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Online Resumes with "MEDICARE"
Executive Vice President - 15 Years of Experience - Near 92708
Energetically outperforming healthcare executive with various roles as VP/ CFO/ COO who helps started two MAPD SNP Health Plans, a MSO, 2 IPA's, a Multi-Specialty Medical Facility successfully from scratch. Ability to roll up sleeve and dive in any challenge incurred in healthcare management and increase shareholder ROI.
Tags for this Online Resume: Management, Accounting, Consulting, Medicare, Infrastructure, Billing, CMS, EDI, Electronic Data Interchange, Insurance, Medicaid, CMS, Program Management, Project Management, Operations, HEDIS, Risk Adjustment, Revenue Cycle, Provider Contracting, Network Expansion, Healthcare Software Development, Claim Operations, Finance
Case Management Manager - 14 Years of Experience - Near 44720
To obtain a social service position that would utilize my current knowledge and skills.
Tags for this Online Resume: Benefits, Computer Aided Software Engineering, Security, Nursing, Rehabilitation, Transportation, Probate, Home Care, Medicare, Referrals
Registered Nurse - 8 Years of Experience - Near 28675
Summary .I am a highly motivated, skilled nurse with a broad background of working with the public, management, excellent computer skills, knowledge of Medicaid, Medicare and other programs at the State and Federal Level. I have served 4 years as a Clinical Director for a three county Hospice with a growth rate of 58%, I have trained, educated, served as Case Manager, performed Core Measures, worked with large insurance com...
Tags for this Online Resume: Hospice, Medical, Medicare, Software, Assessments, PCS, Personal Conferencing Specification (PCS), Coding, ACH, Communication Skills, Home Health, Education
Case Management Manager - 11 Years of Experience - Near 32162
Professional Summary: I have over 17 years experience in Case Management in the provider setting as Director of Case Management, Lead Case Manager and Key account Manager for Managed Care Companies, Physicians, Hospitals and Home Health Care Agencies. Specializing in admissions and concurrent reviews using Inter-Qual Criteria and MCG on a daily basis to determine decisions of appropriateness of admissions and continued stay...
Tags for this Online Resume: Insurance, Benefits, Home Health, Health Care Industry, Referrals, Compensation, Computer Aided Software Engineering, Assessments, Management, Medication Adherence
Physician
Summary Healthcare Executive with over 25 years of experience in both Medicaid and Commercial managed care markets. Progressive leadership roles in financial modeling, predictive analytics, development and implementation of quality initiatives and cost-reduction programs. Acumen in strategic positioning, infrastructure development and design experienced in leading an organization through State, NCQA, and Department of Insur...
Tags for this Online Resume: PEDIATRIC, Public Health, Budgeting, Call Center, Management, Medical, Medical Affairs, Operating Budget, Quality, Quality Assurance
Local Government - 19 Years of Experience - Near 91103
SUMMARY OF QUALIFICATIONS * has experience working with all populations of people variety of environments * has worked on a multidisciplinary team * knowledge of Windows, Word, Excel, and other computer programs * has real gifts for teaching and continues to develop administrative/management skills
Tags for this Online Resume: Documentation, Billing, Insurance, Quality Assurance, Referrals, Test, Therapy, Medicare, Benefits, Health Care Industry, Training, Case Management
Medical Office Manager - 17 Years of Experience - Near 95678
Qualifications/ Skills * Bilingual in Spanish able to read, write and fluently speak * Computer Literate with extensive proficiency covering a wide variety of application (Microsoft Word, Excel, Corel, Power Point, EPIC, Nextgen, Allscripts, Athena, Outlook, Peach Tree, Speed Comp * I am a flexible and a resourceful team player who can work in environments requiring ability to effectively prioritize and juggle multiple proj...
Tags for this Online Resume: Audit, Compensation, Imaging, Managed Care, Medical, Video, Billing, Management, Benefits, HR, Customer Service, Workers Compensation, Personal Injury, Medicare, Medi Cal, Authorizations, Marketing, Social Media, Quickbooks, Referrals, Credentialing, Contracting, Bilingual
Medical Manager- 17 Years of Experience - Near 92201
Obtain a challenging leadership position by applying creative problem solving and management skills with a growing company to achieve outstanding utilization of its resources while maximizing profits, while making a significant contribution to the success of my employer.
Tags for this Online Resume: Billing, Medicare, Audit, Coding, Management, Medical, Documentation, Home Health, ICD-9, Managed Care
Pharmacist - 20 Years of Experience - Near 37122
Summary Results oriented pharmacist with over 25 years of retail pharmacy experience, including 9 years as Pharmacy Manager. Adept at operating in a fast paced environment while maintaining a high level of safe and accurate dispensing. I have always placed a great emphasis on pharmacy operation in accordance with state and federal regulations, as well as Corporate policies and procedures. With over 8 years of experience as ...
Tags for this Online Resume: Training, Packaging, Billing, Human Resources, Renal Transplant, retail, staff, mail order, travel, Pharmacist in Charge, team leadership, long term care
Claims Examiner - 12 Years of Experience - Near 06249
SUMMARY Diverse, Deeply Experienced Professional and PhD Candidate, MBA, MSM, Certified Six Sigma Green Belt, and Certified Lean Six Sigma with broad technical savvy seeks a role commensurate with my work experience and education that maximizes my finance, project management, strategic, and analytical expertise to deliver value-added results and competitive advantage to a growing firm. BUSINESS ACUMEN * Management: Staff Ma...
Tags for this Online Resume: Audit, Financial, Quality, Quality Assurance, Quality Control, Underwriting, Account Management, Account Reconciliation, ACH, Banking Industry
Financial Analyst - 20 Years of Experience - Near 27341
Tags for this Online Resume: Payroll, Medicare/Medicaid, Receivables/Payables, Accounting, Billing, CMS, Co-Pays, Deposits, Financial Analyst, Home Health Billing, Coder
Medical or Health Services Manager - 17 Years of Experience - Near 90749
Tags for this Online Resume: Consulting, Management, Receivables, CT, HR, Human Resources, Magnetic Resonance Imaging (MRI), Medicare, MRI, PET, Sales, Marketing
