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Online Resumes with "Managed care experience "
Managed Care Provider Relations Senior Marketing Rep 20+ years experience - Fort Worth
20+ years Managed Care experience including Web End User Account Management, Physician contracting, Territory Analysis & Management, Salesforce.com Dashboard and Reports, Network Management, Provider Relations and EDI.
Healthcare Leader - Project Manager - CHC Certification
Healthcare compliance leader. Detail driven. Thirteen years of managed care experience. • Certified in Healthcare Compliance (CHC)/member Health Care Compliance Association (HCCA) • Expertise in healthcare regulations affecting managed care and corporate compliance programs • Project and program leader; sought-after subject matter expert • Adept at developing strategic partnerships to optimize the execution of busines...
Tags for this Online Resume: Raleigh, Healthcare, Manager, Compliance, Process Improvement, Durham, Cary, Managed Care, Project Manage
Experienced Managed Care Leadership
To secure a leadership in behavioral health utilizing my extensive clinical, business and managed care experience, and demonstrated success.
Tags for this Online Resume: utilization reviewer, managed care, behavioral health
Registered Nurse - 20 Years of Experience - Near 14225
Tags for this Online Resume: UAS certified, CCM , Independent , Managed care experience
Registered Nurse - 15 Years of Experience - Near 32750
Seeking non-clinical Case Management position. Certified Case Manager for 15yrs. Worker's Comp, Managed Care experience. Prefer to Work from Home, but will consider office.
Tags for this Online Resume: Case Manager, Nurse Case Manager, Longwood, FL, 15yrs, experience
Pharmacist w/ Management, Prior authorization, Formulary Management and Managed Care experience
A Registered Pharmacist in OH, KY, CT, NY and MA with strong analytical and problem solving skills. Proven ability to multi-task, work autonomously, manage projects and a diverse set of responsibilities, 10+ years of management experience. Team player who works well with cross functional groups and adapts well to changing environments. Skilled in building excellent relationships with a wide audience from support and pharmac...
Ideal Companies: United Healthcare, Anthem, Express Scripts, Humana, Mercy Healthcare,
Tags for this Online Resume: prior authorization, medicare, pharmacist, managed care, project management, six sigma, Cincinnati, long term care
Licensed Nurse - 15 Years of Experience - Near 79924
PROFESSIONAL SUMMARY MDS Coordinator with Medicare, Medicaid and Managed Care experience, Solid Clinical, Utilization Review and Case Management experience within Skilled Nursing Facility environment.
Tags for this Online Resume: Medicare, Coding, Documentation, ICD 10, Managed Care, Management, LVN, CASE MANAGER
VP Quality and Clinical Performance 15 years
PROFESSIONAL SUMMARY Visionary, Adaptive & Talented Senior Healthcare Executive Record of Transforming Healthcare Organizations: Maximizing reimbursement in Massachusetts 1115 MassHealth Waiver and multiple risk contracts. Proven executive with a discerning knowledge of Integrated Healthcare Delivery systems.Passion for meeting needs of complex patients with goal of improving access and health outcomes. More than 15 years d...
Tags for this Online Resume: Quality & Safety, Coding, Documentation, Management, Patient Care, Quality Assurance, Risk Management, Managed Care, registered nurse, Physician Alignment, Contract Performance
Regional/Multi-Unit Manager - 15 Years of Experience - Near 15317
A dynamic operations/management professional offering extensive and successful leadership positions in retail operations, sales, and service arenas. A highly competitive, results-oriented, collaborative and "hands-on" leader combining polished interpersonal skills to significantly improve sales and profit growth, people development, and customer satisfaction. * Financial Analysis & Budget/ Expense Management Real Estate/Sto...
Tags for this Online Resume: Inventory, P&L, Business Plan, Employee Relations, Human Resources, Merchandising, Real Estate, Recruiting, Field Manager, Operations Manager, Healthcare, Retail
Director of Clinical Operations
SKILLS SUMMARY: * Proven leadership and management abilities combined with analytical, organizational and communication skills. * Able to works independently and manage multiple dispersed teams. * Several years of medical services experience with continual progression in responsibilities. * Demographic research of area population for Medical Centers expansion. * Lease contract review and negotiation with landlords. * Comple...
Tags for this Online Resume: Management, Policies and Procedures, Complaints, Training, Monthly Statistical Reports, Procurement, Referrals, Deposits, Documentation, Medical, Medical Centers Operation, Policies and Procedures implemetation, state and federal regulation specialist, AHCA Consultant, Medical Centers build out, grow and expansion, Project Manager, Managed Care Experience, Utilization Management, Staff development, OSHA and HIPPA Compliance Specialist
Registered Nurse - 13 Years of Experience - Near 47112
I'm a bachelor prepared RN with 13 years of managed care experience. I have management experience. I have been successful in collaboratively working with Physicians and other disciplines to provide optimum care in the most cost efficient manner. I have a diverse background and can effectively communicate with all clients in order to navigate the patient through the managed care system
Tags for this Online Resume: nurse, insurance, hospital, managed care, bachelor in nursing, management, Computer Aided Software Engineering, Nursing, Acute Care, Call Center
