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Online Resumes with "Medical policy"
Medical Policy
To Whom It May Concern: Please accept this letter and the accompanying resume as my application for the position of Health Policy Research Analyst. I am very excited about this opportunity and know that my time working in the healthcare industry servicing customers/patients of all ages will be helpful for this position. I believe that my energy, organizational abilities, creativity, and customer service skills will allow m...
Tags for this Online Resume: Revenue Analyst, compliance officer, supply manager, customer service, team player, microsoft software
Physician Executive with focus on leadership in managed care, expertise in utilization management, and medical policy development.
Physician executive with 20 years of experience in managed care, talent for problem resolution through process management, strategic collaboration and consensus-building techniques. Proven ability to assess and optimize utilization management operations for successful achievement of regulatory compliance. Reputation for support of appropriate medical policy development through acquisition, assimilation and application of kn...
Tags for this Online Resume: Medical Policy Administration, Utilization Management, Case manageme me, Problem solver, Innovator, Utilization Reviewer
Featured Profile
CLINICAL DIRECTOR, ADMINISTRATIVE DIRECTOR
Forward-thinking, astute Clinical/Administrative Director, with 20+ years of success aligning organizations to achieve clinical and operational excellence, and motivating teams to peak performance. Subject Matter Expert (SML) guest lecturer and trusted resource on pain management, addiction, biopsychosocial treatment and rehabilitation. Broad strengths in clinical treatment, management, supervision, training, quality assur...
Tags for this Online Resume:
ENCINO, CALIFORNIA, MEDICAL MANAGEMENT, SUPERVISOR BEHAVIORAL TEAM, INTERDISCIPLINARY TREATMENT , PRACTICE MANAGER , ADMINISTRATIVE DIRECTOR , CALIF WORKERS COMPENSATION, PRACTICE START UP, PRACTICE EVALUATION, HEALTH PSYCHOLOGY, FUNCTIONAL RESTORATION
Registered Nurse - 20 Years of Experience - Near 15227
•Case Manager Certified
•Facilitated results-oriented, empathetic and professional adult nursing care for over 23 years.
•Respect for compliance in all regulated environments while maintaining a clear vision to accomplish the company goals.
•Advocated for members to resolve health concerns.
•Communicated with all levels of personnel.
Skills Include:
•Demonstrated computer and internet literacy. ...
Tags for this Online Resume:
Case Manager, computer and Internet literate, Utilization review experience, Organized, CPR certified, Motivation interviewing techniques, Chronic condition management, Leader
Case Manager - 3 Years of Experience - Near 07302
Seeking a challenging position that will allow me to incorporate my nursing skills and technology skills to ensure efficiency during the nursing process. I have extensive knowledge of state regulations and Managed Long Term Care requirements; proficient knowledge in interpreting medical policies; effective communication skills and able to interact with all departments. My programming skills allow me to be fluid in various...
Tags for this Online Resume:
MLTC, Administrative, Computer, Programming, Geriatrics, Disabled, Health Management
Business Analyst - 20 Years of Experience - Near 95833
Summary of Qualifications Provides over twenty (25) years of professional IT HealthCare experience identifying and documenting business and technical requirements, communicating effectively in a multi-disciplinary environment (i.e., business and technical staff, management, clinicians, etc.) and organizational change management experience. My experience includes Twenty (20) years of Medi-Cal (Medicaid) data processing exper...
Tags for this Online Resume:
Scheduling, Integrate, SDLC, Test, Test Cases, Business Analysis, Business Analyst, Coding, Health Insurance Portability And Accountability Act, EDI
Insurance Sales Manager - 20 Years of Experience - Near 60540
SUMMARY Experienced insurance/benefits and research professional having worked at: two major health plans in product sales, benefit plan product development, benefits administration, medical policy, compliance, wellness initiatives and customer relations and implementations for employer active and retiree group self funded and fully insured plans at benefits consulting firms/brokers assisting employers in benefit strategy, ...
Tags for this Online Resume:
Benefits Consulting, Insurance, Project management, Health Insurance, Sales, Management, Training, Health Plans, Medicare, Product Development, Strategy, Implementations
Case Management Manager - 15 Years of Experience - Near 20603
PROFESSIONAL SUMMARY A successful, highly effective healthcare leader with over 20 years of clinical, and administrative hospital leadership experience. Innovative, and progressive facilitator of successful change through interpersonal, analytical, and team problem solving. Highly skilled, professional, multi-medium communicator. AREAS OF EXPERTISE * Able to successfully lead, train, and organize multiple specialties/discip...
Tags for this Online Resume:
Cardiovascular, Nursing, Computer Aided Software Engineering, Management, Emergency Room, ER, Integrate, Medical, ACLS, Automobile Claim Law Specialist, Washington DC,MD, VA
Medical or Health Services Manager - 17 Years of Experience - Near 33603
Experience hospital management administrator with 20 years of military background experience with the ability to coach, mentor, develop, motivate, and lead. Focused, driven, devoted to mission success, and a total team player able to encourage employees to increase productivity: patient care and customer service. Extremely organized, detailed oriented and dependable. Knowledgeable and experience on data quality, medical p...
Tags for this Online Resume:
Administrative Support, Customer Service, EMR, Logistics Management, Clinical Operations, Data Quality, Human Resources, Medical Records, Administrative Support, Applications, Bilingual, Communication Skills, Compliance, Customer Service, Data Quality, Filing, Medical, Medical Records, Compliance, Management, SAN (Storage Area Network), Coding, Data Quality, Documentation
Registered Nurse
Professional Summary * Nurse Manager/Charge Nurse at a AAAHC Ambulatory Surgery Center-staffing, scheduling, supervising staff, day to day function of center * Pre-op, intra-op, Circulating OR nurse, and post-op care in a AAAHC Ambulatory surgery center * Home health care for medically fragile pediatric children and infants * 16+ years as an RN, 15+ in a Level 4 critical care NICU setting with high patient volume focusing o...
Tags for this Online Resume:
Intensive Care, Intensive Care Unit, Surgery, Medical, ACLS, Ambulatory Services, Assessments, Automobile Claim Law Specialist, BLS, Collection
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
CLINICAL DIRECTOR, ADMINISTRATIVE DIRECTOR
Forward-thinking, astute Clinical/Administrative Director, with 20+ years of success aligning organizations to achieve clinical and operational excellence, and motivating teams to peak performance. Subject Matter Expert (SML) guest lecturer and trusted resource on pain management, addiction, biopsychosocial treatment and rehabilitation. Broad strengths in clinical treatment, management, supervision, training, quality assur...
Tags for this Online Resume: ENCINO, CALIFORNIA, MEDICAL MANAGEMENT, SUPERVISOR BEHAVIORAL TEAM, INTERDISCIPLINARY TREATMENT , PRACTICE MANAGER , ADMINISTRATIVE DIRECTOR , CALIF WORKERS COMPENSATION, PRACTICE START UP, PRACTICE EVALUATION, HEALTH PSYCHOLOGY, FUNCTIONAL RESTORATION
