CV, Curriculum Vitae and Online Resumes Search

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Online Resumes with "MANAGED CARE "

MGU - Director of Operations for 3 years, TPA - VP Marketing & Reporting Services

QUALIFICATIONS: As Director of Operations, responsible for overseeing the daily operation, at the direction of the President. Additional responsibilities included interviewing potential candidates, hire, human resources support, payroll reporting, enrollment, and benefits. As VP of Marketing & Reporting Services, I reporting to carriers and clients monthly, completed client monthly, quarterly, and/or annual reviews.

Tags for this Online Resume: Cobra, Evaluate, Quality Assurance, Test, Benefits, Human Resources, Payroll, Research, Managed Care, Stop Loss, TPA, MGU, Operations, Auditor, Stop Loss,, Self funding

Director of Clinical Operations

SKILLS SUMMARY: * Proven leadership and management abilities combined with analytical, organizational and communication skills. * Able to works independently and manage multiple dispersed teams. * Several years of medical services experience with continual progression in responsibilities. * Demographic research of area population for Medical Centers expansion. * Lease contract review and negotiation with landlords. * Comple...

Tags for this Online Resume: Management, Policies and Procedures, Complaints, Training, Monthly Statistical Reports, Procurement, Referrals, Deposits, Documentation, Medical, Medical Centers Operation, Policies and Procedures implemetation, state and federal regulation specialist, AHCA Consultant, Medical Centers build out, grow and expansion, Project Manager, Managed Care Experience, Utilization Management, Staff development, OSHA and HIPPA Compliance Specialist

Licensed Nurse - 16 Years of Experience - Near 06076

PROFESSIONAL SUMMARY Nurse Case Manager with valid State LPN Licenses. Solid clinical, utilization review and case management experience within a managed care environment. Looking to secure a position within an organization that will challenge my diverse clinical experience as well as proven leadership, business, communication, and nursing skills. CORE QUALIFICATIONS Case Management

Tags for this Online Resume: Nursing, Computer Aided Software Engineering, Patient Care, Assessments, Medical, Quality, Rehabilitation, Business Plan, Compensation, Compliance

Marketing

SUMMARY Accomplished business executive with over 30 years of experience working for industry leading corporations in business to business and business to consumer marketing and field support roles across the healthcare, financial services, and travel industries. Possess extensive experience in marketing strategy and business planning, direct marketing, customer acquisition and management, supporting dynamic sales and clien...

Tags for this Online Resume: Services, Financial, Management, Marketing Management, Sales, Vista, Medicare, Support, Managed Care, Advertising

Director - 10 Years of Experience - Near 30317

SUMMARY * Nationally recognized expert in social determinants of health and transportation. * Healthcare, public health, and human services environments. * Strategic planning, policy development, operations, data analytics, and evaluation. * Build and lead successful teams in a matrixed, remote work setting with colleagues from diverse professional and cultural backgrounds.

Tags for this Online Resume: Evaluate, Transportation, Business Development, Data Analysis, Public Health, Behavioral Health, Dialysis, Health Care Industry, Leadership, Managed Care, management

Customer Service Representative

Email: Planned, organized, controlled and directed overall operations and administration of ambulance division. Prepared, implemented and monitored the department's annual budget, set and monitored performance indicators including communication methods and authorities for employee and customer satisfaction using standard quality tools and initiatives for continuous improvements, developed and promoted the services of the co...

Tags for this Online Resume: Filing, Data Entry, Packaging, Policies and Procedures, Administrative Assistant, Billing, Medical, Medical Records, Multi-Line Phones, Services

Business Director

To suuport the growth of a healthcare start-up or a company that is diverisfying

Tags for this Online Resume: Management , Director, Medicare, Recruiting, Home Health, Consulting, Home Care, Long Term Care, Managed Care, Account Management

Sales Representative - 6 Years of Experience - Near 93730

SUMMARY Highly accomplished Sales Professional with over 17 years' experience of exceeding sales goals through cultivating client relationships and building new accounts. Proven ability to influence key decision makers across a diverse group of people and in a variety of settings. Demonstrated track record in developing product advocates at a local level. Areas of expertise include: Influential Selling Presentations Client ...

Tags for this Online Resume: Cardiovascular, Sales, Family Practice, Insulin, Account Management, English Language, Event Management, Managed Care, Management, Microsoft

Sales Manager - 16 Years of Experience - Near 91340

COVER LETTER: : John Dimon's proven history of Business Development, * 1993 (Retail Chain Explosion), Disney stores planned on opening 200 new locations, Disney's goal was to create 40% new products, and packaging exclusive for its stores. Disney Store's Creative Director, had no internal budget to hire the staff he needed. At that time Euro Disney was still in the red. He could not use the Disney tower (artists), these art...

Tags for this Online Resume: Advertising, SAN (Storage Area Network), Marketing Management, Sales, Business Development

Health and Wellness consultant - 20 Years of Experience - Near 89002

Professional Summary * Primary Care Physician (Kenya, Africa) with 17 years clinical experience. * Pharmacy Technician with 20 years of hospital and retail pharmacy experience. * Pharmacy Technician Instructor at PIMA Medical Institute * Pharmacy Order Entry Technician with excellent data entry skills and telephone etiquette. Detail-oriented and focused on accuracy and efficiency. * Patient Care Advocate/Prior-Authorization...

Tags for this Online Resume: Email, Complaints, General Practice, Medical, OB/GYN, Orthopedics, Surgery, Communication Skills, Data Entry, Health Care Industry, pharmacy

Chief Financial Officer - 20 Years of Experience - Near 80528

Oversaw transition of all physician contracts from HCA Physician Services to River Park Assisted corporate legal counsel in implementing physician guarantee contracts * Decreased patient wait times and increased pre-registration by 50% by streamlining registration and scheduling processes Directed lead and participated in business growth and expansion initiatives Motivated staff to top performance while faced with increasin...

Tags for this Online Resume: Consulting, CFO, Accounting, Accounts Receivable, Audit, Internal audit, Managed Care, Management, Financial, Budgeting

Director, Business Development - 20 Years of Experience - Near 03060

Career Highlights: * Managing Director, MGL Lifesciences, executive management, business development and value strategy practice. Currently have an active client list of 21 accounts * Director of Value Strategy and Market Access, Truven Health Analytics, Joined Thomson Reuters Healthcare to develop value strategy and market access practice with revenues of $4.1M in 2013. During the transition to Veritas, Capital ownership f...

Tags for this Online Resume: Managed Care, Management, Medical, Medical Devices, Pain Management, Call Center, Gastrointestinal, Health Care Industry, Patient Access, Business Development, Oncology, Market Access, Commercial Development, Health Economcs, Pricing & Reimbursement, Global