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Online Resumes with "Healthcare Payer"
Healthcare Consultant FL
To continue applying my 15+ years of healthcare payer experience obtained through top tier consulting firms implementing and administering software applications, policies and practices surrounding The Center for Medicare and Medicaid Services initiatives improving business process workflow, financial reimbursement, data collection, and quality care measures.
Featured Profile
Practitioner, Evangelist and Purveyor of Thought Leadership for Advanced Analytics
Seeking to apply my leadership aptitude, consulting skills, and technology expertise to solve complex problems using advanced analytics and Big Data solutions.
Ideal Companies: AllScripts, Athena Healthcare, Caradigm, McKesson, Evolent Health
Tags for this Online Resume:
Advanced Analytics, Big Data, Hadoop, Business Intelligence, Systems Integration, Process Improvement, Technology Management, Decision Analysis, Optimization, Services
Healthcare Business Systems Integration Project Manager and Consultant - 25 years experience - Chicago
Mr. Crewe is a healthcare program/project management professional with 30 years of increasing responsibility in the sales and delivery of services to clients. His experience has been focused on healthcare payer, pharmacy benefit managers, provider and life sciences clients. He has extensive experience with customer relationship management (CRM) and analytic solutions for clients. Throughout his career, he has focused on ...
Tags for this Online Resume:
Healthcare, PMP, ITIL, CRM, Payer, PBM, Medicaid, Project Management
Business Consultant, Benefit/Provider/Claims Configuration, Business Analyst
Twenty plus years in healthcare management and staff support roles in handling medical, claims encounter and dental claims processing, claims auditing, user acceptance testing, EMS billing, AAPC, DRG coding reimbursement, and configuration of various healthcare payers/providers for Medicare, Medicaid, TPA, and Commercial Managed Care products.
Strong understanding of healthcare business operations, with a focus on configur...
Tags for this Online Resume:
Telecommute, Benefit Configuration, Provider Confguration, SQL queries, User Acceptance Tester, 837p/837I XML/X12, Clearquest
Quality Assurance Specialist - 13 Years of Experience - Near 08840
EXPERIENCE SUMMARY 14+ years of hands-on work experience in software testing and test management. I have wide experience in Industry domains like : HealthCare (payer and Provider), Life Sciences (Medical devices) BFS (Credit Cards, Retail banking, Investing Banking), Travel, Telecom and Retail I have led and managed many programs/engagements and worked within tight deadlines. I have experience in leading/managing multiple p...
Tags for this Online Resume:
Java 2 Enterprise Edition (J2EE), SQL, Testing, HealthCare, ALM, Quality Assurance, Quality Center, QTP, Requirements Analysis, Test Manager, Test Lead
Manager Business Analysis & Consulting - 12 Years of Experience - Near 91367
SUMMARY solutions, skilled in Business Analysis, Consulting & Solution Design BUSINESS ANALYSIS & CONSULTING * Consulting various Healthcare Payer organizations PBMs RCM organizations on detailed process analysis automation opportunities & findings developing automation roadmap cost benefit analysis (CBA) piloting process automation interventions focusing on quicker resolution efficiency improvements and reduce cycle time o...
Tags for this Online Resume:
Business Analysis, Consulting, Management, Business Analyst, Information Technology, Program Management, Program Manager, Project Management, Project Manager, C Programming Language
Featured Profile
Project Manager and Agilist - 20 Years of Experience - West Coast or Travel
Analytical, adaptable Program and Project Management Professional with extensive leadership experience and a proven history of developing, deploying and evaluating systems aimed at improving quality and efficiency.
Highly skilled in translating end-user needs to business change and IT solutions, with an emphasis on establishing enduring processes, tools, and approaches.
Equally adept at waterfall and agile practices, wi...
Tags for this Online Resume:
Agile, Project Management, Project Manager, Legacy, SCRUM, Vendor Management, Coaching, Health Insurance, Insurance, Kanban, Scaled Agile, SPC4, PMP
Manager
Summary * 19+ years of Experience in IT industry * Certified Project Management Professional (PMI) with 10 years of Strong Delivery/Program/Project Management experience * Excellent at Managing Stakeholders * Strong End to End management of Delivery People, Process, Operations, Profitability in Products and Projects development and Maintenance * Expertise include Delivery of Digital Programs/Projects in Microsoft, SFDC, Jav...
Tags for this Online Resume:
HP, Information Technology, Agile, Budgeting, D.O.T., Health Care Industry, Insurance, Java Programming Language, Java Technologies, Management
Manager - 20 Years of Experience - Near 40207
Summary Senior Information Technology leader with 30+ years of experience managing and directing IT and commercial software delivery organizations. Consulting practice leader responsible for selling, closing and managing data management services delivery to multiple Clients. Skills include: * Enterprise program management * Leading project teams * Team collaboration and development * Solution development * Client engagement...
Tags for this Online Resume:
Management, Black belt, CMMI, Itil, Regression Testing, SCRUM, Scrum Master, Test, Benefits, Budgeting, it jobs, agile, software
Medical Office Manager - 6 Years of Experience - Near 62690
Customer service oriented professional who provides timely and accurate data to ensure reimbursement for patient services. Follows policies procedures and guidelines to assure consistent quality. Maintains and ensures patient privacy and confidentiality. Familiar with Microsoft Word Excel and PowerPoint Typing Speed: 34 words per minute. Manages time and prioritizes duties in fast-paced multi-task environments. Leads by exa...
Tags for this Online Resume:
Customer Service, Payroll, Management, Medical, Medical Billing, Medical Records, Medical Terminology, Medicare, Accounts Receivable, Amazon Elastic MapReduce
Business Analyst - 17 Years of Experience - Near 21117
Summary A seasoned professional with years (since 1994) experience in the management and administration of day-to-day operation for the insurance industry and a local non-profit organization. Significant experience in Medicare Part A and B Claims analysis, Recovery Audit Contractor Data Warehouse (RACDW), HIPAA assessments and implementations including impact assessments, gap analysis, requirements documentation, transactio...
Tags for this Online Resume:
Health Insurance Portability And Accountability Act, Management, Project Management, Medicare, SDLC, Project Manager, Sybase, ANSI, Ansi (Am Natl Stds Inst), Collection
Practitioner, Evangelist and Purveyor of Thought Leadership for Advanced Analytics
Seeking to apply my leadership aptitude, consulting skills, and technology expertise to solve complex problems using advanced analytics and Big Data solutions.
Ideal Companies: AllScripts, Athena Healthcare, Caradigm, McKesson, Evolent Health
Tags for this Online Resume: Advanced Analytics, Big Data, Hadoop, Business Intelligence, Systems Integration, Process Improvement, Technology Management, Decision Analysis, Optimization, Services
Project Manager and Agilist - 20 Years of Experience - West Coast or Travel
Analytical, adaptable Program and Project Management Professional with extensive leadership experience and a proven history of developing, deploying and evaluating systems aimed at improving quality and efficiency. Highly skilled in translating end-user needs to business change and IT solutions, with an emphasis on establishing enduring processes, tools, and approaches. Equally adept at waterfall and agile practices, wi...
Tags for this Online Resume: Agile, Project Management, Project Manager, Legacy, SCRUM, Vendor Management, Coaching, Health Insurance, Insurance, Kanban, Scaled Agile, SPC4, PMP