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Online Resumes with "Claims Processing Systems"
Operational Know-how meets Pharma/public health
Interested in working with public health/humanitarian unit of a leading pharmaceutical company. Also interested in working in an operational capacity with a health care company or exploring consulting firms in health care/pharma.
Ideal Companies: GSK, Sanofi Aventis, United Health Group, Aetna, Cigna, Pfizer
Tags for this Online Resume: account management
Featured Profile
Manager
Tags for this Online Resume:
Senior Information Officer, Strategic Planning, Financial Systems, Underwriting Systems, Claims Processing Systems, Pharmaceutical Systems
Sales Operations Analyst
Analyzes and evaluates the business impact and ROI of business performance programs and solutions.
Ideal Companies: IBM, HP, Perot Systems, Nike, Oracle
Tags for this Online Resume:
Performance Analyst, Business Analyst, Performance Consultant, Measurement Specialist, Program Evaluator, Sales Operations, Sales Performance, Sales Metrics
Business Analyst - 10 Years of Experience - Hartford/Springfield area
Over 12 years experience as a Business Analyst/Project Lead, I have been responsible for a variety of projects including Data Center Migration, Durable Tool Inventory, Manufacturing Control and EDI coordination for multiple HealthCare Claims Processing Systems. I identified business rules and defined detailed specifications for interfacing with external vendors and I am familiar with the ANSI X12 transaction sets.
Programmer Analyst - 15 Years of Experience - Near 27519
Career Summary: * Software professional with 15 years of experience in Information Technology. Specialized in development of applications in IBM Mainframe, COBOL/II/370, CICS, VSAM, JCL, Natural, Adabas, MQ Series, XML, Easytrieve, DB2, IMS DB/DC and IBM utilities. Possesses excellent communication and technical skills and strong sense of personal ownership, accountability and commitment. Highmark - NC Jul '08 - Till date O...
Tags for this Online Resume:
VSAM, Xpeditor, Cobol II, Cobol Programming Language, Job Control Language, IBM DB2 Database, TSO/ISPF, CICS, IBM IMS
Business Analyst - 20 Years of Experience - Near 17111
Career Highlights: I have 25 plus years of overall working knowledge of claims processing experience in both a client server and mainframe environment. I deal very effectively with all levels of staff and have excellent organizational and communication skills. I am extremely well organized and can handle multiple tasks and high volumes of data. My accomplishments include: * Accessing several database for data mining to prep...
Tags for this Online Resume:
Information Technology, System Analyst, Business Analysis, Business Analyst, IBM DB2 Database, Support, Billing, Call Center, Inventory, Management, sql
Tester - 8 Years of Experience in U.S
Summary: * Extensive hands-on experience on developing, Writing and executing Test Plans, RTM, Test Scripts and Test Cases from Requirements, Use cases, Design Documents and other project documentations and able to work closely with development team and business analyst to analyze test case scenarios. * Extensive Knowledge and experience in all stages of the software development life cycle (SDLC) beginning from initiation a...
Tags for this Online Resume:
Test, Test Cases, Management, Test Scripts, Billing, EDI, Electronic Data Interchange, Quality, Scheduling, Coding, sql, agile, javascript, it jobs, software, html, linux
Business Analyst - 4 Years of Experience - Near 18508
SUMMARY Over 4 years of extensive experience in Business Analysis, Software Validation and business process re-engineering, with proven ability to articulate business values in the Property & Casualty Insurance industry. A thorough understanding of the Software Development Life Cycle (SDLC) including various concepts such as Requirement Gathering, Gap Analyst, Underwriting Rules, development of Client specific specification...
Tags for this Online Resume:
Wndows xp, Ms project, Excel, Business objects, Micro strategy uml, Etl tools informatics, Business Analysis, Business Analyst, Jad, Business Requirements
Billing/Coding Specialist - 8 Years of Experience - Near 60473
SUMMARY Skilled professional with 10+ years of managerial experience in the healthcare sector, managing claims processing systems, data analysis, auditing, financial reporting and contracts. Experienced in managing government programs including Illinois Medicaid and Managed Care Organizations (MCOs) processes. Executed and managed in-network contracts with various MCOs expanding consumer base to increase billing opportuniti...
Tags for this Online Resume:
Benefits, Billing, Financial, Government, Managed Care, Project Management, Project Manager, Payroll, Management, Audit
Featured Profile
Director Public Policy- 5 Years of Experience-Florida
SUMMARY Seasoned executive director leadership with more than 30 years of management experience in coordinating private and non-profit organization business processes, sustainability, and strategic organizational practices. Excellent communication and interpersonal skills. Background in budget preparation, policymaking, program development, and program management. Public Policy analyst-practitioner with an MBA in IT Managem...
Ideal Companies: Nike, IBM, State legislator office, Health dept, Amazone, Dept of commerce
Tags for this Online Resume:
Information Technology, Project Management, Project Manager, Quality Assurance, Test, Research, Public Policy, Private Investigation, SPSS, Qualitative Research, Quantitative Research, Claims investigation, MySQL, Python, Agile project management, Leadership, Microsoft Xcel, Microsoft Access, Tloxp, IDICORE
Manager
Tags for this Online Resume:
Senior Information Officer, Strategic Planning, Financial Systems, Underwriting Systems, Claims Processing Systems, Pharmaceutical Systems
Sales Operations Analyst
Analyzes and evaluates the business impact and ROI of business performance programs and solutions.
