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Online Resumes with "MEDICAID"
Licensed Nurse - 14 Years of Experience - Near 77346
SUMMARY OF QUALIFICATIONS SHAPE Thirteen years experience within nursing Multispecialty physician practice ( Family/Internal Medicine, Cardiology, Pulmonology, Pyschology, Endocrinology, and Behavioral Health) Knowledge of regulatory standards, compliance requirements, hospital policies and procedures Strong knowledge of Medicare and Medicaid Case management Excellent clinical and patient assessment skills SHAPE
Tags for this Online Resume: Assessments, Documentation, EKG, Injections, Insurance, Triage, Nursing, Patient Care, Basic Care, BASIC Programming Language, nurse, healthcare, Healthcare Manager, Medical Office Manager, Healthcare Administration
Director of Human Resources - 15 Years of Experience - Near 21113-1094
Noteworthy accomplishments included: * In December 2010, approximately 30% of the staff was conducting the required SRDs staff assistant visits and less than 20% were dual function. Established strict controls and guidelines resulting in FER CPACs conducting SRDs at 100%, 100% for staff assistant visits and approximately 80% of HR Specialists were dual functioning. The results were accomplished absent 3 CPAC directors and 3...
Tags for this Online Resume: Security, Assessments, Benefits, Bridges, Budgetary, Development Activities, Drafting, Employee Relations, HR, Human Resources
Vice President - 11 Years of Experience - Near 85737
RESUME SUMMARY An innovative, customer oriented healthcare management professional with extensive experience in Medicare FFS, Medicare Advantage, managed Medicaid, ACA/Exchange and Workers' Compensation. A coaching leadership style with a strong background in account management/client services, provider contracting and network management, and sales. Specific areas of expertise include: * HCC Risk Adjustment * Encounters Rep...
Tags for this Online Resume: Management, Book of business, Leadership, Product Launch, Project Management, Account Management, Medicare, P&L, manager, management
Case Manager - 20 Years of Experience - Near 45005
Professional Summary In-depth social work, case management experience. Very strong knowledge base of managed care products, Medicare and Medicaid regulations and community resources. Possess an understanding of the challenges faced by health care organizations and the ability to develop policies and practices that meet business objectives, while providing maximum quality service to various client populations. Accomplishment...
Tags for this Online Resume: Social Service, Assessments, Computer Aided Software Engineering, Long Term Care, Patient Care, Planning, Training, Customer Service, Discharge Planning, Documentation
In Between - 10 Years of Experience - Near 20748
PROFESSIONAL SUMMARY Dedicated professional with experience in office administration, human resources, outreach, and management. Other experience includes providing education/training, presentations, and development of strong partnerships with outside agencies. Able to uphold confidentiality, respect, necessary assistance, and discretion to the needs of those served. Detail oriented with excellent oral and written communica...
Tags for this Online Resume: Payroll, Documentation, Call Center, Management, Insurance, Program Manager, Billing, Statistics, outreach, data entry, customer service
Medical or Health Services Manager - 20 Years of Experience - Near 07087
To obtain a challenging Coordinator position that will utilize my skills such as customer service, scheduling, insurance verification, prior authorization & follow ups. Knowledge on CAHC, JACHO and URAC. February 2017 - Present Empire Specialty Pharmacy West New York, NJ Intake/Prior Auth Coordinator * Obtain referrals from doctors, insurance companies and account representatives * Insurance verification and eligibility * O...
Tags for this Online Resume: Accenture FOUNDATION, Acquired Immune Deficiency Syndrome (AIDS), Coaching, English Language, Sports, healthcare
Quality Assurance Specialist - 9 Years of Experience - Near 78749
Summary A diverse background in testing and experience across multiple industries - Telecommunication, Insurance, Energy and Health & Public Services (Medicaid). Skilled in Agile and Waterfall model with valuable experience in the field of eLearning. Experience as a QA lead, Business Analyst and Test Lead across System, Integration, Regression, User Acceptance and Automation testing. Interested in collaborative problem-solv...
Tags for this Online Resume: Accenture FOUNDATION, IBM, Selenium, Team Foundation Server, Test, Test Cases, Insurance, Management, Status Report, Test Plan, Agile, SQL, UFT, Java, Mainframe, web application, waterfall
Quality Assurance Specialist - 5 Years of Experience - Near 80126
PROFESSIONAL SUMMARY I have 12+ years of experience in Quality Assurance, Systems Integration, Lab Design and Operation, Java Application Development, Distributed Application Development, Object Oriented Programming, Internet/Intranet-based database applications development, testing and implementation using Java/J2EE (Servlets, JSP, EJB). My roles have included all phases of the software development life cycle (SDLC), but e...
Tags for this Online Resume: Test, Management, Applications, Services, Billing, Linux, Agile, Automation, Call Center, Configure
Not Listed - 11 Years of Experience - Near 15220
COVER LETTER: Dear : I have been an Nation Star Mortgage customer since 20xx and during that time, I have enjoyed my experience with Nation Star greatly. I am writing to see if you would be willing to make a goodwill adjustment to your reporting to the three credit agencies. I have 8 late payments on the above referenced account that date back to Since that time I have been an exceptional customer paying every month on time...
Tags for this Online Resume: Health Insurance, Management, Government, Medicaid
Claims Adjuster - 18 Years of Experience - Near 77584
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, Fraud, Policies and Procedures, Documentation, Management, Claim Processing, Data Quality, Protocol, Quality, Quality Assurance, insurance
