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Online Resumes with "Managed care companies"



Healthcare Services Executive, Strategy, Leadership, Business Growth, Profitability

To lead a healthcare services organization, a top tier consultant firm, or managed care company. Excel at business growth, increasing market share, leading and implementing new programs. Unparalleled interpersonal skills, team building, and achieving results. I am known as an expert executive and a person dedicated to successful performance.

Tags for this Online Resume: hospital executive, strategic consultant

Featured Profile

Experienced research scientist with unsurpassed analytic and writing skills

My ideal employer would leverage my wide experience as a Ph.D. psychologist who has conducted and managed research studies in a host of healthcare environments. Equally important would be for that company to provide opportunities for me to employ my skills as a direct service provider--someone who has worked directly with people suffering from mental and substance use disorders.

Ideal Companies: Medical University of South Carolina; The Mentor Network; Palmetto Summerville Behavioral Health

Tags for this Online Resume: Comunity Action, Health Outcomes, Program Evaluation, Statistical Analysis, quality of care, Substance abuse treatment, Logic Models

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Case Manager - 20 Years of Experience - MS Counseling Psych-Near 19446

Experienced rehabilitation specialist experienced with vocational, medical, and case management support for disabled personnel returning to work. Skilled at empathetic interpersonal communications, advisory and counseling services, and evaluation of worker's abilities to return from disability to working status. Known for achieving successful reintegration of workers with clearly defined and appropriate restrictions

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

Health and Wellness consultant - 20 Years of Experience - Near 53227

COVER LETTER: Attn: To Whom It May Concern: RE: Psychotherapist/ Licensed Clinical Social Worker Position: I am currently working part-time as a Psychotherapist/Marriage & Family Therapist/Holistic Psychotherapist/Addiction Specialist in private practice. I am originally from Wisconsin, and completed the Master's Social Work training at Washington University in St. Louis, Missouri, as well as additional post master's traini...

Tags for this Online Resume: Psychotherapy, LCSW, Addiction, Assessments, Behavioral Health, Benefits, Email, Facilitator, HIV, Insurance, Managed Care, Management

Business Analyst - 17 Years of Experience - Near 21117

Summary A seasoned professional with years (since 1994) experience in the management and administration of day-to-day operation for the insurance industry and a local non-profit organization. Significant experience in Medicare Part A and B Claims analysis, Recovery Audit Contractor Data Warehouse (RACDW), HIPAA assessments and implementations including impact assessments, gap analysis, requirements documentation, transactio...

Tags for this Online Resume: Health Insurance Portability And Accountability Act, Management, Project Management, Medicare, SDLC, Project Manager, Sybase, ANSI, Ansi (Am Natl Stds Inst), Collection

Pharmacy Manager - 4 Years Experience - West Hartford, CT - Open to Relocation

• Gain employment as a pharmacist with a pharmacy benefit manager (PBM), managed care company, pharmaceutical company, community health organization, or other non-traditional role that offers opportunities for professional growth and career advancement. • Become a valuable contributor to the team or department to which I am assigned and utilize my expertise in pharmacotherapy and community pharmacy practice to either impro...

Tags for this Online Resume: Inventory, Insurance, Management, Clinical Programs, Pharmacist, Pharmacy, Managed Care Organization, Pharmacy Benefit Management, Pharmaceutical, Prior Authorization, Drug Utilization Review, Medication Therapy Management

Sales Manager - 14 Years of Experience - Near 44107

Qualifications Summary: * Articulate persuasive communicator with excellent listening and negotiation skills able to build trust, confidence and cooperative spirit with people of diverse interest and authority levels to achieve goals. * Innovative and resourceful with business development a team player with the ability to project a positive image. * Well organized profit conscious sales professional who enjoys challenges an...

Tags for this Online Resume: Business Development, Managed Care, Nursing, Sales, Sales Calls, Advertising, Development Activities, Health Care Industry, Home Care, Integrate, Vice President of Business Development, Chief Marketing Officer, Marketing, Admissions

Admissions Director - 28 Years of Experience

Accomplishments: Consistently led all teams to exceed net sales and market share growth targets for nation in all targeted therapeutic disease states. Led department from below 10 ranking by customers in Scott-Levin rankings to #1 ranking. Led a small but focused group in obtaining the first ever preferred access within United Healthcare

Tags for this Online Resume: Account Management, CVS, Defense, Evaluate, Management, Medicare, Microsoft Access, Pharmaceutical Industry, Prime, Staffing & Recruitment, Access, Reimbursement, Pull Through

Pharmaceutical Sales Representative - 20 Years of Experience - Near 33322

PROFILE * Highly experienced and prolific Senior Sales Professional adept in identifying and securing new customers for single application products with infrequent or nonrecurring use. A superior sales practitioner educated and promoted to 3M's highest level of territory senior sales management. * An expert in securing the endorsement of the managed care companies with a record of success full large scale product placement ...

Ideal Companies: 3m and the other 49 Companies that make up the Dow

Tags for this Online Resume: Gynecology, Manufacturing, Mining, Management, Pharmaceutical Industry, Nephrology, Obstetrics, Pharmaceutical, 3M, Managed Care

Clinical Research

I have over 25 years in the healthcare industry where I have extensive knowledge of medical terminology anatomy and physiology ICD9/ICD10 medical coding principals data analysis extensive pharmaceutical knowledge of disease states and therapeutic indications quality control analysis overseeing off shore teams and measuring quality and productivity goals medical transcription/data entry managed care audits and EMR/EHR knowle...

Tags for this Online Resume: Medical, Medical Transcription, Transcription, Dermatology, Gynecology, Medical Records, Nursing, Psychiatry, Radiology, Urology

Medical or Health Services Manager - 10 Years of Experience - Near 30022

Ideal Companies: google , manage care company, remotely consultants

Tags for this Online Resume: Audit, Management, Ad Hoc Reports, Data Processing, Internal audit, Leadership, Medicare, Query, Structured Query Language, Quality