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Online Resumes with "Medicaid Fraud"



Information Technology Manager

Well-educated high-tech professional. Extensive experience in data processing and information technology as a manager, designer, systems analyst, programmer, consultant, and trainer. Adept at formulating plans of action to solve problems. Key skills include: Technical Consulting, Systems Management/Analysis, Technical Project Management, Estimating, Project Management, Program Management, Troubleshooting, Customer Rel...

Ideal Companies: National City Bank, Ford, Emerson Electric, Dewalt

Tags for this Online Resume: IT Management, IT Mainframe Systems Engineer, Presentations, Teacher/Coach, Systems Design, Problem Solving, Program Management

Medicare/Medicaid fraud investigator, program integrity, risk/loss prevention, healthcare fraud litigation, government healthcare policy

I am interested in career opportunities to expand upon my combination of medical and healthcare fraud education and experience in areas involving all segments of the healthcare insurance industry. I am most interested in identifying and investigating existing fraud, developing strategies to prevent fraud, contributing to policies for compliance with state and federal insurance vehicles.

Tags for this Online Resume: Medicare/Medicaid, Program Integrity, Compliance/Enforcement, Audit/Inspect/Investigate, Settlement/Litigate, Fraud Prevention

Medicare/Medicaid Fraud investigator

To secure a opportunity leveraging my legal training, business, and Medicare/Medicaid experience in the field a fraud investigation.

Tags for this Online Resume: Medicare, Medicaid , Fraud Investigator, Medicare fraud investigator, Insurance fraud, healthcare , Healthcare Reform Act, Healthcare insurance, AHCCCS fraud investigator

Featured Profile

Government Affairs Professional

EXECUTIVE –LEVEL MANAGEMENT: GOVERNMENT AFFAIRS, PUBLIC SECTOR SALES, MARKETING, BUSINESS DEVELOPMENT, GRASSROOTS CAMPAIGN STRATEGIES Proven government affairs and business development expert with extensive experience achieving success in the public sector for businesses, associations and government. • Creative government affairs and marketing professional with extensive experience in diverse workplace environments • Expe...

Ideal Companies: Companies active in state and local public sector markets

Tags for this Online Resume: Government affairs, Government Relations , Government Sales

Director of Provider Relations, Physiscian credentialing, contract negotiations

Senior Healthcare Administrator with over 15 years experience working with physicians, hospitals and HMOs. Excellent communications skills and familiar with PCMH, NCQA,HIPPA, and Medicaid/Medicare managed care.

Tags for this Online Resume: Contract Negotiations, Provider Relations , Medicaid/Medicare, Provider Network Development, Medicaid Fraud Investigation , Grant Writer

Lawyer - 1 Years of Experience - Near 19707

Ideally, I would like to forge my way into the health law field for several years before finding a job focusing solely on Medicaid Fraud and Qui Tam cases.

Tags for this Online Resume: Philadelphia, Attorney, Health Law , Personal Injury, Pennsylvania, New Jersey, Lawyer

State Government - 20 Years of Experience - Near 98584

Find employment where my years of knowledge, skills and abilities will be put to the best use.

Tags for this Online Resume: Fraud, Healthcare, Investigations, Training, Security, Medicaid Fraud, Workers Compensation

Featured Profile

Manager

Visionary, results-focused senior executive recognized for enterprise level technology utilization and exceptional strategy leadership. Resourceful big-picture thinker; confidently champions business objectives through outstanding technical direction, business acumen, and cost-saving transformation initiatives. Extensive experience in large scale institutions as well as driving start-ups, software solutions, project managem...

Tags for this Online Resume: IT Infrastructure/Design, IT Strategy, Big Data Utilization, Architectural Design, Project Lifecycle Management, Business Continuity, Disaster Recovery, IT Security, HIPAA Regulations, Data Warehousing, Systems Engineering, Security Design, Systems Integration

Featured Profile

Compliance Officer - 10 Years of Experience - Near 20866

Ensure compliance and promote the best interest of the company and its employees to the best of my ability.

Ideal Companies: AARP, United Health, World Health Organization

Tags for this Online Resume: communications, health admin, claims, Medicare, Medicaid, Managed Care, Systems, C, MS Project

Admissions Registration Clerk - 1 Years of Experience - Near 28748

I am currently transitioning from a nurses assistant/medication technician to an administrative position. This is kind of a difficult process because even though I have years of experience in the medical field it is not under the administrative scope. This means I must began my new career as an administrator as an administrator's assistant at an entry level. This process is a difficult one because the positions differ immen...

Tags for this Online Resume: Excellent communication skills, proficient with creating presentations, Great conflict manager , Work well in an team setting , Fluent with HIPAA laws , proficient at recognizing where cost need cutting and implementing plans to do so, Comp[liant with risk management polies and procedures , Proficient at reducing Medicare and Medicaid fraud events

Claims Investigator - 10 Years of Experience - Near 06052

SUMMARY * Certified Fraud Examiner (CFE) by internationally recognized organization, Association of Certified Fraud Examiners * Certified Program Integrity Professional (CPIP) by the U.S. Department of Justice, Medicaid Integrity Institute. * Certified Professional Coder (CPC) and Certified Professional Medical Auditor (CPMA) by nationally recognized organization, Academy of Certified Professional Coders. * Exceptional anal...

Tags for this Online Resume: Fraud, Audit, Business Objects, Coding, Data Warehouse, Documentation, Financial, Referrals, Scheduling, Certified Fraud Examiner, Certified Medcial Auditor, SIU, Fraud, waste and abuse, Certified Professional Coder, Health care investigation