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Jordan F

Claims Examiner - 12 Years of Experience - Near 06249

Occupation:

Claims Examiner

Education Level:

Master

Will Relocate:

YES

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SUMMARY Diverse, Deeply Experienced Professional and PhD Candidate, MBA, MSM, Certified Six Sigma Green Belt, and Certified Lean Six Sigma with broad technical savvy seeks a role commensurate with my work experience and education that maximizes my finance, project management, strategic, and analytical expertise to deliver value-added results and competitive advantage to a growing firm. BUSINESS ACUMEN * Management: Staff Management, Team Building, Training, Mentoring, Development * Finance: Financial Modeling, Budgeting, Treasury Analysis, Risk Management, Reporting, ROI, Break-Even Analysis * Accounting: Queries and J/E management, Accounts Receivable, ACH, Basel II, Bank Reconciliation, GAAP, Budget Planning, Business Analysis, Cash Flow Analysis, EDI, FAS, FP&A: Financial & Forecast Analysis, Budgeting, GL Maintenance, PD & LGD * Clinical Informatics, Underwriting, Client-facing Reporting, Research, Consulting * Functional Specification Design, Functional Architecture Analysis, Process Flow Audit, Process Mapping, Process Reengineering, Process Auditing, Technical Writing, Data Mining * Strategic Fulfillment: Network Design, sourcing decisions, negotiations, buyer/seller relationship building, TQM, supplier selection, price determination, ethics * Project Management: Six Sigma, Lean Methodology, Forecasting, Production planning and scheduling, Quality Control, Cost Control, Inventory Control, Capacity Planning, Purchasing, Logistics, Risk Management. * Operations Management. Problem solving through quantitative modeling, decision analysis, aggregate systems, requirements planning, PERT using Microsoft Project * Pharmacy Benefit Management: PBM, Pharmacy Network Management, Pricing, Underwriting, New Product Development, Claim Analysis, Medicare Part D, Maximum Allowable Cost (MAC), Generic Spread, Specialty Pharmacy, PPACA * Excellent analytical, written, communication, and organizational skills

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