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Online Resumes with "HEALTH PLANS"
Strong communication with compassion and good sense
Solution oriented and resourceful receptionist/administrative assistant with exceptional communication skills. Compassionate, sensible, creative.
Ideal Companies: San Francisco Design Center, , Kaiser Permanente, UC Medical Center, Hastings Law School
Tags for this Online Resume: Health Care, Legal, Marketing
Healthcare Executive Profile
My career objective is to attain a Healthcare Executive position within a progressive company. With my current studies in the Ph.D. Health Services with a concentration in Health Administration; various nursing capacities and vast Managed Care leadership;I will be an asset to the organization. In addition, I have extensive experience in presentations, networking, staff development,strategic planning, class training and faci...
Ideal Companies: McKesson, NEA-Baptist, , Amgen, Bayer Pharmaceuticals, Roche Pharmaceuticals, Bristol-Myers Pharmaceuticals, BlueCross BlueShield, St. Vincent Hospital, Celgene, Veterans Administration, UAMS-Little Rock
Tags for this Online Resume: Milliman, Microsoft Word
Senior Sales Executive - Healthcare Software Sales - HIE/EMR/PM
Provides strong, innovative leadership to develop strategic campaigns, and consistent overachievement of sales goals. Seeks opportunities to enhance profitability within the challenging healthcare markets, to secure long lasting success for a company.
Tags for this Online Resume: Managed Care, EMR, Health Information Exchange, Healthcare Information Systems, Health Plan Decision Support, Oncology/Cardiology
Director, Health Planning and Management
Work to solve challenges in the field.
Tags for this Online Resume: Business Analysis, Operations improvement, Health planning
Health Systerm Account Manager, Hospital IDN manager, Sales, Research, RN
I have greater than 25 years experience in the medical community. I have worked clinically as an advance practice register nurse in numerous disease states. I have experience in research and have been a participant in published clinical trials. I have also worked as faculty at at a major university in nursing and medicine. I am currently working as a health system account manager for a leading pharmaceutical company cal...
Ideal Companies: Pharamecuiticals, foutune 500, medical, /biotechnology, Nursing, account management, hospital integreated deliver networks
Tags for this Online Resume: pharmaceutical, account manager, RN, Sales, Medical, pharmaceutical manager, account management sales
Compliance Officer
A dynamic Administrator of Compliance and Risk Management with significant experience in managed health care and insurance regulations and law for government health insurance programs (Medicare and Medicaid). Developed compliance strategy for the health plan and ensured the appropriate documentation, implementation and reporting of compliance is managed. Excellent leadership style motivates and directs team activity towar...
Tags for this Online Resume: Compliance, Risk Management, Medicare, Medicaid, Ethics, Privacy
Registed Nurse, CM II with Kentucky Spirit Health Plan, Compact nursing license.
I would like to assist patients to achieve their health goals and provide them with the information to make decisions toward that goal.
Tags for this Online Resume: Registered Nurse, Case Manager, computer skills
Health Care Executive -Operations & Development- 20 plus years of experience
Tags for this Online Resume: Health Plan Operations, Network Development, Medicare/Medicaid, Executive Management, Compliance, Clinical Development
Director, nationwide
I am a senior healthcare executive with extensive experience leading managed care contract negotiations and operations in Medicaid, Medicare and commercial markets. I have most recently held the position of Director, Provider Reimbursement for Presbyterian Health Plan located in Albuquerque, New Mexico in which I managed a staff of eleven Network Development professionals in negotiating contracts for all provider types a...
Tags for this Online Resume: Director of Network Management, negotiate contracts, manage people, reimbursement expert, provider relations, network development
Solid track record for diminishing challenges that enables companies achieve their mission-critical goals and exceeding expectations
Innovative thinker with broad-based expertise in management, operations, and business development. Proven ability to quickly analyze key business drivers and develop strategies to grow the bottom-line
Ideal Companies: Companies that promote employees due to employees contributions and abilities
Tags for this Online Resume: Business Development, Account Management, Mentoring, Process Improvement, Operational Efficiency, Management, Director, Decision Maker, Managed Care /Health Care, Persistent, Disciplined
Corporate Counsel 2 years with Arcadian Health acquired by Humana
• Analyzed all powers of attorney from Medicare Advantage members to determine validity and scope of representative’s power; trained other departments in the effects and ramifications of powers of attorney • Managed all HMO reporting and licensing filings mandated by government agencies and drafted company-wide policies on how to successfully meet these obligations • Reviewed, summarized, revised, approved, and monitored al...
Tags for this Online Resume: Compliance, start-up, litigation, Contract review, merger & acquisition, member of the California bar
Certified Professional Coder Apprentice (CPC-A), Riverview
CPC certified Apprentice in Medical Billing and Coding with health plan experience in claims research, health plan authorization requirements, billing, and provider appeals. Knowledge of Medicare, Medicaid, Commercial and Workers Compensation products and services.
