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Online Resumes with "Health Plans"
Data Centre Manager - 16 Years of Experience - Near 12575
SUMMARY OF QUALIFICATIONS/ACHIEVEMENTS Affinity Health Plan, Bronx, NY May 2016 - Present Sr. Data Center Manager Managed a critical software-defined data center (SDDC) operations team at Affinity Health Plan a company that is licensed in New York State to serve public-sector health programs. The SDDC operations is comprised of numerous VM servers supporting multi-user Healthcare related transactions. Served as primary poin...
Tags for this Online Resume: Networking, Support, Wireless, Applications, Documentation, Pc, Personal Computer, broadband, Cisco, Cisco Switches
Claims Adjuster - 20 Years of Experience - Near 08520
Key Qualifications - * Proven track record of assessing benefit claims and healthcare options, including extensive knowledge of Medicare and government regulations. * Adept at developing and maintaining detailed administrative and procedural processes that significantly reduce expenses, improve accuracy and efficiency, and achieve organizational objectives. * Highly focused and results-oriented in supporting complex, deadli...
Ideal Companies: Blue Cross Blue Shield of New Jersey, Aetna Insurance Company, Horizon Blue Cross
Tags for this Online Resume: Benefits, Billing, Compensation, Complaints, Fraud, Health Insurance, Insurance, Managed Care, Anesthesia, Behavioral Health, insurance, sales, group benefits associate, marketing, health benefits broker, Health insurance adjuster
Public Relations Specialist
Current client highlights * * Clark College Foundation - exceeded portfolio goal (six-month contract) by 20 percent CareOregon - Recruitment and retention for 385 Medicaid recipients * bed census is now at 90% * AREScms - all startup branding and recruited new client base in 2015 * Signature Hospice * Keystone Medicare Advisors - all startup branding and achieved Medicare enrollment in by 300 members2015 * Willamette Valley...
Ideal Companies: Woloshin Communications
Tags for this Online Resume: Medicare, Business Development, Communications, Media Relations, Public Relations, Planning, Strategic Planning, Training, Accredited Pension Representative, Budgetary
Benefits Manager - 13 Years of Experience
Accomplishments include: * Developed the wellness brand and implemented financial wellbeing with the 403B provider * Co-created and implemented a 3-year medical transition plan * Actively participated in presentations and analysis for 4 union groups, gaining ratification for the transition * Replaced a very old and expensive medical plan with a high deductible health plan * Implemented an HSA plan with employee contribution...
Ideal Companies: Consultants, Large employers
Tags for this Online Resume: Legacy, Management, HR, Human Resources, Benefits, Benefits Administration, Billing, ERISA, Medicare, FACETS
Medical or Health Services Manager - 20 Years of Experience
QUALIFICATIONS AND EXPERIENCES * Proven excellence in Contracting, Credentialing, Health Insurance knowledge, Education, Sales, Employee Benefits, Claims, Provider Relations, Customer Service and Management. Group presentations and seminars have been a major part of my career responsibilities. * Contracting, Provider Relations, Network Development for Government Programs such as Project Hero (Veterans) and Tricare (Military...
Ideal Companies: ASBS
Tags for this Online Resume: Customer Service, Government, Networking, Management, Email, Benefits, Complaints, Computer Literate, Forth Programing Language, Health Insurance
Human Resources Manager
SUMMARY A skilled Human Resources Generalist with over eight years' experience in Employee Relations, Benefits Administration, Safety, Payroll Administration, Human Resources Records Management, and Recruitment. Seeking a challenging opportunity with a dynamic and growing organization. ACCOMPLISHMENTS * Assisted in the successful integration of two companies through acquisition. * Participated in the termination of company'...
Tags for this Online Resume: Accounting, Acquisitions, Benefits, Cobra, Compensation, Health Insurance, Human Resources, Insurance, Life Insurance, Management
Case Management Manager - 20 Years of Experience - Near 75207
Summary of Qualifications: I have worked in Managed Care in the business arena for twenty years. My objective is to have a position with an organization which will allow me to be in a position within the Health Plan industry and be responsible for supporting associates and an institution to increase the profitability. This would allow me to integrate my extensive background in clinical nursing, training, sales/ marketing pr...
Tags for this Online Resume: Training, Infrastructure, SAN (Storage Area Network), Scheduling, Documentation, Health Care Industry, Managed Care, Management, Services, Communication Skills
Financial Analyst
Tags for this Online Resume: Financial, Forecast, Accruals, Audit, Budgeting, Financial Reporting, Macromedia Flash, General Ledger, Medicare, Trend Analysis
Business Analyst
SUMMARY I am a highly effective business analyst with many years of proven success. I have been particularly effective in reducing workload by applying technology in ways that are most valuable. I am able to strategically review a business need and determine the best solution that makes a measurable difference. I am a conscientious problem solver who can find the root cause quickly and determine the best resolution. I am ab...
Tags for this Online Resume: Financial, Financial Systems, Financials, Business Analysis, Business Analyst, Compliance, Computer Aided Software Engineering, EDI, Electronic Data Interchange, Extensible Markup Language (XML)
VP/Executive Director of Sales in Fortune 125 - 20+ years Experience - Atlanta
If you are searching for a smart, dynamic, C-Level, visionary leader with exceptional business acumen, a penchant for sales organization support through structure and process, based upon a superior, strategic sales strategy, strong analytical abilities and relationship building skills, then I would encourage you to carefully examine my accomplishments and strongly consider me. I have the people skills to bridge groups, the ...
Tags for this Online Resume: Support, Management, Marketing Management, Sales, Health Care Industry, Asset Management, Benefits, Communications, Corporate Accounts, Customer Relationship Management, sales, outside sales, business development, sales representative, marketing, account executive, account manager, technical sales, Salesforce CRM, C-Level Sales, Account Acquisition, Account Retention
Materials Engineer - 0 Years of Experience - Near 22181
Extensive experience in project management design and construction of major tenant build out projects involving warm-light-shell space planing and stacking Systems Furniture This project included five-story responsible for HVAC systems design, and drafting. MAJOR ACHIEVEMENTS A. Managed the design/construction of a "GMP" project for NIH-National Center for Advanced Transactional Sciences (NCATS) in Rockville MD. Responsibil...
Tags for this Online Resume: HVAC, Energy Audits, Project Management, Project Manager, Alexandria, Energy Conservation, Magnetic Resonance Imaging (MRI), Management, MRI, Architectural
Director - 20 Years of Experience - Near 06906
& Notable Contributions Can We Talk Newsletter ADP AMISYS Provider Solutions CIGNA Health Plan of Connecticut Oxford Health Plans and EMPIRE Blue Cross Blue Shield (1984 - 2006).
Tags for this Online Resume: managed care, government programs, re-engineering, call center, events, enrollment, customer service, operations management, Behavioral Health, Management, management, Customer experience