Ideal Companies: IBM, HP, Perot Systems, Nike, Oracle
Tags for this Online Resume:
Performance Analyst, Business Analyst, Performance Consultant, Measurement Specialist, Program Evaluator, Sales Operations, Sales Performance, Sales Metrics
Business Analyst - 10 Years of Experience - Hartford/Springfield area
Over 12 years experience as a Business Analyst/Project Lead, I have been responsible for a variety of projects including Data Center Migration, Durable Tool Inventory, Manufacturing Control and EDI coordination for multiple HealthCare Claims Processing Systems. I identified business rules and defined detailed specifications for interfacing with external vendors and I am familiar with the ANSI X12 transaction sets.
Programmer Analyst - 15 Years of Experience - Near 27519
Career Summary: * Software professional with 15 years of experience in Information Technology. Specialized in development of applications in IBM Mainframe, COBOL/II/370, CICS, VSAM, JCL, Natural, Adabas, MQ Series, XML, Easytrieve, DB2, IMS DB/DC and IBM utilities. Possesses excellent communication and technical skills and strong sense of personal ownership, accountability and commitment. Highmark - NC Jul '08 - Till date O...
Tags for this Online Resume:
VSAM, Xpeditor, Cobol II, Cobol Programming Language, Job Control Language, IBM DB2 Database, TSO/ISPF, CICS, IBM IMS
Business Analyst - 20 Years of Experience - Near 17111
Career Highlights: I have 25 plus years of overall working knowledge of claims processing experience in both a client server and mainframe environment. I deal very effectively with all levels of staff and have excellent organizational and communication skills. I am extremely well organized and can handle multiple tasks and high volumes of data. My accomplishments include: * Accessing several database for data mining to prep...
Tags for this Online Resume:
Information Technology, System Analyst, Business Analysis, Business Analyst, IBM DB2 Database, Support, Billing, Call Center, Inventory, Management, sql
Tester - 8 Years of Experience in U.S
Summary: * Extensive hands-on experience on developing, Writing and executing Test Plans, RTM, Test Scripts and Test Cases from Requirements, Use cases, Design Documents and other project documentations and able to work closely with development team and business analyst to analyze test case scenarios. * Extensive Knowledge and experience in all stages of the software development life cycle (SDLC) beginning from initiation a...
Tags for this Online Resume:
Test, Test Cases, Management, Test Scripts, Billing, EDI, Electronic Data Interchange, Quality, Scheduling, Coding, sql, agile, javascript, it jobs, software, html, linux
Business Analyst - 4 Years of Experience - Near 18508
SUMMARY Over 4 years of extensive experience in Business Analysis, Software Validation and business process re-engineering, with proven ability to articulate business values in the Property & Casualty Insurance industry. A thorough understanding of the Software Development Life Cycle (SDLC) including various concepts such as Requirement Gathering, Gap Analyst, Underwriting Rules, development of Client specific specification...
Tags for this Online Resume:
Wndows xp, Ms project, Excel, Business objects, Micro strategy uml, Etl tools informatics, Business Analysis, Business Analyst, Jad, Business Requirements
Billing/Coding Specialist - 8 Years of Experience - Near 60473
SUMMARY Skilled professional with 10+ years of managerial experience in the healthcare sector, managing claims processing systems, data analysis, auditing, financial reporting and contracts. Experienced in managing government programs including Illinois Medicaid and Managed Care Organizations (MCOs) processes. Executed and managed in-network contracts with various MCOs expanding consumer base to increase billing opportuniti...
Tags for this Online Resume:
Benefits, Billing, Financial, Government, Managed Care, Project Management, Project Manager, Payroll, Management, Audit
Featured Profile
Director Public Policy- 5 Years of Experience-Florida
SUMMARY Seasoned executive director leadership with more than 30 years of management experience in coordinating private and non-profit organization business processes, sustainability, and strategic organizational practices. Excellent communication and interpersonal skills. Background in budget preparation, policymaking, program development, and program management. Public Policy analyst-practitioner with an MBA in IT Managem...
Ideal Companies: Nike, IBM, State legislator office, Health dept, Amazone, Dept of commerce
Tags for this Online Resume:
Information Technology, Project Management, Project Manager, Quality Assurance, Test, Research, Public Policy, Private Investigation, SPSS, Qualitative Research, Quantitative Research, Claims investigation, MySQL, Python, Agile project management, Leadership, Microsoft Xcel, Microsoft Access, Tloxp, IDICORE
Director Public Policy- 5 Years of Experience-Florida
SUMMARY Seasoned executive director leadership with more than 30 years of management experience in coordinating private and non-profit organization business processes, sustainability, and strategic organizational practices. Excellent communication and interpersonal skills. Background in budget preparation, policymaking, program development, and program management. Public Policy analyst-practitioner with an MBA in IT Managem...
Ideal Companies: Nike, IBM, State legislator office, Health dept, Amazone, Dept of commerce
Tags for this Online Resume: Information Technology, Project Management, Project Manager, Quality Assurance, Test, Research, Public Policy, Private Investigation, SPSS, Qualitative Research, Quantitative Research, Claims investigation, MySQL, Python, Agile project management, Leadership, Microsoft Xcel, Microsoft Access, Tloxp, IDICORE
