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Online Resumes with "NCQA "
Program Manager/ Project (IT) Lead/ Consultant - M.B.A. educated to complement 13 years of management
Program / Project Management – Excellent communication skills with a history of working with and leading disparate personalities within large corporate organizations in a virtual environment including external vendor management. Consistently chosen for team leadership and/or for company-wide project management initiatives, diversity planning, and management of off-shore global projects. Instrumental in re-building Project...
Ideal Companies: Amazon, Microsoft, Oracle, VersionOne
Tags for this Online Resume: PMO, Agile, SDLC, IT, Portfolio, Virtual, Remote, MS Project, Program Manager, Health Plan
Admissions Director - 0 Years of Experience
Multi-skilled financial leader with over 20 years in clinical health care knowledge that consist of a mixture of 16 years of leadership, 15 years of Patient Access within Hospital and Clinic settings, 20 years contract negotiations and 15 years of financial back ground. Demonstrated ability to lead, turn around, and improve revenue cycle management efficiencies and implement processes to achieve targets with the assistance ...
Tags for this Online Resume: Accounts Receivable, Billing, Managed Care, Security, Insurance, Patient Access, Consulting, Inpatient Care, Planning, Purchasing
Director of Sales and Operations - 15 Years Experience
Top performing pharmaceutical sales executive with proven experience building sales organizations from ground up, driving performance value throughout company, and to bottom line. Recruit, hire, develop and deploy highly effective sales teams that maximize account value, market penetration and overall product ROI.
Ideal Companies: Gilead, Teva, Boeringher-Ingelheim, Lexicon, Abbott, Biogen Idec
Tags for this Online Resume: Pharmaceutical, Medicare, P&L, Business Planning, Cardiology, Contract Negotiations, Distribution, Managed Care, Marketing Management, Planning, Forecasting, Performance Management, Recruiting, Hiring, Coaching, Cross Functional Leadership
Experienced and outside-the-box thinking business development leader helping fast paced healthcare companies re-strategize and grow their business.
To obtain a position in HEALTHCARE BUSINESS DEVELOPMENT AND STRATEGY where I can apply my education, deep industry knowledge and 12 years of experience leading technical healthcare projects and business development initiatives to creatively address market challenges in a team based, culturally dynamic organization.
Ideal Companies: Kaiser Permanente, Medtronic, Cedars-Sinai, UCLA Medical Center, MemorialCare, Molina Healthcare, GoodRx
Tags for this Online Resume: Strategic Planning, Consulting, Business Development, Process Improvement, Healthcare Management, Project management, Healthcare Policy, Healthcare Quality Improvement, Healthcare Research, Market Research, Change Management, Data analysis
A results-oriented clinical and operations professional
A results-oriented, quality-driven, strategic leader with expertise in team management, quality improvement, workflow management, and clinical business operations seeking a position where my extensive knowledge of both clinical and business operations can be utilized to improve efficiency and patient outcomes.
Ideal Companies: UnitedHealth Group, Blue Cross/Blue Shield, Humana, Cigna, Aetna, Ernst & Young,
Tags for this Online Resume: Assessments, Business Operations, Quality, Policy & Procedures, Microsoft Office, Program Development, Staff Training & Development, Clinical Informatics
Billing/Coding Specialist - 20 Years of Experience - Near 95835
Healthcare professional with over 20 years of experience in customer and administrative services * Skilled in medical terminology, definitions, coordination and explanation of benefits * Proficient in processing HCFA 1500 and UB04 forms for ICD 9/10, CPT, and HCPCS codes * Ability to type 50 - 60 wpm and 10-Key with 95% accuracy * Proficient in Microsoft Word, Excel, Power Point, Outlook, and using Xerox Scanner * Handled ...
Tags for this Online Resume: Audit, Benefits, Citrix, Cms, Diversity, Folder, Fraud, Health Care Industry, Health Insurance, Health Insurance Portability And Accountability Act
Quality Coordinator
Tags for this Online Resume: Benefits, Planning, Procurement, Reconciliations, Accounting, Asset Management, Billing, Financial, Financial Reporting, Insurance
Case Management Manager
Tags for this Online Resume: Emergency Room, ER, Nursing, Pathway, Triage, Computer Aided Software Engineering, Critical Care, Insurance, Medicare, Planning
Director of Quality and Accreditation
Proven success in performance improvement and accreditation by enhancing operations and increasing overall effectiveness. known for effectively evaluating programs and integrating high quality care and service across all operational departments. Passion for leading healthcare organizations through performance improvements leading to successful accreditation (i.e. NCQA, URAC, AAAHC) HEDIS/CAHPS/STARs processes, and state a...
Ideal Companies: Florida Blue, Humana, United Healthcare, Magellan Health Services
Tags for this Online Resume: Cms, Quality, Quality Assurance, Audit, Complaints, Compliance, Management, Utilization Management, Quality Management, Medicare
