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Online Resumes with "Insurance Provider"



Registered Nurse - 20 Years of Experience - Near 64507-1973

Summary Summary Summary Education Care Manager/Utilization Review (Most recent position) * Worked in Critical Care 16 years as a staff RN caring for critically ill patients and supporting the patient and their families during the acute/chronic illness Provided care planning, implementation of care plan and revisions of individual patient plans * Managed ventilators/IABP/continuous IV infusions/ conscience sedation/ * RN Car...

Tags for this Online Resume: ACLS, Automobile Claim Law Specialist, BLS, Critical Care, PALS, Ventilators, Documentation, Insurance

Featured Profile

Senior BioPharmaceutical Sales Specialist

Talented professional with over 18 years experience in the BioOncology / Pharmaceutical industry. Strong customer orientation evidenced by documents customer feedback. Experienced in product launch and sales. Expertise in: Physician Relationship Management Competitive Intelligence Successful product launches Presentions Consultive Sales Approach Managed Care Environment

Ideal Companies: Amgen, Merck, Hospice

Tags for this Online Resume: Oncology, BioOncology, Cancer, Data General Nova, Gastrointestinal, Home Health, Patient Care, Nursing, Business Development, Home Care

Case Management Manager - 20 Years of Experience - Near 60409

I am a Nurse Case Management professional with upwards of 16 experience. My experience includes but is not limited to Telephonic Complex Case Management, Occupational Health/Worker’s compensation, and Psychiatric Nursing. Additionally, my proficiency with Utilization Review software, namely InterQual criteria and guidelines as well as Epic allows me the opportunity to make determinations on admissions, prior authorization, ...

Tags for this Online Resume: Utilization Review, ICD-9, Health Care Industry, Interqual, MCG, Communication Skills, Computer Aided Software Engineering, Patient Care, Coding, ICD-9, Health Care Industry, Management, Benefits, Communication Skills, Computer Aided Software Engineering, Patient Care, Utilization Review Nurse, Allscripts, Powerchart, Epic, EMR, CPT Codes

Chief Financial Officer

PROFILE Experienced Senior business leader in multiple professional disciplines and environments, with extensive experience in corporate and governmental, accounting, auditing, finance, new systems implementation, change management, process improvement, project management, and university teaching. Results oriented strategic and operational manager. Ability to succeed where others have been unsuccessful in implementing new s...

Tags for this Online Resume: Oracle, Oracle Financials, Financials, Legacy, Management, Procurement, Project Management, Project Manager, Utility Industry, Accounts Payable

Pharmacist - 15 Years of Experience - Near 23875

Licensed pharmacist in Virginia with a Bachelor of Science in Pharmacy degree and 24 plus years of experience providing top-notch pharmacy services in a retail setting. Outstanding interpersonal skills with a track record of establishing positive relationships with customers, pharmaceutical representatives/manufacturers, medical professionals, healthcare organizations and insurance providers. Provide exceptional pharmaceuti...

Tags for this Online Resume: Patient Education, Assessments, Insurance, Inventory, Drug Utilization, Therapy, Condor (Mf App Dev Tool), Benefits, Management, Satellite

Customer Service Representative - 16 Years of Experience - Near 27409

SUMMARY * Excellent communication and organizational skills, with a strong focus on customer relationships. * Highly efficient in collaborating with a variety of health care team members and all levels of management. * Creative approach to problem solving and ability to shift priorities and multitask while exceeding task expectations. * Supervision and mentoring of team members to ensure compliance with company procedures a...

Tags for this Online Resume: Accounting, Analyst, Finance, Compliance, Customer Service, Support, Greensboro, NC, Specialist

Chief Financial Officer

PROFILE Talented Finance Executive with outstanding credentials exemplifying an extensive track record of planning and directing executive-level functions. Experience representing organizations to Board of Directors, Equity Partners, outlying corporate offices and divisions, auditors, banks, government agencies, vendors, insurance providers and attorneys. Proven success in linking accounting with general operations to provi...

Tags for this Online Resume: Statistics, Retail, Private Equity, Financial, Accounting, Assistant Controller, Information Technology, Working Capital, Cash Flow, Corporate Accounting, Strategy, M&A, Cash Management & Forecasts, Manufacturing, Food & Ag Expert, CFO

Legal Assistant - 15 Years of Experience - Near 79912

SUMMARY Twenty year Insurance Industry Professional providing service under the direction of General Council within Global Insurance Companies, servicing NAIC, Insurance Providers, Government Relations, State Laws governing Insurance Providers, Coverage Interpretation, State Filing, Management, NCCI rules, classifications and procedures. Supervisory and management experience. Good decision-making skills. Ability to cohesive...

Tags for this Online Resume: Insurance, Applications, Communication Skills, Computer Literate, Filing, Government, Management, Microsoft, Microsoft Office, Problem Solving

Director - 15 Years of Experience - Near 33919

Summary RISK, OPERATIONS AND COMPLIANCE MANAGEMENT EXECUTIVE Accomplished risk and operations leader experienced in leading strategic initiatives that reduce cost, manage risk, enhance operations, and optimize profitability at all levels of a corporation. Established reputation as a change agent and problem-solver known for setting industry cost-saving benchmarks in the analysis and implementation of redesigned processes an...

Tags for this Online Resume: Framework, Business Requirements, Documentation, Enterprise Risk Management, ERM, Facilitator, Management, Mts, Mts (Microfocus Trans), Process Improvements

Claims Audit Manager

I am an Insurance Claim Leader including an extensive global background in Commercial Claim with a Fortune 500 Insurance provider. Extraordinary record of claim professional skill, resource, organization, discipline, claim technical expertise, litigation management and claim quality review. Extensive background and proven leadership in managing staff performance, talent development, team building and collaboration with st...

Tags for this Online Resume: Coding, Compensation, Compliance, Insurance, MCUs, Underwriting, Integrate, Settlements, Litigation

Food Batchmaker - 5 Years of Experience - Near 19801

SUMMARY I am a dedicated customer relations expert with over 10 years' experience. Looking to apply my diverse knowledge within sales and marketing field. Balanced Balanced cash registers and notified manager of discrepancies with cash handling * Calculate total payments received during a time period, and reconcile this with total sales * Fostered a friendly atmosphere for clients and provided answers to concerns * Provide ...

Tags for this Online Resume: Complaints, Patient Care, Credit Cards, Customer Service, Insurance, Sales, Delinquent Accounts, Marketing Management, Microsoft, Microsoft Excel