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Online Resumes with "MEDICAID"
Immediately Available HealthCare Executive
I am seeking a leadership role with a payor, provider or health system, which is committed to improving the quality of health care delivery and raising the bar. In addition to my professional skills, I am confident that my genuine passion, commitment and drive are valuable and contagious!
Tags for this Online Resume: Medicare, Medicaid, healthplan, managed care, southern California, leadership, network , providers, Sales, Insurance, Health Care Industry, Managed Care, Management, Planning, Quote Achievement, Strategic Planning, Customer Service, Customer Service Rep, Oracle Parallel Server, health systems, IPA
Director
Summary of Qualifications & Expertise Training * Business Development: research, strategy, budgeting, * CECOR VOC (Voice of Customer) - General Electric, complex partner negotiation, value proposition expert Persuasive Selling, Black & Decker Sales: Miller * Global Sales & Marketing Management: strategic Heiman, Complex Strategic Selling planning, marketing research, product and brand * Lean / Six Sigma Blackbelt, CAP (Chan...
Ideal Companies: Nestle, Norwegian , Royal Caribbean
Tags for this Online Resume: Urgent Care, Business Development, International, Brand Management, Strategic Planning, Account Management, Marketing Management, Distribution Strategy, Product Marketing, Budgeting, Product Development
Project Manager - 10 Years of Experience - Near 19465
Areas of Expertise Cross Functional Team Building Staff Development Agile & Waterfall Methodology PMO Solution Development Life Cycle Vendor Management Project and Resource Planning Scheduling Budgeting Risk Mitigation Negotiation Strategic Planning Sales Support Mission Critical Applications Product Management Medicaid & Medicare Encounter Reporting Solution Design RAPS EDPS
Tags for this Online Resume: Sales Support, CMS, Edifecs, Medicare, Planning, Product Development, Product Launch, Requirements Definition, Support, Technical Support, Encounter Reporting, Application Development, Product Management, Solution Design
Medical or Health Services Manager - 11 Years of Experience - Near 53090
Summary The diverse jobs skills I have obtained, has effectively prepared me to become a successful Team Leader. Major strengths include excellent multitasking, computer literacy, and financial/medical administration. A dependable, thorough, well-organized individual with very effective communication skills.
Tags for this Online Resume: Audit, Client Relations, CSS, EDI, Accounting, Financial, Management, Quality Assurance, Reimbursement, Billing, Claims Processing, CMS, Medicaid, Medicare, HEDIS, Training, Hiring, SQL, Contracting, Sales, Customer Service
Customer Service Manager - 14 Years of Experience - Near 85041
HIGHLIGHTS OF QUALIFICATIONS: Accomplished Program Manager / Business Manager and Call Center Management Professional offering over 20 years of successful performance, proven proficiency and accomplishments in: * Senior Benefits Advisement/Consulting - Arizona State Retirement System * Healthcare / (Medicare/Medicaid) Supervisory Experience and general back ground of Appeals & Grievances - US Health Dept. * Project & Busine...
Tags for this Online Resume: Bilingual, Call Center, Customer Service, Training, Cms, Medicare, Insurance, Management, Benefits, ACD
Billing/Coding Specialist - 15 Years of Experience - Near 78641
SUMMARY Business and Information Technology professional with extensive business analysis, program/project management experience. Proven ability to lead cross-functional teams to achieve results and meet deliverables. Excellent relationship management, collaboration, presentation and communication skills across all business levels. Results- focused with strong aptitude for identifying and resolving business and technical ch...
Tags for this Online Resume: Accenture FOUNDATION, Budgeting, Business Analysis, Communication Skills, Consulting, Financial Industry, Health Insurance, Information Technology, Insurance, Integrate
Medical or Health Services Manager - 8 Years of Experience - Near 63136
Business professional adept at project management and market insight in the Healthcare industry. Successful and experienced in healthcare compliance, project and information management, marketing, data collection and analysis, process and product development and implementation. I am looking for a position that will allow me to utilize my current skills to and to grow and learn. Task oriented and a analytical thinker,I excel...
Ideal Companies: Mercer Benefits & Health, Centene, Aetna, Kindred, Cigna, Nestle Purina, Mercy Health, BJC Health, Essence Health Insurance, Mastercard, Ascension, Washington University Medical center
Tags for this Online Resume: Budgeting, Forecasting, Insurance, Compliance, Management, Marketing & Social Media Strategy, Medicare, Medicaid, ACA, Process Development, Project Manager, Data Analysis, Claims, Data Management, Risk Management, Product Developent, Implementation, Saint Louis, San Antonio, Telecommute, Remote, SQL, MS-Excel, MS-Access
Executive Vice President - 15 Years of Experience - Near 92708
Energetically outperforming healthcare executive with various roles as VP/ CFO/ COO who helps started two MAPD SNP Health Plans, a MSO, 2 IPA's, a Multi-Specialty Medical Facility successfully from scratch. Ability to roll up sleeve and dive in any challenge incurred in healthcare management and increase shareholder ROI.
Tags for this Online Resume: Management, Accounting, Consulting, Medicare, Infrastructure, Billing, CMS, EDI, Electronic Data Interchange, Insurance, Medicaid, CMS, Program Management, Project Management, Operations, HEDIS, Risk Adjustment, Revenue Cycle, Provider Contracting, Network Expansion, Healthcare Software Development, Claim Operations, Finance
Registered Nurse - 8 Years of Experience - Near 28675
Summary .I am a highly motivated, skilled nurse with a broad background of working with the public, management, excellent computer skills, knowledge of Medicaid, Medicare and other programs at the State and Federal Level. I have served 4 years as a Clinical Director for a three county Hospice with a growth rate of 58%, I have trained, educated, served as Case Manager, performed Core Measures, worked with large insurance com...
Tags for this Online Resume: Hospice, Medical, Medicare, Software, Assessments, PCS, Personal Conferencing Specification (PCS), Coding, ACH, Communication Skills, Home Health, Education
Case Management Manager - 11 Years of Experience - Near 32162
Professional Summary: I have over 17 years experience in Case Management in the provider setting as Director of Case Management, Lead Case Manager and Key account Manager for Managed Care Companies, Physicians, Hospitals and Home Health Care Agencies. Specializing in admissions and concurrent reviews using Inter-Qual Criteria and MCG on a daily basis to determine decisions of appropriateness of admissions and continued stay...
Tags for this Online Resume: Insurance, Benefits, Home Health, Health Care Industry, Referrals, Compensation, Computer Aided Software Engineering, Assessments, Management, Medication Adherence
Physician
Summary Healthcare Executive with over 25 years of experience in both Medicaid and Commercial managed care markets. Progressive leadership roles in financial modeling, predictive analytics, development and implementation of quality initiatives and cost-reduction programs. Acumen in strategic positioning, infrastructure development and design experienced in leading an organization through State, NCQA, and Department of Insur...
Tags for this Online Resume: PEDIATRIC, Public Health, Budgeting, Call Center, Management, Medical, Medical Affairs, Operating Budget, Quality, Quality Assurance
Financial Analyst - 20 Years of Experience - Near 27341
Tags for this Online Resume: Payroll, Medicare/Medicaid, Receivables/Payables, Accounting, Billing, CMS, Co-Pays, Deposits, Financial Analyst, Home Health Billing, Coder
