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Online Resumes with "MCO"
Director of Family Health Services - 20 Years of Healthcare Experience - Near 61401
RN with diverse healthcare clinical and management experience * Maintains high standards of integrity through honest and ethical practice Self-motivated independent professional with multi-tasking and problem-solving abilities Qualification Summary * 30 years healthcare experience * ICD-10 coding experience * 2 years MCO Case Management experience * Over 6 years skilled nursing facility
Tags for this Online Resume: Gynecology, Orthopedic, Orthopedics, Coding, Computer Aided Software Engineering, ICD 10, Medicare, Travel, Atlas, Critical Care - Neurology, registered nurse, healthcare, care, rn, Grant Writer
Developer - 20 Years of Experience - Near 12065
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, sql, software, it jobs
Director - 20 Years of Experience - Near 60644
Senior Patient Accounts professional with exceptional analytical, organizational and problem solving skills. Consistently demonstrates exceptional customer services complementing any progressive customer focus environment.
Tags for this Online Resume: Accounts Receivable, Patient access, revenue cycle, reimbursement, Medicare and Medicaid knowledge, manage care, Accounting, Accounting Records, Customer Service, Managed Care, management, Director of Patient Financial Services, Director of Revenue Cycle, MCO Knowledge, FQHC
RN with experience in multiple nursing disciplines.
To secure a position with a well- established organization with advancement opportunities utilizing my skills in the field of Case Management Utilization Management and years of Nursing Experience.
Ideal Companies: United Healthcare, Anthem, Blue Cross, Centene
Tags for this Online Resume: Patient Care, Surgical, Trauma, Critical Care, Medical, Medical/Surgical, Neurological, Orthopedic, Cardiac Monitoring, rn, physical therapy, nurse, registered nurse, care, Case Manager, Case Management, Remote RN, MCO, Clinical Education, House Supervisor, Plasmapheresis, Home Health, physical therapist
Quality Assurance Director - 20 Years of Experience - Near 60440
Summary of Experience An exceptional operations professional with more than 20 years in a healthcare setting. Established and implemented regulatory policies and procedures, quality services and revenue management metrics. Responsible for all provider claims reimbursements, satisfaction and provider contract negotiation functions and oversight. Experienced in payment software, quality audits and technical problems associate...
Tags for this Online Resume: Services, Financials, Management, Behavioral Health, Business Operations, Project Management, Project Manager, director operations, Provider Network, Claims Operation, 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
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
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: CICS, Management, Management Information Systems, Cobol Programming Language, Cobol II, IBM DB2 Database, Structured Query Language, Acceptance Testing, IBM, IBM Mainframes
Electrical Engineer - 20 Years of Experience - Near 43004
Siemens Project Manager (PM3) and ISO 9000 Quality Auditor with background in design development installation and project leadership of networked Airfield Lighting Control Systems (ALCS) installed in airports around the world. Headed hardware/software development and testing initiatives for aircraft anti-skid and brake-by-wire systems (ABS) real-time flight safety equipment. Completed estimated 40 projects annually and trai...
Tags for this Online Resume: Management, Applications, Control Systems, ISO, ISO 9000, Rf, Benefits, Coding, ISO 9001, Operating Systems
Financial Specialist
Tags for this Online Resume: Liquidity, Advertising, Business Development, Desktop Computer, Equity, Futures, Inventory, Management, Management Solutions, Pricing
Program Manager
Tags for this Online Resume: Outpatient Care, PEDIATRIC, ADA, Ada Programming Language, Assessments, Audit, Cms, Emerging Markets, Health Insurance, Insurance
Project Manager
Tags for this Online Resume: Medicare, Management, Data Warehouse, EDI, Electronic Data Interchange, SDLC, Applications, Process Improvement, Program Manager, Project Management
