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Online Resumes with "NCQA Accreditation"



Vice President, Marketing and Corporate Communication

Leadership responsibility for marketing strategy, business planning, corporate communications (internal, external, Internet, events, corporate responsibility)

Ideal Companies: Member Health, Universal American, Anthem/Wellpoint

Tags for this Online Resume: Marketing, communications, public relations, executive Healthcare, Banking, Business-to-Business, strategic/business planning, branding, content, direct marketing, creative development, staff/budget management.

Clinical Compliance Director

To obtain a position as a quality improvement auditor or consultant who works with Managed care companies to offer guidelines and supportive processes to increase HEDIS/QARR rates and acquire NCQA accreditation

Solid track record for diminishing challenges that enables companies achieve their mission-critical goals and exceeding expectations

Innovative thinker with broad-based expertise in management, operations, and business development. Proven ability to quickly analyze key business drivers and develop strategies to grow the bottom-line

Ideal Companies: Companies that promote employees due to employees contributions and abilities

Tags for this Online Resume: Business Development, Account Management, Mentoring, Process Improvement, Operational Efficiency, Management, Director, Decision Maker, Managed Care /Health Care, Persistent, Disciplined

Registered Nurse, Licensed Health Care Risk Manager

Application of Legal Nurse Consulting and Healthcare Risk Management, URAC and NCQA accreditation experience in fiscally responsible fashion.

Tags for this Online Resume: Director of Nursing, Medical-legal Consultant, Litigation, Risk Manager, Quality Improvement, Policies and Procedures, Healthcare Risk Management, Legal Nurse Consultant, Nursing Faculty

Managing Director - 12 Years of Experience - Near 76028

Professional Summary I have 20+ years' experience working in Managed Care. The last 17 years of my career have been focused on managing Clinical Quality Management and enhancing organizational performance. I have experience managing HEDIS, NCQA accreditations and URAC accreditations.

Tags for this Online Resume: management, Networking, Complaints, Quality, Quality Assurance, Quality of Service, Utilization Management, Negotiation Skills, Project Management, Quality Management

Supervisor - 8 Years of Experience - Near 95610

SUMMARY: I work in a cooperative fashion that encourages teamwork and utilize my interpersonal skills to foster resolution of issues. I consider myself meticulous and excellent at juggling multiple tasks and working under pressure. I am an experienced manager with excellent client and project management skills. I am action-oriented and possess a strong ability to communicate effectively with all type of audiences. I welcome...

Tags for this Online Resume: Managed Care, Audit, Licensing, Billing, Documentation, Data Analysis, Data Management, Diversity, Leadership, management

Case Management Manager - 20 Years of Experience - Near 75207

Summary of Qualifications: I have worked in Managed Care in the business arena for twenty years. My objective is to have a position with an organization which will allow me to be in a position within the Health Plan industry and be responsible for supporting associates and an institution to increase the profitability. This would allow me to integrate my extensive background in clinical nursing, training, sales/ marketing pr...

Tags for this Online Resume: Training, Infrastructure, SAN (Storage Area Network), Scheduling, Documentation, Health Care Industry, Managed Care, Management, Services, Communication Skills

Featured Profile

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