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Online Resumes with "Eligibility "



Help Desk Specialist - 11 Years of Experience - Near 20002

PROFILE Over 10 + years of experience successfully developing and implementing IT solutions in private industry * Strategic, solution-driven senior technology analyst and technology architect with over 10+ years' experience with networking and implementing integrated solutions * Reputation as creative change expert with demonstrated leadership in innovation and delivery of integrated technology solutions to meet diverse bus...

Tags for this Online Resume: Microsoft Windows, Connectivity, Local Area Network, Microsoft Windows XP, Wide Area Network, Windows XP, Servers, HP, HP LaserJet, A+ Certification, it jobs

Manager - 20 Years of Experience - Near 11743

Areas of Expertise * Lean Six Sigma BPM business analysis for technical and business solutions evaluate/implement business process through Six Sigma methodology by identifying and mapping technology with business needs. * My corporate Vision includes driving efficiency of operations, increasing quality of service by partnering with business units and achieve strong bottom-line performance applying Lean Six Sigma methodology...

Tags for this Online Resume: Support, Technical Support, Customer Relationship Management, Disaster Recovery, Fixed Assets, Inventory, Network Support, network, vm, azure, was, client services, vendor management, data center

Business Analyst - 19 Years of Experience - Near 02332

Continue to be a contributer to any add value

Tags for this Online Resume: Management, Systems Analyst, Business Analyst, Consulting, Accounting, Agile, Applications, Billing, Business Requirements, it jobs, agile, software, Analysis, JAD Sessions, Testing/QA, User Stories, Data Flow Diagrams, As Is vs. Proposed Diagrams, Functional Diagrams, Training, Member Portals, Provider Portals, JIRA, Sharepoint, Eligibility, Healthcare, Implementation Lead, Team Leader, Mentor, Post-implementation Support, Application Documentation, Wiki, Process Flows, UAT, Test Plan Creator, Change Management, Define what's IN SCOPE & What's OUT OF SCOPE, Waterfall, SDLC, RUP, Rational Toolset, Defect Tracking, Liaison between Stakeholders & Technical Teams, Earn Trust & Confidence from Stakeholders

Quality Assurance Specialist - 7 Years of Experience - Near 43230

career as Associate Trainee in Cognizant technology Solutions. * Developed Keyword driven framework for mainframes in a team of 2. * Have worked on various frameworks like DataDriven Modular and Hybrid Driven frameworks. Experience in Test Requirements gathering requirements analysis and test strategy/plan preparation. Developed numerous tools with Excel macro to interact with QC/ALM. * A self-motivated person with strong c...

Tags for this Online Resume: Automation, Test, Test Cases, Regression Testing, Functional Testing, HP QuickTest Professional, sql, agile, selenium webdriver, TESTNG, UFT, framework

Medical or Health Services Manager - 20 Years of Experience - Near 07087

To obtain a challenging Coordinator position that will utilize my skills such as customer service, scheduling, insurance verification, prior authorization & follow ups. Knowledge on CAHC, JACHO and URAC. February 2017 - Present Empire Specialty Pharmacy West New York, NJ Intake/Prior Auth Coordinator * Obtain referrals from doctors, insurance companies and account representatives * Insurance verification and eligibility * O...

Tags for this Online Resume: Accenture FOUNDATION, Acquired Immune Deficiency Syndrome (AIDS), Coaching, English Language, Sports, healthcare

Billing/Coding Specialist - 20 Years of Experience - Near 33316

Experienced with Thoracic * HIPPA compliance Surgeons Ivor Lewis, Lung * Insurance eligibility Verification Resections Vats Procedures * International Classification of Chamberlains Diseases (ICD.9CM) Experienced with Vascular * Medical Billing Surgeons Tevars, Evars, Open * Experience with Whipple ANERYSM repairs, Vascular Procedures, Puestow Stents, Angioplasties, Av Procedures, Rouen-en-Y Fistulas, Chimmney Stents, proce...

Tags for this Online Resume: Medical, Emergency Room, ER, Surgical, Billing, Coding, Communication Skills, Critical Care - Vascular, Data Entry, Encoder, general surgery coding,remote medical coder

Quality Assurance Specialist - 7 Years of Experience - Near 08817

Experience Summary * 7+ years of professional experience with proven abilities in Software Quality Assurance and Software Testing of Client-Server and Web applications. * Extensive experience in backend Testing of Medical and Pharmacy claims, EDI transactions 837 (Institutional, Professional, and Dental), 834 (Enrollment), 835, 270, 271 276 and 277 - X12, XML and NCPDP. * Experience in interacting with business analysts, st...

Tags for this Online Resume: Software Quality Assurance, Software Testing, Test, Structured Query Language, EDI, Electronic Data Interchange, Oracle, Test Cases, Unix, Applications, agile, software, html, it jobs, sql, javascript

Administrator - 20 Years of Experience - Near 90222

Collaboratively Strategic planning for the implementation of DMC services. * Collaboratively worked with executive management team on preparing the agency to achieve CARF accreditation. * Managed operation of the two substance abuse programs outpatient and residential. * Conducted initial interviews for potentials employees and follow up staff performance evaluations on an annual and probationary basis. Coordinate the clien...

Tags for this Online Resume: Program Manager, Assessments, Custody, Documentation, Management, Planning, Quality Assurance, Strategic Planning, mental health, case management, substance abuse, non-profit

Federal Government - 20 Years of Experience - Near 22602

Summary I am an experienced leader and manager in positions within the military, the corporate environment, and the Federal Government. I have had extensive success in managing Federal and corporate programs with budgets as large as $260 million dollars. I have over 23 years of focused organizational, technical, and supervisory experience in Information Security technologies (INFOSEC), IT data centers, data management, IT i...

Tags for this Online Resume: Program Manager, Public Key Infrastructure (PKI), Assessments, Cloud Computing, Consolidations, Enterprise Architecture, Financial, Government, Information Security, Infrastructure

GOVERNMENT PROCUREMENT/ ACQUSISTIONS SUPPORT SPECIALIST

Seeking procurement / contracting support position. Currently employed at DHA, JOMIS division providing procurement and contract support. Previously employed at the VA medical center in the prosthetics division as a purchase agent in Martinsburg WV. Over 9 years of procurement and contracting support to the Federal government and technical support experiences working various programs within the Department of Defense (DOD). ...

Tags for this Online Resume: Acquisitions, Automation, Government, Procurement, Purchasing, Security, Security Systems, Inventory, Complaints, Accounting, GFEBS, USBANK,EXCEL, POWERPOINT, WORD, OUTLOOK

Administrative Assistant - 18 Years of Experience - Near 35235

Qualification Summary Skilled public administrator with over 32 years of experience providing services to populations from diverse cultures and backgrounds. Maintained federal regulations and guidelines regarding F-1, J-1 and H-1 visa categories, etc., along with providing assistance with hiring and processing foreign employees and E-Verify Employee Eligibility Verification. Self-motivated and enjoy challenges and responsib...

Tags for this Online Resume: Property Management, Training, administrative assistant