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Online Resumes with "Managed Care contracts"



Medical or Health Services Manager

Managed Care Contracting & Payer Strategies

Tags for this Online Resume: Managed Care, Prime, Problem Solving, CFO, Account Management, Audit, Bankruptcy, C Programming Language, Collection, Insurance, sales, business development, outside sales, account executive, account manager

Admissions Director - 20 Years of Experience - Near 75707

PROFESSIONAL SUMMARY I have 30 years combine experience in the Healthcare Profession working as a Medical Office Manager, Licensed Workers Compensation Case Manager, Contract Negotiation, Contract Analysis, Billing, Collections and Denials Management Manager, Healthcare Consultant, Human Resource and Payroll function and Senior-Level Revenue Cycle Analyst for Hospital and Physician. I have successfully trained and mentored ...

Tags for this Online Resume: Coding, Payment Processing, Billing, Management, Medical, Audit, Compensation, Insurance, Managed Care, Chiropractic, healthcare

Medical or Health Services Manager - 20 Years of Experience - Near 60514

Seeking an opportunity to use my fine-tuned contract negotiation and relationship building skills to further the cost savings for my employer. Build and main relationships with clients and providers. Manage correct contract payments and review existing contracts for protection of employer.

Tags for this Online Resume: managed care contracting

Project Manager - 20 Years of Experience - Near 84120

PROFESSIONAL SUMMARY: 30+ years of successfully managing and leading Healthcare facilities and Information Technology teams in the Federal, Commercial and Not-for- Profit sectors. A professional leader that gets the job done by motivating teams, negotiating solutions and mitigating obstacles while exceeding Customer's expectations. Achieved significant cost savings while negotiating contracts, eliminating waste, leading pro...

Tags for this Online Resume: Health Care Industry, Patient Care, Acute Care, Agile, Applications, Automation, CIO, Configure, agile, software, Program Manager, Leader, Customer Focused, Problem Solver, Communicator, Team Builder, Results Oriented

Case Manager - 20 Years of Experience - Near 34698

ACCOMPLISHMENTS Quality Improvement/Care Management * Developed criteria for specifications to analyze group specific data, both demographic and claims, quantifying and stratifying to determine areas of savings opportunities and health enhancements for specific accounts. * Audited patient charts for NCQA/HEDIS and Joint Commission, helping clients to achieve respective accreditation. * Abstracted charts to boost OASIS compl...

Tags for this Online Resume: Business Development, Quality, Compliance, Credentialed, Disease Management, HEDIS, Abstractor, care management, case management, RN

Chief Information Officer

PROFILE: symbol 183 \f "Symbol" \s 10 Executive Vice President - Enterprise of CARE4D. Leader in the innovative technologies of Augmented Reality, Virtual Reality and Mixed Reality, providing real time on-demand, mobile and dynamic capabilities to companies, industries and healthcare. Provides that additional resourcing to executive leadership that tips the balance in effective, innovative and collaborative successes. Enabl...

Tags for this Online Resume: Applications, Communications, Data Communications, Health Care Industry, Leadership, Logistics, Management, Pharmaceutical Industry, Product Development, Program Management

Financial Analyst

Tags for this Online Resume: Ad Hoc Reports, Compliance, Financial, Managed Care, Management, Managed Care Contracting, Nursing, Payroll, Problem Solving, Problem Solving Skills

Medical or Health Services Manager - 9 Years of Experience - Near 89145

Tags for this Online Resume: Support, Managed Care, Managed Care Contracting, Management, Medicare, Behavioral Health, Business Development, Quality, Sales, Amazon Elastic MapReduce

Featured Profile

Healthcare Revenue Cycle Management - over 20 years experience - South Florida

As a highly skilled Business Office Director with over 24 years of service, I have demonstrated leadership, analytical and problem solving expertise. My extensive experience in negotiating Managed-Care contracts, planning, implementing and follow-up revisions of new polices procedures which maximized revenue and more importantly a positive bottom line for my employer.

Ideal Companies: Hospital

Tags for this Online Resume: Billing, Management, Policies and Procedures, Collection, Compliance, Financial, Financial Management, Health Insurance Portability And Accountability Act, HIPAA compliance, Medicare