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Online Resumes with "Adjudication"
Project Manager
SUMMARY Seeking to leverage my Program, Product and Project Management background in a: start-up, expansion or growing corporate environment for the creation, development and/or migration of the product or solution. Having delivered managerial and servitude leadership within teams (Up to 150+) with successful alignment, mitigation of risk and value, by avocation and evangelism several outcomes saved cost ($2 MM) and time (9...
Tags for this Online Resume: Management, Program Management, Agile, Benefits, Coaching, COBIT, Communications, Compliance, Confluence, CSC
General - 20 Years of Experience - Near 11784
Objective: To obtain a challenging position as a security professinal that will utilize my knowledge and skills in present and past positions. COVER LETTER: Dear Sir: 1. I am actively seeking a position as Securituy Professional as you have recently advertised. I am currently employed in the Hempsteasd School District as a security aid. I have previous Law Enforcement experience and was a graduate of the Federal...
Tags for this Online Resume: Security, Budgetary, Fraud, IBM, Microsoft, Microsoft Word, Sales, Services, Security, surveillance, security operation, professional, genralist, Telemarketing
Billing/Coding Specialist - 4 Years of Experience - Near 78242
at Position Description: Reviewing claims working off project list or work queue. Responsible for providing expertise or general support in reviewing, researching. Experience in a production based environment with an emphasis on quality outcomes. Primary Resposabilities: * Reviewing and adjudicating medical claims in accordance with CMS claim processing guidelines. * Processing claims Up to 50K * Provide expertise claims su...
Tags for this Online Resume: Microsoft, Microsoft Outlook, Services, Adobe, Audit, Banking Industry, Benefits, Billing, Call Center, Cardiopulmonary resuscitation (CPR)
Legal Secretary/Legal Assistant
Tags for this Online Resume: MOS Certified, Conscientious, Bachelor's Degree, Law School
contracts manager, USA
Business Analyst - 7 Years of Experience - Near 37209
Professional Summary * Over 8+ years of diverse experience as a Business System Analyst in developing and implementing innovative business processes. * In-depth knowledge and experience in full SDLC with RUP, agile and waterfall methodologies. * Functional experience in health Care Industry with vast knowledge on Medicare and Medicaid. * Expertise in creating the companion guides on various EDI transactions. * Specialize in...
Tags for this Online Resume: Management, Structured Query Language, Business Requirements, Microsoft Visio, Oracle, Use Cases, VISIO, Business Analysis, Business Analyst, Health Insurance Portability And Accountability Act, agile, software, html, c++, sql, medicaid, CMS, HIPPA, Testing
Regional Sales Manager
High energy, driven sales professional, exceptional teaching and communication skills.
Ideal Companies: Aetna, Cigna, Delotte, Ernst& Young, WellPoint, MetLife
Tags for this Online Resume: marketing, business development, account management, pricing
Legal Secretary - 11 Years of Experience - Near 07514
Compliance Officer -15 year with 3 National mortgage lender's
I have spent over 15 years as a compliance officer and Quality Control manager auditing loan files and licensing mortgage lenders nationwide.
Adjudicator
Educational Administrator - 20 Years of Experience - Near 23456
SUMMARY OF QUALIFICATIONS: 37 years of progressively more challenging leadership positions ranging from team chief of 6 highly skilled electronic warfare specialists in a tactical environment, to submitting cultural and strategic advice to a four star staff responsible for global operations in eighty countries in Europe, Asia, and Africa. Polyglot: French, Russian & Italian COMMUNITY OUTREACH: Bringing to the US public the ...
Tags for this Online Resume: Medical, Electronic Warfare, Russian Language, CT, D.O.D., Disability Income Associate, Facilitator, French Language, HUMINT, Leadership
Federal Government - 20 Years of Experience - Near 22712
I am a Senior Intelligence Professional with Top Secret/SCI Security Clearance (PSI Adjudication of PPR OPM, Opened 20011228, Closed 20120425, determined Eligibility of SCI – DCID 6/4 on 20120517 (Army CCF); Polygraph: 01 Feb 2010, DIA, Counterintelligence, 14-1004102. Offering 30 years of intelligence process and operations planning experience. Additionally, I am a focused leader, my ability to define a company’s vision, c...
Tags for this Online Resume: HUMINT, SIGINT, MOS, Management, Physical Security, Security, Weapons, Electronic Warfare, Counterintelligence, All-Source Analysis, Counter-Terrorism Analysis, Counterinelligence Analysis, Intelligence Analysis
