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Online Resumes with "Medicare medicaid "



Featured Profile

Speciality Pharmaceutical Sales Professional

Christi has 15 years of experience in pharmaceutical sales,11 years as a CNS specialty care representative promoting to neurologists and psychiatrists as well as high potential primary care physicians. Today, she is pursuing new opportunities in specialty pharmaceuticals, where she can develop her pharmaceutical career and be challenged as a sales professional. She specializes in CNS/Neuroscience and has a passion for this ...

Tags for this Online Resume: Successful, Ethical, Passionate, Closer, Experienced, Detail Oriented

Featured Profile

Sr Systems Analyst/Project manager

I have extensive experience with Medicare data such as Eligibility and Enrollment data from CMS(Centers of Medicare and Medicaid Services) and database design. My preference is to work as Systems Analyst reviewing and improving processes and data accuracy.

Tags for this Online Resume: Medicare Enrollment, Systems Analyst, Medicare Eligibility, Medicare Payment Reconciliation

Certified Fraud Examiner, Milwaukee

A Certified Fraud Examiner with over 20 years of healthcare experience in the areas of Fraud, Investigations, Audit, Data Analysis Interviewing and Compliance. Senior Fraud Investigator seeking opportunity to assess risk, ensure complaince and formulate solutions

Tags for this Online Resume: Healthcare, Fraud Investigator, Data Analysis, Analytical thinker, Research, Integrity, Compliance, Medicare/ Medicaid

Senior Financial Analyst, Laurel MD-MS Access, Excel, Jamis, Costpoint

As an accomplished financial, business and pricing analyst, I have provided comprehensive business and project support throughout my career. Highly accomplished in accounting, Human Resources, data management and comprehensive reporting, I exhibit in-depth business operations acumen that develops and improves policies, procedures and processes in support of business activities. Having successfully participated in organizati...

Tags for this Online Resume: Excel, Jamis, Pricing, Finance, Analyst, Access, Accounting, MS Excel, MS Office Suite, MS, Access, Microsoft Office Suite , Program Control, Payroll, Accounts Payable , Financial

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

Featured Profile

Insurance Case Manager -Medicare Medicaid

Tags for this Online Resume: Insurance , case management, case manager, certified

Health Insurance Professional - 21 years experience - Medicare and Medicaid

Managed Health Care Professional with 20 years experience in all aspects of the Health Care Industry. Attained knowledge of Medicare, Medicaid, Commercial, HMO and PPO companies. Focused and solutions –oriented with the ability to consistently exceed management goals. Reputation for thorough knowledge of insurance products, company policies and procedures, and insurance information systems.

Tags for this Online Resume: Project Specialist, Medicare Member Appeals, Medicaid Member Appeals

Featured Profile

Featured Profile

Hospital or Long Term Care Management, Charlotte NC

I have been an active participant in the kaleidoscope of the Healthcare Industry for 25 years. We are relocating to Charlotte, so I am taking this opportunity to rekindle former interests in Pediatrics and the Long Term Care Industry. Having completed my MBA last year in Health Services Management, I respect the dynamics of the Industry and its continuous transformation.

Tags for this Online Resume: Hospital Unit Management, Long Term Care 15yr tenure, Longevity , Unit Motivator, Inservice Education, MDS Coordinator, Care Plan Chair, Dedication, BSRN, MBA in Health Services Management