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Online Resumes with "Health plan"



Business Analyst - 1 Years of Experience - Near 30066

An accomplished and talented professional with a comprehensive background in business analysis, analyzing & coordinating benefits and processing insurance claims. Engages in training instruction and staff development. Interfaces between technology teams, support teams, and business units. Establishes facts, draws valid conclusions, deals with several abstract, and concrete issues. Adaptable to new situations, technology an...

Tags for this Online Resume: Benefits, COB, Human Resources, Statistics, MCS, RIMS, Insurance, Business Analysis, Business Analyst, Health Insurance, SQL

General Manager

Ideal Companies: Amazon, Dynetics, Raytheon

Tags for this Online Resume: Research, Management, A SERIES, Capital Expenditures, Database, Fabrication, Hazardous Waste, Integrate, Inventory, Process Improvements

Medical or Health Services Manager - 0 Years of Experience

10 plus years of leadership experience in healthcare and nonprofit institutions. * 10 years of experience in grievances and appeals, patient/member services * 10 years of experience in community outreach and engagement * 3 years of experience in provider relations and credentialing * Leading teams of 30 staff members to cohesively reach organization goals * Worked closely with CEO and CMO to develop and execute business so...

Tags for this Online Resume: Leadership, Medical, Transportation, Cms, Complaints, Documentation, Policies and Procedures, Quality, Quality Assurance, Test

Quality Assurance Specialist

Tags for this Online Resume: Structured Query Language, Customer Relationship Management, Documentation, JIRA, Regression Testing, SCRUM, Software, Test, Test Cases, Troubleshooting

Featured Profile

Healthcare Consultant, Project Manager - 12 Years of Experience

Highly experienced, cross-functional leader in business intelligence analysis, financial analysis, and business consultancy. Over 10 years of supporting organization success through leverage of business intelligence to drive alignment with industry, state and federal regulatory compliance. Proven results in driving profitability and building operational efficiency through business data analysis to create meaningful reports ...

Ideal Companies: Health Net, Dignity, Centene, Kaiser Permanente, and other health plans

Tags for this Online Resume: Quality Assurance, Structured Query Language, Documentation, Project Management, Leadership, Consulting, Financial Analyst, Financial Modeling, Mediare Benefits, Center for Medicare & Medicaid Services, Regulatory Compliance, Healthcare, CMS, Advanced Excel/Access and VBA Programming, SharePoint Administration, InfoPath Forms, Microsoft Office 2016, Accounting Financial Reporting, Process Improvements, General Ledger, Business Case, Communication, Training Material, Database, Government Regulations, Guideline Interpretation, Journal Entries, Business Objects, Macros, Audit

ERP

Ideal Companies: Community Health Plan, Community Health Plan, Community Health Plan

Tags for this Online Resume: SCRUM, Test, Test Cases, Test Plan, Applications, Automation, Framework, Regression Testing, Reviews, Selenium

Registered Nurse

Tags for this Online Resume: Pediatrics, PEDIATRIC, Account Manager, Home Health, Scheduling, Triage, Assessments, Cms, Computer Aided Software Engineering, Management

Tester

Ideal Companies: The Forza Group

Tags for this Online Resume: Management, Microsoft Excel, Test, Test Cases, Test Plans, Use Cases, Actor, Compliance, Microsoft, Oracle

Registered Nurse

Tags for this Online Resume: Computer Aided Software Engineering, Referrals, Cms, Compliance, Medicare, Assessments, Cardiopulmonary resuscitation (CPR), Data Entry, Email, Nursing

Business Analyst - 18 Years of Experience - Near 32825

Tags for this Online Resume: Benefits, Integrate, Root Cause Analysis, SDLC, Services, Shared Services, Process Improvements, Requirements Analyst, Systems Analyst, Technical Requirements

Sales Manager

Tags for this Online Resume: Business Development, Call Center, Account Manager, New Business Development, Lead Generation, Medicare, Telemarketing, Budgetary, Budgeting, Cms

Quality Coordinator

Tags for this Online Resume: Long Term Care, Team Lead, Managed Care, Benefits, Health Insurance Portability And Accountability Act, Integrate, Management, Quality Assurance, Test, Utilization Management