CV, Curriculum Vitae and Online Resumes Search

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Online Resumes with "MEDICARE MEDICAID"

Case Management Manager - 20 Years of Experience - Near 75207

Summary of Qualifications: I have worked in Managed Care in the business arena for twenty years. My objective is to have a position with an organization which will allow me to be in a position within the Health Plan industry and be responsible for supporting associates and an institution to increase the profitability. This would allow me to integrate my extensive background in clinical nursing, training, sales/ marketing pr...

Tags for this Online Resume: Training, Infrastructure, SAN (Storage Area Network), Scheduling, Documentation, Health Care Industry, Managed Care, Management, Services, Communication Skills

Registered Nurse - 20 Years of Experience

Professional Summary: Donna Lowe, RN CCM brings 20+ years of clinical experience with 11 years in direct Case Management in an acute care setting. She has 10 years experience with Discharge Planning and Complex Care Management with a successful record of decreasing the overall acute care length of stay. Donna has substantial experience in coordination of resources across the hospital from the ICU, ER, Neuro, Cardiac, Ortho,...

Tags for this Online Resume: Case Manager, Certified RN Case Manager, Detailed Medical Record Review, registered nurse, CCM, Workers Compensation, Local travel, Legal, Medicare, Patient Care

Chief Financial Officer - 15 Years of Experience - Near 31210

Accomplishments Led $50M acquisition to support national contract with Marriot Corp. Professional Systems had been awarded nationwide contract for housekeeping services. Sourced acquisition target, raised substantial capital, conducted due diligence and closed $50M transaction. Expanded to 48 states with new contracts from Starwood and Avendra. Developed new reporting systems to dramatically improve accountability. Newly-fo...

Tags for this Online Resume: CFO, Medical, Medical Devices, Management, Services, Acquisitions, Budgeting, Business Plan, Due Diligence, Enterprise Requirements Planning

Quality Assurance Specialist

PROFESSIONAL SUMMARY * Over 9+ years of IT experience in Software Testing, proficient in Client/Server and Web based applications. * Holds an extensive background creating and maintaining Master Test Plans, Scenarios, Cases and Scripts that increase reuse. * Comprehensive experience in leading highly complex and challenging industrial and commercial projects by designing, developing and delivering innovative solutions that ...

Tags for this Online Resume: JIRA, Management, Quality Assurance, Test, Applications, Test Scripts, Business Requirements, Integrate, ISO, Project Management

Billing/Coding Specialist - 16 Years of Experience - Near 30252

HIGHLIGHTS OF QUALIFICATIONS * Excellent verbal and written communication skills * Strong customer service problem resolution and satisfaction based on customer surveys and feedback * Certified Professional Coder with knowledge of ICD-10, CPT and HCPCS codes * Demonstrated knowledge of Medical Terminology, Anatomy and Physiology * Proficient in billing, coding, policy guidelines, reimbursement and HIPPA guidelines * Excelle...

Tags for this Online Resume: Billing, Business Analysis, Business Analyst, Publications

Billing/Coding Specialist - 20 Years of Experience - Near 10465

Summary of Qualifications -AAPC Member Certified Professional Coder since 2006. -Certified with ICD-10 Medical Coder Certification 2015 -20+ years of experience as a Medical Biller/Medical Coder -Certificate in Medical Terminology, Medical Claim Coding and knowledgeable of the anatomy -Responsible for overseeing troubleshooting problems while reviewing weekly billing. -Able to handle and prioritize multi-task functions simu...

Tags for this Online Resume: Medical, Benefits, Billing, Coding, Documentation, General Surgery, IDX, Insurance, Management, Medical Records, healthcare

Medical or Health Services Manager - 10 Years of Experience - Near 78665

Professional Summary Extensive experience in Network Development and Provider Contracting with Medicare, Medicaid, Commercial and Worker Compensation. Experience includes Senior Leadership roles managing a team between 5-25 people. Considerable success with building providers network in several states by designing, developing and implementing standard contracts to meet industry standards. Key skills include: Provider Relati...

Tags for this Online Resume: Networking, Medicare, Behavioral Health, Billing, Business Development, Business Strategies, Business Strategy, Coaching, Compensation, Contract Negotiations

Claims Adjuster - 20 Years of Experience

Well-regarded professional who combines claims benefits administrative regulatory compliance data collection and case management experience with strong customer service skills to illustrate value and competence. Ensure complete and accurate documentation is obtained to allow for compliant coding and reporting outcomes. * Confident and poised in interactions with individuals at all levels of the organization. Work effectivel...

Tags for this Online Resume: Benefits, Long Term Care, Microsoft Access, Customer Service, Management, Medical, Compensation, Computer Aided Software Engineering, Inventory, Risk Management, insurance, customer service, group health benefits

Manager

Areas of Expertise Project/Campaign Management * Leading projects from concept through completion * Create project plans and timelines for various marketing projects * Manage the development of Marketing Materials * Work directly with the designer, photographer and printer to estimate and execute various projects * Manage the execution of the project and ensure timelines/budgets are being met * Managed complex data driven M...

Tags for this Online Resume: Budgeting, Management, Advertising, Ariba, Cms, Distribution, Health Care Industry, Inventory, Legal, Marketing Management, print

Paralegal

Professional Summary Meticulous senior level manager excellent at juggling multiple tasks and working under pressure. Broad industry experience includes Healthcare, Finance and Legal. Highly ambitious senior level manager with background in accounting, accounts payable/receivables, collections, H.R. functions and payroll. DDS Skillfully developed departmental goals, objectives, standards of performance, policies and procedu...

Tags for this Online Resume: Accounting, Budgetary, Budgeting, Corrective Actions, Customer Service, Logistics, Management, Medical, Medicare, Patient Care

Quality Assurance Specialist - 10 Years of Experience - Near 45456

PROFESSIONAL SUMMARY * Over 9+ years of IT experience in Software Testing, proficient in Client/Server and Web based applications. * Holds an extensive background creating and maintaining Master Test Plans, Scenarios, Cases and Scripts that increase reuse. * Comprehensive experience in leading highly complex and challenging industrial and commercial projects by designing, developing and delivering innovative solutions that ...

Tags for this Online Resume: Management, Quality Assurance, Test, JIRA, Test Scripts, Applications, Project Management, Project Manager, Regression Testing, Software

Project Manager

PROFESSIONAL SUMMARY * Sr. Program / Project Manager with over fifteen (15) years of experience with core competencies include Project Management, Change and Risk Management, Client Relationship Management, Resource Management and implementation Management * Managed large programs in PMO's in excess of 9 Million for CVS Health * Assisted in initiating an Agile SCRUM approach in project management * Worked with EPMO directly...

Ideal Companies: Data Wrehousing, Big Data, Project Management

Tags for this Online Resume: Oracle, Oracle Warehouse Builder, Architectural, CIO, Data Warehouse, Design Documents, Documentation, Hyperion, OBIEE, Software