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Online Resumes with "MEDICAID"
Licensed Nurse - 19 Years of Experience - Near 91356
Qualifications Licensed Vocational Nurse * IV and Phlebotomy Certificate Committed to Professionalism highly organized, worked under strict deadline schedules with attention to detail have excellent written and verbal communication skills. Proficient in P/C Mac, Microsoft Office, Adobe Photoshop, Microsoft Excel, and Internet Explorer. Available Upon Request.
Tags for this Online Resume: Documentation, Basic Care, BASIC Programming Language, First Aid, Insurance, Medical, Medical Records, Occupational Therapy, Team Player, Therapy, Utilization management, Facility Site Review, Advanced Imaging, HEDIS, Case Management, Patient Advocates, Medi-Care, Medicaid, Healthcare insurance company, Quality Assurance and Improvement, ICD, CPT coding, Insurance Health plan Collaboration, Problem resolution and Solution distribution, outpatient rehabilitation, nurse, healthcare, outpatient physical therapy, physical therapy, physical therapist
Program Manager
Currently seeking a leadership position in which to fully utilize the experience and expertise gained as an outcome driven manager, director and consultant. I have developed many transferable skills and will be a true asset to your company.
Ideal Companies: Management training, or Consulting work all in the Little Rock Arkansas area
Tags for this Online Resume: Program Director, Consultant, District Manager, Clinical Coordinator
Director
KEY QUALIFICATIONS - OVER 21 YEARS EXPERIENCE IN MEDICARE, MEDICAID, AND MEDICARE-MEDICAID PLANS (MMP) Profit & Loss Accountability * Product Implementation / Mgt * Marketing & Communication Strategy * Product Strategy & Development * Business Development * Collateral / Campaign Development SUMMARY OF PROFESSIONAL EXPERIENCE CAPTIAL BLUECROSS HARRISBURG, PA 17050 SEPTEMBER 2015 - PRESENT DIRECTOR OF MEDICARE PRODUCT DEVELOP...
Tags for this Online Resume: Cms, Management, Market Research, Networking, Research, Pricing, Benefits, Marketing Management, Policies and Procedures, Product Development
Case Manager - 20 Years of Experience - Near 14219
THE CARE MANAGER IDENTIFIES PATIENT CARE REQUIREMENTS AND ASSURES QUALITY OF CARE ALL WITH THE GOAL OF PROMOTING AND RESTORING PATIENT HEALTH; COLLABORATES WITH PHYSICIANS AND MULTIDISCIPLINARY TEAM MEMBERS TO ACHIEVE THIS GOAL. PROVIDE SUPPORT TO MEMBERS AND THEIR FRIENDS AND FAMILIES; IDENTIFY DEVELOPMENTAL, PHYSICAL, PSYCHOSOCIAL, AND PSYCHOLOGICAL NEEDS TO ASSESS AND COORDINATE APPROPRIATE SERVICES.
Tags for this Online Resume: registered nurse
Quality Assurance Director - 20 Years of Experience - Near 45502
SUMMARY A highly accomplished and forward-thinking executive and top corporate officer skilled in project management, process/procedure improvement, and customer relationship development. Success in increasing productivity and enhancing quality performance by fostering a culture of service, innovation, and operational excellence. Proven track record of driving operational-level changes on a system-wide basis. A goal-oriente...
Tags for this Online Resume: Data Mining, Financial Oversight, Medicare Medicaid, Patient Advocacy
Senior Quality Manager and Project Manager - 10 Years
QUALIFICATION SUMMARY * Masters in Business Administration * Agile Certified * Scrum Master Certified * 16 Years Project Manager & Leadership Experience * 10+ Years managing teams and multiple office locations and telecommute * 10+ Years working in a Matrix Environment * 10+ Years managing multiple projects * 15+ Yeas in Medicaid & Medicare Insurance Industry
Tags for this Online Resume: Account Management, Billing, Coding, Management, Agile, Audit, Benefits, Chip Scale Packaging (CSP), Claim Processing, assistant manager, management, manager
Admissions Director - Near 32095
Qualifications Thirty-five (35) years experience in hospital revenue cycle management with emphasis on patient access and patient financial services. Managed a sixty (60) employee business office for fifteen (15) years by directing billing and collections activities, payroll, general ledger and financial statement preparation. Knowledgeable about Medicare reimbursement, Georgia and Florida Medicaid, and all commercial plans...
Tags for this Online Resume: Financial, Financial Services, Services, Accounting, Credit and Collections, Microsoft, Microsoft Office, Billing, Financial Statement, General Ledger, Patienr Finanical Services
Business Analyst
Summary of Qualifications: Results orientated Business analyst with 8+ years track record improving customers' performance through collecting, analyzing, and reviewing information. Proven ability to document and collaborate to foresee end to end solutions due to business challenges and limitations. A team player who is known for excellent verbal and written communications Managed project for client's Claims Editing Software...
Tags for this Online Resume: Services, Business Analysis, Business Analyst, Certified Pension Consultant, Data Mapping, JIRA, Management, Medicare, Microsoft Visio, Process Improvements, sql, agile
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
Project Manager
PROFESSIONAL SUMMARY * Health Information Management (HIM) Leader, Consultant, Director, and Project Manager with the ability to manage client priorities and develop action plans and timetables, commensurate with each assignment. * Experienced HIM Consultant for California with a record of consistent accomplishments in directing cost-efficient health information management operations. Experience with 150- to 665-bed facilit...
Tags for this Online Resume: CMA, Services, Rehabilitation, Surveys, Billing, Cancer, Compliance, Health Insurance Portability And Accountability Act, Integrate
Business Analyst
SUMMARY * 10+ years of experience as a Business Analyst/Business System Analyst in industry domains including Banking, Health e, Financial, Insurance, and Retail. * Skilled Business Analyst in PMO environment who leads projects to successful completion and acts as liaison between business users and technical development teams to bridge gaps. * Strong understanding of financial valuation concepts and various capital market i...
Tags for this Online Resume: Microsoft Visio, VISIO, Integrate, Legacy, Management, Planning, Business Analysis, Business Analyst, Business Requirements, Data Mapping
Director of Finance 10 years
(Same ownership as my employment at Sky View below) Provide monthly financial reports to owner and corporate management team Manage business office team to assure all work is being done in an efficient and timely manner Posting all monthly journal entries to the general ledger. Reconciling all monthly operating and payroll bank statements Monthly reconciling and closing of all accounts receivable and accounts payable Prepar...
Tags for this Online Resume: Accounts Receivable, Bookkeeper, Payroll, Billing, Insurance, Accounts Payable, Audit, General Ledger, Journal Entries, Management
