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Online Resumes with "Medicare medicaid "



Featured Profile

Pharmacist

Areas of Expertise * Medicare/Medicaid Filing * DUR * OTC Medication * Customer Service * Order Verification * Specialized Consultation * Compound Preparing * Prescription Verification * Training Employees * Certified Immunizer * Prescription Dispensing * Supervising Employees

Ideal Companies: LONG TERM CARE, MAIL ORDER, SPECIALTY PHARAMACY, INFUSION PHRMACY, VA HOSPITAL

Tags for this Online Resume: Inventory, Medicare, Customer Service, CVS, Medication Adherence, OTC, Benefits, Data Entry, Documentation, Drug Information

Payroll Administrator - 10 Years of Experience - Near 92807

Professional Summary: Ten years of diversified human resources and payroll management experience with responsibility of up to 400 employees. Solid employee relations, recruitment, benefits, payroll administration, training and development experience in healthcare and financial organizations. Knowledge of employment laws and human resources legal compliance including workers compensation, labor laws, FMLA. Experienced in man...

Tags for this Online Resume: Accounting, Accounting Functions, Accounts Payable, Bank Reconciliation, Billing, Deductions, Filing, Quick Books, Quickbooks, Receivables, hr, human resources, payroll, benefits, employee relations, staffing, recruiter, recruiting

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

Medical or Health Services Manager - 17 Years of Experience - Near 92648

SUMMARY * Experience Healthcare quality improvement and process improvement. * Data processing professional, application development and project management experience. * Extensive knowledge in Systems Development Life Cycle (SDLC) and methodologies. * Excellent work ethics and communication and interpersonal skills. * Outstanding technical and analytical skills. * Good relationship with clients, customer services, users and...

Tags for this Online Resume: VISIO, Business Analysis, Business Requirements, Configure, Management, Microsoft Office, Microsoft PowerPoint, Microsoft Visio, Microsoft Word, PDF, Business Analyst, Quailty Assurance, Risk Adjustment, Intervention, Healthcare, Claims/Encounters, Billing, HEDIS

Senior Manager, Claims and Contract - 20+ Years of Experience - Near 03051

Over 23 years of knowledge and expertise in Managed Care Medicare, Medicaid and Commercial with a concentration in claims, appeals and customer service.

Tags for this Online Resume: Inventory, Services, Support, Management, Risk Assessment, Benefits, Information Technology, Leadership, Managed Care, Medicare, healthcare

Bookkeeper - 6 Years of Experience - Near 80017

State City Job Responsibilities or Accomplishments Intake/Scheduling RN/LPN/PT/OT/ST/MSW/CNA Medical Billing - Managed/Medicare/Medicaid

Tags for this Online Resume: Bank Reconciliation, Billing, HR, Human Resources, Insurance, Payroll, Policies and Procedures, Accounts Payable, Bookkeeper, Credit Card, accounting, accountant, tax, audit, finance

Director

KEY QUALIFICATIONS - OVER 21 YEARS EXPERIENCE IN MEDICARE, MEDICAID, AND MEDICARE-MEDICAID PLANS (MMP) Profit & Loss Accountability * Product Implementation / Mgt * Marketing & Communication Strategy * Product Strategy & Development * Business Development * Collateral / Campaign Development SUMMARY OF PROFESSIONAL EXPERIENCE CAPTIAL BLUECROSS HARRISBURG, PA 17050 SEPTEMBER 2015 - PRESENT DIRECTOR OF MEDICARE PRODUCT DEVELOP...

Tags for this Online Resume: Cms, Management, Market Research, Networking, Research, Pricing, Benefits, Marketing Management, Policies and Procedures, Product Development

Quality Assurance Director - 20 Years of Experience - Near 45502

SUMMARY A highly accomplished and forward-thinking executive and top corporate officer skilled in project management, process/procedure improvement, and customer relationship development. Success in increasing productivity and enhancing quality performance by fostering a culture of service, innovation, and operational excellence. Proven track record of driving operational-level changes on a system-wide basis. A goal-oriente...

Tags for this Online Resume: Data Mining, Financial Oversight, Medicare Medicaid, Patient Advocacy

Business Analyst

Summary of Qualifications: Results orientated Business analyst with 8+ years track record improving customers' performance through collecting, analyzing, and reviewing information. Proven ability to document and collaborate to foresee end to end solutions due to business challenges and limitations. A team player who is known for excellent verbal and written communications Managed project for client's Claims Editing Software...

Tags for this Online Resume: Services, Business Analysis, Business Analyst, Certified Pension Consultant, Data Mapping, JIRA, Management, Medicare, Microsoft Visio, Process Improvements, sql, agile

Project Manager

PROFESSIONAL SUMMARY * Health Information Management (HIM) Leader, Consultant, Director, and Project Manager with the ability to manage client priorities and develop action plans and timetables, commensurate with each assignment. * Experienced HIM Consultant for California with a record of consistent accomplishments in directing cost-efficient health information management operations. Experience with 150- to 665-bed facilit...

Tags for this Online Resume: CMA, Services, Rehabilitation, Surveys, Billing, Cancer, Compliance, Health Insurance Portability And Accountability Act, Integrate

Director of Finance 10 years

(Same ownership as my employment at Sky View below) Provide monthly financial reports to owner and corporate management team Manage business office team to assure all work is being done in an efficient and timely manner Posting all monthly journal entries to the general ledger. Reconciling all monthly operating and payroll bank statements Monthly reconciling and closing of all accounts receivable and accounts payable Prepar...

Tags for this Online Resume: Accounts Receivable, Bookkeeper, Payroll, Billing, Insurance, Accounts Payable, Audit, General Ledger, Journal Entries, Management

Claims Examiner - 20 Years of Experience - Near 48235

PROFESSIONAL SUMMARY * Skilled dedicated 26 year healthcare professional with a versatile administrative skill-set developed as an office manager, claims processing supervisor, administrative assistant and quality assurance tester. * Extensive experience in resolving employer challenges with innovative solutions, systems and quality improvements proven to increase efficiency, customer service and provider satisfaction withi...

Tags for this Online Resume: Medical, Medical Records, Audit, Therapy, Training, Customer Service, Web, Coding, ICD-9, Claim Processing