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Online Resumes with "MANAGED CARE "



Business Analyst - 10 Years of Experience - Near 92410

Personal Summary Results-oriented professional with several years' experience in public and private sector of Health Information Technology. Clear understanding of Project Management principles combined with several years analyzing data for internal and external customers. Effective at managing several projects simultaneously and working strategically with multiple stakeholders to meet objectives. Expertise Highlights * Dat...

Tags for this Online Resume: Billing, Cms, Audit, Business Analysis, Business Analyst, Business Intelligence, Business Objects, Coding, HP, Managed Care, sql

Controller - 5 Years of Experience - Near 60053

Results-driven and team-oriented accounting and finance professional over 20 years of cross-functional experiences in diverse industries and markets (nonprofit, distribution, wholesale, manufacturing, managed care) whose accomplishments reflect superior business acumen, financial development skills, and a demonstrated commitment to organizational growth. Specific areas of expertise include: * Monthly Financial Statements an...

Tags for this Online Resume: Cash Flow, Due Diligence, Forecasting, Management, Fixed Assets, Forecast, Inventory, Inventory management, Payroll, Pricing, accounting, audit, gaap, excel, controller

Senior Biotech Sales Specialist

I want to work for a company that allows me to make an immediate impact on their bottom line. Qualifications Profile Results-driven, performance-focused, and award-winning professional, offering more than 13 years of experience in the biotech and pharmaceutical industries, combined with broad-based background in territory sales management, contract negotiation, reimbursement process, and marketing. Effective at developing a...

Tags for this Online Resume: Pharmaceutical, Sales, Cardiovascular, Data Analysis, Marketing Management, Osf1, Immunization, Injections, Managed Care, PEDIATRIC, account executive, sales representative, marketing, account manager, technical sales, business development, outside sales, field reimbursement, managed care expertise

Medical Scientist - 7 Years of Experience

Tags for this Online Resume: Management, Quality, Quality Assurance, Quality Control, Fraud, Referrals, Surgical, Health and Welfare, Security, Atlas, Research, Clinical Research, Customer Relations, Medical Therapy Management, Medicine, Public Speaking, Hospitals, Healthcare, Data Analysis, Leadership, Managed Care, Access to Care, Mentoring, Microsoft Office, Policy Creation, Problem Solving, Program Development, Scientific Publication, Teamwork

Extensive Food and Beverage management, Care Giver and Health Care Culinary Manager.

To further my professional career with a supervisory or management position by securing a leadership role with a reparable company.

Tags for this Online Resume: Inventory, Fellow of the Society of Actuaries, Financials, Tandem, Accounts Payable, Appraisals, Business Plan, Complaints, Credit Card, Financial, management

Licensed Clinical Social Worker

To work with ethical and professional colleagues, who practice empowering individuals to take control of their lives by making safe choices

Tags for this Online Resume: Protocol, Behavioral Health, Pc, Personal Computer, Assessments, Therapy, Cms, Managed Care, Management, Medical, healthcare, licensed clinical social worker substance abuse counselor

Finance Manager

Tags for this Online Resume: Audit, Financial Industry, Mms (Unisys-Email), Presentation Skills, Credit Card, Data Entry, Documentation, Managed Care, Management, Medicare, accounting

Case Manager

(per diem), Link US Review Center, Manila, Philippines * CGFNS & US State Board Nursing Licensure Examinations Reviewer, St Louis Review Center, Cagayan de Oro City, Philippines *Philippine Nursing Licensure Examinations

Tags for this Online Resume: Nursing, PEDS, Psychiatry, Managed Care, Behavioral Health, Microsoft, Microsoft Office, Edgar (Db Corp Financials, English Language, registered nurse, healthcare

mainframe developer

QUALIFICATIONS SUMMARY Accomplished Medicaid Management Information System (MMIS) Project and Systems Manager with 20+ years Technical, Analytical, and Management Skills. * Proficient at delivering highly critical projects on time, under budget, and in scope as is evidenced by the Louisiana HIPAA project * Overall management for implementing all HIPAA-mandated initiatives for the Louisiana MMIS. Under his management, Louisi...

Tags for this Online Resume: CICS, Management, Management Information Systems, Cobol Programming Language, Cobol II, IBM DB2 Database, Structured Query Language, Acceptance Testing, IBM, IBM Mainframes, software

Claims Examiner

Profile Enterprising professional with 15+ years of experience executing medical insurance claims functions. Possesses expertise in insurance, health policy complaints, compliance, and regulations. Employs excellent supervisory skills and builds high-functioning teams through development of targeted training programs. Self-governing and organized, works well in a remote, work-from-home, environment. Core Strengths: Test Pla...

Tags for this Online Resume: Complaints, Documentation, Management, Quality Assurance, Test, Customer Service, customer service skills, Process Improvement, Fraud, Policies and Procedures

Computer Programmer

QUALIFICATIONS SUMMARY Accomplished Medicaid Management Information System (MMIS) Project and Systems Manager with 20+ years Technical, Analytical, and Management Skills. * Proficient at delivering highly critical projects on time, under budget, and in scope as is evidenced by the Louisiana HIPAA project * Overall management for implementing all HIPAA-mandated initiatives for the Louisiana MMIS. Under his management, Louisi...

Tags for this Online Resume: Management, Management Information Systems, CICS, Cobol Programming Language, Cobol II, IBM DB2 Database, Structured Query Language, Team Lead, Test, Acceptance Testing