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Online Resumes with "Director Managed Care"
Medical Director, NY
Medical Director for managed care, health and wellness center using utilization review and evidence based medicine as an integral part of health care management. Working with other health care professionals to develop protocols and guidelines for patient assessment and health maintenance.
Tags for this Online Resume: Managed Care, Utilization Review, Utilization Review, Health Care Management, Evidence Based Medicine, Health and Wellness, Health and Wellness, Bariatric Medicine, Bariatric Medicine
Behavioral Health Executive, Director, Managed Care, Licensed Psychotherapist
Sarah Hirsch is an inspired, competent and highly motivated healthcare executive who has a history of successful organizational development, strategic business planning, performance improvement, whole health wellness promotion, healthcare consulting, 25 years of clinical expertise, contract lifecycle management, project management, disruptive innovation, health technology and service delivery initiatives with wide-ranging h...
Registered Nurse - 20 Years of Experience - Near 48154
I am interested in Detroit area positions or relocating to Florida. I am open minded to new challenges and opportunities. I am interested in partnering up with a national health organization where I can add value to their product lines by virtue of my years of healthcare and nursing experience. Throughout my healthcare career I have never turned down an interesting opportunity offer to learn a new skill or business operati...
Ideal Companies: Large Healthcare organizations
Tags for this Online Resume: RN, Rehab, Case Management, Administration, Director, Management, Nursing, experienced, Documentation, Financial
Operations Director Managed Care 20 years pharmacy experience, Medicare part d
Tags for this Online Resume: operations, director, health care, health systems management, pharmacy operations, managed care
Director -15 years experience-Ft Lauderdale
Increasingly responsible leadership positions in healthcare industry. Management style consists in hiring the right people, establishing goals in concert with those people in a knowledge work environment. Management philosophy based on the belief that having a good system in place is the best way of achieving any objectives.
Ideal Companies: Aetna, Humana BS/BC
Tags for this Online Resume: contracting, quality, risk, revenue cycle, miami
Director of Managed Care
To work with a progressive healthcare organization with exceptional opportunity for growth.
Admissions Director - 28 Years of Experience
Accomplishments: Consistently led all teams to exceed net sales and market share growth targets for nation in all targeted therapeutic disease states. Led department from below 10 ranking by customers in Scott-Levin rankings to #1 ranking. Led a small but focused group in obtaining the first ever preferred access within United Healthcare
Tags for this Online Resume: Account Management, CVS, Defense, Evaluate, Management, Medicare, Microsoft Access, Pharmaceutical Industry, Prime, Staffing & Recruitment, Access, Reimbursement, Pull Through
Senior Vice President Payment Transformation, Vice President Managed Care, Network Development, Contracting and Provider Relations - 20+ years Experience, Kansas
I am searching for a progressive organization that is moving from pay for volume to paying for value. I have built a prospective bundled payment program for the ambulatory setting. I've also partnered with Oracle to co-develop a technology platform to automate the payment of prospective and retrospective bundles. I have negotiated bundled payments, shared savings arrangements, bundled payments, FFS, case rates and PCMH ...
Ideal Companies: UHG, Humana, Blue Cross Blue Shield, Lumeris, Adventist Health System
Tags for this Online Resume: contract negotiations, network development, value based contracting, managed care, ACO, clinical integration, Compensation, Prospective Bundles Program, Commercial, MA and Medicaid
Case Management Manager
Tags for this Online Resume: Insurance, Life Insurance, Sales, Audit, Nursing, Compensation, Management, Patient Care, Services, Emergency Room
Case Management Manager
Tags for this Online Resume: Management, Utilization Management, Cms, Disease Management, Project Management, Medicare, Budgeting, Change Management, Clinical Management, Computer Aided Software Engineering
