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Online Resumes with "Hedis "
Case Management Manager - 20 Years of Experience - Near 75207
Summary of Qualifications: I have worked in Managed Care in the business arena for twenty years. My objective is to have a position with an organization which will allow me to be in a position within the Health Plan industry and be responsible for supporting associates and an institution to increase the profitability. This would allow me to integrate my extensive background in clinical nursing, training, sales/ marketing pr...
Tags for this Online Resume: Training, Infrastructure, SAN (Storage Area Network), Scheduling, Documentation, Health Care Industry, Managed Care, Management, Services, Communication Skills
Registered Nurse
HIGHLIGHTS OF QUALIFICATIONS * Over 17 years as a Registered Nurse * 10 years' experience in floor nursing * Highly diversified * Able to adapt quickly in any work environment * Highly dependable and efficient * Supportive team worker committed and responsible * Work effectively under minimal supervision * Able to schedule workload and meet deadlines * Thrive in a high-energy environment * Excellent written and verbal commu...
Tags for this Online Resume: Quality, Quality Assurance, Surgical, Telemetry, Home Health, Management, MCS, Medical, Medical/Surgical, Medicare
Project Manager - 8 Years of Experience - Near 92656
CAREER HIGHLIGHTS Crestview Healthcare Technology, 2011 to present Formed this company to provide IT consulting services: IT strategy development and execution, project management, healthcare analytics and data center/ cloud migration. Selected engagements IT Strategic Advisor - Western Healthcare Alliance WHA began in 1989 when a small group of rural Colorado hospitals decided that there was power in numbers. Today, WHA ha...
Tags for this Online Resume: Management, Consulting, Health Insurance, Information Technology, IT Management, Project Management, CIO, Infrastructure, Diagnostics, Rural Healthcare, Accountable Care Organizations, Critical Access Hospitals, Long-term Care, CTO, HEDIS
Risk Adjustment Medical Coder/HEDIS Abstractor- 4 Years of Experience
Desire a position medical coding with possibility of advancement. Offering exceptional expertise in communication skills, coding, overseeing staff, and ensuring smooth operational stability.
Tags for this Online Resume: Microsoft Access, Patient Access, Coding, Medical, Billing, Front Office, Insurance, Management, administrative, data entry, clerical, typing, customer service
Adjudicator
Tags for this Online Resume: medical records review, time lines, medical, medical fraud, insurance defense audits, reports, osha compliance, HEDIS Reviews, CARA reviews, Diagnose coding, electronic medical records, research, billing audits, investigate cps cases, special investigations, Define applicable standars of care
Senior Business Analyst -15 years Experience - Columbia
Professional Summary Dynamic and motivated IT Senior Business Analyst with experience in client relations, team management, healthcare IT infrastructure and clinical data exchange. and Key Accomplishments Senior Business Analyst with strong healthcare analytic, design and implementation skills. Supported BlueCross BlueShield of South Carolina's TRICARE (military healthcare insurance) contract. Also acted as company liaison ...
Tags for this Online Resume: Application Programming, Budgetary, Infrastructure, Microsoft PowerPoint, Process Improvement, Programming, Research, Research and Development, Test, Test Plans, it jobs, agile, software
Executive Assistant
Tags for this Online Resume: Inventory, Grafts, Inservices, Management, Quality, Quality Assurance, Quality Management, Secretarial, sheets, Administrative Assistant
Executive Assistant
Tags for this Online Resume: Inventory, Administrative Assistant, Inservices, Management, Quality, Quality Assurance, Quality Management, Secretarial, Billing, Budget Preparation
Medical Secretaries - 20 Years of Experience - Near 90745
SUMMARY OF QUALIFICATIONS * Seasoned professional with many years of Executive Assistant experience * Skilled at working independently, multi-tasking and delegating responsibilities * Highly motivated, confident, reliable and committed to professional standards * Excellent organizational and priority setting skills. * Committed to meeting any and all deadlines * Highly skilled in MS Word, Excel, PowerPoint, Outlook Express,...
Tags for this Online Resume: Inventory, Administrative Assistant, Inservices, Management, Quality, Quality Assurance, Quality Management, Secretarial, Billing, Budget Preparation
Administrative Assistant - 14 Years of Experience
Tags for this Online Resume: Management, sheets, Critical Care - Neurology, Neurological, Neurology, Administrative Assistant, Medicare, Microsoft Excel, Microsoft Outlook, Microsoft PowerPoint
Licensed Nurse - 10 Years of Experience - Near 06010-0601
Looking for HEDIS contact and or primary care or internal medicine office
Ideal Companies: Hedis, medical office
Tags for this Online Resume: Health Care Industry, Medical, Medical Records, Medicare, Nursing, Quality Assurance, Test, Vitals, ALLSCRIPTS, Amazon Elastic MapReduce
Manager - 20 Years of Experience - Near 02809
AREAS OF EXPERTISE Analytics * Business Intelligence * Agile/SCRUM * Data Architecture * DevOps * ETL * Market Trends * Measure Development and Testing * Process Improvement * Project Management * Competitive Analysis Leadership * Strategic Planning * Talent Management * Clinical Data * CMS-1500 Claims * UB04 Claims EMR * Compliance Standards * HEOR * HL7 * Meaningful Use * NQF, HEDIS, and AHRQ Measures * Python * R * SAS *...
Tags for this Online Resume: Citrix, Information Technology, Microsoft, Microsoft .Net, MySQL Database, Pricing, Software, Software Development, Support, Technical Support
