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Online Resumes with "Managed Medicaid"
Case Manager/ Utilization Coordinator - 20 Years of Experience - Near 08872
COVER LETTER: To Whom It May Concern, I am a 34+ yr experienced RN with diversified hospital experience. My experience includes medical surgery, dialysis (peritoneal), immunology, infectious disease, and IV therapy team experiences including PICC and chemotherapy administration. I have spent 16 years of my career focused on hospital utilization review, case management (Medicaid/Medicare, Managed Care), hospital bill audit, ...
Tags for this Online Resume: Insurance, Medicare, Microsoft SMS, nurse, healthcare, care, rn
Physician - 20 Years of Experience - Near 85086
Utilize my experience and knowledge of medical practice and insurance industry ( health insurance, managed Medicaid/Medicare, workers compensation, disability). Develop cost containment programs to promote medically efficient health care with quality.
Tags for this Online Resume: medical director, Office only orthopedic practice, alternate payment, Bundled Payment, Risk arrangement contracting, Fraud and Abuse, claims review, Medical Management, Health Insurance, Managed Medicaid and Medicare, Occupational Medicine, Workers compensation, outpatient rehabilitation, disability
Medical or Health Services Manager - 17 Years of Experience - Near 60090
and Highlights
Tags for this Online Resume: healthcare compliance, quality management, medical management, utilization review, utilization management, performance improvement, strategy, leadership, management, false claims act, anti-kickback statute, accreditation, licensure, gap analysis, risk assessment, risk management, remediation, project management, public speaking, operations, clinical operations, managed care, Medicare, Medicare Advantage, Medicaid, Managed Medicaid, Payor, Communication
Vice President - 11 Years of Experience - Near 85737
RESUME SUMMARY An innovative, customer oriented healthcare management professional with extensive experience in Medicare FFS, Medicare Advantage, managed Medicaid, ACA/Exchange and Workers' Compensation. A coaching leadership style with a strong background in account management/client services, provider contracting and network management, and sales. Specific areas of expertise include: * HCC Risk Adjustment * Encounters Rep...
Tags for this Online Resume: Management, Book of business, Leadership, Product Launch, Project Management, Account Management, Medicare, P&L, manager, management
Quality Coordinator - 20 Years of Experience - Near 11590
Professional with 15+ years of experience in the healthcare industry. Seeking a challenging opportunity with growth potential within an expanding organization where I can utilize my years of reimbursement, collection and Appeals/Grievances experience with outstanding interpersonal, communication and organizational skills. NORTHWELL HEALTH, CARECONNECT A&G Investigator - Greenvale, NY - January 2017 - present * Facilitates m...
Tags for this Online Resume: INTAKE SUPERVISOR, PATIENT FINANCIAL REPRESENTATIVE, REIMBURSEMENT MANAGER, REIMBURSEMENT SPECIALIST, CUSTOMER SERVICE MANAGER, Analytical Skills, Billing, CMM (Capability Maturity Model), Coding, Communication Skills
Distribution manager - 20 Years of Experience - Near 43016
I am looking for the opportunity to join a team and help that team with problem-solving, and personnel management. I have strong customer facing skills and experienced in developing and executing strategic plans. I have change management skills and given the opportunity; I believe I can strengthen a team. I have served as a project manager as well as a manager of people and I have agile development experience.
Ideal Companies: UPOX, Ohio Health, Big Lots. XPO,
Tags for this Online Resume: Inventory, Audit, Budgeting, Forecasting, Planning, Sales, Sales Analysis, Strategic Planning, Due Diligence, manager, Account Management, Distribution, Change Management, Agile, Project Management, Program Management, Product Management, Accounts Receivable, Training, Mergers & Acquisitions
Registered Nurse - 0 Years of Experience
COVER LETTER: To Whom It May Concern, I am a 34+ yr experienced RN with diversified hospital experience. My experience includes medical surgery, dialysis (peritoneal), immunology, infectious disease, and IV therapy team experiences including PICC and chemotherapy administration. I have spent 16 years of my career focused on hospital utilization review, case management (Medicaid/Medicare, Managed Care), hospital bill audit, ...
Tags for this Online Resume: Test, Management, Quality Assurance, Quality Assurance Management, Transcribing, Dialysis, Insurance, Diagnostics, Medicare, Transcription, registered nurse, rn, care, nurse
Pharmaceutical Sales Representative - 15 Years of Experience - Near 28277
A comprehensive provider of successful sales/account management/managerial leadership in the, infusion/specialty pharm arenas that offers over twenty years of comprehensive experience with all commercial/managed care and Government payer groups. A well organized and focused manager, skilled at effective leadership and team building strategies. A successful negotiator and contract implementation specialist that can handle al...
Tags for this Online Resume: Medicare, Urgent Care, Integrate, Managed Care, Management, Pharmaceutical, Oncology, Patient Care, Medicaid, Contracts, Reporting
Director of Sales and Operations - 15 Years Experience
Top performing pharmaceutical sales executive with proven experience building sales organizations from ground up, driving performance value throughout company, and to bottom line. Recruit, hire, develop and deploy highly effective sales teams that maximize account value, market penetration and overall product ROI.
Ideal Companies: Gilead, Teva, Boeringher-Ingelheim, Lexicon, Abbott, Biogen Idec
Tags for this Online Resume: Pharmaceutical, Medicare, P&L, Business Planning, Cardiology, Contract Negotiations, Distribution, Managed Care, Marketing Management, Planning, Forecasting, Performance Management, Recruiting, Hiring, Coaching, Cross Functional Leadership
Senior Proposal Manager- 20 Years of Experience - Near 23454 or virtual
Lead and motivate talented teams in a positive environment
Ideal Companies: United Healthcare, Humana, Molina, Anthem, Magellan, Optima, Value Behavioral Health, Aetna, Amerihealth Caritas
Tags for this Online Resume: Proposal Manager, Federal proposals, Medicaid, Health care, Behavioral health care, Messaging, Content development, proposal, Information Technology, government proposals
Project Manager - 20 Years of Experience - Near 48114
Tags for this Online Resume: Agile, Oracle, PeopleSoft, Project Management, Project Manager, Health Care Industry, PMBOK (Project Management Book of Knowledge), Financials, Planning, Project Planning
Case Management Manager - 20 Years of Experience - Near 92602
Tags for this Online Resume: Services, Medicare, Computer Aided Software Engineering, Insurance, Management, Training, Behavioral Health, Account Management, Audit, Integrate
