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Online Resumes with "Medicare part D"

Chief Executive Officer

Provider of leadership sales and marketing services to health plans that optimize their competitive position in the market and raise the performance of all client team members to higher levels: * Develops competitive advantages in their particular market * Creates product offerings that drive enrollment and retain membership Consistently lead health plan restructuring initiatives to develop and achieve strategies that diffe...

Tags for this Online Resume: Accounting, Accounting Software, Adobe PageMaker, Analytical Skills, Applications, Automation, Business Development, Cms, Coaching, Cost Control

Claims Examiner - 12 Years of Experience - Near 06249

SUMMARY Diverse, Deeply Experienced Professional and PhD Candidate, MBA, MSM, Certified Six Sigma Green Belt, and Certified Lean Six Sigma with broad technical savvy seeks a role commensurate with my work experience and education that maximizes my finance, project management, strategic, and analytical expertise to deliver value-added results and competitive advantage to a growing firm. BUSINESS ACUMEN * Management: Staff Ma...

Tags for this Online Resume: Audit, Financial, Quality, Quality Assurance, Quality Control, Underwriting, Account Management, Account Reconciliation, ACH, Banking Industry

Pharmacist - 20 Years of Experience - Near 85374

Summary Pharmacist and Pharmacy Manager (PIC) with over 30 years of experience in ambulatory Pharmacy. I have managed chain Pharmacies and have experience in 340B Pharmacy Management and Operations and HRSA compliance regulations for 340B Pharmacy. Experience with EHR using E-Clinical Works and Pharmacist prescribing and refill authorization using protocols. I have experience as a Clinical Pharmacist doing Medicare Part D P...

Tags for this Online Resume: Insulin, Purchasing, Inventory, Scheduling, Ambulatory Services, Compliance, Drug Interaction, EHR, GloboMax PDx Pharmaceutical Development Expert Tools, Interactive Voice Response, Pharmacist

Pharmacist - 16 Years of Experience - Near 46033

Continue to expand my pharmacy career and tool set in a new setting to adjust for the expanding role of pharmacists in healthcare. * Be versatile to using my accumulated professional skills in a very new atmosphere and position that will challenge me in a new way. If a new interesting position should arise. * Serve as an important vehicle in our healthcare to improve healthcare by targeting medication (s) and the manner of ...

Tags for this Online Resume: Ambulatory Services, Drug Information, Injections, Insulin, Family Practice, Management, Microbiology, Pain Management, Patient Care, Patient Education, physical therapist, pharmacist, health coach, wellness coach, medicare part D

Pharmaceutical Sales Representative - 7 Years of Experience - Near 32756

Summary of qualifications Specialty Pharmaceutical Sales/Clinical Liaison/MSL/Marketing Professional and Physician with extensive experience in numerous areas of the medical profession. Proven ability to drive revenue growth and increased market penetration through effective business planning, superior presentation abilities, and exceptional relationship building. Skill Set is transferrable to many roles including Pharmaceu...

Tags for this Online Resume: Cardiology, Gastroenterology, Management, Pain Management, Rheumatology, Sales, Cancer, Dermatology, Hematology, Nursing

Director - 20 Years of Experience - Near 27526

Areas of Expertise * Resource & Business Planning * Strategy Process Creation * Impact Assessment * Project Implementation * Training & Development Programs * Corporate Compliance * Mentoring & Coaching * Drafting & Negotiating Contracts * Contracts Law Key Accomplishments * Improved payment timelines over 25% in first quarter while overseeing rebate payments of $14M/quarter by working with IT to create reports to validate ...

Tags for this Online Resume: Pricing, Management, Compliance, Full life cycle, Planning, Audit, Billing, Business Planning, cross functional training, department training, GTN, Pricing Strategy and Analysis

Health Technologist - 18 Years of Experience - Near 10001

PROFESSIONAL SUMMARY: Extensive experience working with internal and external clients and users. Medical loss ratio reports, provider score cards, pay for performance, risk analysis of members for intervention, government reporting requirements for the healthcare industry. Reporting to actuarial, sales, marketing, membership, federal and state requirments. Reconciliation and auditing of Medicare Part D claims and eligibilit...

Tags for this Online Resume: IBM, IBM Mainframes, Structured Query Language, Microsoft SQL Server, Oracle, Unix, VSAM, Data Management, Management, Microsoft ASP.Net, SAS, SQL, SQL Server, Tableau, Alteryx, SAS Metadata Server, SAS Data Integration, SAS Visual Analytics, Programmer

Purchasing

Key Qualifications - * Proven track record with pharmacy benefit management. Accurately complete research on plans, creating proposals on request for various clients, collaborating with multiple departments and resolving issues. * Adept at developing and maintaining detailed research databases and troubleshooting/testing code before and after implementation. * Highly focused and driven with a wealth of experience identifyin...

Tags for this Online Resume: Medicare, Benefits, Research, Coding, Management, Planning, Purchasing, Quality Assurance, Test, Triage

Pharmacist

Summary of Qualifications * President and owner Coastal Drug Institutional Pharmacy in Maryland * 10yrs as Pharmacist in Charge for Long Term Care Pharmacy * Senior Management Consultant for Big 5 consulting firm * Six Sigma Black Belt * Associate Director of Project Management for biopharmaceutical company * Director of Clinical Benchmarking for mid-tier consulting firm * Project Manager for top 10 pharmaceutical company *...

Tags for this Online Resume: Budgeting, Business Plan, Long Term Care, Operating Budget, Purchasing, Retail, Black belt, Pharmaceutical Industry, Research, Research and Development

Marketing - 20 Years of Experience - Near 54729

To become a full-time, permanent member of a marketing team.

Ideal Companies: Marketer

Tags for this Online Resume: Communications, Manager, Account Manager, Regulatory, Proposal Writer, Management, Retail, Benefits, Budgeting, Business Requirements, Buying, ROI, Healthcare Compliance, Marketing, Remote, Telecommute, marketing, account manager, marketing manager, compliance and regulatory Medicare Part D

Project Manager

PROFESSIONAL SUMMARY * Sr. Program / Project Manager with over fifteen (15) years of experience with core competencies include Project Management, Change and Risk Management, Client Relationship Management, Resource Management and implementation Management * Managed large programs in PMO's in excess of 9 Million for CVS Health * Assisted in initiating an Agile SCRUM approach in project management * Worked with EPMO directly...

Ideal Companies: Data Wrehousing, Big Data, Project Management

Tags for this Online Resume: Oracle, Oracle Warehouse Builder, Architectural, CIO, Data Warehouse, Design Documents, Documentation, Hyperion, OBIEE, Software