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Online Resumes with "Insurance Plans"
General Manager
Career Highlights The Laser Spine Institute 2012 - March 2017 Sr. Patient Spine Care Consultant/Patient Advocate Responsible for determining a patient's potential candidacy for a variety of state of the art minimally invasive endoscopic surgeries including reviewing MRI Results and Health Insurance. Responsible for continuous superior customer service with all patients before and after their surgery. Efficiently able to ass...
Tags for this Online Resume: Eye of the Tiger, COACH, TEAM, Committment, Dedication, Counceling, Leadership, Patience, Trainer
Compliance Manager
Insurance * Managed Corporate and Regulatory Compliance (led to 82% reduction in consumer complaints, reduced appeals 34%, and UM cases were reduced 12%) * Implemented privacy program to minimize risk and ensure confidentially of Protected Health Information (PHI). In two years reduced privacy complaints 66% * Assist in the negotiation of vendor contracts with Operations and Legal (led to 24% reduction of fees) * Implemente...
Tags for this Online Resume: Complaints, ERISA, Multi-line Insurance, Fraud, Waste & Abuse, Policies and Procedures, Cross Functional Management, Enterprise Risk Management, Risk Management, Consulting, Compliance, Privacy, HIPAA, GLBA,, Ethics and Code of Conduct, Chair Compliance Committee, Self Funded Insurance, Appeals and UM Review, profit and loss analysis, metrics and analytics, Leadership
Biomedical Engineer
Full Time Vacation two 2 week vacations: Summer (1) and Winter (1) Sick Time accumulative 15 days every 6 months Holiday Jury Duty and Bereavement Pay Insurance: Life and Health $250,000 Supplemental insurance plans through AFLAC
Tags for this Online Resume: Quality Assurance, Tester, Documentation Specialist, Patient Medical Researcher, Contract Specialized Researcher, Biomedical Researcher, Data Specialist, Database, Multi Language
Chief Financial Officer
Profile Experienced Business Manager focused on strategic planning & execution, analyzing data driven results and problem solving to drive impactful business outcomes * Over Thirty-Five Years of Experience Managing Complex Business Processes and Financials and driving positive results in line with the strategic vision of the organization * Extensive Management Experience including managing office staff across several locati...
Tags for this Online Resume: Customer Service, Quality, Management, Financial, Financials, Managed Care, Payroll, Statistics, Strategic Vision, Accounting
Not Listed - 9 Years of Experience - Near 66216
To successfully contribute to the creation and maintenance of an effective healthcare provider network for a health insurance plan.
Tags for this Online Resume: Kansas City/Overland Park, Kansas, Provider contracting, Emptoris/ CRM software systems, Microstrategy, Behavioral Health, Nursing, Strategic Planning, Financial, Financial Analysis, Financial Management
Project Manager - 20 Years of Experience - Near 30655
HIGHLIGHTS OF QUALIFICATIONS * Providing Key Project Management (PMP) as well as hands on experience in the Acquisitions and Mergers of business technology and business practices into new business platforms. This would be the integrating old business legacy systems with new technology or integration into new owner systems and software. Mergers with Airline, Banking and Automotive companies. * Senior management consultant wi...
Tags for this Online Resume: Security, Cellular, Software, Software Development, Strategic Initiatives, ACD, Vignette, Adobe, Automatic Call Distribution, e-Commerce, it jobs, agile, software, sql, Senior Program / Project Manager, M&A Consultant
Sales Representative - 4 Years of Experience - Near 07054
Summary Sales: Varied experience in the financial services industry, spending five years focusing on Insurance Planning, Tax Awareness, Retirement Planning, and Contact Management. Additionally, all of the aforementioned incorporates leadership role and gaining valuable experience in Recruiting, Retention, Career Seminars, Training, Development, Coaching & Mentoring and establishing relationships with residents and business...
Tags for this Online Resume: Quality Assurance, Test, Architect, Distribution, Health Insurance, Insurance, Referrals, Planning, CAD Tools, Services
Sales Manager - 14 Years of Experience - Near 38857
CAREER SUMMARY Top-ranked sales manager recognized for contributions to record-setting sales figures, territory expansion, and new account development. Forward-looking insurance agent with 13 years' track record of determining clients' insurance coverage needs and creating insurance plans to meet them specifically. Offer an in-depth understanding of the sales cycle process and remain focused on customer satisfaction through...
Tags for this Online Resume: Services, Merchandising, Sales, Benefits, Insurance, Best Practices, Closing Strategies, Customer Service, Dfu, Financial
Registered Nurse - 20 Years of Experience - Near 40515
Summary 10 years experience with a Health Insurance Plan in Utilization Management and current role as Clinical Financial Analyst and Appeals Nurse Specialist for a Medicare Advantage Plan.
Tags for this Online Resume: Managed Care, Cms, Medicare, Patient Care, Reinsurance, Utilization Management, registered nurse, utilization review nurs, Claims Review Nurse
Case Manager - 20 Years of Experience - Near 92630
I am looking for a full time permanent opportunity with a growing Case Management Company with excellent comprehensive benefits including Health Insurance, dental, vision and 401k option. I am a dedicated, highly skilled, self-motivated, registered nurses that that has significant experience with workers compensation & commercial case management as well as Utilization Management. I am also highly skilled in using Microsoft...
Ideal Companies: Strong and Stable, Kaiser, Hoag, St Joseph.
Tags for this Online Resume: healthcare, rn, case manager, utilization review, Registered Nurse, Milliman Care Guidelines, care coordination
Human Resources Manager - 12 Years of Experience - Near 08827
Summary: Twelve years of diverse and complex Human Resources experience and education. Core competencies strong math, analytical, writing and interpersonal skills. Human Resources Generalist Komline-Sanderson Engineering, Peapack, NJ (Sept 2016 - present) * Administer all compensation, including payroll and benefits programs. * Conduct new employee orientation and onboarding. * Coordinate performance and salary review proce...
Tags for this Online Resume: Benefits, Human Resources, Manufacturing, Payroll, Advertising, Compensation, Employee Relations, Workers Compensation, Management, Insurance
Interior Designer
PROFILE Recent Clients Successful bi-lingual design/sales and project management professional, with 9 yrs experience in design/sales has assisted client throughout the DMV. Project & * US Bureau of Engraving & budget management construction site management, collaboration and trade Printing coordination have been apart of her many job requirements. Enjoys working both independently, and collaboratively with other design prof...
Tags for this Online Resume: Planning, Autocad, Autodesk AutoCAD, Consulting, Email, Packaging, Services, Software, Microsoft Excel, Sales
