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Online Resumes with "Affordable Care Act"



Medical & Health Services Manager - 18 Years of Experience - Near 34601

My reputation is as a multifaceted, resourceful, and decisive senior level professional with comprehensive experience in development of strategic business solutions to streamline operational effectiveness, cut costs, enhance quality, compliance, productivity, and in-crease profitability. Goal-driven, adaptable and critical-thinking project manager with demonstrated success in implementation of process improvements and chang...

Tags for this Online Resume: government managed care, telecommute, complance, HealthCare Management, provider contracting, vendor oversight, account management

Medical & Health Services Manager - 15 Years of Experience - Near 21261

Experienced professional with the ability to educate, train and implement initiatives through strategic planning and data mining. Through collaboration and training attained a successful direction of the network development staff to exceed all yearly goals. Worked through complex provider networks; pricing, development and team management. Analyze network reimbursement methodologies and provide process improvement strate...

Tags for this Online Resume: will relocate, Healthcare Reform, Contract Negotiations, Compliance, Contract Management/Operations, Reimbursement Analysis, Operations, ACA

Featured Profile

Program Manager - 15 Years of Experience - Near 60035

A resourceful and highly motivated Leader in the Healthcare sector, offering more than 10 years of experience in strategy, planning, and performance success accrued across a broad range of industries, offering excellent problem solving and analytical skills. Proven record of leadership and implementation of client services for Medicaid, Medicare, and Commercial Health management programs, all within time limitations. Specia...

Ideal Companies: BCBSIL, HCSC, Cigna, EverThrive Illinois, Northshore Health System, Valence Health, The Muse, Lake County Department of Health

Tags for this Online Resume: Affordable Care Act, Managed Care, Project Management, Health Policy, Organized, Diplomatic, cross-functional partnerships, communication skills, Management, Program Management

Program Director, Dowagiac, MI

My objective is to continue to make a positive contribution within the Health Information Technology career field utilizing my extensive knowledge of computers, electronic health records, HIPAA, The Affordable Care Act and Release of Information.

Tags for this Online Resume: Medical Records, Electronic Health Records, Release of Information, EHR, Coding, RHIA

Featured Profile

Communications - 19 Years of Experience - Near 60010

Qualifications More than 20 years of communications and public relations success, specializing in: * Communication strategy Media relations Employee engagement Community & government relations Executive communication Crisis and issues management Speech/scriptwriting Culture/organizational change Project management Social Media

Tags for this Online Resume: Business Development, Thought leadership, Crisis and Risk Management, Earned Media, B2B, Employee Engagement, Speechwriting, Community Outreach, Messaging, Communication Strategy, Change Management

Project Manager - 6 Years of Experience

SUMMARY OF QUALIFICATIONS: Over 25 years in Information Services in Management, Principal Consultant and Project Management. Responsibilities include budgeting, scheduling, and managing engagements from 500k to over 12M. Managed up to fifty project team members including off-shore. Provided direction and guidance for methods and procedures, including QA initiatives as well as metric measurement. Accountable for supporting t...

Tags for this Online Resume: Accounting, Actuarial, Automotive, Banking Industry, Budgeting, Business Planning, Change Management, Cms, Data Warehouse, Health Insurance

Business Analyst

Summary * 7+ years of experience as Business Analyst in the Healthcare Industry with expertise in Affordable Care Act (ACA), HL-7, EDI Transactions (834, 835, 837), HIPAA, MMIS, Medicare and Medicaid. * Adequate knowledge in Health Administration - Claims processing (auto adjudication), COB, EOB/Drafts, Claims pricing and testing, HIPAA, enrolment, EDI, HIX, HMO, PPO, POS, Medicare, Medicaid, CDHP, MMIS system implementatio...

Tags for this Online Resume: Quality, Structured Query Language, Test, VISIO, Jad, Microsoft Office, Microsoft Visio, Rational, Rational Rose, Requisite Pro

Manager Business Analysis & Consulting - 12 Years of Experience - Near 91367

SUMMARY solutions, skilled in Business Analysis, Consulting & Solution Design BUSINESS ANALYSIS & CONSULTING * Consulting various Healthcare Payer organizations PBMs RCM organizations on detailed process analysis automation opportunities & findings developing automation roadmap cost benefit analysis (CBA) piloting process automation interventions focusing on quicker resolution efficiency improvements and reduce cycle time o...

Tags for this Online Resume: Business Analysis, Consulting, Management, Business Analyst, Information Technology, Program Management, Program Manager, Project Management, Project Manager, C Programming Language

Administrator - 13 Years of Experience - Near 36695

and surrounding areas throughout south Alabama. * Identify new entities to support charitable efforts and assist with outreach activities. * Works with Executive Director to produce grant proposals for clinical research. * Oversee redesign of new website and management. Lead Navigator Affordable Care Act Initiative Ascension Health/Providence Hospital Mobile AL (2013-2014) * Oversaw navigator team operations funded by Cente...

Tags for this Online Resume: Management, External Reporting, Information Technology, Contracts & Grants, Health Policy, Statistics, Healthcare Compliance, Medicaid, Affordable Care Act, Research, Writing, Policies & Procedures, non-profit, mental health, social services, Managed Care, Healthcare Quality Improvement

Lawyer - 3 Years of Experience - Near 33186

SUMMARY Attorney / In-house Counsel with 3 years of experience in contract negotiations for property acquisitions, insurance, employment law, and intellectual property rights. My skills and accomplishments include: * Providing legal and non-legal counsel to a medical practice. * Conducting legal research and prepared bench memoranda on civil and probate law. * Drafting documents for estate planning, contract negotiations an...

Tags for this Online Resume: Research, Real Estate, Acquisitions, BAR, Benefits, Bilingual, Contract Negotiations, Document Review, Drafting, English Language, associate, attorney, lawyer