CV, Curriculum Vitae and Online Resumes Search

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Online Resumes with "Medicaid Managed Care"

Billing/Coding Specialist

I am seeking a medical coding position where my education, experience and skills can be valued.

Ideal Companies: Hospital, Physician Office, Managed Care, Health Department

Compliance Manager - 3 Years of Experience - Near 15132

PROFESSIONAL SUMMARY Subject matter expert with 16 years' experience in Medicaid Managed Care Operations experienced at providing software development solutions for health plan optimization and process efficiency solutions. Holds a certificate in Business Value in Agile Projects, an M.B.A. in Strategic Management, a B.A. in Communication and a certified Lean Six Sigma Green Belt. CORE QUALIFICATIONS * Medicaid Managed Care ...

Tags for this Online Resume: Pittsburgh, healthcare, analysis, process analysis, Medicare, Managed Care, Consulting, Health Care Industry, Software Development, Root Cause Analysis, Lean six sigma

Medical or Health Services Manager - 3 Years of Experience - Near 30044

QUALIFICATIONS * * Qualified by over 25 years professional experience in: * * Operations/Program Management * P & L Responsibility * Teambuilding * Management Control Systems * Medicare, Medicaid, Managed Care * Financial Management * Finance/Operational Audits * Financial Planning/Reporting * Consulting/Problem Solving * Sales Management * Business Development * Healthcare Services * Strategic Planning * Coaching/Training ...

Tags for this Online Resume: Medical, Medical Devices, Rehabilitation, Services, Nursing, Sales, Sales Calls, Accounts Receivable, Financial, Management

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

In Between - 10 Years of Experience - Near 20748

PROFESSIONAL SUMMARY Dedicated professional with experience in office administration, human resources, outreach, and management. Other experience includes providing education/training, presentations, and development of strong partnerships with outside agencies. Able to uphold confidentiality, respect, necessary assistance, and discretion to the needs of those served. Detail oriented with excellent oral and written communica...

Tags for this Online Resume: Payroll, Documentation, Call Center, Management, Insurance, Program Manager, Billing, Statistics, outreach, data entry, customer service

Medical & Health Services Manager - 18 Years of Experience - Near 89141

SKILLS SUMMARY * Provider Relations and Liaison * Trainer, Presenter, Speaker * Medicaid, Medicare Advantage, Dual Eligible * Network Management, Development, and Recruitment collaboration with Regional Teams * P4P, PPO, POS, Managed Care, Medicaid, and Medicare contracting * Ancillary, Physician/Medical Group, and Facility contract administration * Complex issue resolution * HIPAA, NCQA, and CMS Compliance and contracting ...

Tags for this Online Resume: AR, Accounts Receivable, Compliance, Corrective Actions, Field Work, Financial Services, Medicare, Managed Care, Healthcare Exchange, Medicare Advantage, Medicaid Managed Care, Project Management, Provider Contracting

Medical or Health Services Manager

Professional Summary Account Management ~ Growth Minded ~ Results Oriented I am a motivated, highly skilled Account Management Professional with over 15 years of experience in the Healthcare industry and 25 years in Accounting/Financial analysis proficiency. Knowledge expands across the pharmacy reimbursement landscape with expertise in Medicare, Medicaid and Managed Care. Well-versed in managing strategic relationships wit...

Tags for this Online Resume: Sales, Account Manager, Retention, Billing, Insurance, Managed Care, Management, healthcare, PBM, reimbursement, collections, reconciliation, accounting, general ledger, journal entries, generally accepted accounting principles, pharmacy, consultant

Registered Nurse

PROFESSIONAL SUMMARY Registered Nurse * I am a healthcare professional with eighteen years practical experience in hospital and primary care. In the past six years I have become more involved with clients health management and have performed admissions for home care with OASIS documentation, High Risk Medical Case Management activities for a Medicaid Managed Care Organization, and managed a client base for a Medicaid Long T...

Tags for this Online Resume: Surgical, Telemetry, Assessments, First Aid, Health Care Industry, Phlebotomy, registered nurse, healthcare, case manager, Correctional, BLS, Medicaid, Medicare

Billing/Coding Specialist - 8 Years of Experience - Near 60473

SUMMARY Skilled professional with 10+ years of managerial experience in the healthcare sector, managing claims processing systems, data analysis, auditing, financial reporting and contracts. Experienced in managing government programs including Illinois Medicaid and Managed Care Organizations (MCOs) processes. Executed and managed in-network contracts with various MCOs expanding consumer base to increase billing opportuniti...

Tags for this Online Resume: Benefits, Billing, Financial, Government, Managed Care, Project Management, Project Manager, Payroll, Management, Audit

Billing/Coding Specialist - 16 Years of Experience - Near 30252

HIGHLIGHTS OF QUALIFICATIONS * Excellent verbal and written communication skills * Strong customer service problem resolution and satisfaction based on customer surveys and feedback * Certified Professional Coder with knowledge of ICD-10, CPT and HCPCS codes * Demonstrated knowledge of Medical Terminology, Anatomy and Physiology * Proficient in billing, coding, policy guidelines, reimbursement and HIPPA guidelines * Excelle...

Tags for this Online Resume: Billing, Business Analysis, Business Analyst, Publications