The Opportunity Milliman’s Property & Casualty practices welcome motivated students to join us as Actuarial Interns for Summer 2027! This application will bring your interest to the attention of all of Milliman’s U.S. P&C practices that are seeking
This is a hybrid position and must be located within 100 miles of any of the Mayo Clinic campuses for on-site expectations based on business needs. Primary duties may include, but are not limited to, responsibility
Overview St. Marys General Hospital, located in Passaic, NJ, is a community-based tertiary medical center focused on providing quality, compassionate care. It is an acute care hospital providing a broad range of services including cardiovascular services
The Utilization Management Nurse Reviewer plays a crucial role in healthcare systems by ensuring that medical services are used efficiently and appropriately. They review medical records, treatment plans, and patient information to determine the necessity and
Key Responsibilities Educate and consult with individual health insurance consumers to help them understand available coverage options Assist customers through the enrollment process with professionalism, empathy, and accuracy Deliver proactive follow-up and ongoing support to enhance
Individual(s) 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. Company Overview: Leading with our core values of Quality, Integrity, and
We’re looking for: Relationship builders. We are fanatical about serving our customers and contributing to their success. We are looking for someone with strong communication skills who can build positive relationships with team members, clients, employees,
RN Case Manager Position Summary The Clinical Coordinator/Case Manager serves in a dual-capacity role, dedicating approximately 50% of time to clinical coordination and department operations and 50% of time to direct patient case management activities. This
Job Family:Clinical Appeals Nurse Travel Required:None Clearance Required:None What You Will Do: Conduct pre‑ and post‑service medical necessity reviews for inpatient, observation, and outpatient hospital encounters using evidence‑based criteria such as InterQual and Milliman Care Guidelines. Perform
Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the
Overview Central Maine Healthcare (CMH), a member of Prime Healthcare Foundation, is an integrated healthcare delivery system serving approximately 400,000 residents across central, western, and midcoast Maine through a network of more than 40 primary and
Overview Department: Case Management Employment Type: Per Diem Shifts Available: Variable Location: Providence Medical Center- Kansas City, KS Are you a seasoned Nurse ready to take your skills to the next level? Join us as a
Overview Chino Valley Medical Center is a 112-bed community hospital established in 1972 and centrally located in Southern California’s Chino Valley. A nine-time recipient of the Healthgrades Patient Safety Excellence Award (2014-2022), Chino Valley Medical Center
Overview Milliman’s Indianapolis Health practice is seeking an Actuarial Analyst Intern (Summer 2027) to join our growing Health and Human Services team, currently supporting actuarial services for 10+ states across the U.S. Interns will work on a
Millimans Seattle healthcare practice provides consulting services to clients in the healthcare industry including health plans, government payers, providers, and reinsurers. We are looking for a Product Operations Specialist to develop and improve upon existing software management
Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the
MAJOR FUNCTION: Facilitates a patient’s hospitalization from pre-admission through discharge. Collaborates with physicians, nurses, social workers and other members of the healthcare continuum to ensure appropriate, cost-effective care. Applies clinical expertise and medical necessity criteria to perform
Company Description Support specialty care coordination within a military healthcare environment where clinical judgment, referral management, and patient education help ensure beneficiaries receive timely access to appropriate care. At International SOS Government Medical Services, youll support
Overview • Schedule: Days, 7:30a-4p, full-time, • Facility: Prime Healthcare Saint Joseph Medical Center • Location: Joliet, IL 60435 Responsibilities Responsible for the quality and resource management of all patients that are admitted to the facility
The Utilization Management (UM) team is made up of experienced physicians and clinicians who work together to ensure Clover members receive medically appropriate, evidence-based care while optimizing quality and resource utilization. As the Medical Director, Utilization