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Online Resumes with "Healthfirst"
Medical & Health Services Manager - 15 Years of Experience - Near 07111
ACCOMPLISHMENTS Healthfirst NJ * Assisted with the design and implementation of a developing Medicaid Product * Assisted with the design and implementation of a developing Medicare Product * Assisted with the Development and implementation of operational policies * Design and implement operational initiatives
Tags for this Online Resume: Policies and Procedures, Management, Network Management, Networking, Cms, Process Improvement, Information Technology, Pricing, Transportation, Data Management
Database Administrator
PROFILE: Database Administrator (DBA) with detail oriented, analytical and troubleshooting experience in different aspects of SQL Server. With over 5+ years' work experience in managing large databases in 24/7 data processing environment including, developing and managing data flows using SSIS packages. Strong knowledge on using database third party tools for Administration purposes for insurance and financial institutions.
Ideal Companies: healthfirst
Tags for this Online Resume: Database, Management, Replication, Stored Procedures, Business Requirements, Clustering, Cms, Data Warehouse, Disaster Recovery, Performance Tuning
Real Estate Manager - 5 Years of Experience
Tags for this Online Resume: Financial, Financial Management, Management, Health Insurance, Insurance, Property Management, Real Estate, Transitions
Treasurer - 0 Years of Experience - Near 10306
Tags for this Online Resume: Insurance, Internal Controls, Cash Manager, ACH, Financial, Financial Analysis, Cash Flow, Management, Policies and Procedures, Statutory
Chief Technology Officer
Over 25 years of experience as a consultative sales, services and delivery executive in the information technology industry focused on helping institutions optimize the value of their Technology investment. Ms. Smith has worked in multiple industry verticals most recently in healthcare, academic medical centers, state and local government, higher education, and communications. Her experience includes C-Level IT positions as...
Tags for this Online Resume: Consultant, EMR, Hospitals, Infrastructure, UHC, Program Management, Provider Management, HEDIS/Structured Data, Nursing, 3M
Sales Representative
Tags for this Online Resume: Business Development, Forecasting, Pricing, Procurement, Sales, Recruiting, Complaints, Leadership, Statistics, Account Profitability
Financial Manager, Branch or Department
Tags for this Online Resume: Insurance, Account Management, Billing, Call Center, Complaints, Emergency Room, ER, HIV, ICD-9, Management
Director of Human Resources - 20 Years of Experience - Near 32766
Tags for this Online Resume: Employee Relations, Management, Compensation, HR, Human Resources, Recruiting, Acquisitions, Leadership, Leadership Development, Litigation
Health Technologist - 18 Years of Experience - Near 07079
Experienced results-driven professional with strong leadership and relationship-building skills. Accomplished program manager and application architect with extensive experience in front office and back office operations due to extended exposure to SDLC program delivery in the Fortune 100 business sector.
Ideal Companies: CVS Caremark, Aetna, OptumRx, United Health Group, Humana Pharmacy Solutions, Envolve, Centene, Envision Rx, Anthem, Ingenio, WellCare, Tufts Health Plan, Harvard Pilgrim Healthcare, Healthfirst, McKesson, Amerisource Bergen
Tags for this Online Resume: Acquisitions, Annuity, Architect, Back Office, Compaq, Data Conversion, Data Warehouse, e-Commerce, Financial, Financial Services, PBM, Government Programs, HIPPA Compliant, Operations, Business Process Management, Business Systems Analysis, Shared Services, Lean Six Sigma, Scrum Master, MS Project, MS SharePoint, MS PowerPoint, MS Excel, MS Visio, Relational Database Management, Business Process Modeling Notation, MEGA, Agile Project Management, Waterfall Project Management, Medicare, Health Care Reform, Process Improvement, Formulary, Claims Adjudication, Utilization Management, Business Requirements, Strategy, Salesforce, CRM, EPMO, CMMI, Veeva, Data Science, Data Lake, Business Cases, Procurement, Oracle, Data Governance, Managed Markets, Supply Chain, ROI, Compliance, Vendor Management, Metrics, Reporting, Dashboarding, SDLC, KPI, COE, Trend Analysis, Executive Reporting, Trainer, Remediation, Business Owner, Consulting Services, Affordable Care Act (ACA), Agile Methodology, Applications Architecture, Applications Delivery, Benefits Strategy, Big Data, Budgeting, Business Process Change Management, Business Process Design, Business Processes Improvements, Business Process Flows, Business Process Management Bpm Software, Business Process Mapping, Business Process Modeling Notation (BPMN), Business Process Strategy, Business Process Transformations, Business Systems Consulting, Business Systems Design, Business Systems Implementation, business use case, Capability and Maturity Integration (CMMI) Requirement Management and Requirement Development Training Certification, Capability Maturity Model Integration (CMMI) Assessments, Center of Excellence, Claims Processing, Client Presentations, Client-Server, Collaborative Innovation, Continuous Process Improvement Initiatives, Cross Trainers, Customer Experiences, Customer Relationship Management (CRM), Data Definition Language (DDL), Data Warehousing Systems, DB2, Drug Information, Drug Utilization Reviews, Enterprise Solutions Architecture, Executive Presentations, Gaps Analysis, Government Affairs, HIPAA Compliance, HIPAA Guidelines, HIPPA Regulations, Information Systems Analysis, Internal Consulting, IT Systems Analysis, Key Performance Indicators (KPIs), Leadership, Leadership Mentoring, Mainframes, Management Consulting, Management Dashboards, Matrix Management, Medicare Claims, Medicare Part D, Medicare Prescription Drug Plans, Medication Therapy Management, Mentoring Programs, Microsoft Access, Microsoft Excel, Microsoft Office, Microsoft PowerPoint, Microsoft SharePoint, Microsoft SQL Server, Microsoft Visio, Microsoft Word, multi-tiered communication, Needs Assessment, New Product Introduction (NPI), Object-Relational Database, Object-Relational Databases (ORD), People Leadership, Performance Management Reporting, Performance Metrics, Pharmacy Benefits Management (PBM), Pivot Tables, Portfolio Management, Predictive Analytics, Prescriber, Prescription Drugs, Process Improvement Management, Process Reengineering, Procurement Operations, Project Management Life Cycle, Relational Database Management System (RDBMS), Requirements Traceability Matrix (RTM), Return on Investment (ROI), Scrum Methodology, Solution Architecture, SQL Relational Databases, Strategy Creation, Structured Query Language (SQL), Sybase, Systems Development Life Cycle (SDLC), Technical Project Management, Therapeutics Committee, Training the Trainer, Unified Modeling Language (UML), Use Cases, Waterfall Model, Web Based Services, Writing User Stories
Registered Nurse
Tags for this Online Resume: Compensation, Management, Computer Aided Software Engineering, Medicare, Complaints, Cms, ICU, Network Management, Networking, Patient Care
Marketing manager
Tags for this Online Resume: Management, Communications, Entertainment, Email, Cms, Project Management, Project Manager, Marketing Management, P&L, Sales
Medical or Health Services Manager - 20 Years of Experience - Near 11229
Tags for this Online Resume: FACETS, Integrate, Management, Audit, Data Quality, Network Management, Networking, Quality, Quality Assurance, Compliance
