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Online Resumes with "Managed Care Operations"



Medical Director

Proven Managed Care Operations Executive adept at blending fiscal principles with clinical management while improving quality of patient care. Outstanding record of involving physicians and support staff in finding new cost-effective/quality oriented pathways that meet the market challenges. Expertise in dealing with healthcare and managed care plans. Reputation for innovative cost cutting through building a culture wher...

Tags for this Online Resume: Healthcare, ICD-10 certified AHIMA Instructor, Medical Director, Contracting, Compliance, medical software

Director, Managed Care Operations, Philadelphia

Achieve intrinsic reward from doing a great job. Bring rapid change to any organization with respect to efficiency and effectiveness. Provide exceptional customer service both internally and externally. Exemplify effective Leadership.

Tags for this Online Resume: Managed Care Operations, Leadership, Customer Service, Process Improvemeent, Director

Managed Care Operations Director, Healthcare Operations Project Manager

To become part of a team as an Operations Director, Project Manager or Manager in a helthcare payer or provider organization.

Director Manage Care Operations, Miami

director

Managed Care operations professional with a 19-year track record of productivity improvements in claims, customer service, quality and finance. Continual high ratings in people management, project management, analytics and creative problem solving.

Ideal Companies: Blue Cross and Blue Shield, United, Aetna, CareFirst,

Tags for this Online Resume: management, operations, projects

Featured Profile

Sales/Marketing

I am seeking an exciting and new challenges in a professional organization that provides opportunities for growth in an outside sales / marketing related position. I am looking for a position in which I am able to utilize and display my interpersonal skills, along with my strong motivation to succeed.

Ideal Companies: Merck, Johnson and Johnson, Pfizer

Tags for this Online Resume: exceeds sales and service quotas, build relationships, customer satisfaction, problem solver, Implement new strategies, business to business markets, service development, prospecting, selling products and services, time management, travel, on-going communication with clients, resolves issues, new account development, manages clients in a multi-county and state-wide geographical territory, assesses and evaluates client needs

Featured Profile

Healthcare Administrator

I'm a healthcare administrator with over 18 years experience in academic medical centers and integrated delivery systems, both public and private sectors. I have 21 years (active and reserve) as a Healthcare administration officer in the military healthcare system (Tricare). My background is in healthcare policy, operations and managed care. Moving to Denver area and seeking position in health system (hospital or physician...

Registered Nurse - 20 Years of Experience - Near 48047

Kim has extensive managed care operational background in HEDIS, MA Stars, NCQA and related quality improvement efforts. Kim is recognized as a problem solver with strengths in strategic and tactical planning as well as the completion of projects within an established timeframes. Kim has proven leadership skills in motivating and integrating a diverse team from multiple business areas that consistently meet goals and objecti...

Tags for this Online Resume: NCQA, Quality Management, Disease Management, Program development, HEDIS, Managed Care, Clinical Integration, Performance Measurement/Management/Improvment, Patient Care, ROI, Services, Management, Data Analysis, Process Improvement, Computer Aided Software Engineering

Compliance Manager - 3 Years of Experience - Near 15132

PROFESSIONAL SUMMARY Subject matter expert with 16 years' experience in Medicaid Managed Care Operations experienced at providing software development solutions for health plan optimization and process efficiency solutions. Holds a certificate in Business Value in Agile Projects, an M.B.A. in Strategic Management, a B.A. in Communication and a certified Lean Six Sigma Green Belt. CORE QUALIFICATIONS * Medicaid Managed Care ...

Tags for this Online Resume: Pittsburgh, healthcare, analysis, process analysis, Medicare, Managed Care, Consulting, Health Care Industry, Software Development, Root Cause Analysis, Lean six sigma

Quality Assurance Director

SUMMARY Proven Managed Care Operations Executive adept at blending fiscal principles with clinical management while improving quality of patient care. Outstanding record of involving physicians and support staff in finding new cost-effective/quality oriented pathways that meet the market challenges. Expertise in compliance and in dealing with healthcare and managed care plans. Reputation for innovative cost cutting through ...

Tags for this Online Resume: Billing, Coding, Management, Audit, Quality, Documentation, Policies and Procedures, Medicare, Cms, Health Insurance Portability And Accountability Act

Medical Financial Analyst

Medical financial analyst with broad experience in all aspects of accounting, auditing and financial management.Strengths include managed care operations and billing, financial planning and analysis,reimbursement, problem solving, and, provider negotiations, human resources, process improvements, program development, and efficient healthcare delivery, and assumes a leadership role within the interdisciplinary care facility....