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Online Resumes with "BLUE SHIELD"



Family or General Practitioner - 6 Years of Experience - Near 35453

Dedicated Adult-Gerontology Primary Care Nurse Practitioner with strong academic training and professional experience. A reliable ethical healthcare provider with a mission to enhance the healthcare of young adults and the elder. Expertise in facilitating groups and collaborating with a multidisciplinary team to positively affect the lives of patients and their families. Mastery of skills in Adult - Gerontological specific ...

Tags for this Online Resume: Surgical, ICU, Medical, Patient Care, Assessments, Behavioral Health, Focus, Health Care Industry, Immunization, Insurance

Property Site Manager - 10 Years of Experience - Near 12077

A hardworking, conscientious, detail-oriented professional with more than 15 years experience in the facility management industry. Seeking to secure a facility management position within a dynamic organization that offers new challenges and opportunities that will effectively utilize acquired skills and experience.

Tags for this Online Resume: Management, Property Management, Account Reconciliation, Accounting, Accounts Payable, Accounts Receivable, Bank Deposits, Billing, Bookkeeper, Deposits

Technical Writer - 15 Years of Experience - Near 48197

Lead Documentation Group Lead large-scale conversion effort to Flare single sourcing for documenting cloud and on-premise products. Implement and teach best practices for topic-based minimalist documentation development. Perform writing tasks as required to meet Agile sprint timing. Schedule projects for writers monitor progress and perform tracking duties using TestTrack ticketing system. Use Perforce source control system...

Tags for this Online Resume: Architect, HTML, Accounting Software, Adobe Acrobat, Adobe FrameMaker, Aerospace, Agile, Automotive, Consulting, CSS

Marketing Director - 15 Years of Experience - Near 95062

Areas of expertise * Market and competitive analysis * Product positioning and messaging development * Needs assessment and requirements definition * Customer research and product strategy * Program planning and project management * Mobile and web wire framing, and rapid proto-typing * Buyer personas and journey mapping * Thought leadership and advisory content development * User-Centered Design and usability testing Summar...

Tags for this Online Resume: Software, Software Development, Banking Industry, Research, Entitlements, Financial, Financial Management, Integrate, Management, Wealth Management

Featured Profile

Innovative Thought Leader | Human Resources & Risk Management Consultant | Trusted Business Partner & Compliance Advisor

SUMMARY: Professional Executive delivering superior results for organizations served. Offering: Exceptional Human Capital Management, Leadership Development, Diversity & Inclusion, Client Relationship Partnerships, Employment Practices Compliance, Risk Management, and Insurance Programs and Claims Management qualifications. Unique Subject Matter Expert in Diversity, Human Resource Management, Employee Relations, Federal a...

Ideal Companies: Amgen, City of Thousand Oaks, Conejo Valley Unified School District, Dole Food Company, HCA Los Robles Regional Medical Center, Silver Star Auto Group, Verizon/Frontier, WellPoint Blue Cross, Blue Shield of California,

Tags for this Online Resume: Compensation, Support, Training, Management, Actuarial, Assessments, Benefits, CFO, Human Resources Information System, Leadership, Westlake Village, Human Resources Risk Management Consultant

Medical or Health Services Manager - 20 Years of Experience - Near 11553

PROFILE: Broadminded, diplomatic and accomplished manager with expertise in maximizing revenue capture, regulatory compliance, metrics, performance improvement initiatives, policy and procedure creation, managed care, Medicare, Medicaid, Blue Shield, commercial insurance, professional billing, collections, third-party reimbursement, and Provider credentialing. Effective leader with the ability to mentor, develop and motivat...

Tags for this Online Resume: CPC , 20years managerial experience, Industry expert, CMS , OMH/DOH/Specialty billing expertise , FQHC knowledge, IDX/Nextgen/ ECW billing software, Revenue cycle, Billing, Documentation

Senior Manager, Functional Excellence - 11 Years of Experience

SUMMARY: * Accomplished Information Technology Executive Agile Release Program Manager with a verifiable track record managing complex IT Initiatives as a Senior Project Management & Program Management Professional. * Strong Experience in Agile Development, Release Management with Customer facing experience in Research and Development, Business Process improvements, Change Management, Product Launches. * Most recently led D...

Tags for this Online Resume: Management, Applications, Agile, Business Analysis, Business Analyst, Documentation, MDM, Program Management, Program Manager, Project Management

Chief Executive Officer - 20 Years of Experience - Near 75093

Accomplishments (2008-2010) * Experience in evacuation and substation of Power & Infrastructure, Information Technology Services. * Proven capabilities in leading global & local teams, managing large budgets, leading and managing sales to execution of highly complex global services contracts and commitments. Key Results * Managing portfolios of infrastructure projects throughout the power sector. * Developed strategies & ex...

Tags for this Online Resume: N?mecký jazyk, Marketing Management, Project Management, Project Manager, Sales, Account Management, Banking Industry, Budgeting, Business Process Re-engineering, Business Requirements

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Administrative Services Manager - 19 Years of Experience - Near 22192

Susan M. Cooper 2835 Noble Fir Ct  Woodbridge, VA  22192  703.408.9406 (cell)  starpangle@aol.com Associates in Physical Therapy Dumfries, VA Administrator September 1998-June 2017 Billing Specialist July 2008-June 2017 Medical billing: • Billed approximately $3 million per year utilizing Medisoft billing systems (with a $1.5 million return). • Managed insurance contracting including Medicare, Anthem, Aetna, Blue...

Tags for this Online Resume: retail manager, store manager, assistant manager, sales, management, manager, Manager Administrator

Database Administrator - 3 Years of Experience - Near 10950

SUMMARY * Senior Database Analyst /Administration, Team Lead and Database Architect in MS SQL Server, Sybase environments. Having 10 years of Hedge fund, 3 years in financial industry experience and various blue-chip companies like Sharp Electronics, Verizon, Blue Cross Blue shield, Elpaso energy and international experience. Delivering IT services to the business team and helping on the decision making Alternative Investme...

Tags for this Online Resume: Services, Distribution, Microsoft SQL Server, Microsoft SQL Server 2000, Microsoft Windows, Microsoft Windows 2000, Microsoft Windows 2000 Advanced Server, Oracle, Oracle 8i, Performance Monitor

Prior Authorization Review Clinical Pharmacist

I would like to continue my career working on prior authorization requests based on clinical pharmacist review.

Ideal Companies: CRSA, Aetna, Blur Cross Blue Shield

Tags for this Online Resume: prior authorization review pharmacist, clinical pharmacist, PBM pharmacist

Customer Service Representative - 15 Years of Experience - Near 23505

Anthem Clue Cross Blue Shield 07-21- 16 thru 07-25-2017 Pharmacy tech Rep * Worked as a pharmacy tech rep answered incoming calls from providers office while initiating prior authorizations for members medications also processed rejected claims for members medications . while documenting members accounts regarding each transaction that took place carefully

Tags for this Online Resume: Insurance, Typing, Typing Skills, Call Center, Life Insurance, Problem Solving, Problem Solving Skills, Troubleshooting, Customer Service, Services, customer service, call center, customer service representative, sales associate