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Online Resumes with "Health plan"



Featured Profile

Innovative and Responsive Program Manager

I want to secure a position as a Program Manager bringing six years of experience in managing strategic and cost-effective projects in alignment with company initiatives and objectives. Demonstrates strong expertise in needs assessment, development, implementation, and routine evaluation processes, as well as budgeting, staffing, and training. Leverages a nine-year business development and marketing background to transform ...

Ideal Companies: Anthem, Telecare, CIGNA, Mattel, Nestle, Nabisco, UnitedHealth, Planned Parenthood, CDK, ADP, Provident, Smart and Final, Vons.

Tags for this Online Resume: Budgeting, negotiating, community outreach, process improvement, Training, Reporting, Supervising, quality assurance, compliance, succession, documentation, conducting surveys, external and internal audits, grievance, administrative, Team Building

Manager - 15 Years of Experience - Near 33897

As a Health Care Business Administrator I have over 15 years and a successful track record in health management operation related to the health services organization and community multi specialties practices, and health plan/ insurance industry HMO, MAO, MCO, PPO, TPA, including billing cycle for Medicare, Medicaid, Commercial for Hospital, ASC, MOS, PPO/Multi Specialty primary function; I have well rounded skills set acqui...

Vice President - 20 Years of Experience - Near 60422

As a senior general management, operations and IT leader, I have an outstanding record driving improvements across all key performance metrics for firms in healthcare, managed care, pharmaceuticals and financial services. Versatile, highly adaptable and capable of wearing multiple hats while juggling concurrent assignments, I have a demonstrated history of success as a change management leader. At organizations such as the ...

Featured Profile

Pharmaceutical Sales Representative - 20 Years of Experience - Near 14280

Summary of Qualifications * Over 20 years' experience in pharmaceutical sales with a thorough understanding of all products represented, educating patients, physicians and other healthcare personnel, creating the critical nexus as expert liaison to ensure that products and/or pharmaceuticals are prescribed and used within only the specifications and limits designed for their use * Self-driven and consistently achieves or ex...

Tags for this Online Resume: Account Manager, COPD, Gateway, Managed Care, Sales, Support, Technical Support, Communications

Registered Nurse - 5 Years of Experience - Near 01880

RN Reviewer Clinician (Psychotropic Drug Intervention Program)- Beacon Health Options- (Dec 2015 -Current).

Tags for this Online Resume: behavioral , Nursing, managed care, psychiatric , Mental Healh, Pharmaceutical , corporate , health plan

Featured Profile

Senior Project Manager - 17 years Experience - Space and Treasure Coast,FL

As an experienced Project Management Professional with expertise in products, processes and people, and talent in promoting change implementation, I aspire to serve and lead by example in a Project Management Office, and mentor Project Managers to achieve greater levels of operational efficiency and effectiveness.

Ideal Companies: General Electric, NextEra, Inc, IBM,

Tags for this Online Resume: Leadership, Decisive, Positive, Professional, Microsoft Project, Microsoft Applications, Mba, PMP, EDI, Electronic Data Interchange

Featured Profile

Operations Manager

I am organized, flexible, dynamic, ambitious, goal oriented individual with an extensive background in victim advocate, office management, human resources, employee relations and Operations management. Subject matter expert who enjoys learning and executing new procedures, programs and processes. A dynamic team player very attentive to detail and produces quality results. Aiming to work in an organization that offers profes...

Ideal Companies: climber.com

Tags for this Online Resume: Administration, Customer Service, Management, Payroll, Recruiting, QuickBooks, Compliance, MS Office, Complaints, Documentation

Medical Office Manager - 14 Years of Experience - Near 07726

Summary of qualifications: I have strong communication and organizational skills, superior analytical, problem solving and management skills with the ability to handle pressure situations in a tactful and professional manner. I also possess strong team building skills, the ability to meet tight deadlines, demonstrated abilities to manage a large staff and to interact with all levels of associates within the organization as ...

Tags for this Online Resume: Accounts Receivable, Policies and Procedures, Front Desk, Cash Flow, Medical Office Manager, Data Entry, Medical Billing Manager, Billing, Audit, Medical Collection Management

Featured Profile

Director of Customer Care

Seeking an Executive level Operations Position that will add value by virtue of managing top line revenue, while also effectively changing the landscape of cost through effective margin analysis. The ideal position will provide opportunities to inspire through leadership and direct strategic support to multiple departments, through sales, technical support, customer service and vendor relationships.

Ideal Companies: Sprint, Verizon, Amazon, Cerner, HCA Midwest Health Systems, Time Warner, Direct TV, Garmin

Tags for this Online Resume: SAP, Oracle, IEX, Organizational Leadership, Strategic Planning, Budgeting, Multisite Call Center Operations, Nice Systems, Service Delivery Transformation, Virtual and Remote Leadership, Outsourcing, Vendor Management, Offshoring, Continuous Process Improvement, Vendor Relationship Management, Chat, Email Response Management, WFM Forecasting, RFP Process, Compliance, HR, E-Commerce

Featured Profile

Case Manager - 2 Years of Experience - Near 03253

Active case manager working in the insurance industry for an MCO of state Medicaid program is looking to expand her experience to include the hospital-based and/or medical office-based case manager role.

Ideal Companies: Dartmouth Hitchcock Medical Center, Concord Hospital, Catholic Medical Center

Tags for this Online Resume: Educator, MSN, Rehab, Med-Surg, NCQA, Adult, Pediatric, Patient Care, Nursing, Home Care, Support, Technical Support, ICU, Critical Care, FACETS, CCMS, BSN, diligent, organized, prioritize, patient education, assessment/reassessment, strategize, utilize strengths, overcome barriers, goal achievement, utilize resources, interdisciplinary, teamwork

Benefits Administration

Offering expertise in single employer, multi-employer (Taft-Hartley), qualified and non-qualified benefit plans complied under ERISA. Leveraging strong IT background, coupled with highly specialized experience involving direct oversight of $7 billions benefit administrations DB, DC and Health plans. Sourcing, developing, securing and managing mid to large-sized pension administration and outsourcing relationships, while ser...

Tags for this Online Resume: Benefit Administration, Financial Analysis Reconciliations, Software Design, Productivity Improvement, Team Leadership, Internal Controls, Math and Numerical Analysis, Pension, ERISA, Retirement Plans