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Online Resumes with "MANAGED CARE "



Featured Profile

Sales executive who knows how to build, manage and successfully drive business development and sales organizations - 15 Years of Experience - Near 97229

Business development expert seeking an opportunity to build out new and existing markets with companies that bring unique value to the market. Ideally it is an opportunity that will allow me to leverage my extensive experience in creating successful go-to-market strategies focused on building sales channels that include B2B, B2C and VARS. The organizational desire to build a strong, positive and dynamic culture focused on d...

Ideal Companies: Cambia, United Health Care, Optum, Nike, CBRE, Amazon, Lockton, HUB, BambooHR, LimeAde, Socrates, HealthWise, Agrium, WebMD, Propeller, REI, Orvis,

Tags for this Online Resume: National account sales, Employee benefits and insurance, New business development, Profitability Improvement, Acquisitions, Go-to-market strategy, Sales support, Healthcare, Performance optimization, Joint venture and alliances, Consensus building & teaming, Multi-site operations, Crisis management, Budgeting & finance, Decision-making, Forecasting, Go to market strategy, National accounts, Product marketing, Joint ventures and alliances, Negotiation and diplomacy, Marketing, Consensus building and team building, Leadership, Sales coaching, Sales, Process, Analytical ability, Initiative, Client engagement, Compensation planning

Medical or Health Services Manager - 15 Years of Experience - Near 33165

Tags for this Online Resume: Managed Care, Management, Reinsurance, Annuity, Audit, Consulting, Health Insurance, Insurance, Networking

Admissions Director - 15 Years of Experience - Near 63303

Tags for this Online Resume: Inservices, Nursing, Medicare, Referrals, Billing, Insurance, Managed Care

Billing/Coding Specialist - 9 Years of Experience - Near 07601

To join a progressive Healthcare Institution in which my experience will contribute to its growth and help improve the revenue cycle reimbursement process.

Tags for this Online Resume: Insurance, Billing, Government Contracts, Referrals, Managed Care, Policies and Procedures, Anesthesiology, Audit, Coding, Data Entry, Credentialing, Revenue Cycle, Commercial Insurance Contracts, A/R

Quality Coordinator

Summary: Insurance Industry experience includes Managed Care, Indemnity, Risk Management, Federal Government Associated Investigations. Strong Client Sensitivity in Nurturing Business Relationships, Strong knowledge in applying CMS edits, Accomplished in determining, Communicating and Resolving Client Concerns.

Tags for this Online Resume: Provider Relations Specilist, Distribution, Documentation, Insurance, Insurance, Query, Cms, Government, Managed Care, Management

Featured Profile

Medical or Health Services Manager - 22 Years of Experience - Near 92679

SUMMARY 30 years experience in Operations and Development in Multi-Specialty Medical Groups, Affiliated Networks, Independent Physician Practices and Outpatient Clinics

Tags for this Online Resume: Accounting, Advertising, Chiropractic, Consulting, Management, Cms, Utilization Management, Audit, Coding, Managed Care

Licensed Mental Health Therapist-25 years Experience

Qualifications * A combination of formal education, specialized training and extensive practical experience. * Proven leadership skills-Management and Clinical Director experience encompassing supervision, staff training, program development, budgeting, marketing and contract negotiation. * Skilled in providing emergency psychiatric assessment services to adolescents and adults. Ability to quickly diagnose and make appropri...

Tags for this Online Resume: Assessments, Services, Integrate, Patient Care, ADA, Ada Programming Language, Behavioral Health, Budgeting, Leadership, Licensing, proactive

Executive Director - 14 Years of Experience - Near 55344

Professional Summary Accomplished health care administrator with a demonstrated ability to deliver mission-critical results through team-oriented strategic processes. Dynamic, resourceful, and extremely driven individual with a deep passion for creating and delivering programs and solutions that empower a team, company, and customer to meet and exceed desired expectations. Skill Highlights Relationship and team building Fis...

Tags for this Online Resume: Nursing, Policies and Procedures, Quality Assurance, Test, Customer Service, Managed Care, Billing, Insurance, Medicare, Accounts Payable

Medical or Health Services Manager - 11 Years of Experience - Near 49256

Tags for this Online Resume: Compliance, Consulting, Quality, Quality Assurance, Leadership, Licensing, Managed Care, Management, Program Manager, Quality Management, HIPAA privacy/security, Project Management, Telemedicine, Policy, Operational Management, Risk Assessment/Mitigation, Corrective Action Plans, Cost reduction/avoidance

Medical or Health Services Manager

experience in the corporate field with a focus in healthcare. I worked in the dialysis field for 20 years. I have run large doctors' offices as well as a large hospitals billing and collection department. I am well versed in all areas of patient care and customer service and bring a wealth of different skills with me. I have a team player attitude. Looking to bring my positive influence and make a difference.

Tags for this Online Resume: Billing, Insurance, Management, Policies and Procedures, Accounts Receivable, Health Insurance Portability And Accountability Act, Human Resources, Managed Care, Payroll, Cash Flow

Claims Investigator - 10 Years of Experience - Near 07823

PROFESSIONAL SUMMARY: Core Qualifications: * Proficient in data management, web applications, Microsoft Office suite including Excel, Power Point, Publisher, Adobe Suite and other specialty specific software applications * Accomplished in medical claim verification of coverage, denial and appeal processes * Facile in coordination of post-acute care patient needs * Skilled in all aspects office management, including scheduli...

Tags for this Online Resume: Denials, Billing, Claims, Financial Services, Compliance, Managed Care, Recoupment, Investigation, Insurance, Appeals, Regulations, Hackettstown, NJ

Radiologic Technologist - 4 Years of Experience

Tags for this Online Resume: Management, Actuarial, Audit, Request for Proposals, Managed Care, Billing, Medicare, Financial, Budgetary