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Online Resumes with "HEALTH PLANS"



Human Resources Manager - 10 Years of Experience - Near 75022

Summary Certified HR professional with 10 years of leadership experience. Enthusiastic and loyal with a passion for securing the ultimate employee experience. Ability to create intuitive communication to ensure managers and associates are empowered and engaged in the organization for optimum results. Benefits * Administered 401 (k) qualified and non-qualified plans. * Participated in health plan negotiations resulting in 10...

Tags for this Online Resume: Compensation, Inventory, Inventory Control, Purchasing, Billing, Payment Processing, Audit, Management, Medical, Accounts Payable

Featured Profile

Chief Executive Officer - 20 Years of Experience - Near 77056

My objective is to work for a company that needs help in growing its business or turning around an under performing business. This can be at the overall corporate level or at a company division level. Looking for established mid-size to small company or a private equity backed company. Would enjoy the opportunity to utilize my vast experience across the entire energy spectrum, "well head to burner tip" to help a company dev...

Ideal Companies: Oil & Gas Exploration and Production, Private Equity, Electrical Power Generation, Natural Gas transportation, International, startup, , LNG,

Tags for this Online Resume: Business Development, P & L, M&A, Electrical Power Generation, Oil & Gas, Environmental Issues, Midstream, International, gas distribution, board of directors, pipelines, Energy, natural gas processing, LNG, bilingual, general management, Investment banking, business startup, interim management, business turnaround, strong leader, strategic, P&L, corporate turnaround, team builder, strategic visionary, Latin America

Featured Profile

Manager of Health Informatiom Services

Results- driven individual with over 25 years experience in the Medical industry. Innovative with proven abilities in management, strategic planning, workflow analysis, personalized selling, and field training. Implemented strategic action plans to maximize growth opportunities. Developed a consultative selling relationship with clients, earning new business based on trust and product knowledge.

Tags for this Online Resume: Management, Sales Trainer, Integratation, Network Services, Program Lead, Customer Service, Transitions/Migrations, Implementation, Sales, data logics

Admissions Director

Summary of Qualifications * Possess expertise in managing daily operations of Hospital Admissions and Information departments, Emergency Room Registration, medical office records and operating expenses. * Experienced in performing annual performance evaluations for department personnel and supervisory staff. * Successfully prepared hospital departments for audits and reviews, which resulted in 100% passing rates. * In depth...

Tags for this Online Resume: College Educator: Bio Sci, Medical record documentation, Analytical, Practitioner/Practice management, Emergency Room Regristration, Medical Claims Adjudication, Director of Admissions, Diagnostic & Treatment Coding, Washington DC - Metro area, Managed Care

Marketing Director - 15 Years of Experience - Near 95062

Areas of expertise * Market and competitive analysis * Product positioning and messaging development * Needs assessment and requirements definition * Customer research and product strategy * Program planning and project management * Mobile and web wire framing, and rapid proto-typing * Buyer personas and journey mapping * Thought leadership and advisory content development * User-Centered Design and usability testing Summar...

Tags for this Online Resume: Software, Software Development, Banking Industry, Research, Entitlements, Financial, Financial Management, Integrate, Management, Wealth Management

Executive Vice President - 15 Years of Experience - Near 92708

Energetically outperforming healthcare executive with various roles as VP/ CFO/ COO who helps started two MAPD SNP Health Plans, a MSO, 2 IPA's, a Multi-Specialty Medical Facility successfully from scratch. Ability to roll up sleeve and dive in any challenge incurred in healthcare management and increase shareholder ROI.

Tags for this Online Resume: Management, Accounting, Consulting, Medicare, Infrastructure, Billing, CMS, EDI, Electronic Data Interchange, Insurance, Medicaid, CMS, Program Management, Project Management, Operations, HEDIS, Risk Adjustment, Revenue Cycle, Provider Contracting, Network Expansion, Healthcare Software Development, Claim Operations, Finance

Physician

Summary Healthcare Executive with over 25 years of experience in both Medicaid and Commercial managed care markets. Progressive leadership roles in financial modeling, predictive analytics, development and implementation of quality initiatives and cost-reduction programs. Acumen in strategic positioning, infrastructure development and design experienced in leading an organization through State, NCQA, and Department of Insur...

Tags for this Online Resume: PEDIATRIC, Public Health, Budgeting, Call Center, Management, Medical, Medical Affairs, Operating Budget, Quality, Quality Assurance

Chief Financial Officer - 20 Years of Experience - Near 76065

I am a highly accomplished, results driven, leader with progressive experience in financial and operations management in both start-up and global multi-billion dollar organizations. Demonstrated ability to build cohesive, collaborative teams and streamline business operations resulting in increased efficiency and effectiveness. Possess solid leadership, communication, and interpersonal skills to establish rapport with all...

Tags for this Online Resume: Dallas Fort Worth, Accounting, Controllership, Efficiency, Procurement, Controls, Leadership, Communication, Finance, Healthcare, Insurance, Technology

Medical Office Manager - 16 Years of Experience - Near 85022

Qualifications: * Experienced leader * Results Oriented * Engaged * Strategic * Collaborative * Excellent written and verbal communication * Strong decision making skills * Team Player, Flexible, Enthusiastic and Self motivated * Strong analytical skills Experienced with various computer programs * Excellent interpersonal skills * Strong work ethic, honest, and dependable * Patient/customer oriented Front * Managed day to d...

Tags for this Online Resume: Compensation, Deposits, Microsoft Word, Word Processing, Data Entry, Medical, Oncology, TERMINALLY ILL, Inventory, Accounts Payable

Featured Profile

Health Technologist - 16 Years of Experience - Near 20191

My objective is to find an organization where I can apply my skill sets, and passions, for delivering effective IT solutions to business stakeholders and end users. This includes full investment lifecycle, regardless of development/deployment methodology, from the point of business case development through post implementation value measurement. I have deep expertise in the healthcare industry, both clinical and hospital fin...

Ideal Companies: Cerner, CoverMyMeds, Evolent, CareCloud, Enli Health, GE Health, Visiquate, Optum, Medstar

Tags for this Online Resume: Cms, Content Management, Financial, Financial Management, Management, Program Management, Benefits, Business Case Development, Computer Aided Software Engineering, EHR, Health IT, Revenue Cycle Management, Digital Health, Risk Management, Quality Management, Performance Improvement, Business Process Management, Enterprise Content Management, Health Information Exchange, Population Health Management

Business Analyst - 6 Years of Experience

Experience Summary * 7.9 years of experience in IT industry and immense knowledge about US healthcare domain and 5 years of experience in closely working with Business by Managing Various Client Projects. * 10 months of experience in the USA, California in CRM leads management using Salesforce. * Project Manager Expertise includes Planning and Defining Scope in Documentation of client requirements and translates them into d...

Tags for this Online Resume: Management, System design, Test, Test Plan, Coding, Monitoring, Project Management, Scheduler, Stored Procedures, Structured Query Language

Human Resources Manager - 10 Years of Experience - Near 95823

Professional Summary: Experienced medical insurance professional with over ten years of health plan and customer service experience. Fluent in multiple electronic data management systems. Excellent customer service provider with patient communication skills capable of communicating about claims and policy requirements with patients and doctors in person and via telephone, or electronically. Familiar with standard concepts, ...

Tags for this Online Resume: Benefits, Cms, Customer Service, ICD-9, Insurance, Management, Policies and Procedures, Filing, Referrals, Networking