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Online Resumes with "MMIS"



Coding Educator - 20 Years of Experience - Near 60440

Over 20 years of healthcare experience: professional specializing in driving operational growth by executing strategies to optimize revenue and employee retention. Skilled in acquiring talent, training and orientating personnel for multiple roles. Effective communicator with an outstanding reputation for integrity, results, and the ability to manage and motivate people at all levels. Strong background in providing direct...

Tags for this Online Resume: I-10 Certified, Cerner, Drager, EPIC, MMIS/IDX, Meditech, NEBO, Zirmed

Medical Assistant - 10 Years of Experience - Near 20019

I am a staff assistant in Healthcare with 6 years of long term care, elderly and personss with disability experience oversight of Provider agencies ensuring documents are submitted correctly, and timely. Resolve Medicaid concerns on eligibility in a District and federal Government sector.

Tags for this Online Resume: Provider Enrollment, Managed Care, Fee for Service, Health Care Delivery, Beneficiary Eligibility, Contracts/requisitions, MMIS/Omnicaid , Budget

Project Manager - 20 Years of Experience - Near 95123

Results driven professional with 20+ years of combined management and leadership in Business Administration, Analytics, IT/IS Services and Human Resources. I am a creative thinker, problem solver and decision maker who effectively balances the ever changing needs and mission of the organization. I possess strong communication, mentoring, negotiations and organizational skills that can be used in any working environment.

Tags for this Online Resume: Project Manager, Systems Analyst, Medicaid/MMIS, HIX, Training, QA, Writer

Medical or Health Services Manager - 20 Years of Experience - Near 27606

Andy Fontalbert has 20+ years of health care experience: 15+ years of consulting, fraud and abuse projects, provider and member portal projects, Project Management of Private Health Exchange, multiple management positions for Medicaid projects, 20+ years claims experience, 15+ years Project Management, 20+ years Prescription Benefits Management, 20+ years complex policy and procedures within health care, multiple system imp...

Tags for this Online Resume: Raleigh, NC, Manager, Project Manager, Medicaid, Prescription Benefits, Technology, MMIS, CMS Certification

Featured Profile

Medical Supply Chain / Material Management - 20 Years of Excellence and Leadership - Near 94536

Strategic supply chain professional looking for opprotunities to put my cost savings and process management kills to work. Value Analysis Coordinator delivering $5 Million in cost savings. Thought leader in UNSPSC categorzation.

Ideal Companies: Medical Start Ups, GHX, ECRI, Advisory Board Company, University Health Care Consortium (UHC), Kaiser, Palo Alto Medical Foundation, Dignity Healthcare.

Tags for this Online Resume: Attribution, Supply Chain, Categorization , Analysis , Value Analysis , UNSPSC, Cost, Savings, classification, Medical Materials, Microsoft Power Point, Microsoft Excel, Medical Contnet, UNPSC, Project Coordinator

Director

Tags for this Online Resume: optimization, six sigma, MMIS, material management, PMP, healthcare

Business Analyst - 2 Years of Experience - Near 30096

SUMMARY: Professional analyst with extensive experience in the Healthcare Insurance Industry for members and providers. Recent experience and education in business analysis with a focus on SQL and Scrum Agile Methodologies. Effective working directly with providers to elicit business requirements. Successful analyzing and testing denied healthcare claims to ensure proper posting, payment and maximum dollars returned to the ...

Tags for this Online Resume: Billing, Medical Billing, Business Analysis, Business Analyst, Account Manager, Business Requirements, Health Care Industry, Management, Visio, OracleSQL, SharePoint, SalesForce, Excel, Java

Medical or Health Services Manager - 13 Years of Experience - Near 30096

PROFESSIONAL SUMMARY Experienced Medicaid/Healthcare Professional with more than twenty (20) of IT healthcare systems experience and five years of experience in MMIS Systems and Operations, Call Center and the RFP requirements. Goal and results-oriented leader who has served on Georgia State Government E&E/MMIS/DDI implementations.

Tags for this Online Resume: Cms, Medical, Medical Records, Insurance, System Testing, Test, Web, Web Portal, Web Technologies, Management

Project Manager - 20 Years of Experience - Near 03885

SUMMARY Program Manager with 20 plus years of extensive IT experience leading project and program teams in IT implementations and integrations Business Analysis * Knowledgeable in Requirements gathering and elaborating using many different techniques * Skilled at creating and presenting technical information * Expert in Problem Solving Skills: ability to identify problems, provide alternative solutions and implement solutio...

Tags for this Online Resume: Customer Relationship Management, Integrate, Agile, Business Analysis, Architect, Payment Processing, Requirements Definition, Business Requirements, Management, Program Manager

Business Analyst

Summary * 7+ years of experience as Business Analyst in the Healthcare Industry with expertise in Affordable Care Act (ACA), HL-7, EDI Transactions (834, 835, 837), HIPAA, MMIS, Medicare and Medicaid. * Adequate knowledge in Health Administration - Claims processing (auto adjudication), COB, EOB/Drafts, Claims pricing and testing, HIPAA, enrolment, EDI, HIX, HMO, PPO, POS, Medicare, Medicaid, CDHP, MMIS system implementatio...

Tags for this Online Resume: Quality, Structured Query Language, Test, VISIO, Jad, Microsoft Office, Microsoft Visio, Rational, Rational Rose, Requisite Pro

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