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Online Resumes with "Ncqa"
Utilization Review/Precert Nurse, Appeals Specialist
Highly trained and experienced utilization review and precertification nurse who has advanced experience within the Medicare/Medicaid arena and knowledge of NCQA guidelines and processes within the managed care realm.
Ideal Companies: Cigna, Aetna, United Health Insurance Company, Blue Cross Blue Shield, any managed care HMO.
Tags for this Online Resume:
utilization review, precertification review, utilization coordinator, nurse, case management, insurance
Featured Profile
Featured Profile
Physician Executive
To offer offer, supervise or teach clinical services for individuals with behavioral health or substance abuse needs. To offer specialized services for combat veterans with stress related disorders or to the family and children of such.
Ideal Companies: Healthcare company managing care, disease management or disability. I am also interested in direct service for Vets with PTSD.
Tags for this Online Resume:
Physician Executive, Medical Director , Psychiatrist, Systems of care, Child and Adolescent Psychiatrist, Health Insurance, Disability, Psychiatry, Substance Abuse
Featured Profile
Seasoned Provider Network Management professional with 27+ year of experience
I'm a Provider Network Director who has 27+ years of experience who is expert at developing, recruiting and managing provider networks, expertise developing physician/hospital Provider Relations, and am strategic in planning and tactical in organizaing and implementing activities.
Tags for this Online Resume:
managed care professional, provider contracting negotiator, Provider Risk Contracting, provider network development, managed care strategist, NCQA/HEDIS expert
Featured Profile
COO, Delaware
To obtain a career opportunity where my many years of health care and manufacturing experience can be utilized to produce effective and efficient outcomes.
Ideal Companies: Healthcare
Tags for this Online Resume:
Credentialing, Information Technology, Facilities Management, Operations, Contracting, verification, management, manager, Hub, Security
Featured Profile
Director Of Laboratory/Patholgy
I'm looking for a position as a Director of Laboratory /Pathology Services. As a Director I'm looking to be a leader in promoting good working relationship with the clients as well as it's employees. In this position I will be responsible in developing an implementing an integrated service line model across the service area. I will ensure that all technical and service support staff provide the highest quality of care to t...
Ideal Companies: Dignity, Tenet, Sutter, Sharp
Tags for this Online Resume:
Laboratory, Director, Manager, Information system
Medical director
Create easy access to high quality health care in a cost effective pleasant manner
Tags for this Online Resume:
Physician , Chief medical officer, Technical innovator, NCQA , Hedis, Florida California
Featured Profile
Healthcare Executive Profile
My career objective is to attain a Healthcare Executive position within a progressive company. With my current studies in the Ph.D. Health Services with a concentration in Health Administration; various nursing capacities and vast Managed Care leadership;I will be an asset to the organization. In addition, I have extensive experience in presentations, networking, staff development,strategic planning, class training and faci...
Ideal Companies: McKesson, NEA-Baptist, , Amgen, Bayer Pharmaceuticals, Roche Pharmaceuticals, Bristol-Myers Pharmaceuticals, BlueCross BlueShield, St. Vincent Hospital, Celgene, Veterans Administration, UAMS-Little Rock
Tags for this Online Resume:
Milliman, Microsoft Word
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
Life experience yields more.
Eager and excited to learn, I almost put forth my best.
Ideal Companies: Blue Cross & Blue Shield, Fidelity, FEDEX, Mayo Clinic
Tags for this Online Resume:
patient access, customer service, financial counselor
Featured Profile
Physician Executive
To offer offer, supervise or teach clinical services for individuals with behavioral health or substance abuse needs. To offer specialized services for combat veterans with stress related disorders or to the family and children of such.
Ideal Companies: Healthcare company managing care, disease management or disability. I am also interested in direct service for Vets with PTSD.
Tags for this Online Resume:
Physician Executive, Medical Director , Psychiatrist, Systems of care, Child and Adolescent Psychiatrist, Health Insurance, Disability, Psychiatry, Substance Abuse
Featured Profile
Seasoned Provider Network Management professional with 27+ year of experience
I'm a Provider Network Director who has 27+ years of experience who is expert at developing, recruiting and managing provider networks, expertise developing physician/hospital Provider Relations, and am strategic in planning and tactical in organizaing and implementing activities.
Tags for this Online Resume:
managed care professional, provider contracting negotiator, Provider Risk Contracting, provider network development, managed care strategist, NCQA/HEDIS expert
Featured Profile
COO, Delaware
To obtain a career opportunity where my many years of health care and manufacturing experience can be utilized to produce effective and efficient outcomes.
Ideal Companies: Healthcare
Tags for this Online Resume:
Credentialing, Information Technology, Facilities Management, Operations, Contracting, verification, management, manager, Hub, Security
Featured Profile
Director Of Laboratory/Patholgy
I'm looking for a position as a Director of Laboratory /Pathology Services. As a Director I'm looking to be a leader in promoting good working relationship with the clients as well as it's employees. In this position I will be responsible in developing an implementing an integrated service line model across the service area. I will ensure that all technical and service support staff provide the highest quality of care to t...
