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Online Resumes with "MANAGED CARE "



Health and Pharmaceutical Sales and Marketing - 20 Years of Experience - Near 19130

Areas of Expertise Sales Force Leadership Strategic Planning / JV Partnerships Product Management / Launch Market Research & Analysis Business Development Organizational Re-structuring National Account Oversight Contract Administration / Negotiations Staff Development PROFESSIONAL SUMMARY

Ideal Companies: Pharmaceutical, Health Care Providers, Managed Care

Tags for this Online Resume: Philadelphia, Health Care, Managed Care, Pharmaceuticals, Executive, Marketing , Sales , Reimbursement, Business Development, Leadership, Management, Market Research, Planning, Product Management, Research

Billing/Coding Specialist - 20 Years of Experience - Near 75040

Familiarity with HMO/PPO insurance. Medicare & Managed Care claims experience. Interpret Managed Care terms and contract language. Exceptional analytical skills and problem solver. Excellent communications skills-both written and verbal. Proficient data entry and typing skills. (50 WPM min.) Proficient in the use of general office equipment (copier, fax, scanners, and computers). MS Word, Excel, Open Office, Windows, RM5 Sy...

Tags for this Online Resume: Budgeting, Health Insurance, Insurance, Oracle, Delinquent Accounts, Managed Care, Quantify, Management, Medicare, Home Health

Manager - 17 Years of Experience - Near 44411

SUMMARY Healthcare Executive with experience in strategic business development, personal development, employee recruitment, planning market, and managed care. Results oriented leader and change catalyst that builds teams and possess and interactive and interpersonal management style. Demonstrated expertise and accomplishments in: * Strategic/Tactical Planning * Program Development * Project Management * Facility Development...

Tags for this Online Resume: Budgeting, Planning, Training, Management, Quality, Complaints, Customer Service, Employee Relations, Rehabilitation, Process development, Team building, Program improvement, Cost variance

Case Manager - 3 Years of Experience - Near 44124

Tags for this Online Resume: Documentation, Audit, Managed Care, Medicare, Patient Care, Insurance, Therapy, Nursing, Management, Infection control

Clinical Research

Interest in a position involving research. WORK SUMMARY September 2009 to present Texas Tech University Health Science Center-Amarillo Research Senior Staff Nurse October 2008 - December 2010 Northwest Texas Hospital PRN Staff Nurse - Cardiology Unit March 2009 - December 2009 Professional Case Management Case Management Supervisor August 2008 - October 2008 Outreach Home Health Services RN Case Manager (temporary position)...

Tags for this Online Resume: Nurse, Clinical Research, Computer Aided Software Engineering, Oncology, Research, Support

Registered Nurse

Professional Summary Nurse Case Manager with valid State RN License. Solid clinical, utilization review and case management experience within a managed care environment.I am a dedicated registered nurse (RN) with specialty experience in varied skills since November, 1969. In these forty-seven years, I have held staff, supervisory and management positions for inpatient and home health duties. My focus has always been the qua...

Tags for this Online Resume: Compliance, Health Insurance Portability And Accountability Act, HIPAA compliance, Medical, Cancer, Infection control, Management, Cardiopulmonary resuscitation (CPR), Data Entry, Evaluate, self starter

Chief Executive Officer - 20 Years of Experience - Near 87114

SUMMARY OF QUALIFICATIONS * 14 years experience with tribal hospitality, gaming & resort, travel centers, tribal businesses and government operations * 29 years experience in business management, casino accounting, enterprise management, health care, managed care, billing and collections * Increased EBITDA 15% 2007 - 2014 at Isleta Resort & Casino, gradual increases year-over-year of 4-6% * Increased annual EBITDA by 52% FY...

Tags for this Online Resume: Insurance, Medicare, Purchasing, Management, Accounts Payable, Billing, Financial, Financial Services, Financial Statements, Front Office, Hospitality, management

Manager - 18 Years of Experience - Near 21117

More than 18 years of professional experience in Health and Human services programs, including system analysis, development, testing, implementation and programming for child care, welfare reform and management care systems. My range of experience include project management, QA testing, user requirements, policy analysis and program evaluation, design and implementation of user acceptance testing, strategic planning, busine...

Tags for this Online Resume: Project Manager, Project Management, Requirements Gathering, Business Analyst, Data Processing, Subject Matter Expert, Request for Proposal, Requirements Analysis, Script, SCRUM

Manager - 15 Years of Experience - Near 19958

Professional with broad health care industry experience and understanding of private public and managed care coverage requirements. Proven expertise in eligibility appeals with the state of Tennessee's Medicaid Plan. Expertise in leading teams responsible for developing and maintaining viable policies and procedures to resolve coverage issues for applicants. Proactive approach to analyzing issues and finding creative soluti...

Tags for this Online Resume: Benefits, Health Insurance Portability And Accountability Act, Insurance, Management, Human Resources, Managed Care, Medicare, Project Management, Senior Project Manager, Statistics

Psychologist

209 - 6800 667 - 2535 793 - 9591 779 Duties and Responsibilities of the position include business development, marketing, and e-commerce development. SBBraintrust is an e-commerce business that works with small businesses to assist with their growth and development. Therefore saving and/or creating new jobs in the small business sector. It also assisted outplaced executives seeking a new position. SBBraintrust assists with ...

Tags for this Online Resume: Psychiatry, Therapy, e-Commerce, E-commerce Development, Geriatrics, Assessments, Compensation, Business Development, Aerospace, Custody

Director of Human Resources

SUMMARY OF QUALIFICATIONS: * Foreign trained Physician and Medical Superintendent with medical expertise in clinical and healthcare facilities administrative responsibilities. * Experienced inpatient/outpatient case management care provider in diverse facilities * Nonprofit community outreach research program coordinator. * Organizational planner, educator and counselor * Result oriented excellent team player and motivation...

Tags for this Online Resume: BLS, Cardiopulmonary resuscitation (CPR), Compliance, Computer Aided Software Engineering, Focus, Health Care Industry, Health Insurance Portability And Accountability Act, Inpatient/Outpatient, Management, Medical

Pharmaceutical Sales Representative

Tags for this Online Resume: Financial, Financial Reporting, Cardiovascular, Oncology, Business Development, Distribution, Managed Care, Management, Product Launch, Project Leader, pricing & market access, global experience, stragtegy development, brand managment, commercial operations