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Online Resumes with "Medicaid experience"



Health Information Professional

I'm looking for a career in the health field that will allow me to use the skills and knowledge I have gained over the years through education and job experiences.

Tags for this Online Resume: Health Information, insurance billing, TPL,TPA and PPO experience, medical claims, medicaid experience, electronic data imaging

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

SME Government Programs 35+ years

Seeking work as an SME or Business Analyst involved in government programs with expertise in Medicaid. Experience in systems modernization for government programs.

Tags for this Online Resume: SME - Government Programs, Business Analyst, Compliance - Government , Consulting, Policies & Regulations, Business Requirements

Health Insurance and Medicaid Operations Manager - more than 10 years experience in managmement

Experienced in managing large operations department including Medicaid Customer Service Center, Provider Credentialing and Enrollment, as well as Claims and Membership Accounting. Skilled in performing as operations lead for large projects and their successful implementation. Process improvement is always at the forefront of my best skills set.

Tags for this Online Resume: Medicaid experience, Customer Service, Medical Claims, Provider Relations, Provider Enrollment, Provider Credentialing, Health Insurance Manager, Health Insurance Operations, Medicaid Operations

Featured Profile

Home Health, Registered Nurse, 20 yrs experience

Resourceful, patient-focused R N with valid State RN License and with 25+ years’ experience in clinical and home health settings providing nursing care to diverse populations, specializing in geriatric care. Experience and training in clinical and laboratory procedures as well as 20 years’ experience as a home health Case Manager and PCA supervisor with Medicare and Medicaid experience.

hospital and medical biller w/ medicaid experience

seeking a position in the medical administration field in an organization that can utilize my knowledge and training, exceptional customer sevice abilities, and attention to detail.

Case Manager - 12 Years of Experience - Near 30040

SUMMARY EXPERIENCE Significant experience in nursing: Critical Care, Nursing management Case Management, ongoing Utilization Review with Medicare and Medicaid experience. Strong administrative and communication skills. Team Lead DME/Radiology prior authorization. Responsible for PA reviews and appropriate Turn around Times for the following areas: DME, Radiology, HOTS, Meds, Office visits, Emergency and non-Emergency transp...

Tags for this Online Resume: Radiology, Computer Aided Software Engineering, Medical, Obstetrics, registered nurse

Director - 20 Years of Experience - Near 92708

SUMMARY Seeking a position where I can utilize my accomplished leadership skills in nursing, management and organization to provide projected, qualitative client and business outcomes. To utilize my nursing and leadership background and extensive knowledge of Managed Care, including Commercial, Medicare, and Medicaid experience, in an environment where excellence, professionalism, and vision are valued. Talented interviewer...

Tags for this Online Resume: Management, Cms, Integrate, Medicare, Assessments, Leadership, Planning, Quality, Quality Assurance