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Online Resumes with "MEDICARE"
Medical or Health Services Manager
SUMMARY: A dedicated and self-motivated Project Manager, drawing upon 5+ years of industry experiences within healthcare. Specialties: Process Improvement Clinical Quality Initiatives State Medicaid and Medicare Innovation models like DSRIP, Meaningful Use, HEDIS, PCMH, CCM and Transition of Care Healthcare Information Technology, Financial Analysis Budgeting Strategic planning & Operations and Grant & Report writing
Tags for this Online Resume: Medical, Fraud, Call Center, Documentation, Financial, Financial Analysis, Insurance, Quality, Policies and Procedures, Management
Business Analyst - 5 Years of Experience - Near 21133
SUMMARY More than 10 years experience in the information technology field. Experience encompasses project management, software quality assurance, and software testing. A combination of abilities, including analytical skills and project evaluation. Strong organizational, communication, and client interface skills.
Tags for this Online Resume: Management, Cms, Documentation, Medicare, Business Requirements, Licensing, IBM ISPF, Satellites, Software, Technical Documentation
Accountant
Tags for this Online Resume: Audit, Internal audit, Medicare, Prime, Control Systems, Financial, Financial Statements, KPMG, Accounting, Documentation
Manager - 15 Years of Experience - Near 19958
Professional with broad health care industry experience and understanding of private public and managed care coverage requirements. Proven expertise in eligibility appeals with the state of Tennessee's Medicaid Plan. Expertise in leading teams responsible for developing and maintaining viable policies and procedures to resolve coverage issues for applicants. Proactive approach to analyzing issues and finding creative soluti...
Tags for this Online Resume: Benefits, Health Insurance Portability And Accountability Act, Insurance, Management, Human Resources, Managed Care, Medicare, Project Management, Senior Project Manager, Statistics
Registered Nurse - 20 Years of Experience - Near 85050
QUALIFICATIONS * Health Care Background-Solid range of practically acquired clinical work experience and academic, nursing study with exposure to medical/surgical, obstetrics/gynecology, pediatrics, labor and delivery, newborn, nursery, intensive care, direct observation, neonatal pediatrics, pediatric intensive care, geriatrics, coronary care, psychiatric unit, operation room and emergency room procedures. * Basic Nursing ...
Tags for this Online Resume: Management, Medical, Medical Records, Medical/Surgical, NICU, Pediatrics, Surgical, Operating Room, Scheduling, Surgery, womens health, quality management
Materials Manager
SUMMARY Healthcare professional with extensive experience in training, management, reconciliation, audit, Medicaid and Medicare regulations. Experienced with federal regulations and compliance. Experienced with analysis and preparing reports for management. Medical claims Adjudication and Network Management.
Tags for this Online Resume: Management, Policies and Procedures, Audit, Business Analysis, Compliance, Medicare, Cms, Complaints, Business Analyst, Integrate
Business Analyst - 7 Years of Experience - Near 08817
Professional Summary: * 10+ years of overall IT experience with 6+ years of Business Analyst / Project Coordination and management expertise in Healthcare and Pharmaceutical Industry. * Lead JAD sessions to aid in requirement gathering, prototyping and documentation of business and system needs via BRDs, FRDs User Stories, Use Cases, Workflows, Wireframes and Software Requirement Specifications. * Expertise in implementing ...
Tags for this Online Resume: Business Analysis, Business Analyst, Information Technology, Acceptance Testing, Active Server Pages, Adobe, Adobe Acrobat, Agile, ANSI, Ansi (Am Natl Stds Inst), PMP certified, VISIO,MS Project
Medical or Health Services Manager - 12 Years of Experience - Near 92171
COVER LETTER: Dear Health Information Management OBJECTIVE: to obtain facility coding position that will allow me to utilize my coding skills and credential. I am a highly motivated individual who pays close attention to details and a great team player/member. I currently hold credentials as Certified Coding Specialist (CCS) (AHIMA) and an active member of AAPC. My background includes extensive study in the Inpatient Hospi...
Tags for this Online Resume: Coding, Encoder, Radiology, Cardiology, Distribution, Insurance, Insurance Claims, Medicare, Billing, ICD-9
Licensed Nurse - 17 Years of Experience - Near 33705
Summary of Qualifications: Over 17 years' of working experiences in a wide variety of clinical and administrative settings providing nursing care in Case Management, Utilization Review, Gerontological nursing, Cardiac care, Medical & Surgical units, Chronic & Infectious diseases, Public Health, Psychiatric nursing, Hospitals, Hiv clinics, LTC, Assisted living, Home health care, Biologic infusions & Marketing. * Excellent Le...
Tags for this Online Resume: Amazon Elastic MapReduce, EMR/, HIV Clinics, Home Health/ Public Health, Immunization, Wound Care/Wound Vac, Behavioral Health, Cardiopulmonary resuscitation (CPR), Chronic Diseases, CENTRAL LINES, Case Management, Utilization Review
Family or General Practitioner - 20 Years of Experience - Near 81403
COMMITTEES Adams Professional Pharmacy AND PROFESSIONAL ORGANIZATIONS
Tags for this Online Resume: Nursing, Patient Education, Triage, Medical, Oncology, Physical Examination, Risk Assessment, Medicare, Insurance, Referrals
Sales Manager
Tags for this Online Resume: Summit, Insurance, Health Insurance, Automation, Compensation, Medicare, Customer Service, Life Insurance, Telemarketing
Business Analyst - 9 Years of Experience - Near 80229
SUMMARY OF QUALIFICATIONS/skills Eighteen years of experience in the IT field of the health care industry with a thorough understating of all major states of Software Development Life Cycle (SDLC). Experienced in all stages of SDLC for various methodologies including Waterfall and Agile Fifteen years of experience in gathering requirements, defining, analyzing, testing, implementing system enhancements, and documentation Te...
Tags for this Online Resume: Benefit Plans, Management, Medical, POS, Software, Test, Unit Testing, EDI, Electronic Data Interchange, Quality Assurance
