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Online Resumes with "BLUE SHIELD"



Claims Adjuster - 20 Years of Experience - Near 08520

Key Qualifications - * Proven track record of assessing benefit claims and healthcare options, including extensive knowledge of Medicare and government regulations. * Adept at developing and maintaining detailed administrative and procedural processes that significantly reduce expenses, improve accuracy and efficiency, and achieve organizational objectives. * Highly focused and results-oriented in supporting complex, deadli...

Ideal Companies: Blue Cross Blue Shield of New Jersey, Aetna Insurance Company, Horizon Blue Cross

Tags for this Online Resume: Benefits, Billing, Compensation, Complaints, Fraud, Health Insurance, Insurance, Managed Care, Anesthesia, Behavioral Health, insurance, sales, group benefits associate, marketing, health benefits broker, Health insurance adjuster

Featured Profile

Excellent insurance sales experience with the constant balance of underwriting (company) and service (client).

My career objective is to obtain financial position within either the Insurance or the Banking industries offering a full-time, direct employee position. I welcome responsibly and have experience managing each market to operate at full staff capacity; a proven record of achieve or exceed business goals.

Ideal Companies: USAA, Amica Insurance, Allstate Insurance, Wells Fargo, UnitedHealth Group, BB&T, Bank o America, & ect...

Tags for this Online Resume: analyze risk, profitability, retention, counseling borrowers, advanced verbal and written communication skills, relationship-building skills, marketing, integrity, manager experience, proven sales experence

Project Manager - 15 Years of Experience - Near 60419

SUMMARY: * A PMO/Project Coordinator with 15+ years' experience supporting a group of 3-15 Project Managers and coordinating highly visible projects, in enterprise environments including Discover Financial Services, Blue Cross Blue Shield, Tribune Technology and T-Mobile Corporate * Built out and maintained SharePoint and Confluence sites, wikis within SharePoint and Confluence, and utilized SharePoint and Confluence as a r...

Tags for this Online Resume: Microsoft Excel, Microsoft PowerPoint, Management, Microsoft Word, Communications, Documentation, Microsoft Project, MS Project, Leadership, SharePoint

Featured Profile

Operations Unit Manager

A results oriented professional with experience in the Service Industry and Mortgage Banking who combines planning, organizational and communication skills with the ability to work in an extremely fast-paced environment.

Ideal Companies: BlueCross BlueShield, Google, Kodak, Zerox, Datto, United Healthcare

Tags for this Online Resume: Complaints, Insurance, Inventory, IBM DB2 Database, Banking Industry, Communication Skills, Fast-paced Environment, Planning, Management, Word, Excel, Outlook, Training, Procedure updates

Medical or Health Services Manager - 20 Years of Experience

QUALIFICATIONS AND EXPERIENCES * Proven excellence in Contracting, Credentialing, Health Insurance knowledge, Education, Sales, Employee Benefits, Claims, Provider Relations, Customer Service and Management. Group presentations and seminars have been a major part of my career responsibilities. * Contracting, Provider Relations, Network Development for Government Programs such as Project Hero (Veterans) and Tricare (Military...

Ideal Companies: ASBS

Tags for this Online Resume: Customer Service, Government, Networking, Management, Email, Benefits, Complaints, Computer Literate, Forth Programing Language, Health Insurance

Featured Profile

Project Manager/Program Manager - 15+ Years of Experience - Near 27526

Bringing programs in on-time, within budget that add stakeholder value

Ideal Companies: Blue Cross/Blue Shield, SAS, Wells Fargp, PNC, Citizens Bank, Wake Med Hospital

Tags for this Online Resume: Project Manager, Budget Development, Contract Negotiation, ECommerce, Risk Mitigation, Performance Management, Delegation, IT Governance, Project Audit, Program Management, Software Testing and Implementation, Relationship Management, Change Management, Project Planning, Quality Assurance, Impact Assessment, Software Development, Collaboration, Vendor Management, TIL, Order Management, ISO, Compliance, HIPAA, Sarbanes Oxley, Education, Training

General - 20 Years of Experience - Near 60148

SUMMARY: * Global and enterprise Strategic Sourcing Management, Procurement, Supply Chain and Project Management experience in a variety of industries (Publishing, International Restaurants, Consulting, Food Manufacturing, Health Insurance and Finance.) * Highly skilled in continuous cost reduction, service level optimization, negotiations, contract management, category strategy, spend analysis and supplier management. * De...

Tags for this Online Resume: Consulting, HVAC, Business Development, Buying, Engineering, Inventory Control, Merchandising, Negotiatons, Cross Functional Team Leadership, Cost Optimization, Contract Administration, Supplier Management

Featured Profile

Podiatric Physician

To obtain a challenging position as a Podiatrist in a growing medical company, that will allow me to use my 27 years of experience to gain experience working with a diverse and challenging population of patients.

Ideal Companies: Hospital, Blue Cross Blue Shield, Pharmaceutical Company,

Tags for this Online Resume: physcian, foot doctor

Help Desk Specialist - 0 Years of Experience

SUMMARY OF QUALIFICATIONS * Knowledge of desktop hardware, software, LAN and related infrastructure. * Ability to select hardware based on client and corporate needs. * Analyzed technical environments and made recommendations of what technology to create a solution.

Tags for this Online Resume: Microsoft Active Directory, Active Directory, Management, Microsoft Outlook, Cisco, IBM, Microsoft, Microsoft Windows, Microsoft Windows 7, Windows 7

Manager - 19 Years of Experience - Near 10453

Ideal Companies: virtual office/and some on-perm for meetings. Investment in myself t Training and Hands-on experience. Company investment for the Business Management Objectives, Solutions Architect Storage/Virtualization, VMware, AWS, Azure, Google, Wellfargo, JPMC, BNP Paribas, Cloud Hosting

Tags for this Online Resume: SEC, Securities and Exchange Commission (SEC), Linux, Infrastructure, Services, Integrate, Management, Microsoft Internet Information Server, Novell, Novell Netware, linux, Storage, VMware, NetApp, EMC VNX, HP 3PAR, Data Management, Solutions Architect, java, sql, javascript, it jobs, html, agile

Director - 20 Years of Experience - Near 06906

& Notable Contributions Can We Talk Newsletter ADP AMISYS Provider Solutions CIGNA Health Plan of Connecticut Oxford Health Plans and EMPIRE Blue Cross Blue Shield (1984 - 2006).

Tags for this Online Resume: managed care, government programs, re-engineering, call center, events, enrollment, customer service, operations management, Behavioral Health, Management, management, Customer experience

System Administrator - 20 Years of Experience - Near 10304

SUMMARY Salesforce specialist with a history of implementations, enhancements and developments in support of mission- critical user communities, specializing in all development and life-cycle methodologies. Skills include: system, process and workflow evaluation, specification gathering, stakeholder, vendor and end-user liaison, require- ments definition and documentation, change control protocols, testing procedures, syste...

Tags for this Online Resume: Salesforce, FinancialForce-PSA, Project Analyst, System Security, Systems Analysis, Technical Writing, Troubleshooting, Database, Testing, software, it jobs, Training, User Support