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Online Resumes with "HMOs"
Sales Operations
Over 21 years of consistent top performance in Management, Sales and Marketing. A proven record of accomplishment with various Telecommunication Companies including Agents,
Ideal Companies: Research In Motion, Motorola
Tags for this Online Resume: Wireless Carrier, Government Accounts, Major Accounts
Innovative Operations Manager
Experienced management professional with exceptional multicultural experience and interpersonal skills. Versatile leader.
Ideal Companies: Desert Diamond, Raytheon
Tags for this Online Resume: vp for administration, director, executive director, chief operations officer
Featured Profile
Experienced Administrative/Customer Service Rep.
An enthusiastic and competent college undergraduate with experience in customer service and administrative assisting, seeking a position that is long-term and in the Medical environment where able to utilize and improve interpersonal skills while dealing with customers and service provider representatives with all the necessary tools and good manners to make them have a good experience on every interaction handled.
Ideal Companies: Davita, Rehabilicare
Tags for this Online Resume:
Heathcare, Administrative Assistant, Customer Service
Co Founder United Healthcare Group Sr. VP Information Technology
Tags for this Online Resume:
technology, pharmacy, physicial practice/clinics, software development, hmos/managed care, new product implementation
Director of Nursing/Case Manager 7 years experience -- Folsom, CA
I'm a Registered Nurse who has worked in a Director of Nursing position for the past 5 years, with experience in Case Management as a travel nurse. Completed Admission and concurrent reviews for authorization for payment through the InterQual guidelines.
Worked with HMO’s, Medicare and Medicaid, and hospital based Medicaid systems (developed to meet the affordable care act criteria) Hospice’s the Clinical team as well as Wo...
medical claims recovery, adjustment and auditor
15 Plus Years: As a short- term traveling contractor, I have experience with HMO’s, as well as, PPO Insurance companies. Job descriptions are as follows: Experience in claims processing of Medicaid, Commercial, Professional, PPO, HMO, Third Party, Subrogation
And Medicare claims
Team Lead for high dollar and complex claims issues as well as customer service
responses. Provider Relations Liaison, as well as, being a train...
Featured Profile
Pharmacist, Pharmacy Supervisor
Pharmacist with over 25 years of experience providing superior pharmacy services in a retail setting. Outstanding interpersonal skills with a track record of establishing positive relationships with customers, pharmaceutical representatives/manufacturers, medical professionals, healthcare organizations and insurance providers. Respected leader, able to train and manage diverse teams to deliver peak performance. Dedicated to...
Ideal Companies: expressscripts, bcbs, cvs, walgreens, riteaid,
Tags for this Online Resume:
pharmacist, directorofpharmacy
Director of Provider Relations, Physiscian credentialing, contract negotiations
Senior Healthcare Administrator with over 15 years experience working with physicians, hospitals and HMOs. Excellent communications skills and familiar with PCMH, NCQA,HIPPA, and Medicaid/Medicare managed care.
Tags for this Online Resume:
Contract Negotiations, Provider Relations , Medicaid/Medicare, Provider Network Development, Medicaid Fraud Investigation , Grant Writer
Pharmaceutical Sales Representative - 20 Years of Experience - Near 38138
Extensive industry experience with GlaxoSmithKline with positions as a two-time Platinum Tier Sales Representative, Multi-State Vaccine Key Account Manager (State Immunization Programs), Product Manager launching Havrix Hepatitis-A Vaccine (Philadelphia Headquarters), State Government Relations Lobbyist, District Sales Manager (managed 14 sales reps - WV / PA), Regional Account Manager (HMOs / PBMs / Managed Care), National...
Quality Manager - 20 Years of Experience - Near 33325
My Career since I was honorably discharged from active duty in the United States Air Force in 1976 has been primarily in the aviation field. In 1989 when Eastern Airlines closed down I started schooling for my PTA license. I accumulated 500 hours of volunteer service at Baptist Hospital in West Kendall, Florida while continuing to work, full and part time, in various aircraft repair stations. I completed my Associated of...
Tags for this Online Resume:
facebook, linkedin, Plantation, Florida, Qualiity Assurance, Aviation, Physical Therapy
Experienced Administrative/Customer Service Rep.
