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Online Resumes with "HEDIS measures"
Healthcare Director - 15 years operational leadership experience - 12 years of clinial experience - Director of Quality Improvement - HEDIS Measures and NCQA experience - Managed Care exerience -Accreditation, Compliance and audit experience - Healthcare
Tags for this Online Resume: Director, Administrator, Quality Improvement, Executive, Operations, Healthcare
Manager Quality Assurance- 12 years experience
Managed Care Healthcare Reform in a Director of QA role, helping with implementation of ACA and different models, NCQA & HEDIS measures, Lean Six Sigma project management, Regulatory Mgmt,Healthcare Consultant
Tags for this Online Resume:
director quality assurance, healthcare consultant, Managed Care- NCQA & HEDIS, project management (Certified Lean Six Sigma), Staff management & Professional Development, Clinical Laboratory Management, Compliance & Safety
Featured Profile
Retail, Pharmacy Manager, Clinical, Hospital, Medication therapy management, immunization,scheduler,clinics
To obtain a Pharmacist position in a company with growth opportunity that will allow me to utilize my extensive skills and experience. I feel my excellent customer service skills and experiences will be a great asset in this capacity.
Ideal Companies: Veteran's administration, Rite aide Pharmacy, Walgreens, CVS
Tags for this Online Resume:
clinical, manager, inventory, counseling, formulary, qaulity assurance, patients
Physician - 20 Years of Experience - Near 07722
I am looking to utilize my knowledge with a remote, part-time position.
I have been in clinical practice >20 years. I have been a medical educator.
I have performed chart audits for denials, HEDIS measures, and for ACO data collection.
Tags for this Online Resume:
physician non-clinical, medical reviewer, educator, writer
Featured Profile
Physician executive strong CM/UM experience, demonstrated ability to avoid readmission and increase claims efficiance - near 60637/430
Experienced medical professional, expert in adult and geriatric medicine, care coordination that avoids unnecessary readmission,chronic disease management (including home visits,) Medicare, it's managed care partners and dual eligible,managed care administration, medical education, and clinical practice. Committed to empowering providers and utilization/care management nurses to fully partner with payors and health systems ...
Ideal Companies: BlueCross/BlueShield, Medicare, Anthem, Cigna, United Health Care, CMS, Presence, Valence
Tags for this Online Resume:
Geriatrics, Chronic disease management, Utilization/Care Management, HIPAA/Clinical Medical Ethics, HealthCare Professional Education, clinical policy development, Physician, Director, Medical Director, Physician Executive, Adult Medicine, Geriatric Medicine, Care Coordination, Population Health, Dual Eligibility Systems, Risk Management, Medical Education, Multidisciplinary Education, Clinical Ethics Training, Medical Ethics, Oral Communication, Written Communication, Social Media, MS Office, MD, FACP, AGSF, Underwriting, Claims, Non Profit, Principle
Business Analyst
Professional Summary: * Proven leader with over 25 years of experience directing cross-functional teams in the successful delivery of complex healthcare projects. * Product Manager of leading clinical mobile solution resulting in over $500K in new sales and increased client retention. * Reviewed, interpreted and led teams in implementing complex regulatory requirements for post-acute, acute and ambulatory healthcare segment...
Tags for this Online Resume:
Business Analyst, Product Owner, Clinical Decision Support, Agile, User Stories, Quality, Quality Assurance, Support, Healthcare
Manged Care Network Management - 20 Years of Experience - Near 29036
Summary of Experience More than 16 years of leadership experience in the Managed Care industry including 10 years in healthcare facilities. Extensive experience in developing, expanding, and maintaining provider networks as well as in: Health Care Delivery Systems Network Development Provider Relations Budget Administration Problem Resolution Team Development Trend Analysis/Valued-Based Purchasing Salesforce Data Regulation...
Tags for this Online Resume:
Leadership, Management, Program Manager, Services, Shared Services, Managed Care, healthcare, care, quality improvement, provider relations, network management, medicare, Medicaid, motivation, quality
Coding Educator - 10 Years of Experience - Near 33330
SUMMARY OF QUALIFICATIONS * Auditing of physicians medical records documentation, including coding, and quality areas that impacts all service lines, including Anesthesia, Emergency Department, Radiology, Oncology, Neurology and Office Based Practices. * Knowledge of ICD-10 through AAPC workshops, HCPCS and CPT coding under CMS guidelines. Advanced medical terminology and anatomy skills, including PQRS Guidelines. * Project...
Tags for this Online Resume:
Management, Billing, Radiology
Senior Business Analyst -15 years Experience - Columbia
Professional Summary Dynamic and motivated IT Senior Business Analyst with experience in client relations, team management, healthcare IT infrastructure and clinical data exchange. and Key Accomplishments Senior Business Analyst with strong healthcare analytic, design and implementation skills. Supported BlueCross BlueShield of South Carolina's TRICARE (military healthcare insurance) contract. Also acted as company liaison ...
Tags for this Online Resume:
Application Programming, Budgetary, Infrastructure, Microsoft PowerPoint, Process Improvement, Programming, Research, Research and Development, Test, Test Plans, it jobs, agile, software
Featured Profile
Medical Office Manager - 3 Years of Experience - Near 64157
ORGANIZATIONAL LEADERSHIP
Proven success in retention, team building, innovative and efficient problem-solving, and systems improvement and implementation of new technology. Known for inspiring high-level patient-centered care through a collaborative and confident leadership approach.
Tags for this Online Resume:
Leadership, Billing, Integrate, Training, Athena, Bilingual, Coaching, Coding, EHR, Health Care Industry
Retail, Pharmacy Manager, Clinical, Hospital, Medication therapy management, immunization,scheduler,clinics
To obtain a Pharmacist position in a company with growth opportunity that will allow me to utilize my extensive skills and experience. I feel my excellent customer service skills and experiences will be a great asset in this capacity.
Ideal Companies: Veteran's administration, Rite aide Pharmacy, Walgreens, CVS
Tags for this Online Resume: clinical, manager, inventory, counseling, formulary, qaulity assurance, patients
Physician executive strong CM/UM experience, demonstrated ability to avoid readmission and increase claims efficiance - near 60637/430
Experienced medical professional, expert in adult and geriatric medicine, care coordination that avoids unnecessary readmission,chronic disease management (including home visits,) Medicare, it's managed care partners and dual eligible,managed care administration, medical education, and clinical practice. Committed to empowering providers and utilization/care management nurses to fully partner with payors and health systems ...
Ideal Companies: BlueCross/BlueShield, Medicare, Anthem, Cigna, United Health Care, CMS, Presence, Valence
Tags for this Online Resume: Geriatrics, Chronic disease management, Utilization/Care Management, HIPAA/Clinical Medical Ethics, HealthCare Professional Education, clinical policy development, Physician, Director, Medical Director, Physician Executive, Adult Medicine, Geriatric Medicine, Care Coordination, Population Health, Dual Eligibility Systems, Risk Management, Medical Education, Multidisciplinary Education, Clinical Ethics Training, Medical Ethics, Oral Communication, Written Communication, Social Media, MS Office, MD, FACP, AGSF, Underwriting, Claims, Non Profit, Principle
Medical Office Manager - 3 Years of Experience - Near 64157
ORGANIZATIONAL LEADERSHIP Proven success in retention, team building, innovative and efficient problem-solving, and systems improvement and implementation of new technology. Known for inspiring high-level patient-centered care through a collaborative and confident leadership approach.
Tags for this Online Resume: Leadership, Billing, Integrate, Training, Athena, Bilingual, Coaching, Coding, EHR, Health Care Industry
