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Online Resumes with "Health planning"



Vice President, Health Plan

Ceo. Large health plan

Featured Profile

Health Plan Manager 20+ years exp. Near 93536

I am seeking a senior position in the health and welfare benefits industry focusing on operational management and process improvements.

Ideal Companies: Anthem, United Health Care, Health & Welfare Plans. Possible human resource companies

Tags for this Online Resume: claims processing, Health Care Reform knowledge, Affordable Care Act, CPT, ICD9-10, Health Plan Benfits Administration, Team Building, leadership, Vendor Contract

Quality Assurance Analyst

I am looking for stability within a company,one that has been around for some time. A job that has growth potential, the working enviroment has to be friendly. I am looking for teamwork. everyone looking to come together for a common goal,and enjoys doing that.

Ideal Companies: Company that has a good track record, strives to be the best, and works as a team.

Tags for this Online Resume: diligent, reliable, team player, dedicated, honest, hard-working, quick learner, creative

Billing/Coding Specialist

I am seeking a medical coding position where my education, experience and skills can be valued.

Ideal Companies: Hospital, Physician Office, Managed Care, Health Department

Mental health assistant

To Obtain an entry level position in an organization that works toward developing a career in the workplace, that allows me to incorportate my Education and experience.

Tags for this Online Resume: Mental health assessmentss, Psycho-educational classes, Excel, Powerpoint, Behavioral health plans, Direct patient support, Microsoft office

Health Plan / Provider Network Management

Highly organized and experienced managed care business professional with accomplished track record of success in managing the delivery of sound operational and customer service to employer groups, providers, and patients. Experienced in provider network management with network development and expansion, project management and operational expertise in oversight of commercial and government programs including Original Medicar...

Tags for this Online Resume: Network Operations Management, Health Plan Network Development and Expansion, Provider Education and Training, Provider Communications and Manuals, Leadership / Team Collaboration, Credentialing / Re-Credentialing, Claims Troubleshooting, TeleHealth Development

Pharmacy Benefits Manager Sales Representative - 10 Years of Experience - Near 19438

I am interested in pursuing a sales position which utilizes my strengths as a salesperson, as well as leveraging my contacts. I am eager to discuss my qualifications for a sales position with the hiring manager. I would not only bring a tremendous amount of enthusiasm to the position, I would also bring over 10 years of sales experience calling on Health plans, PBMs, and Third Party Administrators.

Tags for this Online Resume: Pharmacy, Philadelphia, PBM, Sales, enthusiasm, RFP, Experience, goals

Pharmaceutical Sales Representative - 20 Years of Experience - Near 70123

I am a Senior Region Account Manager with 20 years of experience in profitable contracting, rebate management, pull-through, commercial essentials, messaging, health plan management. Grew new division for Amgen, $7 million over 4 year period. Grew senior care business from 0 to $40 million plus in contract business over 4 year period. Built strategy and tactics for focused business plans, brining in DSM's and sales force to...

Tags for this Online Resume: Region Account Manager, Director of Sales, Speciality Pharmay Manager, account manager, account executive, outside sales, Managed Care, GPO, Budgeting, Diagnostics

Senior Account Manager - 15 Years of Experience - Near 60605

Leverage effective combination of account management, project management, presenting skills, group health plan knowledge, and a genuine commitment to customer service to achieve rapid and sustained success. Excellent analytical, organizational, leadership, negotiation, public speaking, and executive administrative skills, and able to motivate, energize, and lead to success. Core areas of expertise include:

Tags for this Online Resume: Implementations, clarity, salesforce, microsoft project, client services, account management

Claims Investigator - 15 Years of Experience - Near 20782

My relevant experience includes 15 years of health insurance experience with Large/Small group, Individual HSA/HRA & Indemnity Health Plans. I am detailed oriented with attention to research, analysis and development of standard operating procedures to support various processing systems. Successfully delivered targeted training sessions. Throughout my career, I have demonstrated for my employers and exceptional commitment t...

Tags for this Online Resume: health insurance benefits, health benefits specialist, customer service specialist health benefits, provider services specialist

Featured Profile

Insurance Management & Sales Agent - 20+ Years of Experience - Near 78729

I can offer you 28 years of experience in insurance sales in Central Texas both as an employee of brokerage firms and as an agency owner, excellent sales skills, and a talent for both listening to the client and recognizing the needs of the client, all of which should make me an ideal candidate for an insurance producer/manager..

Ideal Companies: Brokerages, Insurers, HealthCare Systems, Compliance Companies, Home Builders

Tags for this Online Resume: Texas, Florida, Illinois, Insurance, Compliance, Sales, Dependable, Award Winning, Network, HealthCare, Cobra, Health Insurance, sales, outside sales, business development, sales representative, marketing, commercial insurance, employee benefits

Quality Assurance Specialist - 20 Years of Experience - Near 95826

Over 20 years’ experience as a results-oriented Medicaid Health Plan manager with expert knowledge in program operations focused on Medicare and Medicaid quality and cost-effective solutions. Main area of expertise has primary focus on Provider Intergrity, Fraud and Abuse, performing Project Management role, coordinating and organizing auditing of the state of California Medi-Cal processes and procedures for multiple audits...