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Online Resumes with "MEDICAID"
Legal Assistant - 20 Years of Experience - Near 10271
Tags for this Online Resume: Research, Administrative Assistant, Fraud, Macro (Predefined Code), Microsoft, Microsoft Word, Management
Executive Director
Ideal Companies: Center for Medicare & Medicaid, Davita Dialysis, Emory Hospital, Gentiva, CMS
Tags for this Online Resume: Cash Flow, Medical, Billing, HR, Human Resources, Marketing Management, Payroll, Amazon Elastic MapReduce, Cms, Coding
Managing Director - 20 Years of Experience
I am looking for an opportunity where I can continue to grow both personally and professional while at the same time providing guidance and expertise in developing and delivering business and technology solutions focused on improving operational efficiencies and driving a high quality, unparalleled customer experience.
Ideal Companies: Eli Lilly, Anthem, Seven Corners, Amazon, Salesforce, Angies List, CNO, Community Health, St. Vincent's,
Tags for this Online Resume: Customer, Service, Management, Leadership, Transformation, Operations, Business Development, Customer Experience, Business Process Outsourcing, Vendor Management
Manager - 0 Years of Experience
of the project is to develop a Medicaid Management Information System for the State of Michigan to follow 5010 version of X 12\HIPAA using existing eCAMS application which is developed following HIPAA X 12 standards. Implement the Core rules to meet the CAQH CORE mandated standards by integrating it existing eCAMS application. Responsibilities: * Gathering the CORE Rule requirements for Phase I/II/III implementation and con...
Tags for this Online Resume: Agile, Artificial Intelligence, Clearcase, Data General Eclipse, Eclipse, EDI, Edifecs, Electronic Data Interchange, Extensible Markup Language (XML), File Transfer Protocol
Claims Investigator
SUMMARY OF QUALIFICATIONS Experienced insurance management professional with expertise in provider relations, contract development, compliance, operations, call center management, reinsurance, and account/program management. Organized, self-starter with in-depth knowledge of employee benefits, group and individual health, life, Medicare and Medicaid products. Extensive experience in managing professional staff, developing e...
Tags for this Online Resume: Compliance, Insurance, Managed Care, Policies and Procedures, Process Improvement, Process Improvements, Management, Networking, Pricing, Project Management
Registered Nurse - 0 Years of Experience
COVER LETTER: To Whom It May Concern, I am a 34+ yr experienced RN with diversified hospital experience. My experience includes medical surgery, dialysis (peritoneal), immunology, infectious disease, and IV therapy team experiences including PICC and chemotherapy administration. I have spent 16 years of my career focused on hospital utilization review, case management (Medicaid/Medicare, Managed Care), hospital bill audit, ...
Tags for this Online Resume: Test, Management, Quality Assurance, Quality Assurance Management, Transcribing, Dialysis, Insurance, Diagnostics, Medicare, Transcription, registered nurse, rn, care, nurse
Program Manager
Tags for this Online Resume: Outpatient Care, PEDIATRIC, ADA, Ada Programming Language, Assessments, Audit, Cms, Emerging Markets, Health Insurance, Insurance
Experienced consultant, expertise in business development and lead generation, Oregon
My career is dedicated to best practices. I have found success by utilizing coalition building in parallel with marketing, communication and public relations by designing cost-effective research to create program of strategic planning to generate new leads and business development. I offer successful and fiscally responsible expertise and possess the skill and spirit necessary to assist the any organization develop and expa...
Ideal Companies: Agencies, Health Care, Social Service
Tags for this Online Resume: Social Media, Data General Eclipse, Distribution, Eclipse, Home Health, Legacy, Rehabilitation, Research
Senior Vice President Payment Transformation, Vice President Managed Care, Network Development, Contracting and Provider Relations - 20+ years Experience, Kansas
I am searching for a progressive organization that is moving from pay for volume to paying for value. I have built a prospective bundled payment program for the ambulatory setting. I've also partnered with Oracle to co-develop a technology platform to automate the payment of prospective and retrospective bundles. I have negotiated bundled payments, shared savings arrangements, bundled payments, FFS, case rates and PCMH ...
Ideal Companies: UHG, Humana, Blue Cross Blue Shield, Lumeris, Adventist Health System
Tags for this Online Resume: contract negotiations, network development, value based contracting, managed care, ACO, clinical integration, Compensation, Prospective Bundles Program, Commercial, MA and Medicaid
Health and Wellness consultant - 0 Years of Experience
AREAS OF EXPERTISE -Regulatory Compliance -Training and Team Building -Operational Support -Strategic Planning -Clinical Administration -Project Coordination -LTC Facility Management -Business Development -Budget and Cost Control -Data Analysis and Reporting - Marketing and Promotions -Health and Safety Standards Summary of Qualifications and Achievements * Increased Payer Sources from just Medicare, Medicaid and Private Pa...
Tags for this Online Resume: Nursing, Health Care Industry, Budgeting, Compliance, Cost Control, Data Analysis, Evaluate, Financial, Health Insurance Portability And Accountability Act, Home Health, Detroit
Bookkeeper
Tags for this Online Resume: Accounts Receivable, Billing, Coding, Management, Medical, Medical Billing, Radiology, Receivables, Medicare, Insurance
Appraiser - 13 Years of Experience - Near 33436
Tags for this Online Resume: Accounts Receivable, Billing, Coding, Management, Medical, Medical Billing, Radiology, Receivables, Medicare, Insurance