Ideal Companies: Dignity, Tenet, Sutter, Sharp
Tags for this Online Resume:
Laboratory, Director, Manager, Information system
Medical director
Create easy access to high quality health care in a cost effective pleasant manner
Tags for this Online Resume:
Physician , Chief medical officer, Technical innovator, NCQA , Hedis, Florida California
Featured Profile
Healthcare Executive Profile
My career objective is to attain a Healthcare Executive position within a progressive company. With my current studies in the Ph.D. Health Services with a concentration in Health Administration; various nursing capacities and vast Managed Care leadership;I will be an asset to the organization. In addition, I have extensive experience in presentations, networking, staff development,strategic planning, class training and faci...
Ideal Companies: McKesson, NEA-Baptist, , Amgen, Bayer Pharmaceuticals, Roche Pharmaceuticals, Bristol-Myers Pharmaceuticals, BlueCross BlueShield, St. Vincent Hospital, Celgene, Veterans Administration, UAMS-Little Rock
Tags for this Online Resume:
Milliman, Microsoft Word
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
Life experience yields more.
Eager and excited to learn, I almost put forth my best.
Ideal Companies: Blue Cross & Blue Shield, Fidelity, FEDEX, Mayo Clinic
Tags for this Online Resume:
patient access, customer service, financial counselor
Physician Executive
To offer offer, supervise or teach clinical services for individuals with behavioral health or substance abuse needs. To offer specialized services for combat veterans with stress related disorders or to the family and children of such.
Ideal Companies: Healthcare company managing care, disease management or disability. I am also interested in direct service for Vets with PTSD.
Tags for this Online Resume: Physician Executive, Medical Director , Psychiatrist, Systems of care, Child and Adolescent Psychiatrist, Health Insurance, Disability, Psychiatry, Substance Abuse
Seasoned Provider Network Management professional with 27+ year of experience
I'm a Provider Network Director who has 27+ years of experience who is expert at developing, recruiting and managing provider networks, expertise developing physician/hospital Provider Relations, and am strategic in planning and tactical in organizaing and implementing activities.
Tags for this Online Resume:
managed care professional, provider contracting negotiator, Provider Risk Contracting, provider network development, managed care strategist, NCQA/HEDIS expert
Featured Profile
COO, Delaware
To obtain a career opportunity where my many years of health care and manufacturing experience can be utilized to produce effective and efficient outcomes.
Ideal Companies: Healthcare
Tags for this Online Resume:
Credentialing, Information Technology, Facilities Management, Operations, Contracting, verification, management, manager, Hub, Security
Featured Profile
Director Of Laboratory/Patholgy
I'm looking for a position as a Director of Laboratory /Pathology Services. As a Director I'm looking to be a leader in promoting good working relationship with the clients as well as it's employees. In this position I will be responsible in developing an implementing an integrated service line model across the service area. I will ensure that all technical and service support staff provide the highest quality of care to t...
Ideal Companies: Dignity, Tenet, Sutter, Sharp
Tags for this Online Resume:
Laboratory, Director, Manager, Information system
Medical director
Create easy access to high quality health care in a cost effective pleasant manner
Tags for this Online Resume:
Physician , Chief medical officer, Technical innovator, NCQA , Hedis, Florida California
Featured Profile
Healthcare Executive Profile
My career objective is to attain a Healthcare Executive position within a progressive company. With my current studies in the Ph.D. Health Services with a concentration in Health Administration; various nursing capacities and vast Managed Care leadership;I will be an asset to the organization. In addition, I have extensive experience in presentations, networking, staff development,strategic planning, class training and faci...
Ideal Companies: McKesson, NEA-Baptist, , Amgen, Bayer Pharmaceuticals, Roche Pharmaceuticals, Bristol-Myers Pharmaceuticals, BlueCross BlueShield, St. Vincent Hospital, Celgene, Veterans Administration, UAMS-Little Rock
Tags for this Online Resume:
Milliman, Microsoft Word
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
Life experience yields more.
Eager and excited to learn, I almost put forth my best.
Ideal Companies: Blue Cross & Blue Shield, Fidelity, FEDEX, Mayo Clinic
Tags for this Online Resume:
patient access, customer service, financial counselor
COO, Delaware
To obtain a career opportunity where my many years of health care and manufacturing experience can be utilized to produce effective and efficient outcomes.
Ideal Companies: Healthcare
Tags for this Online Resume: Credentialing, Information Technology, Facilities Management, Operations, Contracting, verification, management, manager, Hub, Security
Director Of Laboratory/Patholgy
I'm looking for a position as a Director of Laboratory /Pathology Services. As a Director I'm looking to be a leader in promoting good working relationship with the clients as well as it's employees. In this position I will be responsible in developing an implementing an integrated service line model across the service area. I will ensure that all technical and service support staff provide the highest quality of care to t...
Ideal Companies: Dignity, Tenet, Sutter, Sharp
Tags for this Online Resume: Laboratory, Director, Manager, Information system
Healthcare Executive Profile
My career objective is to attain a Healthcare Executive position within a progressive company. With my current studies in the Ph.D. Health Services with a concentration in Health Administration; various nursing capacities and vast Managed Care leadership;I will be an asset to the organization. In addition, I have extensive experience in presentations, networking, staff development,strategic planning, class training and faci...
Ideal Companies: McKesson, NEA-Baptist, , Amgen, Bayer Pharmaceuticals, Roche Pharmaceuticals, Bristol-Myers Pharmaceuticals, BlueCross BlueShield, St. Vincent Hospital, Celgene, Veterans Administration, UAMS-Little Rock
Tags for this Online Resume: Milliman, Microsoft Word
