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Online Resumes with "MEDICAID"
Project Manager - 20 Years of Experience - Near 75070
KEY QUALIFICATIONS * * Project Management/Coordination * Business Requirement Development Sessions * Selection/Testing/Evaluation of software * Project Health Reporting to Senior Executives * Policy and Procedure Gap Analysis * Experienced Managing and Prioritizing tasks * Excellent Verbal and Written Communication Skills * Curriculum/Instructional Design * Service Level Agreements (SLAs)/Metrics/KPIs * Systems Testing * PM...
Tags for this Online Resume: Aerospace, Management, Documentation, Business Requirements, End-user Training, Microsoft PowerPoint, Project Management, Project Manager, Scheduling, Training
Registered Nurse
Professional Summary: I have been employed in long-term care for over 37 years. Positions held include Director of Nursing, Administrator, Regional Clinical Nurse Consultant, Reimbursement Nurse Consultant, Vice-president of Clinical Services and Director of Compliance. I was employed by Kindred Healthcare for over 11 years and then experienced a reduction in work-force. Initially, I held the position of District Director o...
Tags for this Online Resume: Billing, Documentation, Quality, Compliance, Fraud, Management, Policies and Procedures, Therapy, Cms, Coding
Human Resources Manager
Qualifications Summary Highly-motivated, results-oriented visionary and strategic professional with an exceptionally strong track record for bringing innovative and creative ideas to operational challenges particularly effective in employee engagement, organizational change, designing procedures, implementing programs and building infrastructure to reflect and preserve the unique culture of an organization * Systematically ...
Tags for this Online Resume: Child Care, Compliance, Licensing, Performance Evaluations, Program Manager, Benefits, Employee Relations, Fraud, Medicare, Retention
Registered Nurse - 0 Years of Experience
Professional Summary RN, BSN. MSN, MSN-ED Highly Skilled Registered nurse with the desire to continue learning. At Amerigroup of Iowa I work on the Assessment Team as a case manager and on that team I am one of the nine certified SIS Assessors. I conduct assessments all over the state of Iowa that assist children and adults with disabilities get on Medicaid waiver programs. The main goal is to help fragile and diverse popul...
Tags for this Online Resume: Telemarketer, Apple Newton, Assessments, Comdisco Continue, Computer Aided Software Engineering, Documentation, Health Care Industry, Medical, Microsoft PowerPoint, Novell Netware
Manager
PROFESSIONAL SUMMARY * Skilled in building excellent rapport with all levels of management, partners, board of directors, colleagues, subordinates, industry analysts, and customers * Superb business and financial acumen with a track record of success, deep industry knowledge, and ability to develop and implement best practice policies and procedures, made sure internal controls were in place per SOX (Sarbanes Oxley) require...
Tags for this Online Resume: Management, Internal Controls, Policies and Procedures, Process Improvement, Sarbanes Oxley, Medicare, Outsourcing, Planning, Quality, Quality Assurance, management, manager
Medical Billing Specialist - 19 Years of Experience - Near 12602
SUMMARY OF QUALIFICATIONS * Versed in medical staffing by-laws, rules and regulations, and JCAHO, processing appointment applications, performing primary source verifications, and keeping applicants apprised of statuses. * Fit to process all medical staff and allied health privilege requests monitored expiring appointments and ensured licensure and credentials remain current. * Used CPT, ICD-9-CM, ICD-10-CM, CMS-1500, and U...
Tags for this Online Resume: Billing, Documentation, Insurance, Insurance Claims, Medical, Medical Billing, Medical Terminology, Radiology, Managed Care, Medicare
Case Management Manager - 9 Years of Experience - Near 70441
Carrington Place of Baton Rouge (Social Service Director-assisting families and residents with different services and basic information on insurance coverage Medicaid and Medicare information) - December 31 2013 - Now
Tags for this Online Resume: Nursing, Therapy, Home Health, Insurance, Medicare, Novell Netware, Pharmaceutical Industry, Services
Billing/Coding Specialist - 8 Years of Experience - Near 60473
SUMMARY Skilled professional with 10+ years of managerial experience in the healthcare sector, managing claims processing systems, data analysis, auditing, financial reporting and contracts. Experienced in managing government programs including Illinois Medicaid and Managed Care Organizations (MCOs) processes. Executed and managed in-network contracts with various MCOs expanding consumer base to increase billing opportuniti...
Tags for this Online Resume: Benefits, Billing, Financial, Government, Managed Care, Project Management, Project Manager, Payroll, Management, Audit
Software Engineer
Qualification Summary * Around 19 years of IT experience in various phases of System Development Life Cycle including System Analysis, Design, Development, Testing, Maintenance and Project management. * Expertise in Analysis, Design and Development of web based Object Oriented solutions with Java, J2EE, JDBC, RMI, JNDI, Threads, JavaBeans, JSP, Servlets, Struts, Hibernate, Spring, EJB, UML, XML, JAXB, DOM, SAX, LDAP * Exper...
Tags for this Online Resume: Extensible Markup Language (XML), Integrate, Java Programming Language, Servlets, Test, Cascading Style Sheets, Clearcase, CSS, HyperText Markup Language, Triggers
Public Relations Specialist
Current client highlights * * Clark College Foundation - exceeded portfolio goal (six-month contract) by 20 percent CareOregon - Recruitment and retention for 385 Medicaid recipients * bed census is now at 90% * AREScms - all startup branding and recruited new client base in 2015 * Signature Hospice * Keystone Medicare Advisors - all startup branding and achieved Medicare enrollment in by 300 members2015 * Willamette Valley...
Ideal Companies: Woloshin Communications
Tags for this Online Resume: Medicare, Business Development, Communications, Media Relations, Public Relations, Planning, Strategic Planning, Training, Accredited Pension Representative, Budgetary
Health Insurance Benefit Specialist
Tags for this Online Resume: Health Insurance, Medicare, Medicaid
Licensed Nurse - 20 Years of Experience - Near 79109
Summary of qualification: Diverse nursing experience and skills. Management of Health Care Services, Medicare and Medicaid, Scheduling, Budgeting, Sales, Marketing, RN Consultant, and In-Service Coordinator for Nursing Home, Nurse Examiner for Competency Evaluations, High School Teacher and Clinical Instructor.
Tags for this Online Resume: Health Care Industry, Services, Home Care, Policies and Procedures, Scheduling, Test, Assessments, Billing, Budgeting, Long Term Care
