsible for providing technical system support to internal business users in accordance with EBAC Technology Service Level Agreements. Provide system-level support of multi-user operating systems, hardware and software tools,
BUSINESS DEVELOPMENT MANAGER Description: Milliman is seeking a BUSINESS DEVELOPMENT MANAGER to work in a fast-growing department in Omaha. We offer a unique opportunity for the right candidate providing the best of both worlds: a flexible local