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Online Resumes with "Medicaid "



Nurse Coordinator 7 years experience, medical device/quality assurance audit/chart investigation/cusotmer support Philadelphia

Accomplished registered nurse with substantial experience in medical necessity reviews, continued stay reviews, and readmission reviews. Possess superior written and verbal communication skills. I am a very well rounded person with experience working in a corporate office, as a floor nurse, completing medical audits, dealing with Electronic Medical Records, medical device complaints, Medicare/Medicaid compliance, research...

Finance & Accounting Management Pro – Known for successfully leading financial aspects in industry & nonprofit sectors

If you have a client seeking a permanent accounting or financial management professional, I'd like to make a strong case for myself. I am also interested in temp-to-hire, contract-to-hire, project work, niche roles, interim solutions and staff augmentation opportunities. Others will tell you that I possess a reputation of making a positive difference, help move a company forward, increase revenues, decrease costs, improve...

Ideal Companies: timken

Tags for this Online Resume: controller, accounting manager, nonprofit, manufacturing, government, fiscal

Charge Nurse with 10 years experience

Sir/Madam, This letter is to express my interest in the position listed on the website.My resume highlights my ability, knowledge and skills in this area.Based on my skills in nursing, an education in pharmacy technology,I will be an addition to your team.I was able to increase our revenue through tracking our patients' condition, medication, and symptoms, and gave our unit 100 percent in the Medicare/Medicaid survey. This ...

Senior Consultant

Energetic and Self-motivated, persuasive team-player. Goal and detail oriented with experience to know when to listen and when to take action. Sales operations to small corporations and Fortune 100 including; Hospitals, Physicians Offices, Rehab Centers; Insurance Companies; Nursing Agencies, Long Term Care Centers, and private individuals. Manager of operations, marketing, physician recruitment, medicaid/medicare certific...

Tags for this Online Resume: Consultant, Marketing, Purchasing, Insurance, Sales, Training

Quality Management Coordinator

Would like to achieve lean care management with quality leading the way. Be able to achieve a quality program that has the numbers for full reimbursement from medicare and medicaid.

Tags for this Online Resume: CPH

Compliance Officer

A dynamic Administrator of Compliance and Risk Management with significant experience in managed health care and insurance regulations and law for government health insurance programs (Medicare and Medicaid). Developed compliance strategy for the health plan and ensured the appropriate documentation, implementation and reporting of compliance is managed. Excellent leadership style motivates and directs team activity towar...

Tags for this Online Resume: Compliance, Risk Management, Medicare, Medicaid, Ethics, Privacy

Featured Profile

Business Services Patient Registration Supervisor

I am a seasoned supervising professional with over 10 years of experience in managing health care benefits, employee relations, reviewing and writing policies, training and development, staffing and recruiting, records management and conflict resolution in a labor and union environment.

Ideal Companies: City and County of Denver, State of Colorado

Tags for this Online Resume: Denver, Customer Relations, Manager, Medical Customer Service, Employee Relations, Reliable, Kronos Payroll System, Health Connect (Resolute) Electronic Medical Record System, Citrix Mainframe Membership System, Excel Spreadsheet Creation and Maintenance, Cash Handling Maintenance, Coaching and Mentoring, Employee Records Retention, Employee Evaluation maintenance, Kiosk implementation and maintenance, Inter departmental relationship building and collaboration, Global Credit Card system, Xerox office equipment maintenance, Project management development and maintenance, Lean Six Sigma process participant, Venor relations and maintenance, Non-payroll budgeting maintenance, Superior Customer Service, Accounts Payables, Accounts Receivables, Audits, Cost / Benefit Analysis, Full Service Cash Handling, Expense Control, Internal Controls, Payroll, Reporting, Change Management, Consulting, Project Management, Restructuring, Team Leadership, Policy Development, Process Improvement, Benefits / Compensation, Employee / Union Relations, Recruiting, Training / Development, Workforce Planning, Performance Management, Needs Assessment, Client Relations, Presentations, Public Relations, Procurement / Purchasing, Vendor Relations, Cost Reduction, Operations Management Scheduling, Risk Management, OSHA / Regulatory Compliance

Featured Profile

Part time supervisor HHC

I provide exceptional contributions to customer service for all customers I strive for continued excellence I have strong communication skills I am eager to learn new positions for a job since I do have a very wide experience in my past jobs.

Ideal Companies: Able Care HHC RN Supervisor, Coordinator, case manager, OR Nurse, Good Samaritan Hospital Insurance Agent at GE Insurance Care Manager at BCBSFL

Tags for this Online Resume: Ft Myers Fl, Cape Coral Fl, interqual and keypro for medicaid care management

Health Care Executive -Operations & Development- 20 plus years of experience

Tags for this Online Resume: Health Plan Operations, Network Development, Medicare/Medicaid, Executive Management, Compliance, Clinical Development

Director, nationwide

I am a senior healthcare executive with extensive experience leading managed care contract negotiations and operations in Medicaid, Medicare and commercial markets. I have most recently held the position of Director, Provider Reimbursement for Presbyterian Health Plan located in Albuquerque, New Mexico in which I managed a staff of eleven Network Development professionals in negotiating contracts for all provider types a...

Tags for this Online Resume: Director of Network Management, negotiate contracts, manage people, reimbursement expert, provider relations, network development

Senior Healthcare Excutive

PROFESSIONAL SUMMARY: Proven leader with over 36 years of progressive and challenging management experience in diverse areas of healthcare operations and administration. Demonstrated success in organizations requiring strong leadership and decision-making skills. Committed to team building, staff development and training. Credentialed as a Registered Pharmacist in Texas, Florida and Massachusetts. Proficient in all Microso...

Tags for this Online Resume: Dallas, TX, Pharmaceutical Sales, Pharmacist, Healthcare Administrator, Financial Healthcare Consultant, Hospital Comptroller

Featured Profile

Experienced Consultant Pharmacist, PharmD with over 15 years experience

Licensed experienced pharmacist in Memphis, TN with Doctor of Pharmacy degree and nineteen years experience. Seeking a part-time position as a Consultant Pharmacist in a hospital and/or consulting setting. Dedicated to providing quality care in hospital-based, community-based Skilled Nursing facilities, Assisted Living facilities, Hospice, Home Care, and other long term care environments

Ideal Companies: Omnicare, Guardian, PharMerica, Centerrre Healthcare, Insurance companies performing chart reviews. Any company who contracts with assisted living facilities and nursing homes

Tags for this Online Resume: drug utilization review, JCAHO, organizational skills, compliance with regulatory agency regulations, performance improvement, patient safety, Medicare, Medicaid, Consultant Pharmacist, Hospital, Assisted Living Facility, Nursing Home, Skilled Nursing Facility, Intermediate Care/Mentally Retarded Facilities, Memphis, TN, 15 years experience, TN state license in good standing, PharmD