An enthusiastic and competent college undergraduate with experience in customer service and administrative assisting, seeking a position that is long-term and in the Medical environment where able to utilize and improve interpersonal skills while dealing with customers and service provider representatives with all the necessary tools and good manners to make them have a good experience on every interaction handled.
Ideal Companies: Davita, Rehabilicare
Tags for this Online Resume:
Heathcare, Administrative Assistant, Customer Service
Co Founder United Healthcare Group Sr. VP Information Technology
Tags for this Online Resume:
technology, pharmacy, physicial practice/clinics, software development, hmos/managed care, new product implementation
Director of Nursing/Case Manager 7 years experience -- Folsom, CA
I'm a Registered Nurse who has worked in a Director of Nursing position for the past 5 years, with experience in Case Management as a travel nurse. Completed Admission and concurrent reviews for authorization for payment through the InterQual guidelines.
Worked with HMO’s, Medicare and Medicaid, and hospital based Medicaid systems (developed to meet the affordable care act criteria) Hospice’s the Clinical team as well as Wo...
medical claims recovery, adjustment and auditor
15 Plus Years: As a short- term traveling contractor, I have experience with HMO’s, as well as, PPO Insurance companies. Job descriptions are as follows: Experience in claims processing of Medicaid, Commercial, Professional, PPO, HMO, Third Party, Subrogation
And Medicare claims
Team Lead for high dollar and complex claims issues as well as customer service
responses. Provider Relations Liaison, as well as, being a train...
Featured Profile
Pharmacist, Pharmacy Supervisor
Pharmacist with over 25 years of experience providing superior pharmacy services in a retail setting. Outstanding interpersonal skills with a track record of establishing positive relationships with customers, pharmaceutical representatives/manufacturers, medical professionals, healthcare organizations and insurance providers. Respected leader, able to train and manage diverse teams to deliver peak performance. Dedicated to...
Ideal Companies: expressscripts, bcbs, cvs, walgreens, riteaid,
Tags for this Online Resume:
pharmacist, directorofpharmacy
Director of Provider Relations, Physiscian credentialing, contract negotiations
Senior Healthcare Administrator with over 15 years experience working with physicians, hospitals and HMOs. Excellent communications skills and familiar with PCMH, NCQA,HIPPA, and Medicaid/Medicare managed care.
Tags for this Online Resume:
Contract Negotiations, Provider Relations , Medicaid/Medicare, Provider Network Development, Medicaid Fraud Investigation , Grant Writer
Pharmaceutical Sales Representative - 20 Years of Experience - Near 38138
Extensive industry experience with GlaxoSmithKline with positions as a two-time Platinum Tier Sales Representative, Multi-State Vaccine Key Account Manager (State Immunization Programs), Product Manager launching Havrix Hepatitis-A Vaccine (Philadelphia Headquarters), State Government Relations Lobbyist, District Sales Manager (managed 14 sales reps - WV / PA), Regional Account Manager (HMOs / PBMs / Managed Care), National...
Quality Manager - 20 Years of Experience - Near 33325
My Career since I was honorably discharged from active duty in the United States Air Force in 1976 has been primarily in the aviation field. In 1989 when Eastern Airlines closed down I started schooling for my PTA license. I accumulated 500 hours of volunteer service at Baptist Hospital in West Kendall, Florida while continuing to work, full and part time, in various aircraft repair stations. I completed my Associated of...
Tags for this Online Resume:
facebook, linkedin, Plantation, Florida, Qualiity Assurance, Aviation, Physical Therapy
Pharmacist, Pharmacy Supervisor
Pharmacist with over 25 years of experience providing superior pharmacy services in a retail setting. Outstanding interpersonal skills with a track record of establishing positive relationships with customers, pharmaceutical representatives/manufacturers, medical professionals, healthcare organizations and insurance providers. Respected leader, able to train and manage diverse teams to deliver peak performance. Dedicated to...
Ideal Companies: expressscripts, bcbs, cvs, walgreens, riteaid,
Tags for this Online Resume: pharmacist, directorofpharmacy
